Michelle Schellekens, Filip Struyf, Noa Verheyen, Jonas Pittoors, Claudia Cavaggion
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Abstract
Objectives
Assessing intra- and inter-rater reliability of the Athletic Shoulder (ASH) test using a force plate in asymptomatic and symptomatic overhead racquet athletes.
Design
Within-session, intra- and inter-rater reliability.
Setting
Physiotherapy practice in Belgium.
Participants
Forty-two overhead racquet athletes (21 asymptomatic, 21 symptomatic with shoulder complaints), all playing tennis, badminton, and/or padel for at least 4 h weekly.
Main outcome measures
Intra- and inter-rater reliability (intraclass correlation coefficients), standard errors of measurement, minimum detectable change, and agreement (Bland-Altman plots).
Results
The ASH test demonstrated excellent intra-rater reliability among asymptomatic (ICC 0.93–0.98) and symptomatic athletes (ICC 0.91–0.98) in all positions (I,Y,T). Inter-rater reliability ranged from good to excellent (asymptomatic: ICC 0.80–0.95, symptomatic: ICC 0.79–0.91).
Conclusions
The ASH test demonstrated excellent reliability for single-rater use, supporting its utility for assessing isometric strength in overhead racquet athletes, with or without shoulder complaints. In the asymptomatic group, excellent inter-rater reliability was observed in the Y and T positions. In the symptomatic group, only the non-dominant T position showed excellent inter-rater reliability, making consistent use of a single rater preferable in this population. Future applications may aid injury rehabilitation and return-to-play protocols in sports medicine.
期刊介绍:
Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science.
The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.