Journal of Police Medicine

fa ارتباط بین آزمون غربالگری عملکردی-حرکتی با ناهنجاری‌های قامتی و عملکرد اندام فوقانی نظامیان Correlation between Functional-Movement Screening Test with Stature Abnormalities and Upper Limb Function of Military Personnel آسیب‌های مرتبط با فعاليت انتظامی Police Related Trauma پژوهشی اصيل Original Research <div style="text-align: justify;">اهداف: آزمون‌های استاندارد غربالگری عملکردی-حرکتی می‌تواند یکی از عوامل پیش‌بینی‌کننده بروز آسیب‌های اسکلتی-عضلانی در نیروهای نظامی باشد. هدف از این مطالعه، بررسی ارتباط بین نمرات آزمون غربالگری عملکردی-حرکتی با ناهنجاری‌ها و عملکرد اندام فوقانی نظامیان بود. مواد و روش‌ها: مطالعه حاضر از نوع همبستگی است. جامعه آماری این تحقیق تمامی پرسنل نظامی شاغل در یکی از مراکز نظامی ستادی در سال ۱۴۰۱ بود. ۴۰ نفر پس از فراخوان عمومی به‌صورت هدفمند انتخاب شدند. برای سنجش ناهنجاری‌های قامتی بالاتنه از صفحه شطرنجی و پرسش‌نامه آزمون نیویورک و پرسش‌نامه ناتوانی عملکردی شانه و دست (DASH) استفاده شد. سپس تمامی آزمودنی‌ها به انجام آزمون‌های حرکتی عملکردی هفت‌گانه (FMS) پرداختند. داده‌ها با استفاده از آزمون ضریب همبستگی پیرسون توسط نرم‌افزار  SPSS ۲۲تجزیه و تحلیل شدند. یافته‌ها: میانگین سنی افراد شرکت‌کننده ۴۷/۴±۳۰/۳۰ سال و شاخص توده بدنی ایشان ۱۲/۶±۸۰/۲۳ بود. بین امتیاز به‌دست‌آمده از آزمون FMS و بروز ناهنجاری‌های قامتی پشت گرد (۰۰۱/۰=p؛ ۶۲۴/۰-=r) و سر به جلو (۰۰۱/۰؛ ۵۸۸/۰-=(r ارتباط منفی و نسبتاً قوی وجود داشت. بین امتیاز به‌دست‌آمده از آزمون FMS و آزمون پرسش‌نامه سنجش ناتوانی دست و بازو (DASH) ارتباط معنادار و منفی و متوسطی وجود داشت (۰۰۳/۰=p؛ ۳۵۸/۰-=r). نتیجه‌گیری: در مطالعه حاضر بین نمره کل آزمون FMS با برخی از ناهنجاری‌های قامتی بالاتنه، ارتباط و همبستگی منفی قوی و متوسطی وجود داشت. به نظر می‌رسد که نمرات آزمون FMS متأثر از عارضه‌های ساختاری-قامتی در اندام‌های بالاتنه است و از طرف دیگر، بر اساس نمرات FMS و DASH می‌توان چنین استدلال کرد که ناهنجاری‌های قامتی بالاتنه، فرد را بیشتر در معرض آسیب قرار می‌دهد.</div> <div style="text-align: justify;">Aims: Standard functional-movement screening tests can be one of the predictors of musculoskeletal injuries in military forces. This study aimed to investigate the relationship between functional-movement screening test scores and abnormalities and function of the upper limbs of military personnel. Materials and Methods: The present study is correlational. The statistical population of this research was all military personnel working in one of the headquarters military centers in 2022. Forty people were selected purposefully after a public call. Checkerboard, New York Test Questionnaire and Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) were used to measure upper body stature abnormalities. Then, all subjects performed seven Functional Movement Screen (FMS) test. Data were analyzed using Pearson's correlation coefficient test by SPSS 22 software. FINDINGS: 30 samples with an average age of 30.30±4.47 years, FMS 18.32±2.24, and FMS 13.33±8.21 participated in this research. The results of the present study showed that 60.8% of the participants have some degree of functional disability in their upper limbs. The frequency and percentage of different scores for each FMS test are listed in Table 2. The Pearson correlation test results showed a significant relationship between the FMS test and upper limb function, as well as the incidence of upper body posture abnormalities (Table 3). In stature anomalies and the DASH questionnaire, a lower score indicates a better performance, which leads to a negative number obtained from Pearson's moment correlation coefficient. The results showed a negative relationship between the score obtained from the FMS test and the incidence of hunchback (p=0.001; r=-0.624) and head forward (p=0.001; r=-0.588) abnormal posturing was fairly strong. There was a significant, negative, and moderate correlation between the score obtained from the FMS test and the Hand and Arm Disability Assessment Questionnaire (DASH) test (p=0.003; r=-0.358). CONCLUSION: Creating preventive solutions such as monitoring and movement-functional screenings at different time points, improving the ergonomics of the work environment and tools, designing corrective exercises as well as periodic monitoring under the supervision of experts can be effective in preventing chronic musculoskeletal pain, performance loss, organizational financial losses and improving the quality of working life of staff. There was a strong and moderate negative correlation between the total score of the FMS test and some of the upper body posture abnormalities. It seems that the scores of the FMS test are affected by the structural-stature complications in the upper body organs. On the other hand, based on the FMS and DASH scores, it can be argued that the abnormalities of the upper body make a person more vulnerable to injury.  Clinical & Practical Tips in POLICE MEDICINE: Chronic musculoskeletal pains, loss of performance, and organizational financial losses can be prevented by using standard tests to measure movement performance, which can improve the quality of work life of staff and military personnel. FMS test scores are a suitable predictor for diagnosing upper body posture complications in military personnel, and based on the FMS and DASH scores, it can be argued that upper body stature abnormalities, which are common in the headquarters military forces, make a person more vulnerable to injury. In general, the reduction of trunk stability and quality of movement caused by postural abnormalities directly or compensating will cause a decrease in FMS scores in individuals, which increases the incidence of injuries in military personnel. Acknowledgments: The authors thank all the people who participated in this study. Conflict of Interest: The authors stated that the present study has no conflict of interest. Authors Contribution: