Predictive relationship of strength and glenohumeral rotation range of motion with scapular dyskinesis in female athletes with overhead-throwing pattern

Ghanbari, L; Alizadeh, M.H; Minoonejad, H; Hosseini, S.H

doi:10.29252/jsmt.17.17.83

Volume 17, Issue 17 (4-2019) RSMT 2019, 17(17): 83-92 | Back to browse issues page

‎ 10.29252/jsmt.17.17.83

‎ 20.1001.1.22520708.1398.17.17.8.8

Mendeley

Zotero

RefWorks

Ghanbari L, Alizadeh M, Minoonejad H, Hosseini S. Predictive relationship of strength and glenohumeral rotation range of motion with scapular dyskinesis in female athletes with overhead-throwing pattern. RSMT 2019; 17 (17) :83-92
URL: http://jsmt.khu.ac.ir/article-1-368-en.html

Predictive relationship of strength and glenohumeral rotation range of motion with scapular dyskinesis in female athletes with overhead-throwing pattern

L Ghanbari

, M.H Alizadeh

, H Minoonejad

, S.H Hosseini

, mhalizadeh47@yahoo.com

Abstract: (7482 Views)

Considering the important role of the scapula in the glenohumeral joint movements, its position on the thorax can affect the function of the joint. Therefore, the purpose of this study was to investigate the predictive relationship of the strength and glenohumeral rotation range of motion (ROM) with scapular dyskinesis (SD) in female athletes with overhead-throwing pattern. The present study was a descriptive-correlational research on 60 athletic female in volleyball, handball, basketball and badminton. The Lateral scapular slide test was used to examine SD. the dynamometer and goniometer were used to measure the strength and glenohumeral rotation ROM respectively. Data were analyzed using Spearman correlation and multiple regression tests. The correlation coefficients between SD and the glenohumeral internal rotation ROM (r=-0.734; p=0.000), the glenohumeral external rotation ROM (r=0.693; p=0.001), the glenohumeral internal rotation strength (r=0.674; p=0.005) and the glenohumeral external rotation strength (r=-0.719; p=0.001) were significant. Analysis of the research model showed that about one-third (30.1%) of total changes in SD were dependent on the independent variables mentioned in this regression model. therefore, screening of athletes with overhead-throwing pattern must be taken into consideration in order to recognize SD, and participate in corrective exercises to increase the glenohumeral internal rotation ROM and the glenohumeral external rotator muscles strength.

Keywords: Range of Motion, Strength, Glenohumeral Joint, Scapular Dyskinesis, Athletes.

Full-Text [PDF 598 kb] (1239 Downloads)

Type of Study: Research |
Received: 2019/10/23 | Accepted: 2019/10/23 | Published: 2019/10/23

References

1. Ramsi, M., Swanik, K.A., Swanik, C., Straub, S., Mattacola, C. )2004). Editorial shoulder-rotator strength of high school swimmers over the course of a competitive season. Journal of Sport Rehabilitation. 13(1): 9-18. [DOI:10.1123/jsr.13.1.9]

2. Ludewig, P.M., Reynolds, J.F. (2009). The association of scapular kinematics and glenohumeral joint pathologies. Journal of Orthopaedic & Sports Physical Therapy. 39(2): 90-104. [DOI:10.2519/jospt.2009.2808]

3. Kibler, B.W., Sciascia, A., Wilkes,T. (2012). Scapular dyskinesis and its relation to shoulder injury. Journal of the American Academy of Orthopaedic Surgeons. 20(6): 364-72. [DOI:10.5435/JAAOS-20-06-364]

4. Silva, R.T., Hartmann, L.G., de SouzaLaurino C.F., Biló, J.P.R. (2010). Clinical and ultrasonographic correlation between scapular dyskinesia and subacromial space measurement among junior elite tennis players. British Journal of Sports Medicine. 44(6): 407-10. [DOI:10.1136/bjsm.2008.046284]

5. Kibler, W.B., Ludewig, P.M., McClure, P.W., Michener, L.A., Bak, K., Sciascia, A.D. (2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'. British Journal of Sports Medicine. 47(14): 877-85. [DOI:10.1136/bjsports-2013-092425]

6. Laudner, K.G., Myers, J.B., Pasquale, M.R., Bradley, J.P., Lephart, S.M. (2006). Scapular dysfunction in throwers with pathologic internal impingement. Journal of Orthopaedic & Sports Physical Therapy. 36(7): 485-94. [DOI:10.2519/jospt.2006.2146]

7. Møller, M., Nielsen, R.O., Attermann, J., Wedderkopp, N., Lind, M., Sørensen, H., Myklebust, G. (2017). Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players. British Journal of Sports Medicine. 51: 231-7. [DOI:10.1136/bjsports-2016-096927]

8. Cools, A.M., Johansson, F.R., Borms, D., Maenhout, A. (2015). Prevention of shoulder injuries in overhead athlethes: a science-based approach. Brazilian Journal of Physical Therapy. 19(5): 331-9. [DOI:10.1590/bjpt-rbf.2014.0109]

9. Page, P., Frank, C.C., Lardner, R. (2015). Assessment and treatment of muscle imbalance: the Janda approach. Gheitasi, M., Hosseini, M. 1nd ed.Tehran. Hatmi Publication. 306-8.

