Upper Body d/c testing

What should d/c testing continuum consist of

simple to complex movement

what are the 4 components of upper body d/c planning

strength

mobility

power

CKC stability

upper body mobility testing options

• thorax mobility

• UE patter I

• UE pattern II

• FMS shoulder mobility

When should ROM measurements be taken

for precision when screens identify abnormality

Upper body strength testing options

• isokinetic testing

• hand-held dynamometry

• grip strength testing

• ASH test

what is the gold standard for strength testing

isokinetic testing

What is isokinetic testing able to measure

strength, power, and endurance

how do we interpret isokinetic testing results

bilateral comparison and unilateral strength ratio

what percentage of the nonathletic population has limb dominance of IRs and ERs

5-10% more

what is the typical unilateral ER/IR strength ratio

66%

What percent of overhead athletes have ER bias

75%

What is the problem with isokinetic testing

expensive and not readily available

describe the athletic shoulder (ASH) test

evaluation of isometric shoulder strength in prone

positions for ASH test

I, Y, T

Positions for grip strength testing

elbow flex 90

shoulder flexed 180

How is grip strength scored

best score of 3 trials recorded for each position

What is the best indicator of overall UE strength

grip strength

What grip strength position should be stronger

180 shoulder flex

Closed kinetic chair stability testing options

• CKC UE stability test

• Y-B UQ

describe CKCUEST

• patient is in a pushup position

• 2 pieces of tape placed 36 in apart

• alternate between tapping opposite hand as many times as possible in 15 seconds

• 3 trials performed with 45 sec breaks

What are the modifications for CKCUEST

females can perform in modified pushup position

CKCUEST norm for males

21 touches

CKCUEST norm for females

23 touches

CKCUEST norm for college baseball players

30.4 touches

CKCUEST norm for college football players

<21 touches

what is the Y-B UQ test analyzing

shoulder ROM

shoulder stability

scapular stability

thoracic ROM

core stability

cut off for medial reach on Y-B

4 cm

cut off for inferolateral reach on Y-B

4 cm

cut off for superolateral reach on Y-B

4

What direction reach for Y-B is a risk factor in itself

inferolateral

Upper body power testing options

• seated medicine ball throw

• single arm shot put test

• one-arm hop test

procedure for seated medicine ball throw

• seated with back and head against wall

• legs extending

• hold 2kg ball in “chest pass” position

  • distance the ball went minus arm legs gives you the distance

procedure for single arm shot put test

• seated with back and head against wall

• legs are extended or flexed

• 6lb ball held in “shotput” position

What d/c testing should be performed for a:

68 y/o s/p RTC repair with a goal to reach up into high cabinets at home

ROM, MMT

questionnaire

grip strength

SFMA

What d/c testing should be performed for a:

38 y/o with SAIS with goal to return to work pain free

ROM, MMT

questionnaire

SFMA

FMS

What d/c testing should be performed for a:

38 y/o with biceps tendinosis with goal to workout without pain

ROM, MMT

questionnaire

SFMA

FMS

YBT

What d/c testing should be performed for a:

21 y/o with tennis elbow with goal to return to tennis

ROM, MMT

questionnaire

SFMA

FMS

YBT

single arm throw test