Mohammadreza Izadi (presenting the idea and design of the study, data collection, and statistical analysis); Ahmadreza Yousefpour (Presenting the idea and design of the study, data collection); Morteza Naji (data interpretation and data collection); Behrouz Jafari (data collection and statistical analysis); All the authors participated in the initial writing of the article and its revision, and all of them accept the responsibility for the accuracy and correctness of the contents of this article with the final approval of this article. Funding Sources: This study is the result of a research project with the financial support of Imam Hossein University. <div style="text-align: center;"> Table 1) Mean and dispersion range</div> <table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; width: 169px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Variable</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">mean</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">The standard deviation</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">minimal</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">maximum</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; width: 169px; padding: 0cm 2px; text-align: center;">Age (years)</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">30.30</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">4.47</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">24</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">35</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; width: 169px; padding: 0cm 2px; text-align: center;">height (cm)</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">174.30</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">7.31</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">168</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">183</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; width: 169px; padding: 0cm 2px; text-align: center;">weight (kg)</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">76.70</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">14.21</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">63</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">101</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; width: 169px; padding: 0cm 2px; text-align: center;">body mass index (kg/m2)</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">23.80</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">6.12</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">21.7</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">30.5</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; width: 169px; padding: 0cm 2px; text-align: center;">FMS</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">18.32</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">2.24</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">13</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">21</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 169px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Functional Disability of the Shoulder and Hand (DASH)</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">13.33</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">8.21</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">7.5</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">16.60</td> </tr> </tbody> </table> <div style="text-align: center;"> <div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div> Table 2) Frequency and percentage of different scores for each FMS test</div> <table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Score</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Deep squat</td> <td style="border-bottom: 1px solid black; width: 77px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Crossing the obstacle</td> <td style="border-bottom: 1px solid black; width: 66px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">lunch</td> <td style="border-bottom: 1px solid black; width: 66px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Shoulder mobility</td> <td style="border-bottom: 1px solid black; width: 66px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Active leg raising</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Stability swimming</td> <td style="border-bottom: 1px solid black; width: 83px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Rotational stability</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">1</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">6 (20%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 77px; padding: 0cm 2px; text-align: center;">(6.6%)2</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 66px; padding: 0cm 2px; text-align: center;">0</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 66px; padding: 0cm 2px; text-align: center;">0</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 66px; padding: 0cm 2px; text-align: center;">0</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 68px; padding: 0cm 2px; text-align: center;">1(3.3%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 83px; padding: 0cm 2px; text-align: center;">0</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">2</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 2px; text-align: center;">13 (43%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 77px; padding: 0cm 2px; text-align: center;">14 (46%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 66px; padding: 0cm 2px; text-align: center;">18(60%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 66px; padding: 0cm 2px; text-align: center;">8(26%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 66px; padding: 0cm 2px; text-align: center;">9(30%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 68px; padding: 