10. Merolla, G., De Santis, E., Campi, F., Paladini, P., Porcellini, G. (2010). Su‌praspinatus and infraspinatus weakness in overhead athletes with scapular dyskinesis: Strength assessment before and after restora-tion of scapular musculature balance. Musculoskeletal Surgery. 94(3): 119-25. [DOI:10.1007/s12306-010-0082-7]

11. Uga, D., Nakazawa, R., sakamoto, M. (2016). Strength and muscle activity of shoulder external rotation of subjects with and without scapular dyskinesis. Journal of Physical Therapy Science. 28(4): 1100-5. [DOI:10.1589/jpts.28.1100]

12. Shimpi, A.P., Bhakti, S., Roshni, K., Rairikar, S.A., Shyam, A., Sancheti, P.K. (2015). Scapular resting position and gleno-humeral movement dysfunction in asymptomatic racquet players: a case-control study. Asian Journal of Sports Medicine. 6(4): e24053. [DOI:10.5812/asjsm.24053]

13. Seitz, A.L. Uhl, T.L. (2012). Reliability and minimal detectable change in scapulothoracic neuromuscular activity. Journal of Electromyography and Kinesiology. 22(6): 968-74. [DOI:10.1016/j.jelekin.2012.05.003]

14. Lucas, K.R., Rich, P.A. Polus, B.I. (2010). Muscle activation patterns in the scapular positioning muscles during loaded scapular plane elevation: the effects of latent myofascial trigger points. Clinical Biomechanics. 25(8): 765-70. [DOI:10.1016/j.clinbiomech.2010.05.006]

15. Seitz, A.L., McClelland, R.I., Jones, W.J., Jean, R.A., Kardouni, J.R. (2015). A comparison of change in 3D scapular kinemativs with maximal contractions and force production with scapular muscle tests be‌tween asymptomatic overhead athletes with and without scapular dyskinesis. International. Journal of Sports Physical Therapy. 10(3): 309-18.

16. Kibler, W.B. (1998). The role of the scapula in athletic shoulder function. The American Journal of Sports Medicine. 26(2): 325-37. [DOI:10.1177/03635465980260022801]

17. Reeser, J.C., Joy, E.A., Porucznik, C.A., Berg, R.L., Colliver, E.B., Willick, S.E. (2010). Risk factors for volleyball-related shoulder pain and dysfunction. The American Academy of Physical Medicine and Rehabilitation. 2: 27-36. [DOI:10.1016/j.pmrj.2009.11.010]

18. Cools, A.M., De Wild, L., Van Tongel, A., Ceyssens, C., Ryckewaert, R., Cambier, D.C. (2014). Measurring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. Journal of Shoulder and Elbow Surgery. 23(10): 1454-61. [DOI:10.1016/j.jse.2014.01.006]

19. Thomas, S.J., Swanik, K.A., Swanik, C.B., Kelly IV, J.D. (2010). Internal rotation and scapular position differences: a comparison of collegiate and high school baseball players. Journal of Athletic Training. 45(1): 44-50. [DOI:10.4085/1062-6050-45.1.44]

20. Thomas, S.J., Swanik, K.A., Swanik, C.B., Kelly IV, J.D. (2010). Internal rotation deficits affect scapular positioning in baseball players. Clinical Orthopaedics and Related Research. 468(6): 1551-7. [DOI:10.1007/s11999-009-1124-z]

21. Burkhart, S.S., Morgan, C.D., Kibler, W.B. (2003). The disabled throwing shoulder: Spectrum of pathology. Part I: Pathoanatomy and biomechanics. Arthroscopy.19: 404-20. [DOI:10.1053/jars.2003.50128]

22. Downar, J.M. Sauers, E.L. (2005). Clinical measures of shoulder mobility in the professional baseball player. Journal of Athletic Training. 40(1): 23-9.

23. Clarsen, B., Bahr, R., Andersson, S.H., Munk, R., Myklebust, G. (2014). Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. British Journal of Sports Medicine. 48(17): 1327-33 [DOI:10.1136/bjsports-2014-093702]

24. Ozunlu, N., Tekeli, H. Baltaci, G. (2011). Lateral scapular slide test and scapular mobility in volleyball players. Journal of Athletic Training. 46(4): 38-44. [DOI:10.4085/1062-6050-46.4.438]

25. Borich, M.R., Bright, J.M., Lorello, D.J., Cieminski, C.J., Buisman, T., Ludewig, P.M. (2006). Scapular angular positioning at end range internal rotation in cases of glenohumeral internal rotation deficit. Journal of Orthopaedic & Sports Physical Therapy. 36(12): 926-34. [DOI:10.2519/jospt.2006.2241]

26. Nodehi-Moghadam, A., Vahabi, S.P., Norasteh, A.A., Abolhasani, H. (2018). Comparing isometric strengths of shoulder girdle muscles in females with and without scapular dyskinesis. Archives of Rehabilitation.19(2): 92-101. (Persian). [DOI:10.32598/rj.19.2.92]