Early Development and Reliability of the Timed Functional Arm and Shoulder Test.

Study Design Repeated-measures clinical measurement reliability study. Background While there are some shoulder functional tests for athletes, no widely used performance test of arm and shoulder function currently exists to assess lower-level upper extremity functional demands in, for example, a nonathlete population or elderly individuals. In these individuals, functional measures rely on patient self-report. Objectives Describe the development of the Timed Functional Arm and Shoulder Test (TFAST), age-related scores, and between-session reliability in a group of asymptomatic high school athletes, young adults, middle-aged adults, older adults, and a preliminary group of symptomatic patients. Methods One hundred forty asymptomatic individuals participated in the study: 36 high school athletes (14-18 years of age), 34 young adults (19-35 years of age), 37 middle-aged adults (36-65 years of age), 33 older adults (over 65 years of age), and 16 symptomatic patients (22-66 years of age). The TFAST is a functional test that includes 3 tasks: hand to head and back, wall wash, and gallon lift. Total repetitions were noted for each task, and the total TFAST score was calculated. Results Mean total TFAST scores were higher for young adults (107.9; 95% confidence interval [CI]: 102.5, 113.4) and middle-aged adults (105.2; 95% CI: 99.1, 111.3) as compared to the high school athletes (89.9; 95% CI: 81.2, 98.5) and older adults (74.5; 95% CI: 65.6, 83.5). All groups were significantly different (P<.05) from each other, except the young and middle-aged adults. For patients, the mean score for the symptomatic side was 100.1 (95% CI: 89.6, 110.5). The between-session reliability values for the total TFAST scores in the asymptomatic individuals were as follows: intraclass correlation coefficient (ICC) = 0.93; 95% CI: 0.60, 0.98; standard error of measurement, 6.7; and minimal detectable change based on a 95% CI, 18.5 repetitions. The ICC values for individual tasks ranged from 0.80 to 0.94 (95% CI range, 0.44-0.98). The reliability for the patient group was 0.83 (95% CI: 0.51, 0.94). Conclusion The TFAST was sensitive to detect differences in functional performance between age groups, demonstrated adequate between-session reliability, and demonstrated feasibility in a symptomatic patient group. Further assessment is needed to refine the TFAST. Development of a feasible and valid test of arm function would enhance clinical evaluation and outcome measurement. J Orthop Sports Phys Ther 2017;47(6):420-431. Epub 3 Mar 2017. doi:10.2519/jospt.2017.7136.

Aerodynamic characteristics of a feathered dinosaur measured using physical models. Effects of form on static stability and control effectiveness.

We report the effects of posture and morphology on the static aerodynamic stability and control effectiveness of physical models based on the feathered dinosaur, [Formula: see text]Microraptor gui, from the Cretaceous of China. Postures had similar lift and drag coefficients and were broadly similar when simplified metrics of gliding were considered, but they exhibited different stability characteristics depending on the position of the legs and the presence of feathers on the legs and the tail. Both stability and the function of appendages in generating maneuvering forces and torques changed as the glide angle or angle of attack were changed. These are significant because they represent an aerial environment that may have shifted during the evolution of directed aerial descent and other aerial behaviors. Certain movements were particularly effective (symmetric movements of the wings and tail in pitch, asymmetric wing movements, some tail movements). Other appendages altered their function from creating yaws at high angle of attack to rolls at low angle of attack, or reversed their function entirely. While [Formula: see text]M. gui lived after [Formula: see text]Archaeopteryx and likely represents a side experiment with feathered morphology, the general patterns of stability and control effectiveness suggested from the manipulations of forelimb, hindlimb and tail morphology here may help understand the evolution of flight control aerodynamics in vertebrates. Though these results rest on a single specimen, as further fossils with different morphologies are tested, the findings here could be applied in a phylogenetic context to reveal biomechanical constraints on extinct flyers arising from the need to maneuver.