(English) Episode 286-Functional tests for shoulder return to sport

This systematic review by Pontillo et al. evaluates the effectiveness of various functional tests used to determine if an athlete is ready to return to sport after an upper extremity injury. By analyzing 60 peer-reviewed studies, the authors assessed the reliability and validity of several assessments, including equipment-free and technology-aided measures like force plates. The results indicate that the Single Arm Shot Put (SASP) and the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) are the most consistent and dependable metrics for clinical use. While the Athletic Shoulder (ASH) test shows promise as an emerging tool for measuring isometric strength, the Upper Quarter Y-Balance Test (UQY) produced inconsistent reliability across different age groups. Ultimately, the researchers emphasize that clinicians should utilize standardized, objective criteria to reduce the risk of reinjury and ensure athletes have regained necessary power and stability. This comprehensive analysis serves as a guide for medical professionals to select the most appropriate psychometric evaluations based on an athlete's specific sport and demographic.(Pontillo M, Bellm E, Barber P, Gauthier M, Unverzagt C, Davies G. Upper extremity return to sport functional testing: A systematic review. Sports Med Open [Internet]. 2026;12(1). Available from: http://dx.doi.org/10.1186/s40798-026-00984-4)