Reliability of Upper Extremity Functional Performance Tests for the Non-overhead Athlete
- PMID: 37795324
- PMCID: PMC10547086
- DOI: 10.26603/001c.87924
Reliability of Upper Extremity Functional Performance Tests for the Non-overhead Athlete
Abstract
Background: While there have been reliability studies conducted on several upper extremity functional performance tests (UEFPT), there are several complicating factors that inhibit the ability to draw definitive consensus about the reliability of the tests in both females and males. Having reliability estimates for UEFPT in the same cohort facilitates direct comparison of their relative and absolute reliability.
Purpose: To establish the test-retest reliability of the closed kinetic chain upper extremity stability test (CKCUEST), seated medicine ball chest pass test (SMBCPT) and hands-release push-up test (HRPUT) in a cohort of males and females with a history of non-overhead sport participation. A secondary purpose was to examine the associations between the three UEFPT.
Study design: Test-retest reliability, single cohort study.
Methods: Forty adults (20 females, 20 males) with a history of non-overhead sport participation completed three UEFPT during two data collection sessions three to seven days apart. Measures of systematic bias, absolute reliability and relative reliability were computed between the sessions. Additionally, correlational analyses were conducted between the three UEFPT.
Results: Only the UECKCST (both sexes) demonstrated significant (p≤ 0.003) second session performance improvements. All three tests exhibited excellent relative reliability (intraclass correlational coefficients ≥ 0.823) and except for the HRPUT in males, coefficients of variation were all below 8.8%. Except for a significant relationship (r=.691, p=0.001) between the UECKCST and SMBCPT for the females there were no other associations between the three UEFPT.
Conclusion: All three UEFPT demonstrated sufficient reliability. Thus, all three assessments can be used for serial assessments to progress a patient through rehabilitation as well as contribute to the criteria used in making return to sport decisions.
Level of evidence: 3.
Keywords: closed kinetic chain upper extremity stability test; return to sports; shoulder.
Conflict of interest statement
The authors report no conflicts of interest.
Figures
Similar articles
-
Reliability of Upper Extremity Functional Performance Tests for Overhead Sports Activities.Int J Sports Phys Ther. 2023 Jun 1;V18(3):687-697. doi: 10.26603/001c.74368. eCollection 2023. Int J Sports Phys Ther. 2023. PMID: 37425106 Free PMC article.
-
Upper extremity physical performance tests in female overhead athletes: a test-retest reliability study.J Orthop Surg Res. 2023 Jul 10;18(1):489. doi: 10.1186/s13018-023-03974-4. J Orthop Surg Res. 2023. PMID: 37424003 Free PMC article.
-
The Self-Assessment Corner for Shoulder Strength: Reliability, Validity, and Correlations With Upper Extremity Physical Performance Tests.J Athl Train. 2020 Apr;55(4):350-358. doi: 10.4085/1062-6050-471-18. Epub 2020 Feb 13. J Athl Train. 2020. PMID: 32053404 Free PMC article.
-
Measurement properties of upper extremity physical performance tests in athletes: a systematic review.Braz J Phys Ther. 2024 Jan-Feb;28(1):100575. doi: 10.1016/j.bjpt.2023.100575. Epub 2023 Dec 14. Braz J Phys Ther. 2024. PMID: 38232688 Free PMC article. Review.
-
Clinician-friendly physical performance tests in athletes part 3: a systematic review of measurement properties and correlations to injury for tests in the upper extremity.Br J Sports Med. 2016 May;50(9):545-51. doi: 10.1136/bjsports-2015-095198. Epub 2015 Dec 23. Br J Sports Med. 2016. PMID: 26701926 Review.
References
-
- Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010;92(3):542-549. doi:10.2106/jbjs.i.00450 - PubMed
-
- Owens BD, Dawson L, Burks R, Cameron KL. Incidence of shoulder dislocation in the United States military: demographic considerations from a high-risk population. J Bone Joint Surg Am. 2009;91(4):791-796. doi:10.2106/jbjs.h.00514 - PubMed
-
- Cameron KL, Mauntel TC, Owens BD. The epidemiology of glenohumeral joint instability: incidence, burden, and long-term consequences. Sports Med Arthrosc Rev. 2017;25(3):144-149. doi:10.1097/jsa.0000000000000155 - PubMed
-
- Egger AC, Willimon SC, Busch MT, Broida S, Perkins CA. Arthroscopic bankart repair for adolescent anterior shoulder instability: Clinical and imaging predictors of revision surgery and recurrent subjective instability. Am J Sports Med. 2023;51(4):877-884. doi:10.1177/03635465231151250 - PubMed
-
- Wasserstein DN, Sheth U, Colbenson K, et al. The true recurrence rate and factors predicting recurrent instability after nonsurgical management of traumatic primary anterior shoulder dislocation: a systematic review. Arthroscopy. 2016;32(12):2616-2625. doi:10.1016/j.arthro.2016.05.039 - PubMed
LinkOut - more resources
Full Text Sources
Research Materials