Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome
Tóm tắt
The Close Kinetic Chain Upper Extremity Stability Test (CKCUES test) is a low cost shoulder functional test that could be considered as a complementary and objective clinical outcome for shoulder performance evaluation. However, its reliability was tested only in recreational athletes’ males and there are no studies comparing scores between sedentary and active samples. The purpose was to examine inter and intrasession reliability of CKCUES Test for samples of sedentary male and female with (SIS), for samples of sedentary healthy male and female, and for male and female samples of healthy upper extremity sport specific recreational athletes. Other purpose was to compare scores within sedentary and within recreational athletes samples of same gender. A sample of 108 subjects with and without SIS was recruited. Subjects were tested twice, seven days apart. Each subject performed four test repetitions, with 45 seconds of rest between them. The last three repetitions were averaged and used to statistical analysis. Intraclass Correlation Coefficient ICC2,1 was used to assess intrasession reliability of number of touches score and ICC2,3 was used to assess intersession reliability of number of touches, normalized score, and power score. Test scores within groups of same gender also were compared. Measurement error was determined by calculating the Standard Error of the Measurement (SEM) and Minimum detectable change (MDC) for all scores. The CKCUES Test showed excellent intersession reliability for scores in all samples. Results also showed excellent intrasession reliability of number of touches for all samples. Scores were greater in active compared to sedentary, with exception of power score. All scores were greater in active compared to sedentary and SIS males and females. SEM ranged from 1.45 to 2.76 touches (based on a 95% CI) and MDC ranged from 2.05 to 3.91(based on a 95% CI) in subjects with and without SIS. At least three touches are needed to be considered a real improvement on CKCUES Test scores. Results suggest CKCUES Test is a reliable tool to evaluate upper extremity functional performance for sedentary, for upper extremity sport specific recreational, and for sedentary males and females with SIS.
Tài liệu tham khảo
Schulte-Edelmann JA, Davies GJ, Kernozek TW, Gerberding ED: The effects of plyometric training of the posterior shoulder and elbow. J Strength Cond Res. 2005, 19 (Suppl 1): 129-134.
Goldbeck TG, Davies CJ: Test-retest reliability of the closed kinetic chain upper extremity stability test: a clinical field test. Sport Rehabil. 2000, 9: 35-45.
Roush JR, Kitamura J, Waits MC: Reference values for the closed kinetic chain upper extremity stability test (CKCUEST) for collegiate baseball players. N Am J Sports Phys Ther. 2007, 2 (3): 159-163.
Hughes RE, Johnson ME, Skow A, An KN, O’driscoll SW: Reliability of a simple shoulder endurance test. J Musculoskelet Res. 1999, 3: 195-200. 10.1142/S0218957799000208.
Falsone SA, Gross MT, Guskiewicz KM, Schneider RA: One-arm hop test: reliability and effects of arm dominance. J Orthop Sports Phys Ther. 2002, 32 (Suppl 3): 98-103.
Cook G, Burton L, Hoogenboom B: Pre-participation screening: the use of fundamental movements as an assessment of function-part 1. N Am J Sports Phys Ther. 2006, 1 (Suppl 2): 62-72.
Lust KR, Sandrey MA, Bulger SM, Wilder N: The effects of 6-week training programs on throwing accuracy, proprioception, and core endurance in baseball. J Sport Rehabil. 2009, 18 (Suppl 3): 407-426.
Ellenbecker TS, Manske R, Davies GD: Closed kinetic chain testing techniques of the upper extremities. Orthop Phys Ther Clin North Am. 2000, 9 (Suppl 2): 19-29.
Simoneau GG, Wilk KE: The shoulder: embracing the clinical challenge of its complexity. J Orthop Sports Phys Ther. 2009, 39 (Suppl 2): 37-
Anderson KG, Behm DG: Maintenance of EMG activity and loss of force output with instability. J Strength Cond Res. 2004, 18: 637-640.
Andrews JR: Current concepts: diagnosis and treatment of chronic painful shoulder: review of nonsurgical interventions. J Arthroscopy Rel Surg. 2005, 21 (Suppl 3): 333-
Mannerkorpi K, Svantesson U, Broberg C: Relationships between performance-based tests and Patients’ ratings of activity limitations, self-efficacy, and pain in fibromyalgia. Arch Phys Med Rehabil. 2006, 87: 259-264. 10.1016/j.apmr.2005.10.013.
Leggin BG, Michener LA, Shaffer MA, Brenneman SK, Lannoti JP, Williams GR: The Penn shoulder score: reliability and validity. J Orthop Sports Phys Ther. 2006, 36: 138-151. 10.2519/jospt.2006.36.3.138.
Dawson J, Doll H, Boller I, Fitzpatrick R, Little C, Rees J, Carr A: Comparative responsiveness and minimal change for the Oxford elbow score following surgery. Qual Life Res. 2008, 17 (10): 1257-1267. 10.1007/s11136-008-9409-3.
Booth FW, Lees SJ: Physically active subjects should be the control group. Med Sci Sports Exec. 2006, 38 (3): 405-406. 10.1249/01.mss.0000205117.11882.65.
Breivick H, Borchgrevinck PC, Allen SM, Rosseland LA, Romundstad L, Hals EK, Kvasstein G, Stubhaug A: Assessment of pain. Br J Anasesth. 2008, 101 (1): 17-2416. 10.1093/bja/aen103.
Weir JP: Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res. 2005, 19 (1): 231-240.
Fleiss RL: The Design and Analysis of Clinical Experiments. 1986, New York: John Wiley and Sons
van Kampen DA, van Beers LW, Scholtes VA, Terwee CB, Willems WJ: Validation of the Dutch version of the simple shoulder test. J Shoulder Elbow Surg. 2012, 21 (6): 808-814. 10.1016/j.jse.2011.09.026.
The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/15/1/prepub