The supine moving apprehension test—Reliability and validity among healthy individuals and patients with anterior shoulder instability

Alon Rabin*, Ofir Chechik, Margie K. Olds, Timothy L. Uhl, Efi Kazum, Adin Deutsch, Eran Citron, Tal Cohen, Oleg Dolkart, Assaf Bibas, Eran Maman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Performance-based tests for patients with anterior shoulder dislocation are lacking. This study determined the reliability and validity of the supine moving apprehension test designed to assess the ability to control anterior instability loads. Methods: Thirty-six participants were recruited (18 healthy individuals, and 18 patients following anterior shoulder dislocation). Healthy participants performed the supine moving apprehension test on 2 separate occasions to determine test-retest reliability. Patients completed the supine moving apprehension test and the Western Ontario Shoulder Instability index before and 6 months after surgical stabilization of their shoulder. The presence of anterior apprehension was also documented post-operatively. Results: The supine moving apprehension test demonstrated good test-retest reliability (intraclass correlation coefficient = 0.74−0.84). Patients performed 18−30 repetitions less than healthy individuals during the supine moving apprehension test (P < 0.01). A strong correlation was found between supine moving apprehension test scores and Western Ontario Shoulder Instability post-operatively (r = −0.74, P ≤ 0.01). Supine moving apprehension test scores significantly improved among patients following surgery (P < 0.01). Patients with a negative apprehension test post-operatively performed the supine moving apprehension test significantly better than patients with a positive apprehension test (P < 0.01). Conclusions: The supine moving apprehension test is reliable and valid among patients with anterior shoulder dislocation and may serve to assess patients’ ability to control shoulder anterior instability loads.

Original languageEnglish
Pages (from-to)98-105
Number of pages8
JournalShoulder and Elbow
Volume16
Issue number1
DOIs
StatePublished - Feb 2024

Keywords

  • Shoulder instability
  • apprehension
  • physical performance test

Fingerprint

Dive into the research topics of 'The supine moving apprehension test—Reliability and validity among healthy individuals and patients with anterior shoulder instability'. Together they form a unique fingerprint.

Cite this