一种评估大学生棒球运动员肩部旋转活动度的新型临床测试的信效度：肩部系统张力功能评估（FAST-SHDR）
The Reliability and Validity of a Novel Clinical Test for Assessing Shoulder Rotation ROM in Collegiate Baseball Players: Functional Assessment of System Tension of the Shoulder (FAST-SHDR).
作者信息
Dischiavi Steven, Perry Jesse, Burk Connor, Chiang Jeremy, Bleakley Chris
机构信息
Physical Therapy High Point University.
Physical Therapy University of Ulster.
出版信息
Int J Sports Phys Ther. 2024 Dec 1;19(12):1532-1540. doi: 10.26603/001c.126062. eCollection 2024.
BACKGROUND
Traditional methods to measure rotational passive range of motion (PROM) in the throwing shoulder do not reflect the complexity of the throwing motion. Therefore, a sport specific shoulder rotation PROM test (FAST-SHDR) was developed and compared to traditional standard methods to measure shoulder internal and external rotational PROM in the throwing shoulder.
PURPOSE
The aim of this study was to determine the intra-rater reliability of the FAST-SHDR test in young, healthy, male Division 1 baseball players.
STUDY DESIGN
Reliability and validity analysis.
METHODS
A study with 49 healthy participants (31 collegiate baseball players, 18 controls) examined a sport specific shoulder rotation PROM test (FAST-SHDR) and compared this to the standard supine 90/90 shoulder in a single session assessment. Intra-class correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) were calculated. Within and between group differences were based on t-tests (p<0.001), absolute differences and effect sizes (95% CIs).
RESULTS
The novel test (FAST-SHDR) had good to excellent reliability with ICCs ranging from 0.95 (0.89 to 0.98) to 0.96 (0.92-0.98). MDC ranged from 7°-11° which is equivalent to 11-14% of mean PROM scores. In the dominant shoulder of baseballers, when FAST-SHDR IR/ER was compared to standard IR/ER testing the FAST-SHDR scores were lower for both IR (MD 23.3°; 95% CI 19.7-26.8) and ER (MD 50.7°; 95% 44.7 to 56.7). Comparing the shoulder rotation PROM in baseballers, the FAST-SHDR ER and IR measurements were significantly lower (p<0.0001) when compared to traditional standard PROM testing for shoulder IR and ER rotation.
CONCLUSIONS
FAST-SHDR testing shows good to excellent intra-rater reliability for measuring shoulder rotational PROM and demonstrates both face and discriminant validity.
LEVEL OF EVIDENCE
背景
测量投掷肩旋转被动活动度（PROM）的传统方法无法反映投掷动作的复杂性。因此，开发了一种针对特定运动的肩部旋转PROM测试（FAST-SHDR），并将其与测量投掷肩内旋和外旋PROM的传统标准方法进行比较。
目的
本研究的目的是确定FAST-SHDR测试在年轻、健康的一级男子棒球运动员中的评分者内信度。
研究设计
信度和效度分析。
方法
一项针对49名健康参与者（31名大学棒球运动员，18名对照组）的研究，在单次评估中检查了一种针对特定运动的肩部旋转PROM测试（FAST-SHDR），并将其与标准仰卧位90/90肩部测试进行比较。计算了组内相关系数（ICC）、测量标准误差（SEM）和最小可检测变化（MDC）。组内和组间差异基于t检验（p<0.001）、绝对差异和效应大小（95%置信区间）。
结果
新测试（FAST-SHDR）具有良好到优秀的信度，ICC范围为0.95（0.89至0.98）至0.96（0.92 - 0.98）。MDC范围为7° - 11°，相当于平均PROM分数的11 - 14%。在棒球运动员的优势肩中，当将FAST-SHDR内旋/外旋与标准内旋/外旋测试进行比较时，FAST-SHDR内旋（平均差23.3°；95%置信区间19.7 - 26.8）和外旋（平均差50.7°；95%置信区间44.7至56.7）的分数均较低。比较棒球运动员的肩部旋转PROM，与传统标准PROM测试的肩部内旋和外旋相比，FAST-SHDR外旋和内旋测量值显著更低（p<0.0001）。
结论
FAST-SHDR测试在测量肩部旋转PROM方面显示出良好到优秀的评分者内信度，并证明了表面效度和区分效度。
证据水平
3级。
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