Construct and Predictive Validity of an Upper Extremity Physical Performance Test Battery in Healthy Athletes: a Cross-sectional and Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Sports performance
研究概览
简要总结
This project comprises two studies; a cross-sectional study and a prospective study.
-
The cross-sectional study aims to develop and validate a new sport-specific test battery (PROMs, analytical and physical performance tests) in healthy tennis players and swimmers.The construct validity of this upper extremity test battery will be examined through two different methods.
-
Firstly, the performance on the test battery will be correlated to sport performance (sprint time at 100m freestyle in swimming and serve speed/accuracy in tennis)
-
Secondly, the correlation between test battery performance and upper limb/trunk kinematics in a tennis serve (measured via inertial measurement units (IMUs)) will be examined.
-
In the prospective study, the predictive validity of the test battery will be evaluated. Healthy swimmers and tennis players will be tested at baseline using the same test battery as mentioned above. The athletes will be followed for one year and new injuries will be recorded via a weekly questionnaire. Performance on the test battery will be associated with the incidence of musculoskeletal injuries.
详细描述
Upper extremity physical performance tests (PPTs) of the upper limb are physically challenging tests and are supposed to be sport-specific and mimic the sport specific movements or load.
Currently, there is no strong evidence for the validity of many upper extremity physical performance tests, although these tests are widely used in the return-to-sport phase after upper limb injuries. There is a clear need for a validating test physical performance tests.
Validation of these PPTs is possible in several ways, e.g. correlation to an analytical construct such as strength. However, it is important that these tests are sport-specific. For this reason, the correlation between physical performance tests on the one hand and sports performance (in swimming and tennis) and upper limb kinematics during a tennis serve on the other hand will be evaluated in this study. However, a single PPT is unlikely to correlate strongly with sport performance or tennis serve kinematics, as previous studies have shown a weak to moderate association when a single PPT was correlated with sport performance or another construct. Therefore, a cluster of tests will be assessed; four PPTs per sport and three analytical tests measuring strength and mobility of shoulder and hand, since these are the cornerstone of testing protocols in sports rehabilitation.
In addition, patient-reported outcome measures (PROMs), questionnaires that measure physical and psychosocial factors, are becoming increasingly important in sports. Recent studies show that these factors influence sports performance and rehabilitation outcomes. Therefore, these questionnaires can be very useful in the return-to-sport phase and injury risk screening. The PROMs that will be used in this study are the following: Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES), Competitive State Anxiety Inventory-2 (CSAI-2) and the general self-efficacy scale.
To conclude, the test battery consists of PPTs, analytical tests (strength and mobility) and PROMs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 12 Years 至 40 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •In good general health
- •Play tennis or swim competitively, at least 3 hours per week (training + competition)
排除标准
- •History of shoulder dislocation in dominant and/or nondominant shoulder
- •History of upper extremity surgery
- •At the moment of participation, participants should not report a substantial injury (defined by the Oslo Sports Trauma Research Centre questionnaire on health problems) in the past two months. A substantial injury is defined as a moderate or severe reduction in training volume or reduction in sports performance or complete inability to participate in sport as substantial injuries and illnesses.
- •Neurological symptoms in any extremity
- •Suffering from a systemic disease (such as diabetes, lupus, arthrosis,.. )
研究组 & 干预措施
Adult tennis players
tennis players between the age of 18 and 40
干预措施: Physical performance test - Shoulder endurance test (SET) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: Physical performance test - Upper Limb Rotation Test (ULRT) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: Analytical test - Hand Grip Strength (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: Analytical test - Shoulder Range of Motion (ROM) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: PROM - Competitive State Anxiety Inventory-2 (CSAI-2) (Other)
Adult tennis players
tennis players between the age of 18 and 40
干预措施: PROM - General elf-efficacy scale (GSES). (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Physical performance test - Posterior shoulder endurance test (PSET) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Physical performance test - Upper Limb Rotation Test (ULRT) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Analytical test - Shoulder Strength (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Analytical test - Hand Grip Strength (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: Analytical test - Shoulder Range of Motion (ROM) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: PROM - Competitive State Anxiety Inventory-2 (CSAI-2) (Other)
Adult swimmers
swimmers between the age of 18 and 40
干预措施: PROM - General elf-efficacy scale (GSES). (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Physical performance test - Upper Limb Rotation Test (ULRT) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Physical performance test - Shoulder endurance test (SET) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Analytical test - Shoulder Strength (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Analytical test - Hand Grip Strength (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: Analytical test - Shoulder Range of Motion (ROM) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: PROM - Competitive State Anxiety Inventory-2 (CSAI-2) (Other)
Adolescent tennis players
tennis players between the age of 12 and 18
干预措施: PROM - General elf-efficacy scale (GSES). (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Physical performance test - Upper Limb Rotation Test (ULRT) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Physical performance test - Posterior shoulder endurance test (PSET) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Analytical test - Shoulder Strength (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Analytical test - Hand Grip Strength (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: Analytical test - Shoulder Range of Motion (ROM) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: PROM - Competitive State Anxiety Inventory-2 (CSAI-2) (Other)
Adolescent swimmers
swimmers between the age of 12 and 18
干预措施: PROM - General elf-efficacy scale (GSES). (Other)
结局指标
主要结局
Sports performance
时间窗: Baseline
For tennis players: serve performance test (12 serves), consisting of serve velocity and accuracy * serve velocity: Peak SV was measured with a Stalker Professional sports radar Pro II+ * serve accuracy: serve accuracy is evaluated based on a scoring system. Two points are awarded if the serve lands in the target area (target of 2x2 m down the "T"), only one point when serving into the serve box, and balls landing outside the serve box results in zero points. The score of every individual serve was summed up to a total score of a maximum of 24 points. * the average velocity and the total accuracy score is used for analysis For swimmers: time on 100m freestyle during competition event is used for analysis
New musculoskeletal injuries
时间窗: During the 1 year follow-up after baseline measurements
New musculoskeletal injuries registered by the OSTRC-H2 (The Oslo Sports Trauma Research Center Questionnaire on Health Problems)
次要结局
- Range of motion, velocity and acceleration of the upper extremity during the tennis serve(Baselline)