Influence of Body Composition on Functional Movement Among Police Officers.

Research indicates that the Functional Movement Screen (FMS) can be used to measure functional movement quality and characterize musculoskeletal injury risk in tactical populations. Although body composition has been linked to chronic disease in police officers, the link between body composition and functional movement quality has not been explored in this population. As such, the purposes of the study were to examine: (a) the effect of body mass index (BMI) on functional movement, and (b) determine the significance of fat mass (FM) and fat free mass (FFM) in predicting functional movement among active-duty police officers. Thirty-five active- duty police officers (31 male, 4 female; mean ±SD, age: 33.4 ±9.4 years, height: 177.4 ± 8.0 cm, weight: 88.4 ± 15.3 kg) were recruited to participate in this study, as part of a larger study on police fitness. All demographic data, BMI, FM, FFM, and FMS composite score (FMS CS) were obtained over two data collection sessions. With age held as a significant covariate, the results of the one-way ANCOVA revealed no significant effect of BMI category on FMS CS (p = 0.077). The linear regression analysis results suggest that FM and FFM contributed 36.9% variance in FMS CS while controlling for age (p < 0.001). FM was a significant individual predictor of FMS CS (p < 0.001), while FFM was not a significant individual predictor of FMS CS (p = 0.111). The current results reinforce the importance of police officers body composition management for health and functional movement quality across a career.

Changes in Dynamic Balance Ability Among Firefighter Recruits: A Longitudinal Cohort Study.

ABSTRACT: Cornell, DJ, Gnacinski, SL, and Ebersole, KT. Changes in dynamic balance ability among firefighter recruits: A longitudinal cohort study. J Strength Cond Res 38(4): 734-741, 2024-It has been suggested that enhanced balance ability may mitigate the high musculoskeletal injury (MSKI) rate among firefighters, but the longitudinal changes in dynamic balance ability within this tactical athlete population have yet to be characterized. The purpose of this study was to examine the changes in dynamic balance ability of a cohort population of firefighter recruits completing a training academy and their probationary period as active-duty firefighters. Twenty-seven male firefighter recruits completed the modified Star Excursion Balance Test (mSEBT) at the beginning (W1) and at the end of their training academy (W14) and after completing their probationary period as active-duty firefighters (W38). After controlling for age and changes in body fat (BF) over time, significant changes in mSEBTANT ( p < 0.001), mSEBTPL ( p = 0.015), mSEBTPM ( p < 0.001), and mSEBTCOMP ( p = 0.003) were observed across time. Although mSEBTPL performance significantly increased ( p = 0.033) in from W1 to W14, significant decreases in all mSEBT reach directions were observed from W14 to W38 ( p < 0.05), with mSEBTANT ( p < 0.001) and mSEBTCOMP ( p = 0.002) also significantly decreasing from W1 to W38. However, the frequency of right vs. left asymmetries (>4 cm) did not significantly change over time in any mSEBT reach direction ( p > 0.05). Irrespective of age or changes in BF, minimal changes in the dynamic balance ability of firefighter recruits were observed during their training academy, but significant decreases in balance ability were noted by the end of their probationary period.

The Influence of Age and Dynamic Balance on Functional Movement Among Active-Duty Police Officers.

