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Published on: June 12, 2019
The Self-Assessment Corner for Shoulder Strength: Reliability, Validity, and Correlations With Upper Extremity
Philippe Decleve1,2, Joachim Van Cant2, Ellen De Buck1
1Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University Hospital Ghent, Belgium.
The Self-Assessment Corner (SAC) reliably measures shoulder rotational strength in athletes. Performance on physical tests like the seated medicine ball throw (SMBT) and closed kinetic chain upper extremity stability test (CKCUEST) correlates with SAC results, aiding injury screening.
Area of Science:
- Sports Medicine
- Biomechanics
- Athletic Training
Background:
- Rotator cuff weakness and imbalances are risk factors for shoulder injuries in overhead athletes.
- Consensus statements emphasize the need for portable and feasible screening examinations for at-risk athletes.
Purpose of the Study:
- To evaluate the reliability and validity of the Self-Assessment Corner (SAC) for self-assessing isometric shoulder rotational strength.
- To examine the correlation between physical performance tests (SMBT and CKCUEST) and isometric shoulder rotational strength measured by the SAC in handball players.
Main Methods:
- A cross-sectional study was conducted in a sports setting.
- Two samples were used: 42 participants for reliability/validity and 34 handball players for correlation analysis.
- Isometric rotational strength was measured using the SAC, compared to manual testing, and correlated with SMBT and CKCUEST performance.
Main Results:
- The SAC demonstrated good to excellent reliability (ICC range: 0.89–0.92) with low standard error of measurement (3.45–3.48 N) and minimal detectable change (8.06–8.13 N).
- Strong correlations were found among different strength-testing procedures (r = 0.824, rs range: 0.754–0.816).
- Moderate to strong correlations were observed between the CKCUEST and rotational strength (r range: 0.570–0.767), and moderate correlations between SMBT and rotational strength (r range: 0.573–0.626).
Conclusions:
- The Self-Assessment Corner (SAC) provides a clinically applicable and standardized method for self-assessing rotational strength in healthy young adults.
- Performance on the seated medicine ball throw (SMBT) and closed kinetic chain upper extremity stability test (CKCUEST) can serve as valuable screening tools for assessing shoulder strength.
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