Validation of a new test that assesses functional performance of the upper extremity and neck (FIT-HaNSA) in patients with shoulder pathology

Joy C MacDermid, Myriam Ghobrial, Karine B Quirion, Melanie St-Amour, Tanya Tsui, Dave Humphreys, John McCluskie, Eddy Shewayhat and Vickie Galea

This study describes development of a new test for measuring functional performance of the upper extremity and neck and assesses reliability and concurrent validity in patients with shoulder pathology.  A series of developmental tests were conducted to develop a protocol for assessing upper extremity tasks that required multi-level movement and sustained elevation. Test-retest reliability was assessed on 10 subjects. Then a cohort of 17 patients with mild to moderate shoulder pathology and 19 controls were tested to further validate the Functional Impairment Test-Hand and Neck/Shoulder/Arm (FIT-HaNSA) by comparing it to self-reported function and measured strength.  Initial data suggest the FIT-HaNSA provides valid assessment of impaired functional performance in patients with shoulder pathology. It discriminates between patients and controls, is related to self-reported function, and yet provides distinct information. Longitudinal testing is warranted.

BMC Musculoskeletal Disorders, 2007, 8, 42.

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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