0cm 2px; text-align: center;">15(50%)</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 83px; padding: 0cm 2px; text-align: center;">9(30%)</td> </tr> <tr> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">3</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">11 (36%)</td> <td style="border-bottom: 1px solid black; width: 77px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">14 (46%)</td> <td style="border-bottom: 1px solid black; width: 66px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">12(40%)</td> <td style="border-bottom: 1px solid black; width: 66px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">22(73%)</td> <td style="border-bottom: 1px solid black; width: 66px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">21(70%)</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">14(46%)</td> <td style="border-bottom: 1px solid black; width: 83px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">15(70%)</td> </tr> </tbody> </table> <div style="text-align: center;"> <div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div> Table 3) Pearson correlation coefficient test results</div> <table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; width: 80px; padding: 0cm 7px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;" valign="top">Anomalies</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">crooked neck</td> <td style="border-bottom: 1px solid black; width: 71px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">head forward</td> <td style="border-bottom: 1px solid black; width: 95px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Asymmetric shoulder</td> <td style="border-bottom: 1px solid black; width: 123px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">hollow waist</td> <td style="border-bottom: 1px solid black; width: 80px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">hunchback</td> <td style="border-bottom: 1px solid black; width: 57px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">crooked back</td> <td style="border-bottom: 1px solid black; width: 118px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">DASH Questionnaire</td> </tr> <tr> <td style="border-width: initial; border-style: none; border-color: initial; width: 80px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">r</td> <td style="border-width: initial; border-style: none; border-color: initial; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">-0.272</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 71px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">-0.588</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 95px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">0/411</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 123px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">-0.288</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 80px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">-0.624</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 57px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">0/307</td> <td style="border-width: initial; border-style: none; border-color: initial; width: 118px; padding: 0cm 7px; height: 5px; text-align: center;" valign="top">-0.358</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 80px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">p</td> <td style="border-bottom: 1px solid black; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.003</td> <td style="border-bottom: 1px solid black; width: 71px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.001</td> <td style="border-bottom: 1px solid black; width: 95px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.001</td> <td style="border-bottom: 1px solid black; width: 123px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.012</td> <td style="border-bottom: 1px solid black; width: 80px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.001</td> <td style="border-bottom: 1px solid black; width: 57px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.001</td> <td style="border-bottom: 1px solid black; width: 118px; padding: 0cm 7px; border-top: none; border-right: none; border-left: none; text-align: center;" valign="top">*0.003</td> </tr> </tbody> </table> <div style="text-align: center;">*significant relationship (p≤05)</div> </div> اندام فوقانی, قامت, نظامی, عملکرد جسمی Upper Limb,Postural, Military, Physical Functional Performance 1 13 http://jpmed.ir/browse.php?a_code=A-10-1304-1&slc_lang=fa&sid=1 Mohammad Reza Izadi محمدرضا ایزدی izadi.mreza@gmail.com 100319475328460013495 100319475328460013495 Yes Department of Physical Education & Sport Sciences, Faculty of Social & Cultural Sciences, Imam Hossein University, Tehran, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم اجتماعی و فرهنگی، دانشگاه جامع امام حسین (ع)، تهران، ایران Ahmad Reza Yousefpour Dehaghani احمدرضا یوسف پور دهاقانی ar.ahmad9091@yahoo.com 100319475328460013496 100319475328460013496 No Department of Physical Education & Sport Sciences, Faculty of Social & Cultural Sciences, Imam Hossein University, Tehran, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم اجتماعی و فرهنگی، دانشگاه جامع امام حسین (ع)، تهران، ایران Morteza Naji مرتضی ناجی mnaji2002@yahoo.com 100319475328460013497 100319475328460013497 No Department of Physical Education & Sport Sciences, Faculty of Social & Cultural Sciences, Imam Hossein University, Tehran, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم اجتماعی و فرهنگی، دانشگاه جامع امام حسین (ع)، تهران، ایران Behrooz Jafari بهروز جعفری jaffari_behroz@yahoo.com 100319475328460013498 100319475328460013498 No Pathology & Corrective Movements Group, Faculty of Physical Education & Sport Sciences, Tehran, Iran گروه آسیب‌شناسی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران