シングル・アーム・クローズド・キネティック・チェーンのテスト・リテスト・信頼性 上端の安定性テスト
Andy Waldhelm1,2, Mareli Klopper3, Matthew Paul Gonzalez4
1School of Rehabilitation, South College, 400 Goody Lane, Knoxville, TN 37922, USA.
Journal of functional morphology and kinesiology
|February 20, 2026
まとめ
新しい単腕閉鎖運動連鎖上肢安定性テスト (CKCUEST) は,健康な成人の個々の腕の性能に対する高いテスト再テスト信頼性を示しています. しかし,この試験から得られた四肢対称性指数 (LSI) は,疑わしい信頼性を示した.
科学分野:
- バイオメカニクスと運動科学
- スポーツ医学とリハビリテーション
- 整形外科理学療法 整形外科理学療法について
背景:
- オリジナルのClosed Kinetic Chain Upper Extremity Stability Test (CKCUEST) は,手の位置と四肢非対称性の評価に関するパーソナライゼーションが欠けている.
- 既存のCKCUESTの制限により,上肢機能の正確な評価と潜在的な不均衡が妨げられます.
- 修正された単腕CKCUESTは,腕の長さを正常化し,四肢の対称性の評価を可能にすることで,これらの制限に対処することを目的としています.
研究 の 目的:
- 新型単腕CKCUESTのテスト再テストの信頼性を評価するために.
- 改変した試験から得られた四肢対称性指数 (LSI) の信頼性を評価する.
- 健康な若年成人における新しいCKCUESTプロトコルの有効性を決定する.
主な方法:
- 12人の健康な若者が,情報に基づいた同意を与え,排除基準を満たした後,参加しました.
- 参加者は,腕の長さに基づく正常化された手の位置でプッシュアップの姿勢で単腕CKCUESTを実行しました.
- テスト再テストの信頼性は,個々のアームテストとLSI.のクラス内相関係数 (ICC(3,1) を使用して評価されました.
主要な成果:
- シングルアーム CKCUESTは,個々のアームの性能について,良好から優れたテスト再テスト信頼性を示しました (ICC ((3,1) = 0.88-0.93).
- Limb Symmetry Index (LSI) の信頼性は疑わしい (ICC: 3,1) = 0.53) であり,実質的な変動性を示した.
- 非対称性の方向 (好ましい四肢) に関する合意は相当なものであった (カッパ係数 = 0.62).
結論:
- 新型単腕CKCUESTは,健康な若い成人の上肢の安定性を評価するための高テスト再テスト信頼性を示しています.
- このテストから得られた肢体対称性指数 (Limb Symmetry Index,LSI) は,信頼性が疑わしいため,さらなる調査が必要である.
- この修正されたCKCUESTは,上肢機能の臨床評価のために,よりパーソナライズされ,潜在的に有用なツールを提供します.
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