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Measuring upper limb disability for patients with neck pain: evaluation of the feasibility of the single arm military press (SAMP) test [with consumer summary]
Alreni ASE, Abdo Aboalmaty HR, de Hertogh W, Meirte J, Harrop D, McLean SM
Musculoskeletal Science & Practice 2020 Dec;50:102254
clinical trial
8/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: Yes; Blind therapists: Yes; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Non-specific neck pain (NSNP) is frequently associated with upper limb disability (ULD). Consequently, evaluation of ULD using an outcome measure is necessary during the management of patients with NSNP. The Single Arm Military Press (SAMP) test is a performance-based ULD measure developed for populations with neck pain. During the SAMP test, patients are asked to repeatedly lift a weight above their head for 30 s. The number of repetitions is counted. Its clinical utility in a patient group is still unknown. OBJECTIVE: This study investigates the feasibility of the SAMP test from patients and clinicians' perspectives. METHODS: Seventy female patients with NSNP were randomly allocated into one of three groups. Participants in each group completed the SAMP test using one of three proposed weights (0.5 kg, 1 kg or 1.5 kg). The feasibility of the SAMP test was established using structured qualitative exit feedback interviews for patients and administrating clinicians. RESULTS: Participants using 0.5 kg achieved the highest number of repetitions, but a high proportion reported the weight as extremely light, whereas those who tested using the 1.5 kg achieved the lowest number of repetitions and participants reported the weight as being heavy. Participants tested using 1 kg achieved an average number of repetitions and a high proportion reported the weight as acceptably heavy. Clinicians and patients reported that the SAMP test was efficient and convenient. CONCLUSION: The 1 kg SAMP test is feasible for use in female patients with NSNP. The measurement properties of the SAMP test should be determined in a patient group.

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