Preliminary Insights into the Diagnostic Accuracy of the Modified Arm Care Screen Test for Overhead Athletes: An On-Field Tool for Injury Prevention

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Dec 8

PMID 38063614

Authors

Eleftherios Paraskevopoulos

Fotis-Marios Kottaridis

Maria Moutzouri

George A Koumantakis

Dimitrios Antonakis-Karamintzas

Charilaos Tsolakis

Panagiotis Koulouvaris

Anna Christakou

Maria Papandreou

Affiliations

Soon will be listed here.

Abstract

Background: The Arm Care Screen was developed to detect musculoskeletal limitations that could affect performance or even increase the risk for shoulder injuries in overhead athletes. This study aimed to assess the discriminant validity of the modified Arm Care Screen in overhead athletes.

Methods: Sixty-two overhead athletes (mean age: 24.5 ± 4.2 years) were recruited. The athletes underwent a comprehensive Arm Care Screen evaluation, including reciprocal shoulder mobility, total body rotation, lower body diagonal reach, and rotary stability assessments. Ten different musculoskeletal measurements were independently measured by two physical therapists.

Results: The modified Arm Care Screen showed moderate to strong associations (phi values ranged from 0.273 to 0.905) with the respective musculoskeletal range of motion and balance measurements. Sensitivity ranged from 81.25% to 88.57%, indicating a high true positive rate, and specificity ranged from 43.75% to 94.44%, indicating a moderate to strong positive rate. Positive and negative likelihood ratios ranged from 1.48 to 15.92 and 0.12 to 0.38, respectively. The positive and negative predictive value ranged from 58.14% to 92% and from 73.68% to 93.18%, respectively. The accuracy of the modified ACS ranged from 62.90% to 91.94%.

Conclusion: The modified Arm Care Screen demonstrated promising diagnostic accuracy in identifying significant movement restrictions.

Citing Articles

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study.

Vasilis N, Kyriakides A, Vasilopoulos G, Chatzitimotheou M, Gonidakis G, Kotsakis A Sports (Basel). 2024; 12(4).

PMID: 38668569 PMC: 11054429. DOI: 10.3390/sports12040101.

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