The Effect of Select Shoulder Exercises on Strength, Active Angle Reproduction, Single-Arm Balance, and Functional Performance

2004 ◽  
Vol 13 (1) ◽  
pp. 75-95 ◽  
Author(s):  
Darin A. Padua ◽  
Kevin M. Guskiewicz ◽  
William E. Prentice ◽  
Robert E. Schneider ◽  
Edgar W. Shields

Objective:To determine whether select shoulder exercises influence shoulder-rotation strength, active angle reproduction (AAR), single-arm dynamic stability, and functional throwing performance in healthy individuals.Design:Pretest–posttest.Setting:Laboratory.Participants:54, randomly placed in 4 training groups.Intervention:Four 5-week training protocols.Main Outcome Measures:Average shoulder-rotation torque, AAR, single-arm dynamic stability, and functional throwing performance.Results:Repeated-measures ANOVAs revealed a significant group-by-test interaction for average torque (P> .05). Post hoc analyses revealed significantly increased average torque in the open kinetic chain and proprioceptive neuromuscular facilitation (PNF) groups after training. AAR and sway velocity were not affected in any of the groups (P> .05), but functional performance revealed a significant group-by-test interaction (P< .05). Post hoc analysis demonstrated that the PNF group significantly improved after training (P< .05).Conclusions:Shoulder strength can be improved in healthy individuals, but improvements depend on the exercise performed. Shoulder proprioception and neuromuscular control were unchanged in all groups, but functional performance improved in the PNF group

2012 ◽  
Vol 21 (3) ◽  
pp. 235-243 ◽  
Author(s):  
Derya Ozer Kaya ◽  
Irem Duzgun ◽  
Gul Baltaci ◽  
Selma Karacan ◽  
Filiz Colakoglu

Objective:To assess and compare the effects of 6 mo of Pilates and calisthenics on multijoint coordination and proprioception of the lower limbs at the 3rd and 6th mo of training.Design:Randomized, controlled, assessor-blinded, repeated-measures.Setting:University research laboratory.Participants and Intervention:Healthy, sedentary, female participants age 25–50 y were recruited and randomly divided into 3 groups: a calisthenic exercise group (n = 34, mean age ± SD 40 ± 8 y, body-mass index [BMI] 31.04 ± 4.83 kg/m2), a Pilates exercise group (n = 32, mean age ± SD 37 ± 8 y, BMI 31.04 ± 4.83 kg/m2), and a control group (n = 41, mean age ± SD 41 ± 7 y, BMI 27.09 ± 4.77 kg/m2). The calisthenics and Pilates groups underwent related training programs for 6 mo, while the controls had no specific training.Main Outcome Measures:Coordination and proprioception of the lower extremities with concentric and eccentric performances in the closed kinetic chain assessed with the monitored rehab functional squat system at baseline and at the 3rd and 6th mo of training.Results:For the within-group comparison, coordinative concentric and eccentric deviation values were significantly decreased for both dominant and nondominant lower limbs at pretraining and at the 3rd and 6th mo posttraining in the calisthenics group (P < .05). In contrast, there was no improvement in the Pilates group throughout the training. However, for comparisons between groups, the baseline values of coordinative concentric and eccentric deviations were different in the calisthenics group than in Pilates and the controls (P < .05). There were no differences in the proprioception values of either visible or nonvisible movement in any group throughout the training (P > .05).Conclusions:It seems that calisthenic exercises are more likely to improve coordination of the lower extremity after 3 and 6 mo of training than Pilates exercises. Calisthenic exercises may be useful for individuals who require improved coordination.


