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Updated: May 13, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up
Leonardo Luiz Barretti Secchi1, Paula Rezende Camargo2, Laís Emanuelle Meira Alves3
1Universidade Federal de São Carlos (UFSCar) - Post-Graduate Program in Physical Therapy - São Carlos - São Paulo, Brazil.
Purpose:
To identify interactions among variables of the upper limbs, trunk, and hip joint associated with shoulder pain occurrence in asymptomatic overhead athletes.
Design:
prospective cohort study.
Setting:
Sports club facilities.
Participants:
Ninety-five adult asymptomatic overhead athletes from national first division teams, both sexes.
Main Outcomes Measures:
Isometric strength of the shoulder ER muscles, serratus anterior, lower trapezius and hip abductors, HipSIT, shoulder internal rotation (IR) range of motion (ROM), low flexion test, closed kinetic chain upper extremity stability test (CKCUEST), seat medicine ball test (SMB-T), upper seat shot put test (USSP-T), upper quarter Y balance test [UQYBT] and leg lateral reach test (LLRT). Shoulder pain occurrence was registered during a 6-month follow-up.
Results:
The model correctly classified 77.4 % of the athletes who did not develop shoulder pain and 100.0 % of those who developed shoulder pain. The accuracy was 89 % (95 %CI:83 %,96 %). Athletes with UQYBT score under 88.5 %, and isometric strength of the shoulder ER muscles above 0.780 N/kg did not develop shoulder pain (RR:0.02, 95 %CI:0.001,0.44). Athletes with UQYBT score above 88.5 % and USSP-T performance above 3.175m developed shoulder pain (RR:14.09, 95 %CI: 3.27,60.56).
Conclusion:
Shoulder pain occurrence in overhead athletes was associated with interactions among UQYBT, isometric strength of the shoulder ER muscles, and USSP-T.

