PMID- 28257615
OWN - NLM
STAT- MEDLINE
DCOM- 20170802
LR  - 20191210
IS  - 1938-1344 (Electronic)
IS  - 0190-6011 (Linking)
VI  - 47
IP  - 6
DP  - 2017 Jun
TI  - Early Development and Reliability of the Timed Functional Arm and Shoulder Test.
PG  - 420-431
LID - 10.2519/jospt.2017.7136 [doi]
AB  - Study Design Repeated-measures clinical measurement reliability study. Background 
      While there are some shoulder functional tests for athletes, no widely used 
      performance test of arm and shoulder function currently exists to assess 
      lower-level upper extremity functional demands in, for example, a nonathlete 
      population or elderly individuals. In these individuals, functional measures rely 
      on patient self-report. Objectives Describe the development of the Timed 
      Functional Arm and Shoulder Test (TFAST), age-related scores, and between-session 
      reliability in a group of asymptomatic high school athletes, young adults, 
      middle-aged adults, older adults, and a preliminary group of symptomatic 
      patients. Methods One hundred forty asymptomatic individuals participated in the 
      study: 36 high school athletes (14-18 years of age), 34 young adults (19-35 years 
      of age), 37 middle-aged adults (36-65 years of age), 33 older adults (over 65 
      years of age), and 16 symptomatic patients (22-66 years of age). The TFAST is a 
      functional test that includes 3 tasks: hand to head and back, wall wash, and 
      gallon lift. Total repetitions were noted for each task, and the total TFAST 
      score was calculated. Results Mean total TFAST scores were higher for young 
      adults (107.9; 95% confidence interval [CI]: 102.5, 113.4) and middle-aged adults 
      (105.2; 95% CI: 99.1, 111.3) as compared to the high school athletes (89.9; 95% 
      CI: 81.2, 98.5) and older adults (74.5; 95% CI: 65.6, 83.5). All groups were 
      significantly different (P<.05) from each other, except the young and middle-aged 
      adults. For patients, the mean score for the symptomatic side was 100.1 (95% CI: 
      89.6, 110.5). The between-session reliability values for the total TFAST scores 
      in the asymptomatic individuals were as follows: intraclass correlation 
      coefficient (ICC) = 0.93; 95% CI: 0.60, 0.98; standard error of measurement, 6.7; 
      and minimal detectable change based on a 95% CI, 18.5 repetitions. The ICC values 
      for individual tasks ranged from 0.80 to 0.94 (95% CI range, 0.44-0.98). The 
      reliability for the patient group was 0.83 (95% CI: 0.51, 0.94). Conclusion The 
      TFAST was sensitive to detect differences in functional performance between age 
      groups, demonstrated adequate between-session reliability, and demonstrated 
      feasibility in a symptomatic patient group. Further assessment is needed to 
      refine the TFAST. Development of a feasible and valid test of arm function would 
      enhance clinical evaluation and outcome measurement. J Orthop Sports Phys Ther 
      2017;47(6):420-431. Epub 3 Mar 2017. doi:10.2519/jospt.2017.7136.
FAU - Shah, Kshamata M
AU  - Shah KM
FAU - Baker, Timothy
AU  - Baker T
FAU - Dingle, Abigail
AU  - Dingle A
FAU - Hansmeier, Thomas
AU  - Hansmeier T
FAU - Jimenez, Matthew
AU  - Jimenez M
FAU - Lopez, Sarah
AU  - Lopez S
FAU - Marks, Dylan
AU  - Marks D
FAU - Safford, Daniel
AU  - Safford D
FAU - Sternberg, Amanda
AU  - Sternberg A
FAU - Turner, Jeffrey
AU  - Turner J
FAU - McClure, Philip W
AU  - McClure PW
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Validation Study
DEP - 20170303
PL  - United States
TA  - J Orthop Sports Phys Ther
JT  - The Journal of orthopaedic and sports physical therapy
JID - 7908150
SB  - IM
MH  - Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arm/physiology/*physiopathology
MH  - Disability Evaluation
MH  - Feasibility Studies
MH  - *Health Status Indicators
MH  - Humans
MH  - Middle Aged
MH  - Recovery of Function
MH  - Reproducibility of Results
MH  - Shoulder/physiology/*physiopathology
MH  - Shoulder Pain/*physiopathology
MH  - *Task Performance and Analysis
MH  - Time Factors
OTO - NOTNLM
OT  - function
OT  - performance
OT  - task
OT  - test
OT  - upper extremity
EDAT- 2017/03/05 06:00
MHDA- 2017/08/03 06:00
CRDT- 2017/03/05 06:00
PHST- 2017/03/05 06:00 [pubmed]
PHST- 2017/08/03 06:00 [medline]
PHST- 2017/03/05 06:00 [entrez]
AID - 10.2519/jospt.2017.7136 [doi]
PST - ppublish
SO  - J Orthop Sports Phys Ther. 2017 Jun;47(6):420-431. doi: 10.2519/jospt.2017.7136. 
      Epub 2017 Mar 3.