Preliminary Insights into the Diagnostic Accuracy of the Modified Arm Care Screen Test for Overhead Athletes: An On-Field Tool for Injury Prevention

被引:2
|
作者
Paraskevopoulos, Eleftherios [1 ,2 ]
Kottaridis, Fotis-Marios [2 ]
Moutzouri, Maria [1 ]
Koumantakis, George A. [1 ]
Antonakis-Karamintzas, Dimitrios [3 ]
Tsolakis, Charilaos [3 ,4 ]
Koulouvaris, Panagiotis [3 ]
Christakou, Anna [2 ]
Papandreou, Maria [1 ]
机构
[1] Univ West Attica, Dept Civil Engn Hydraul, Athens 12243, Greece
[2] Univ Peloponnese, Dept Physiotherapy, Sparta 23100, Greece
[3] Natl & Kapodistrian Univ Athens, Sch Med, Dept Orthopaed Surg 1, Athens 12462, Greece
[4] Natl & Kapodistrian Univ Athens, Sch Phys Educ & Sports Sci, Sports Performance Lab, Athens 17237, Greece
关键词
prevention; overhead athletes; shoulder injury; balance; screening; LOW-BACK-PAIN; SHOULDER RANGE; ROTATION RANGE; EXTERNAL ROTATION; MOTION DEFICITS; MALE HANDBALL; RISK-FACTORS; PLAYERS; HIP; YOUTH;
D O I
10.3390/healthcare11233046
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The Arm Care Screen was developed to detect musculoskeletal limitations that could affect performance or even increase the risk for shoulder injuries in overhead athletes. This study aimed to assess the discriminant validity of the modified Arm Care Screen in overhead athletes. Methods: Sixty-two overhead athletes (mean age: 24.5 +/- 4.2 years) were recruited. The athletes underwent a comprehensive Arm Care Screen evaluation, including reciprocal shoulder mobility, total body rotation, lower body diagonal reach, and rotary stability assessments. Ten different musculoskeletal measurements were independently measured by two physical therapists. Results: The modified Arm Care Screen showed moderate to strong associations (phi values ranged from 0.273 to 0.905) with the respective musculoskeletal range of motion and balance measurements. Sensitivity ranged from 81.25% to 88.57%, indicating a high true positive rate, and specificity ranged from 43.75% to 94.44%, indicating a moderate to strong positive rate. Positive and negative likelihood ratios ranged from 1.48 to 15.92 and 0.12 to 0.38, respectively. The positive and negative predictive value ranged from 58.14% to 92% and from 73.68% to 93.18%, respectively. The accuracy of the modified ACS ranged from 62.90% to 91.94%. Conclusion: The modified Arm Care Screen demonstrated promising diagnostic accuracy in identifying significant movement restrictions.
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页数:13
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