Validity of an Upper Extremity Physical Performance Test Battery in Healthy Athletes
VAL_PPT_H
Construct and Predictive Validity of an Upper Extremity Physical Performance Test Battery in Healthy Athletes: a Cross-sectional and Prospective Study
1 other identifier
interventional
200
1 country
1
Brief Summary
This project comprises two studies; a cross-sectional study and a prospective study.
- 1.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.
- 2.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)
- 3.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.
- 4.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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2023
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 22, 2023
CompletedStudy Start
First participant enrolled
November 22, 2023
CompletedFirst Posted
Study publicly available on registry
December 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2029
June 25, 2025
December 1, 2024
5.9 years
November 22, 2023
June 19, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Sports performance
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
Baseline
New musculoskeletal injuries
New musculoskeletal injuries registered by the OSTRC-H2 (The Oslo Sports Trauma Research Center Questionnaire on Health Problems)
During the 1 year follow-up after baseline measurements
Secondary Outcomes (1)
Range of motion, velocity and acceleration of the upper extremity during the tennis serve
Baselline
Study Arms (4)
Adult tennis players
EXPERIMENTALtennis players between the age of 18 and 40
Adult swimmers
EXPERIMENTALswimmers between the age of 18 and 40
Adolescent tennis players
EXPERIMENTALtennis players between the age of 12 and 18
Adolescent swimmers
EXPERIMENTALswimmers between the age of 12 and 18
Interventions
The test is performed in a pushup position with the hands placed 91.4 cm apart on strips of athletic tape. The person reaches with alternating hands across the body to touch the piece of tape under the opposing hand. The number of cross-body touches performed in 15 seconds is recorded. In total, three 15-s test trials were performed, with 45 s rest between each trial.
The test is performed in a pushup position with the hands one half-arm span apart on strips of athletic tape. The person reaches with alternating hands across the body to touch the piece of tape under the opposing hand. The number of cross-body touches performed in 15 seconds is recorded. In total, three 15-s test trials were performed, with 45 s rest between each trial.
Set up requires that the subject is placed in a seated position with their back against the wall, and a 2kg medicine ball held in a shot put position. When ready, the subject will perform a shot put motion to project the medicine ball as far as possible. The average of three trials is recorded for each arm.
Participants starts in a modified (on elbows) push-up position. Participants are positioned next to a wall in order to allow the shoulder, the elbow epicondyle, the greater trochanter and the lateral malleolus of the ankle to touch the wall. Participants are asked to perform a trunk rotation, coupled with an external rotation of the shoulder in a 90°-90° position (90° abduction, 90° external rotation) touching the tape placed vertically on the wall as quickly as possible for 15 s. Finally, three 15-s test trials were performed, with 45 s rest between each trial.
Participants were instructed to stand up straight with their back against a wall. The tested arm was placed in a 90°forward flexion holding a 1-m long thera-band® fixed at shoulder height on a graduated stick. Participants were asked to pull the thera-band® from the starting position 90°forward flexion-to a 90° external rotation and 90° abduction (90°90°position) at an alternated cadence given by a metronome. Males are asked to pull a green thera-band (2.1 kg) and females a red thera-band (1.7 kg). Repetitions are performed until the participant is fatigued.
The participant is positioned prone, with the test shoulder off the table and the arm perpendicular to the floor. A bar on a stick is adjusted for each patient and fixed at the point that the participant's shoulder reaches 90° of horizontal abduction, the point at which the participant was to hold the arm at the top of the arc of motion for 1 second. The participant held a weight equal to 2% of his body weight (rounded to the nearest 0.5 kg). Starting with the arm perpendicular to the floor, the participant horizontally abducted his arm to 90 degrees at a cadence of 30 beats per minute. Repetitions are performed until the participant is fatigued.
shoulder external rotation and internal rotation measured with a hand held dynanometer
Hand grip strength measured with a JAMAR Hand Dynamometer
Passive external rotation in supine position with arm in 90° abduction - passive internal rotation in supine position with arm in 90° abduction.
The KJOC-SES survey is composed of ten 10-point questions to evaluate specifically the performance of overhead athletes, with the highest performance score of 100.
The Competitive State Anxiety Inventory scale contains 27 items. It a psychometric scale that asks the volunteer to rate, on a 4-point Likert scale, their coping skills for sports performance.
The GSES measures (10 statements) how a person deals with stressors/difficult situations in life. The scale is about a person's self-confidence that his or her actions are responsible for successful outcomes or, in other words, that one has control over challenging demands imposed by the environment.
Eligibility Criteria
You may qualify if:
- In good general health
- Play tennis or swim competitively, at least 3 hours per week (training + competition)
You may not qualify if:
- 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,.. )
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Ghentlead
Study Sites (1)
Department of rehabilitation sciences
Ghent, 9000, Belgium
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ann Cools
University Ghent
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 22, 2023
First Posted
December 1, 2023
Study Start
November 22, 2023
Primary Completion (Estimated)
November 1, 2029
Study Completion (Estimated)
November 1, 2029
Last Updated
June 25, 2025
Record last verified: 2024-12