Materials: (2) strips of athletic tape (width of 1.5 inches) placed parallel to each other (36 inches apart) on the floor

Methods:

  • The starting position for the test is with one hand on each piece of tape while assuming a pushup position.
  • The patient is instructed that from the starting position they are to use one hand to reach across their body and touch the piece of tape lying under the opposing hand.
  • After touching the tape line, the hand is returned to the original starting position.
  • The subject then performs the same movement with the other hand.
  • Touches are counted as every time the hand reaches across the patient’s body and touches the tape.
  • The total time for the trial is 15 seconds.
  • Each subject performs a warm up trial and then three real trials of the test with a rest period of 45 seconds between trials.
  • An average of the three trials is used for the test score.

Video Demonstration from Brian Schwabe, DPT, CSCS

 

Reliability:

Study Population Type ICC
Goldbeck et al., 2000 Male College Students Test-Retest Reliability 0.92
Sciascia et al., 2015 Young adults with Shoulder Pain (Average age= 30) Test-Retest Reliability 0.86
Young adults without Shoulder Pain (Average age= 29) Test-Retest Reliability 0.85
Tucci et al., 2014 Subjects with/without Subacromial Impingement Intersession reliability 0.87-0.96
Subjects with/without Subacromial Impingement Intrasession reliability 0.86-0.97
Lee et al., 2015 Healthy Korean adults (Average age = 29.96) Test-Retest Reliability 0.97
de Oliveira et al., 2017 Healthy adolescents (Average age= 16.9) Test-Retest Reliability 0.68-0.87

Normative Data:

Study Population Study Design Reference Value MDC
de Oliveira et al., 2017 Healthy adolescents (Average age= 16.9) Test-Retest Reliability Test: 25.6, Retest: 28.0 6.01
Botnmark et al., 2016 Healthy young adults (Average age= 26.1) Cross-sectional 19.9 Touches
Lee et al., 2015 Healthy Korean adults (Average age = 29.96) Test-Retest Reliability 13.31 – 13.10
Sciascia et al., 2015 Young adults with Shoulder Pain Descriptive Laboratory Study 29% (Normalized to Bodyweight)  –
Young adults without Shoulder Pain 32% (Normalized to Bodyweight)  –
Taylor et al., 2015 Female Collegiate Athletes (Average age =19.2) Descriptive Laboratory Study Test: 22.9
Male Collegiate Athletes (Average age =19.3) Test: 25.0
Tucci et al., 2014 Sedentary Male Descriptive Laboratory Study Test: 22.67, Retest: 25.30 2.05
Sedentary Female Test: 24.58, Retest: 28.47 3.43
Active Male Test: 27.97, Retest: 31.97 2.82
Active Female Test: 24.78, Retest: 27.13 3.91
Male with Subacromial Impingement Test: 10.10, Retest: 11.82 2.76
Female with Subacromial Impingement Test: 12.20, Retest: 13.73 2.67
Roush et al, 2007 Collegiate baseball players (Average age= 19.0) Descriptive Laboratory Study Test: 30.41 touches
Goldbeck et al., 2000 Male College Students Descriptive Laboratory Study Test: 27.8 touches

Injury Prediction:

Study Population Study Design Cut Point Sensitivity Specificity +LR -LR OR
Pontillo et al., 2014 Collegiate football players (Average age= 19.6) Prospective Cohort < 21.0 touches (Average # of touches= 22.5) 0.79 0.83 4.74 0.25 18.75

Research:

1. Goldbeck TG, Davies J. Test-Retest Reliability of the Closed Kinetic Chain Upper Extremity Stability Test: A Clinical Field Test. Journal of Sport Rehabilitation. 2000; 9(1): 35-46.

2. Roush JR, et al. Reference Values for the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) for Collegiate Baseball Players. North American Journal of Sports Physical Therapy. 2007; 2(3): 159–163.

3. Tucci HT, et al. Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome. BMC Musculoskeletal Disorders. 2014; 15(1): 1-9.

4. Pontillo M, et al. Prediction of In-Season Shoulder Injury From Preseason Testing in Division I Collegiate Football Players. Sports Health: A Multidisciplinary Approach. 2014. [Epub ahead of print]

5. Taylor JB, Wright AA, Smoliga JM, DePew JT, Hegedus EJ. Upper Extremity Physical Performance Tests in Collegiate AthletesJournal of Sport Rehabilitation. 2015. [Epub ahead of print]

6. Lee D-R, Kim LJ. Reliability and validity of the closed kinetic chain upper extremity stability test. Journal of Physical Therapy Science. 2015; 27(4): 1071–1073.

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