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Athletic InjuriesVAL_PPT_HNCT06153121

Validity of an Upper Extremity Physical Performance Test Battery in Healthy Athletes

A study testing Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST) and Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT) in people with Athletic Injuries, run by University Ghent at 1 site in Belgium.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This project comprises two studies; a cross-sectional study and a prospective study. 1. The cross-sectional study aims to develop and validate a new sport-specific test battery (PROMs, analytical and physical performance tests) in healthy tennis players and swimmers.The construct validity of this upper extremity test… Read more about this study

Who is it for?
Ages 12 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Athletic Injuries
What is being tested?
Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST) and Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteBelgium
Study dates
22 Nov 2023to Nov 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • In good general health
  • Play tennis or swim competitively, at least 3 hours per week (training + competition)

Who cannot join

  • History of shoulder dislocation in dominant and/or nondominant shoulder
  • History of upper extremity surgery
  • At the moment of participation, participants should not report a substantial injury (defined by the Oslo Sports Trauma Research Centre questionnaire on health problems) in the past two months. A substantial injury is defined as a moderate or severe reduction in training volume or reduction in sports performance or complete inability to participate in sport as substantial injuries and illnesses.
  • Neurological symptoms in any extremity
  • Suffering from a systemic disease (such as diabetes, lupus, arthrosis,.. )

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Belgium1 site, 1 recruiting
  • Department of rehabilitation sciences

    Ghent, 9000

    Jasper Stubbe, 09 332 26 33, jasper.stubbe@ugent.be

    Ann Cools

    Recruiting

Other trials in Belgium

About this study

Official title: Construct and Predictive Validity of an Upper Extremity Physical Performance Test Battery in Healthy Athletes: a Cross-sectional and Prospective Study

This project comprises two studies; a cross-sectional study and a prospective study.

  1. The cross-sectional study aims to develop and validate a new sport-specific test battery (PROMs, analytical and physical performance tests) in healthy tennis players and swimmers.The construct validity of this upper extremity test battery will be examined through two different methods.
  2. Firstly, the performance on the test battery will be correlated to sport performance (sprint time at 100m freestyle in swimming and serve speed/accuracy in tennis)
  3. Secondly, the correlation between test battery performance and upper limb/trunk kinematics in a tennis serve (measured via inertial measurement units (IMUs)) will be examined.
  4. In the prospective study, the predictive validity of the test battery will be evaluated. Healthy swimmers and tennis players will be tested at baseline using the same test battery as mentioned above. The athletes will be followed for one year and new injuries will be recorded via a weekly questionnaire. Performance on the test battery will be associated with the incidence of musculoskeletal injuries.
Read the detailed description

Upper extremity physical performance tests (PPTs) of the upper limb are physically challenging tests and are supposed to be sport-specific and mimic the sport specific movements or load.

Currently, there is no strong evidence for the validity of many upper extremity physical performance tests, although these tests are widely used in the return-to-sport phase after upper limb injuries. There is a clear need for a validating test physical performance tests.

Validation of these PPTs is possible in several ways, e.g. correlation to an analytical construct such as strength. However, it is important that these tests are sport-specific. For this reason, the correlation between physical performance tests on the one hand and sports performance (in swimming and tennis) and upper limb kinematics during a tennis serve on the other hand will be evaluated in this study. However, a single PPT is unlikely to correlate strongly with sport performance or tennis serve kinematics, as previous studies have shown a weak to moderate association when a single PPT was correlated with sport performance or another construct. Therefore, a cluster of tests will be assessed; four PPTs per sport and three analytical tests measuring strength and mobility of shoulder and hand, since these are the cornerstone of testing protocols in sports rehabilitation.

In addition, patient-reported outcome measures (PROMs), questionnaires that measure physical and psychosocial factors, are becoming increasingly important in sports. Recent studies show that these factors influence sports performance and rehabilitation outcomes. Therefore, these questionnaires can be very useful in the return-to-sport phase and injury risk screening. The PROMs that will be used in this study are the following: Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES), Competitive State Anxiety Inventory-2 (CSAI-2) and the general self-efficacy scale.