2017 ◽  
Vol 17 (08) ◽  
pp. 1750105
Author(s):  
SAYUP KIM ◽  
JONGRYUN ROH ◽  
JOONHO HYEONG ◽  
YOUNGHO KIM

It is generally believed that running on a curved surface is more unstable than running on a flat surface. In this study, the dynamic stability of locomotion on a nonmotorized curved treadmill (NMCT) with three curvature radii was compared with that on a motorized flat treadmill. Sixteen healthy adult men maintained four different self-paced speeds: slow walking, fast walking, jogging, and running. Significant differences were statistically verified using two-way repeated-measures analysis of variance (ANOVA) according to the curvature radii and speeds, and the interaction effects were confirmed. Furthermore, to understand the significant differences between the speed and curvature radius, post hoc analyses were performed using one-way ANOVA. Except for the step width, the other parameters showed differences and correlation effects between the curvature radius and speed. As the curvature radius decreased, the stability decreased at slow speeds (slow walking) but increased at fast speeds (running). However, as the curvature radius increased, the stability increased at slow speeds (slow walking) but decreased at high speeds (running). The study results will help in suggesting the appropriate curvature radius for different user types such as athletes, the elderly, and people who require rehabilitation and will serve as preliminary data for designing the curvature radii of NMCTs.


2003 ◽  
Vol 12 (3) ◽  
pp. 229-239 ◽  
Author(s):  
Todd A. McLoda ◽  
Kate M. Murphy ◽  
Steve Davison

Context:Inertial training of the shoulder.Objective:To determine the differences of functional and EMG measures between a control group and an exercise group of overhead throwers.Design:Repeated measures.Setting:Research laboratory.Participants:17 intercollegiate baseball players and 19 intercollegiate softball players divided into 2 equal-size groups, control and exercise.Main Outcome Measures:Preliminary data were recorded, including throwing velocity, throwing accuracy, and EMG activity of the biceps brachii, upper pectorals, and posterior deltoid. The exercise group completed a 4-week training regimen on the Impulse Inertial Trainer. All participants returned for follow-up measures.Results:No significant group-by-time interaction occurred relative to ball velocity, accuracy, or EMG activity.Conclusion:For experienced throwers, functional measures and muscle activity during throwing were not affected by inertial training of the upper extremity.


2015 ◽  
Vol 24 (3) ◽  
pp. 293-299 ◽  
Author(s):  
Kazem Malmir ◽  
Gholam Reza Olyaei ◽  
Saeed Talebian ◽  
Ali Ashraf Jamshidi

Context:Cyclic movements and muscle fatigue may result in musculoskeletal injuries by inducing changes in neuromuscular control. Ankle frontal-plane neuromuscular control has rarely been studied in spite of its importance.Objective:To compare the effects of peroneal muscle fatigue and a cyclic passive-inversion (CPI) protocol on ankle neuromuscular control during a lateral hop.Design:Quasi-experimental, repeated measures.Setting:University laboratory.Participants:22 recreationally active, healthy men with no history of ankle sprain or giving way.Interventions:Participants performed a lateral hop before and after 2 interventions on a Biodex dynamometer. They were randomly assigned to intervention order and interventions were 1 wk apart. A passive intervention included 40 CPIs at 5°/s through 80% of maximum range of motion, and a fatigue intervention involved an isometric eversion at 40% of the maximal voluntary isometric contraction until the torque decreased to 50% of its initial value.Main Outcome Measures:Median frequency of the peroneus longus during the fatigue protocol, energy absorption by the viscoelastic tissues during the CPI protocol, and feedforward onset and reaction time of the peroneus longus during landing.Results:A significant fall in median frequency (P < .05) and a significant decrease in energy absorption (P < .05) confirmed fatigue and a change in viscoelastic behavior, respectively. There was a significant main effect of condition on feedforward onset and reaction time (P < .05). No significant main effect of intervention or intervention × condition interaction was noted (P > .05). There was a significant difference between pre- and postintervention measures (P < .0125), but no significant difference was found between postintervention measures (P > .0125).Conclusions:Both fatigue and the CPI may similarly impair ankle neuromuscular control. Thus, in prolonged sports competitions and exercises, the ankle may be injured due to either fatigue or changes in the biomechanical properties of the viscoelastic tissues.


