Rehabilitation Clinical Trial
Official title:
Can Functional Performance Assessments in Overhead Athletes With Shoulder Injury Assess the Ability of Return to Play (RTP)?
Background & Purpose: Shoulder injuries are commonly seen in overhead athletes due to the
mechanism of the repetitive and high velocity movement. While the injury usually cost the
lost of time in playing, making the decision of the time to return to play (RTP) is a
critical issue that should be standardized and objective. However, current studies showed
that the decision making of RTP is so complicated that there's lack of objective measurements
especially for upper extremity injuries. So, investigating the usage of convenient and valid
tools, functional performance assessments for assessing the ability to RTP is the main
objective of this study.
Objective: There are 2 objectives for this study: (1) to investigate the difference between
RTP group and non-RTP in overhead athletes with shoulder injury; (2) to investigate the
responsiveness of the functional performance assessment in return to play for overhead
athletes with shoulder injury. Methods: Overhead athletes with shoulder injury or surgery
which leads to temporary leaving to the sport within will be recruited in this study. The
shoulder joint range of motion (flexion, extension, external/internal rotation, and
abduction), shoulder muscle strength (flexors, abductors and external/internal rotators),
patient-reported outcome (KJOC and DASH questionnaire) and functional performance assessments
(FMS, YBT-UQ, CKCUEST, USSP and TPUT) will be assessed at 6 months after the athlete was
injured or received surgery, and at the time point if the athletes successfully complete at
least one formal game or practice game (RTP group). If the athlete doesn't return within 12
months after injury or surgery, the assess will be done at the 12th month after injury or
surgery. Significance and Contribution: This study is going to provide an objective
measurement value of functional performance assessment in injured overhead athletes,
determining whether the strength, endurance or power of the upper extremity is good enough to
return to the sport that the athlete played before this injury. The result is also expected
to have significant contribution in the area of sports medicine in return to play especially
in overhead athletes, which has limited evidence providing specific criteria and objective
measurement value previously.
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