Selective Functional Movement Assessment (SFMA) Reliability and Proposal of Its Use in Sports

Andrea Aghi, Daniele Salvagnini, Giovanni Berton, Mattia Cecconi, Elisabetta Della Valle, Rocco Spera, Maria Mambelli, Stefano Palermi, Daniel Neunhaeuserer and Marco Vecchiato ()
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Andrea Aghi: Clinica Medica 1, Department of Medicine, University of Padova, 35128 Padova, Italy
Daniele Salvagnini: Rehabilitation Center “Daniele Salvagnini”, 35129 Padova, Italy
Giovanni Berton: Rehabilitation Center “Fisioterapia Raimondi di Giovanni e Daniele”, 35030 Selvazzano Dentro-Padova, Italy
Mattia Cecconi: Rehabilitation Center “Fisiomedic”, Oriago, 30034 Venice, Italy
Elisabetta Della Valle: Public Health Department, University of Naples Federico II, 80131 Naples, Italy
Rocco Spera: Public Health Department, University of Naples Federico II, 80131 Naples, Italy
Maria Mambelli: Public Health Department, University of Naples Federico II, 80131 Naples, Italy
Stefano Palermi: Public Health Department, University of Naples Federico II, 80131 Naples, Italy
Daniel Neunhaeuserer: Sports and Exercise Medicine Division, Department of Medicine, University of Padova, 35128 Padova, Italy
Marco Vecchiato: Sports and Exercise Medicine Division, Department of Medicine, University of Padova, 35128 Padova, Italy

IJERPH, 2023, vol. 20, issue 3, 1-10

Abstract: Introduction: The Selective Functional Movement Assessment (SFMA) is a functional movement assessment method to observe movement restrictions in individuals with known musculoskeletal disorders, although it has also been used to evaluate healthy athletes of different sports. Aim: The present paper aimed to evaluate the applicability of SFMA in a clinical setting and to verify whether a student can correctly perform it. Methods: An introductory and explanatory email was sent to the subjects, containing the instructions needed to produce a video with SFMA evaluation movements. SFMA methodology was then used to analyze the received videos. The results between interobserver and intraobserver agreement were compared to the literature, considered the gold standard methods. Results: Twenty-eight subjects (17.71 ± 1.96 years aged) were rated. The functional non-painful scenario (FN) has been assigned more frequently by all raters. The student’s intra-rater reliability proved to be moderate (Kappa coefficient 0.49). Results for inter-rater reliability showed that the reliability degree between the senior physiotherapist and student before and after their educational path is good (Kappa coefficient 0.60 and 0.62, respectively). Conclusions: The results of this study showed SFMA intra-rater reliability to be moderate, while inter-rater reliability can be considered good. These characteristics make it a valuable tool for sport’s needs, even when used by students.

Keywords: selective functional movement assessment; method assessment; physiotherapists; reliability (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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