PMID- 36300293
OWN - NLM
STAT- MEDLINE
DCOM- 20230501
LR  - 20230502
IS  - 1538-6724 (Electronic)
IS  - 0031-9023 (Linking)
VI  - 103
IP  - 2
DP  - 2023 Feb 1
TI  - Measurement Properties of the Timed Functional Arm and Shoulder Test in Patients 
      With Shoulder Problems.
LID - pzac144 [pii]
LID - 10.1093/ptj/pzac144 [doi]
AB  - OBJECTIVE: The purpose of this study was to determine the feasibility, 
      reliability, validity, and responsiveness of the Timed Functional Arm and 
      Shoulder Test (TFAST) in patients with shoulder problems. METHODS: This study was 
      a repeated-measures clinical measurement observational cohort study. A total of 
      104 patients who were symptomatic participated in this study. The TFAST was 
      collected as part of an patient's outpatient physical therapist care at 6 
      different sites. The test and data collection were performed at 3 time points: 
      baseline (initial evaluation), follow-up at the patient's first return visit 
      within 7 days of evaluation, and discharge at the patient's final visit for care. 
      RESULTS: All participants were able to perform the TFAST at baseline, with 1 
      exception, and 67 participants completed data collection at all 3 time points. 
      There were no adverse effects in any participant related to performing the TFAST. 
      Intrarater intersession reliability, reported as ICC(2,1), was 0.91 (95% 
      CI = 0.79-0.95). The mean difference in TFAST scores for the affected arm was 
      23.2 repetitions (77.4 at baseline to 100.6 at discharge). The Cohen d effect 
      size was 1.02, and the standardized response mean was 0.95. The minimal 
      clinically important difference was determined to be 21 repetitions. CONCLUSION: 
      The TFAST seems to be feasible and appropriate for use in a wider population than 
      other existing shoulder performance measures. The TFAST has demonstrated adequate 
      reliability, validity, and responsiveness in patients with shoulder problems. 
      Clinicians may consider using the TFAST to objectively assess patient 
      performance. IMPACT: The TFAST may be used to expand measurement of objective 
      shoulder performance in a wide population of patients with shoulder problems. 
      This test may provide information beyond an patient's self-report and contribute 
      to clinical decision-making.
CI  - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the 
      American Physical Therapy Association. All rights reserved. For permissions, 
      please email: journals.permissions@oup.com.
FAU - Safford, Daniel W
AU  - Safford DW
AUID- ORCID: 0000-0002-8897-7128
AD  - Department of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
FAU - Shah, Kshamata M
AU  - Shah KM
AD  - Department of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
FAU - Turner, Jeffrey A
AU  - Turner JA
AD  - United States Air Force, USA.
FAU - McClure, Philip W
AU  - McClure PW
AD  - Department of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Phys Ther
JT  - Physical therapy
JID - 0022623
SB  - IM
MH  - Humans
MH  - *Shoulder/physiology
MH  - *Arm
MH  - Reproducibility of Results
MH  - Shoulder Pain/therapy
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Function
OT  - Performance
OT  - Shoulder
OT  - TFAST
OT  - Timed Functional Arm and Shoulder Test
OT  - Upper Extremity
EDAT- 2022/10/28 06:00
MHDA- 2023/05/01 06:42
CRDT- 2022/10/27 03:23
PHST- 2021/11/19 00:00 [received]
PHST- 2022/06/24 00:00 [revised]
PHST- 2022/09/20 00:00 [accepted]
PHST- 2023/05/01 06:42 [medline]
PHST- 2022/10/28 06:00 [pubmed]
PHST- 2022/10/27 03:23 [entrez]
AID - 6775271 [pii]
AID - 10.1093/ptj/pzac144 [doi]
PST - ppublish
SO  - Phys Ther. 2023 Feb 1;103(2):pzac144. doi: 10.1093/ptj/pzac144.