CONTEXT: Although occupational injuries for police officers cannot be prevented, factors that contribute to musculoskeletal injury risk could be better identified to inform preventative interventions. Previous research has supported screening tools such as the functional movement screen (FMS) and Y-Balance Test (YBT) as possible indicators of musculoskeletal injury risk. The purposes of this study are to (1) examine the relationships between age, dynamic balance, and functional movement in police officers and (2) determine how much variance in functional movement is predicted by age and dynamic balance. METHODS: This study was conducted in a university research laboratory as part of an ongoing collaboration with a local police department. All data for the current study were collected across 2 separate laboratory visits within a 14-day period. PARTICIPANTS: Thirty-five active-duty police officers (31 men and 4 women; mean [SD], age 33.4 [9.4] y, height 177.4 [8.0] cm, body mass 88.4 [15.3] kg) volunteered to participate in this study. MAIN OUTCOME MEASURES: Functional movement was assessed using the FMS, and FMS overall scores were calculated. Dynamic balance was assessed via the YBT, and lower quarter Y-Balance Test scores (LQYBT%) were calculated. RESULTS: There was a significant negative correlation between FMS overall score and age (r = -.641, P < .001). Correlations between FMS overall score and LQYBT% and between LQYBT% and age were not statistically significant. Age and LQYBT% scores significantly predicted FMS overall scores (F2,32 = 11.162, P < .001), accounting for 41.1% of the variance in FMS overall scores (R2 = .411) with age being the only significant predictor. CONCLUSIONS: This study confirms that age and FMS overall score have a strong, negative relationship, suggesting that age may be a contributing factor to movement quality and may lead to an increased risk of musculoskeletal injury within this unique population.

Psychometric Properties of the RESTQ-Sport-36 in a Collegiate Student-Athlete Population.

The purpose of the current study was to examine the reliability and validity of the RESTQ-Sport-36 for use in the collegiate student-athlete population. A total of 494 collegiate student-athletes competing in National Collegiate Athletic Association Division I, II, or III sanctioned sport completed the RESTQ-Sport-36 and Brief Profile of Mood States (POMS). Structural equation modeling (SEM) procedures were used to compare first order to hierarchical model structures. Results of a confirmatory factor analysis (χ2[528] = 1129.941, p < 0.001; SRMR = 0.050; CFI = 0.929) and exploratory structural equation modeling analysis (χ2[264] = 575.424, p < 0.001; SRMR = 0.013; CFI = 0.963) indicated that the first order 12-factor structure demonstrated the best fit of all models tested. Support was not observed for the fit of any hierarchical model. Moderate to strong correlations were observed between stress and recovery subscales and mood states, thus supporting the construct validity of the abbreviated RESTQ measurement model. The current findings provide support for the measure's use in this population and give pause as it relates to the scoring and interpretation of hierarchical factors such as Total Stress and Total Recovery. Overall, the current results indicate that the RESTQ-Sport-36 may be a useful tool for collegiate student-athlete training load and competition monitoring.

Functional Movement Quality of Firefighter Recruits: Longitudinal Changes from the Academy to Active-Duty Status.

Approximately half of the injuries experienced by firefighters consist of musculoskeletal injuries (MSKIs). Functional movement quality may be associated with MSKI risk within this tactical athlete population. Previous research indicates that measures of body composition change among firefighter recruits progressing from academy training through active-duty service, but similar changes in functional movement quality have yet to be examined. The purpose of this study was to describe longitudinal changes in functional movement quality of firefighter recruits. Body mass index (BMI), body fat (BF), and Functional Movement Screen (FMS) data were collected from 26 male firefighter recruits at the onset (W1) and completion (W14) of their training academy, and at the completion of their probationary period of active-duty service (W38). After adjusting for changes in BMI and BF across time, significant changes (ps < 0.05) in Composite FMS scores were identified, with significant increases in from W1 to W14 and from W14 to W38, as well as an overall increase from W1 to W38. These results suggest that the development of firefighter-specific skills can decrease the MSKI risk of firefighter recruits by facilitating enhanced functional movement competencies, particularly during tasks that require single-leg movement and core strength and stability.

An Examination of Athletic Trainers' Occupational Recovery Experiences During Time After Work.

CONTEXT: Although researchers have directed scholars toward investigating the effectiveness of the nonwork personal time of athletic trainers (ATs), no one has characterized the occupational recovery experiences of ATs. OBJECTIVE: To examine the reliability and validity of the Recovery Experience Questionnaire (REQ) for use in AT populations. DESIGN: Cross-sectional study. SETTING: Web-based survey. PATIENTS OR OTHER PARTICIPANTS: A total of 144 ATs (71 men, 73 women) working in a variety of National Collegiate Athletic Association sports across all levels of competition. MAIN OUTCOME MEASURE(S): The REQ was administered to assess the AT recovery experience. RESULTS: Preliminary evidence emerged for the reliability (ω = 0.80-0.90) and validity of the REQ for use in AT populations. Weak linear relationships were identified between stress and perceptions of psychological detachment (r = -0.314, P < .001), mastery (r = -0.179, P = .32), control (r = -0.284, P = .001), and relaxation (r = -0.157, P = .06). CONCLUSIONS: Our results support measuring and applying occupational recovery for AT stress and work-life balance. Given that occupational recovery as a construct was only weakly related to stress, it is clearly a unique and distinct variable worth considering within the work-life balance line of inquiry.

