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Comprehensive movement system screening tool (MSST) for athletes: Development and measurement properties
Journal article   Open access   Peer reviewed

Comprehensive movement system screening tool (MSST) for athletes: Development and measurement properties

Courtney M. Butowicz, Marisa Pontillo, David Ebaugh and Sheri P. Silfies
Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), v 24(6), pp 512-523
Nov 2020
DOI: https://doi.org/10.1016/j.bjpt.2019.10.002
PMID: 31735494
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.bjpt.2019.10.002View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Athletic injuries Movement system Screening Validity
•Movement inefficiency and/or impaired stability and mobility increase athletic injury risk.•The movement system screening tool was developed to assess athletic injury risk factors.•The presented novel screen is a valid and reliable assessment of movement performance. Non-traumatic extremity injuries are particularly common in sports, representing a significant economic, academic, and psychosocial burden on athletes. Proposed musculoskeletal risk factors for increased injury and decreased performance in athletes include movement pattern inefficiency, decreased regional stability, decreased mobility, and asymmetrical movement. The Movement System Screening Tool (MSST) is a comprehensive screening tool designed to assess these factors. Thus, the purpose of this study was to describe the development and determine the content and construct validity and inter-rater reliability of the MSST. A modified Delphi panel of experts determined content validity. 80 athletes (40 with and 40 without a current non-traumatic shoulder injury) completed 21 clinical tests, with exploratory factor analysis and known group analysis performed to determine construct validity. Two independent raters were used to establish individual item and composite score inter-rater reliability. Exploratory factor analysis identified three of the four apriori constructs over 7 factors (14 tests), representing 63% of the variance. Known group analysis revealed a significantly lower composite score in athletes with vs. without a current non-traumatic shoulder injury (56.9±5.8 vs. 62.7±4.5, respectively). A preliminary cut score of 62 was chosen with sensitivity of 85% and specificity of 44%. Composite score inter-rater reliability was excellent ICC (2,1)=0.94, 95% CI (0.91, 0.96) and item reliability ranged from κ=.57 to 1.00. The MSST possesses constructs representative of injury risk and measurement properties acceptable for use in clinical settings. Comprehensive screens with construct validity and known measurement error are needed not only to identify athletes at risk of injury, but also provide an instrument that can be used in studies that seek to validate training approaches proposed to change movement impairment and injury risk in athletes.

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9 Record Views
5 citations in Web of Science
5 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Rehabilitation
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