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Reduced shoulder proprioception due to fatigue after repeated handball throws and evaluation of test–retest reliability of a clinical shoulder joint position test
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Physiotherapy Department, Karlstad Medical Training Institute, Karlstad, Sweden. (Swedish Winter Sports Research Centre)
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). (Swedish Winter Sports Research Centre)ORCID iD: 0000-0001-5317-2779
2024 (English)In: Shoulder & Elbow, ISSN 1758-5732, Vol. 16, no 1_suppl, p. 100-109Article in journal (Refereed) Published
Abstract [en]

Background: Proprioception is vital for motor control and can be disturbed, for example, due to fatigue or injury. Clinical feasible, reliable and valid tests of shoulder proprioception are warranted. The aim was to investigate the effects of local fatigue on shoulder proprioception and the reliability of a feasible joint position sense test using an experimental repeated measures design. Method: Forty participants repeated a shoulder joint position sense test to assess test–retest reliability. The test was then utilized on a subgroup of handball players who were subjected to five bouts of a repeated throwing task with the dominant hand. The effect of local fatigue was investigated by comparing the fatigued with the non-fatigued shoulder. Results: There was a significant interaction for the arm × bout (p = 0.028, ηp2 = 0.20) and a significant effect for the arm (p = 0.034, ηp2 = 0.35) with a significant decrease in joint position sense for the throwing arm compared to the non-throwing arm. The intraclass correlation coefficient was 0.78 (95% CI = [0.57; 0.89]). The standard error of measurement between trials was 0.70° (range: 0.57°–0.90°). Discussion: The results indicate that repeated throwing to fatigue disturbs shoulder joint position sense. Assessment with the modified test showed acceptable reliability and can be a valuable assessment tool in the clinic. 

Place, publisher, year, edition, pages
SAGE Publications , 2024. Vol. 16, no 1_suppl, p. 100-109
Keywords [en]
Assessment, fatigue, joint position sense, proprioception, reliability, shoulder
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:miun:diva-46534DOI: 10.1177/17585732221139795ISI: 001176848500006Scopus ID: 2-s2.0-85142246439OAI: oai:DiVA.org:miun-46534DiVA, id: diva2:1714649
Available from: 2022-11-30 Created: 2022-11-30 Last updated: 2024-04-02Bibliographically approved

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Lund Ohlsson, Marie

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