To conclude, the test battery consists of PPTs, analytical tests (strength and mobility) and PROMs.

Being tested
Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST), Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT), Physical performance test - Upper Limb Rotation Test (ULRT), Physical performance test - Shoulder endurance test (SET)
Medical subject headings
Athletic Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST)Other

    The test is performed in a pushup position with the hands placed 91.4 cm apart on strips of athletic tape. The person reaches with alternating hands across the body to touch the piece of tape under the opposing hand. The number of cross-body touches performed in 15 seconds is recorded. In total, three 15-s test trials were performed, with 45 s rest between each trial.

  • Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST)Other

    The test is performed in a pushup position with the hands one half-arm span apart on strips of athletic tape. The person reaches with alternating hands across the body to touch the piece of tape under the opposing hand. The number of cross-body touches performed in 15 seconds is recorded. In total, three 15-s test trials were performed, with 45 s rest between each trial.

  • Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT)Other

    Set up requires that the subject is placed in a seated position with their back against the wall, and a 2kg medicine ball held in a shot put position. When ready, the subject will perform a shot put motion to project the medicine ball as far as possible. The average of three trials is recorded for each arm.

  • Physical performance test - Upper Limb Rotation Test (ULRT)Other

    Participants starts in a modified (on elbows) push-up position. Participants are positioned next to a wall in order to allow the shoulder, the elbow epicondyle, the greater trochanter and the lateral malleolus of the ankle to touch the wall. Participants are asked to perform a trunk rotation, coupled with an external rotation of the shoulder in a 90°-90° position (90° abduction, 90° external rotation) touching the tape placed vertically on the wall as quickly as possible for 15 s. Finally, three 15-s test trials were performed, with 45 s rest between each trial.

  • Physical performance test - Shoulder endurance test (SET)Other

    Participants were instructed to stand up straight with their back against a wall. The tested arm was placed in a 90°forward flexion holding a 1-m long thera-band® fixed at shoulder height on a graduated stick. Participants were asked to pull the thera-band® from the starting position 90°forward flexion-to a 90° external rotation and 90° abduction (90°90°position) at an alternated cadence given by a metronome. Males are asked to pull a green thera-band (2.1 kg) and females a red thera-band (1.7 kg). Repetitions are performed until the participant is fatigued.

  • Physical performance test - Posterior shoulder endurance test (PSET)Other

    The participant is positioned prone, with the test shoulder off the table and the arm perpendicular to the floor. A bar on a stick is adjusted for each patient and fixed at the point that the participant's shoulder reaches 90° of horizontal abduction, the point at which the participant was to hold the arm at the top of the arc of motion for 1 second. The participant held a weight equal to 2% of his body weight (rounded to the nearest 0.5 kg). Starting with the arm perpendicular to the floor, the participant horizontally abducted his arm to 90 degrees at a cadence of 30 beats per minute. Repetitions are performed until the participant is fatigued.

  • Analytical test - Shoulder StrengthOther

    shoulder external rotation and internal rotation measured with a hand held dynanometer

  • Analytical test - Hand Grip StrengthOther

    Hand grip strength measured with a JAMAR Hand Dynamometer

  • Analytical test - Shoulder Range of Motion (ROM)Other

    Passive external rotation in supine position with arm in 90° abduction - passive internal rotation in supine position with arm in 90° abduction.

  • PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES)Other

    The KJOC-SES survey is composed of ten 10-point questions to evaluate specifically the performance of overhead athletes, with the highest performance score of 100.

  • PROM - Competitive State Anxiety Inventory-2 (CSAI-2)Other

    The Competitive State Anxiety Inventory scale contains 27 items. It a psychometric scale that asks the volunteer to rate, on a 4-point Likert scale, their coping skills for sports performance.

  • PROM - General elf-efficacy scale (GSES).Other

    The GSES measures (10 statements) how a person deals with stressors/difficult situations in life. The scale is about a person's self-confidence that his or her actions are responsible for successful outcomes or, in other words, that one has control over challenging demands imposed by the environment.

