“…Nevertheless, fatigue could still occur during prolonged overhead work (Sood et al, 2007), yet no evidence documents the effect of PSEs in a physically fatigued state. Physical fatigue has been defined as any reversible decrease in performance capacity as a result of physical activity (Bigland-Ritchie and Woods, 1984), and is known to impact proprioception, motor performance, muscle activity, and kinematics of the trunk and upper limbs during reaching movements (Dupuis et al, 2021;Dube and Roy, 2019;Carpenter et al, 1998), hammering (Côté et al, 2005), ratcheting (Cowley and Gates, 2017) and chain work (McDonald et al, 2016(McDonald et al, , 2019Pritchard et al, 2019). These fatigue induced alterations have been suggested as potential risk factors for developing and maintaining shoulder pain (Dupuis et al, 2021;Ebaugh et al, 2006;Forestier and Nougier, 1998;Fuller et al, 2009), since such alterations increase the load on musculoskeletal periarticular structures such as tendons and muscles (Lefèvre-Colau et al, 2018;Ludewig and Cook, 2000;Sadler and Cressman, 2019).…”