Why Functional Movement Screening Is Key to Injury Prevention

Most injuries don’t happen out of nowhere. 

Whether you’re an athlete pushing your limits on the red rock trails around St. George or a weekend warrior hiking the mountains near Cedar City, the truth is that most movement-related injuries are predictable, and more importantly, preventable. Functional Movement Screening, or FMS, is one of the most powerful tools our physical therapists use to identify the warning signs before an injury has a chance to sideline you. 

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What Is Functional Movement Screening?

Functional Movement Screening is a standardized assessment system that evaluates the quality of your movement patterns across seven fundamental movements. These include things like deep squats, hurdle steps, inline lunges, shoulder mobility tests, and rotary stability checks. The goal isn’t to measure how strong or fast you are. It’s to reveal how well your body moves through its full range of motion and whether any compensations or imbalances are lurking beneath the surface.

Each movement is scored on a scale from zero to three, with a perfect score of three indicating clean, unrestricted movement, and lower scores flagging areas of limitation or asymmetry. When our physical therapists add up the scores and spot patterns, they get a clear picture of where your body is working harder than it should, and where injury risk is quietly building.

Why Movement Quality Matters More Than You Think

Here in Utah, people are active. From the mountain bikers in the Wasatch Plateau to the hikers and climbers around Zion, residents of Southern and Central Utah don’t sit still for long. That active lifestyle is something to celebrate. But it also means that unaddressed movement dysfunctions can compound over time, leading to overuse injuries, joint pain, and sudden strains that seem to come out of nowhere.

The reality is that most “sudden” injuries are the result of accumulated stress on a body that was already moving inefficiently. A slight hip shift during a squat, limited shoulder mobility during overhead activity, or an imbalance in trunk stability during rotation can all quietly overload tissues until something finally gives. FMS helps us catch those patterns early, long before you feel a thing.

What Our Physical Therapists Look For During an FMS

When you come in for a Functional Movement Screen, our physical therapists walk you through each of the seven movement patterns in a calm, structured environment. There’s no equipment needed and no special preparation required. We’re simply watching how your body moves and comparing what we see to established benchmarks for healthy, functional movement.

Here are some of the key things we assess during the process:

  • Bilateral symmetry: We look for differences between your left and right sides, since asymmetry is one of the strongest predictors of future injury.
  • Mobility limitations: Restricted range of motion in the hips, thoracic spine, or shoulders often leads to compensation elsewhere in the chain.
  • Stability deficits: Weakness or poor motor control in the core, glutes, or stabilizing muscles can shift load to joints that aren’t equipped to handle it.
  • Pain during movement: Any painful pattern during the screen is flagged immediately, since pain during a fundamental movement pattern signals something that needs immediate attention.

The data we collect from your FMS score doesn’t just tell us what’s wrong. It tells us where to start and how to prioritize your care.

How FMS Connects to Our Broader Treatment Approach

One of the most valuable aspects of Functional Movement Screening is that it creates a roadmap. Once we know which patterns are limited or painful, we can design a targeted treatment and movement training plan that actually addresses the root cause rather than just chasing symptoms.

Depending on what the screen reveals, your plan might incorporate Manual Therapy to address joint restrictions or soft tissue tension that’s limiting your movement. For patients with deeper tissue restrictions, techniques like Dry Needling or IASTM can help release the muscular patterns that are pulling your movement off course. If balance or coordination deficits show up, Balance/Vestibular Training may also play a role in restoring clean, controlled movement.

The point is that FMS doesn’t exist in isolation. It’s the starting line for a smarter, more personalized approach to keeping you healthy and performing at your best.

Who Should Consider a Functional Movement Screen?

This is one of the questions we hear most often, and the honest answer is: almost everyone. FMS is not just for elite athletes or people already dealing with pain. In fact, the ideal candidate for a Functional Movement Screen is someone who feels fine right now but wants to stay that way.

Runners, cyclists, gym-goers, youth athletes, aging adults working to maintain independence, and even people who sit at a desk all day can benefit from understanding how their body moves. The earlier we identify a movement problem, the simpler it is to fix. Waiting until something hurts means starting the conversation later than necessary.

Our physical therapists at our Ephraim location work with patients across Central Utah who are looking to take a proactive approach to their health. Prevention-focused care is some of the most impactful work we do, and FMS is at the center of that effort.

Screen Before You Strain: Start Your Prevention Plan Today

Don’t wait for an injury to tell you something was off all along. Our physical therapists in Cedar City, St. George, and Ephraim are ready to help you move better, feel stronger, and stay ahead of pain. Schedule your Functional Movement Screen today and take the first step toward a body that’s built to last.

Picture of Tim Hughes<br> <span style="color:#808080; font-size:14px;">DPT</span>

Tim Hughes
DPT

Dr. Tim Hughes is a licensed physical therapist and founder of Elevate Physical Therapy. He brings experience in outpatient orthopedics, hospital care, and military rehabilitation, and is passionate about helping patients recover, move confidently, and make meaningful progress.

Dr. Brevin Zollinger has participated in sports and other movement based activities his entire life, which led him to pursue a career in Physical Therapy. He earned his Doctorate of Physical Therapy from the University of Utah, where he built a strong clinical foundation and developed a genuine interest in helping people stay healthy and performing at their best. He is trained in dry needling and continues to expand his skill set with additional specializations to better serve his patients.

Brevin is committed to helping people heal, move, and return to the activities they love. He and his wife live in St. George, where they take full advantage of the area’s recreation. Outside the clinic, Brevin enjoys golf, pickleball, volleyball, basketball, and just about any sport that keeps him moving.