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Title: A biomechanical evaluation of the combined elevation test
Authors: Allen, Samuel J.
Phillips, Gemma C.
McCaig, Steve J.
Keywords: Thoracic spine
Issue Date: 2017
Publisher: © Elsevier
Citation: ALLEM, S.J., PHILLIPS, G.C. and MCCAIG, S.J., 2017. A biomechanical evaluation of the combined elevation test. Physical Therapy in Sport, 25, pp.1-8.
Abstract: Objectives: To biomechanically evaluate the relationships between the outcome of the Combined Elevation Test, its component joint motions, and thoracic spine angles. Design: Cross-sectional study. Setting: Laboratory. Participants: 18 elite swimmers and triathletes (11 males and 7 females). Main outcome measures: Combined Elevation Test outcome in forehead and chin positions. Individual joint contributions to test outcome. Results: No sex differences were found in test components, or between head positions. Test outcome was greater in the forehead position than the chin position (34.3 cm vs 30.2 cm; p<0.001). The variables most strongly associated with test outcome were glenohumeral joint flexion (r = 0.86 – 0.97; p<0.001), and shoulder retraction (r = 0.75 - 0.82; p<0.001). Total thoracic spine angle related strongly to test outcome in females (r = -0.77 – -0.88; p<0.05), but not in males (r = -0.17 – -0.24; p>0.05). Conclusions: The Combined Elevation Test is an effective screening tool to measure upper limb mobility into shoulder flexion and scapula retraction in both sexes, and thoracic extension in women. It is recommended that the test be performed in the forehead position. If a subject performs poorly on the test, follow up assessments are required to identify the impairment location.
Description: This paper was accepted for publication in the journal Physical Therapy in Sport and the definitive published version us available at http://dx.doi.org/10.1016/j.ptsp.2016.11.001.
Version: Accepted for publication
DOI: 10.1016/j.ptsp.2016.11.001
URI: https://dspace.lboro.ac.uk/2134/23306
Publisher Link: http://dx.doi.org/10.1016/j.ptsp.2016.11.001
ISSN: 1873-1600
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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