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Reliability of Upper Extremity Functional Performance Tests for the Non-overhead Athlete.

Bryan L Riemann1, George J Davies1

  • 1Biodynamics and Human Performance Center Georgia Southern University-Armstrong Campus.

International Journal of Sports Physical Therapy
|October 5, 2023
PubMed
Summary
This summary is machine-generated.

Three upper extremity functional performance tests (UEFPT) show reliable results for both males and females. These tests aid in rehabilitation and return-to-sport decisions.

Keywords:
closed kinetic chain upper extremity stability testreturn to sportsshoulder

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Area of Science:

  • Biomechanics and Sports Medicine
  • Rehabilitation Science
  • Clinical Assessment

Background:

  • Limited consensus exists on the reliability of upper extremity functional performance tests (UEFPT) across genders.
  • Previous reliability studies on UEFPT have complicating factors hindering definitive conclusions.
  • Assessing UEFPT reliability in a single cohort allows for direct comparison of relative and absolute reliability.

Purpose of the Study:

  • To determine 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 males and females with a history of non-overhead sport participation.
  • To examine the associations between the three selected UEFPT.
  • To provide reliable assessment tools for clinical and return-to-sport decision-making.

Main Methods:

  • A single cohort study design was employed to assess test-retest reliability.
  • Forty adults (20 females, 20 males) with a history of non-overhead sport participation participated in the study.
  • Three UEFPT were administered across two sessions, 3-7 days apart, with measures of systematic bias, absolute reliability, and relative reliability computed.

Main Results:

  • All three UEFPT demonstrated excellent relative reliability (intraclass correlation coefficients ≥ 0.823).
  • Coefficients of variation were below 8.8% for all tests, except for the HRPUT in males.
  • A significant relationship was found between the CKCUEST and SMBCPT in females (r=.691, p=0.001), with no other significant associations between tests.

Conclusions:

  • The CKCUEST, SMBCPT, and HRPUT all exhibit sufficient reliability for clinical use.
  • These UEFPT are suitable for serial assessments to monitor patient progress during rehabilitation.
  • The findings support the use of these UEFPT in return-to-sport decision-making criteria.