2011 ◽  
Vol 20 (4) ◽  
pp. 428-441 ◽  
Author(s):  
Beth Norris ◽  
Elaine Trudelle-Jackson

Context:The Star Excursion Balance Test (SEBT) is often used to train and assess dynamic balance and neuromuscular control. Few studies have examined hip- and thigh-muscle activation during the SEBT.Objective:To quantify hip- and thigh-muscle activity during the SEBT.Design:Repeated measures.Setting:Laboratory.Participants:22 healthy individuals, 11 men and 11 women.Methods:EMG measurements were taken as participants completed 3 trials of the anterior (A), medial (M), and posteromedial (PM) reach directions of the SEBT.Main Outcome Measures:Mean EMG data (% maximal voluntary isometric contraction) from the gluteus medius (Gmed), gluteus maximus (Gmax), and vastus medialis (VM) were measured during the eccentric phase of each SEBT reach direction. Test–retest reliability of EMG data across the 3 trials in each direction was calculated. EMG data from each muscle were compared across the 3 reach directions.Results:Test–retest reliability ranged from ICC3,1 values of .91 to .99. A 2-way repeated-measure ANOVA revealed a significant interaction between muscle activation and reach direction. One-way ANOVAs showed no difference in GMed activity between the A and M directions. GMed activity in the A and M directions was greater than in the PM direction. There was no difference in GMax and VM activity across the 3 directions.Conclusion:GMed was recruited most effectively when reaching was performed in the A and M directions. The A, M, and PM directions elicited similar patterns of muscle recruitment for the GMax and VM. During all 3 SEBT directions, VM activation exceeded the 40–60% threshold suggested for strengthening effects. GMed activity also exceeded the threshold in the M direction. GMax activation, however, was below the 40% threshold for all 3 reach directions, suggesting that performing dynamic lower extremity reaching in the A, M, and PM directions may not elicit strengthening effects for the GMax.


2017 ◽  
Vol 26 (3) ◽  
pp. 253-259 ◽  
Author(s):  
Heather Myers ◽  
Mary Poletti ◽  
Robert J. Butler

Context:The Upper Quarter Y-Balance Test (YBT-UQ) is a unique movement test where individuals perform at the limits of their stability, requiring the coordination of balance, proprioception, range of motion, and stabilization. It is not yet clear if performance on the YBT-UQ differs between sports with dissimilar emphasis on upper-extremity performance.Objective:To compare performance on the YBT-UQ between wrestlers, whose sport requires some degree of closed-chain activity, and baseball players, whose sport is primarily open kinetic chain in nature.Design:Cross-sectional.Setting:High school preparticipation physical assessment.Participants:24 healthy high school male wrestlers (mean age 16.12 ± 1.24 y) and 24 healthy high school male baseball players (mean age 15.79 ± 1.25 y).Interventions:All subjects performed the YBT-UQ, which requires reaching in 3 directions while maintaining a push-up position.Main Outcome Measures:The variables of interest include the maximum reach in each direction, as well as the composite score. In addition, asymmetries between limbs for each reach direction were compared.Results:Wrestlers performed significantly better than baseball players in the medial direction, inferolateral direction, and in composite scores. In the medial direction, wrestlers exhibited greater scores (P < .01) on both left and right limbs, 10.5 ± 10.2%LL and 9.95 ± 10.2%LL, respectively. Significant differences (P < .01) were also observed in the inferolateral direction, with a difference of 11.3 ± 12.0%LL on the left and 8.7 ± 11.0%LL on the right. Composite scores were higher (P < .01) for the wrestlers, with a difference of 7.0% on the left and 7.1% on the right.Conclusions:This study suggests that wrestlers perform better on the YBT-UQ than baseball players. The findings may suggest sport-specific normative data for the YBT-UQ in high school athletes.