Study groups in NCT06153121
Study groupRoleWhat they receive
Adult tennis playersExperimentaltennis players between the age of 18 and 40
Receives: Other: Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST); Other: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT); Other: Physical performance test - Upper Limb Rotation Test (ULRT); Other: Physical performance test - Shoulder endurance test (SET); Other: Analytical test - Hand Grip Strength; Other: Analytical test - Shoulder Range of Motion (ROM); Other: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES); Other: PROM - Competitive State Anxiety Inventory-2 (CSAI-2); Other: PROM - General elf-efficacy scale (GSES).
Adult swimmersExperimentalswimmers between the age of 18 and 40
Receives: Other: Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST); Other: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT); Other: Physical performance test - Upper Limb Rotation Test (ULRT); Other: Physical performance test - Posterior shoulder endurance test (PSET); Other: Analytical test - Shoulder Strength; Other: Analytical test - Hand Grip Strength; Other: Analytical test - Shoulder Range of Motion (ROM); Other: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES); Other: PROM - Competitive State Anxiety Inventory-2 (CSAI-2); Other: PROM - General elf-efficacy scale (GSES).
Adolescent tennis playersExperimentaltennis players between the age of 12 and 18
Receives: Other: Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST); Other: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT); Other: Physical performance test - Upper Limb Rotation Test (ULRT); Other: Physical performance test - Shoulder endurance test (SET); Other: Analytical test - Shoulder Strength; Other: Analytical test - Hand Grip Strength; Other: Analytical test - Shoulder Range of Motion (ROM); Other: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES); Other: PROM - Competitive State Anxiety Inventory-2 (CSAI-2); Other: PROM - General elf-efficacy scale (GSES).
Adolescent swimmersExperimentalswimmers between the age of 12 and 18
Receives: Other: Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST); Other: Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT); Other: Physical performance test - Upper Limb Rotation Test (ULRT); Other: Physical performance test - Posterior shoulder endurance test (PSET); Other: Analytical test - Shoulder Strength; Other: Analytical test - Hand Grip Strength; Other: Analytical test - Shoulder Range of Motion (ROM); Other: PROM - Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC-SES); Other: PROM - Competitive State Anxiety Inventory-2 (CSAI-2); Other: PROM - General elf-efficacy scale (GSES).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sports performance

    For tennis players: serve performance test (12 serves), consisting of serve velocity and accuracy

    • serve velocity: Peak SV was measured with a Stalker Professional sports radar Pro II+
    • serve accuracy: serve accuracy is evaluated based on a scoring system. Two points are awarded if the serve lands in the target area (target of 2x2 m down the "T"), only one point when serving into the serve box, and balls landing outside the serve box results in zero points. The score of every individual serve was summed up to a total score of a maximum of 24 points.
    • the average velocity and the total accuracy score is used for analysis

    For swimmers: time on 100m freestyle during competition event is used for analysis

    Measured: Baseline

  2. New musculoskeletal injuries

    New musculoskeletal injuries registered by the OSTRC-H2 (The Oslo Sports Trauma Research Center Questionnaire on Health Problems)

    Measured: During the 1 year follow-up after baseline measurements

Secondary outcomes (1)
  1. Range of motion, velocity and acceleration of the upper extremity during the tennis serve

    Range of motion, velocity and acceleration of the upper extremity (wrist, elbow, shoulder, trunk) measured with inertial measurement units (IMUs) during the tennis serve

    Measured: Baselline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Dec 2023
  2. Study start22 Nov 2023
  3. Primary completionNov 2029 (estimated)
  4. Study completionNov 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Single group
Masking
Single blind
Who is masked
Participant
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06153121
Sponsor's protocol ID
ONZ-2023-0320
Acronym
VAL_PPT_H
Status last verified
Dec 2024
First submitted
22 Nov 2023
Last updated
25 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Physical performance test - Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), Physical performance test - modified Closed Kinetic Chain Upper Extremity Stability Test (m-CKCUEST) and Physical performance test - Seated Seated Single Arm Shot Put Test (SSASPT) in people with Athletic Injuries, run by University Ghent at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jasper Stubbe (09 332 26 33, jasper.stubbe@hotmail.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sports performance (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jun 2025.

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