In activities of daily living, occupational or avocational, and in sports it is essential for any person to perform at the levels required. At the upper limb (UL) region there are a vast number of movements that occur either above, in line, or below the shoulder, with either an open or closed kinetic chain mechanism. Specifically in a sports setting, there is also the potential for contact and non-contact mechanisms to occur with objects or other athletes. The pain from injury, whether acute or chronic, can impede activity. Whilst the body is well equipped to heal naturally, in some instances dysfunction remains and there is often no recollection of the trauma, either with or without pain, that led to the dysfunction. This article poses the question of how we can measure function to appreciate dysfunction. It explores the various methods by which we can appreciate UL function in sports, and enhance our clinical approach.
Ian Gatt