Changes in Health and Fitness in Firefighter Recruits: An Observational Cohort Study.

PURPOSE: To observe longitudinal changes in health and fitness among firefighter recruits. METHODS: Body composition, aerobic capacity, muscular power, muscular strength, and muscular endurance measures were longitudinally collected among 27 male firefighter recruits (mean ± SD, age = 29.9 ± 4.1 yr; height, 179.8 ± 4.6 cm; body mass, 87.2 ± 9.7 kg) at the beginning (W1) and end (W14) of their firefighter training academy, as well as at the end of their probationary period (W38). RESULTS: Repeated-measures multivariate analyses of variance (RM MANOVA) identified significant changes across time among measures of body composition (F10,17 = 30.390, Λ = 0.053, P < 0.001), aerobic capacity (F6,21 = 55.111, Λ = 0.060, P < 0.001), muscular power (F8,17 = 2.785, Λ = 0.433, P = 0.036), muscular strength (F6,20 = 34.908, Λ = 0.087, P < 0.001), and muscular endurance (F4,23 = 25.983, Λ = 0.181, P < 0.001). Follow-up post hoc analyses indicated that all measures, except muscular power, significantly improved from W1 to W14 (P < 0.05). However, significant decrements in many of these measures were also observed from W14 to W38 (P < 0.05). CONCLUSIONS: The results of the current study suggest that measures of health and fitness among firefighter recruits significantly improved throughout the firefighter training academy (W1 to W14). However, many of these positive physiological adaptations are lost before these recruits finish their probationary period as active-duty firefighters (W14 to W38). These results highlight the importance of developing exercise programming that is designed for the active-duty firefighter cohort population to maintain the beneficial adaptations in health and fitness previously created during the firefighter training academy.

Measures of health, fitness, and functional movement among firefighter recruits.

AIM: The purpose of this study was to examine the associations between various health and fitness measures and Functional Movement Screen™ (FMS™) scores among 78 firefighter recruits. METHODS: Relationships between FMS™ scores and age, body mass index (BMI), sit and reach (S&R) distance, estimated maximal aerobic capacity (V˙O2max), estimated one-repetition maximum squat (1RM-Squatmax), and plank endurance (%Plankmax) were examined. RESULTS: Total FMS™ scores were significantly correlated with BMI (r = -0.231, p = 0.042), estimated 1RM-Squatmax (r = 0.302, p = 0.007), and %Plankmax (r = 0.320, p = 0.004). Multiple regression analyses indicated that this combination of predictors significantly predicted (F(3, 74) = 5.043, p = 0.003) Total FMS™ score outcomes and accounted for 17% of the total variance (R2 = 0.170). In addition, logistic regression analyses indicated that estimated 1RM-Squatmax also significantly predicted (χ2 = 6.662, df = 1, p = 0.010) FMS™ group membership (≤14 or ≥15). CONCLUSION: These results suggest that the health and fitness measures of obesity (BMI), bilateral lower extremity strength (estimated 1RM-Squatmax), and core muscular endurance (%Plankmax) are significantly associated with functional movement patterns among firefighter recruits. Consequently, injury prevention programs implemented among firefighter recruits should target these aspects of health and fitness.

Functional Movement Screen Factorial Validity and Measurement Invariance Across Sex Among Collegiate Student-Athletes.

