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 Athletes. Journal 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.
Continued Reading…
John Snyder, DPT 
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