Gnacinski, SL, Cornell, DJ, Meyer, BB, Arvinen-Barrow, M, and Earl-Boehm, JE. Functional Movement Screen factorial validity and measurement invariance across sex among collegiate student-athletes. J Strength Cond Res 30(12): 3388-3395, 2016-The Functional Movement Screen (FMS) is a screening tool used to evaluate functional movement quality and subsequent musculoskeletal injury risk. Despite recent research on the factorial validity of the FMS, no confirmatory factor analysis (CFA) has been conducted to examine measurement invariance across sex among student-athletes. The primary purpose of the current study was to confirm the factor structure of the FMS measurement model in a collegiate student-athlete population. It was hypothesized that the 1-factor model would demonstrate better model fit than the recently proposed 2-factor model. The secondary purpose of the study was to examine FMS measurement invariance across sex using the previously identified measurement model. It was hypothesized that FMS measurement invariance would hold across sex. Male (n = 88) and female (n = 88) collegiate student-athletes completed FMS screening during the off-season. Factorial validity was examined using CFA procedures, and model parameters were estimated using maximum likelihood estimation. Measurement invariance was examined by comparison of fit indices between hierarchically constrained models. Results revealed support for both the 1- and the 2-factor models; however, the 2-factor model failed to fit the data significantly better than the 1-factor model. Results also indicated that measurement invariance did not hold across sex, indicating that the FMS sum score construct is not measured equivalently in male and female populations. Collectively, results provide evidence for the use of the unidimensional FMS sum score among collegiate student-athletes, yet prompt caution because it relates to the evaluation of sex differences in sum or movement pattern scores.

Influence of body mass index on movement efficiency among firefighter recruits.

BACKGROUND: Previous research has demonstrated links between musculoskeletal injury risk and measures of obesity and movement efficiency among the firefighter population. However, the influence of obesity on movement efficiency among firefighter recruits remains uninvestigated. OBJECTIVE: To investigate the influence of obesity on movement efficiency measures among firefighter recruits. METHODS: Measures of obesity were collected among 73 male firefighter recruits. Participants were grouped into standard body mass index (BMI) categories (normal, overweight, obese). Differences in Total Functional Movement Screen (FMS) scores and Y-Balance Test (YBT) composite scores were examined between BMI categories. In addition, the relationships between measures of obesity and movement efficiency were also examined. RESULTS: No significant differences in movement efficiency measures were identified between BMI categories (p > 0.05). However, significant bivariate correlations were identified between BMI (kg/m2) and Total FMS score (r = -0.235, p = 0.045), as well as between fat-free mass (FFM) and Total FMS score (r = -0.231, p = 0.049), when examined among all participants. CONCLUSIONS: BMI may influence measures of movement efficiency among firefighter recruits to a lesser extent than among other previously examined populations. Future research should examine the influence of other unexamined physiological variables on movement efficiency.

Firefighters' cardiovascular health and fitness: An observation of adaptations that occur during firefighter training academies.

BACKGROUND: Firefighters' cardiovascular fitness remains a foremost concern among fire departments and organizations, yet very little research has been conducted to examine the cardiovascular fitness adaptations that occur during firefighter training academies. OBJECTIVE: To describe the cardiovascular adaptations observed among firefighter recruits during firefighter training academies using measures of estimated maximal oxygen uptake (VO2max) and heart rate recovery (ΔHR). METHODS: Firefighter recruits (n = 41) enrolled in a 16-week firefighter training academy completed a 5-minute step test during the first, eighth, and sixteenth week of training. Repeated measures analysis of variance (RM ANOVA) calculations were conducted to determine changes in estimated VO2max and ΔHR. RESULTS: Results of the RM ANOVA calculations revealed that mean estimated VO2max and mean ΔHR differed significantly between time points: F(2, 80) = 75.525, p < 0.001, and F(2, 80) = 4.368, p = 0.016, respectively. No significant changes were observed in mean estimated VO2max and mean ΔHR beyond the eighth week of training. No significant relationship was identified between estimated VO2max and ΔHR. CONCLUSIONS: Although firefighter recruits' estimated VO2max and ΔHR change significantly over the course of the firefighter training academy, the measures may not be equal predictors of cardiovascular fitness.