2008 ◽  
Vol 43 (2) ◽  
pp. 164-171 ◽  
Author(s):  
Megan Y. Shaw ◽  
Phillip A. Gribble ◽  
Jamie L. Frye

Abstract Context: Fatigue has been shown to disrupt dynamic stability in healthy volunteers. It is not known if wearing prophylactic ankle supports can improve dynamic stability in fatigued athletes. Objective: To determine the type of ankle brace that may be more effective at providing dynamic stability after a jump-landing task during normal and fatigued conditions. Design: Two separate repeated-measures analyses of variance with 2 within-subjects factors (condition and time) were performed for each dependent variable. Setting: Research laboratory. Patients or Other Participants: Ten healthy female collegiate volleyball athletes participated (age  =  19.5 ± 1.27 years, height  =  179.07 ± 7.6 cm, mass  =  69.86 ± 5.42 kg). Intervention(s): Athletes participated in 3 separate testing sessions, applying a different bracing condition at each session: no brace (NB), Swede-O Universal lace-up ankle brace (AB), and Active Ankle brace (AA). Three trials of a jump-landing task were performed under each condition before and after induced functional fatigue. The jump-landing task consisted of a single-leg landing onto a force plate from a height equivalent to 50% of each participant's maximal jump height and from a starting position 70 cm from the center of the force plate. Main Outcome Measure(s): Time to stabilization in the anterior-posterior (APTTS) and medial-lateral (MLTTS) directions. Results: For APTTS, a condition-by-time interaction existed (F2,18  =  5.55, P  =  .013). For the AA condition, Tukey post hoc testing revealed faster pretest (2.734 ± 0.331 seconds) APTTS than posttest (3.817 ± 0.263 seconds). Post hoc testing also revealed that the AB condition provided faster APTTS (2.492 ± 0.271 seconds) than AA (3.817 ± 0.263 seconds) and NB (3.341 ± 0.339 seconds) conditions during posttesting. No statistically significant findings were associated with MLTTS. Conclusions: Fatigue increased APTTS for the AA condition. Because the AB condition was more effective than the other 2 conditions during the posttesting, the AB appears to be the best option for providing dynamic stability in the anterior-posterior direction during a landing task.


1999 ◽  
Vol 8 (4) ◽  
pp. 362-378 ◽  
Author(s):  
Paul A. Borsa ◽  
Eric L. Sauers ◽  
Scott M. Lephart

Functional training for the purpose of restoring dynamic joint stability has received considerable interest in recent years. Contemporary functional training programs are being designed to complement, rather than replace, traditional rehabilitation protocols. The purpose of this clinical commentary is to present a management strategy for restoring dynamic stability in the posterior cruciate ligament (PCL)-injured knee. The strategy presented integrates five key concepts: (a) planned variation of exercise, (b) outcomes-based assessment, (c) kinetic chain exercise, (d) proprioception and neuromuscular control, and (e) specificity of activity. Pertinent research findings and a clinical rationale are provided for using functional training in the restoration of dynamic stability in the PCL-injured knee.


2001 ◽  
Vol 10 (3) ◽  
pp. 196-204 ◽  
Author(s):  
John E. Kovaleski ◽  
Robert J. Heitman ◽  
Damon P.S. Andrew ◽  
Larry R. Gurchiek ◽  
Albert W. Pearsall

Context:Isokinetic strength and functional performance are used to assess recovery after rehabilitation. It is not known whether low-speed closed-linear-kinetic isokinetic muscle strength correlates with functional performance.Objective:To investigate the relationship between linear closed (CKC) and open (OKC) concentric isokinetic strength of the dominant lower-limb extensors and functional performance.Design:Correlational analysis.Setting:University laboratory.Participants:Thirty uninjured men and women (age = 20.9 ± 2.4 years).Main Outcome Measures:Peak CKC and OKC isokinetic strength and best score from a shuttle run for time, single-leg vertical jump, and single-leg hop for distance.Results:Neither lower-limb CKC nor OKC isokinetic strength measured at low speeds correlated highly with performance on the functional tasks of jumping, hopping, and speed/agility.Conclusions:Although the basis of both closed and open isokinetic strength must be appreciated, they should not be the only determinants of functional performance.


2002 ◽  
Vol 11 (2) ◽  
pp. 140-154 ◽  
Author(s):  
Kathleen A. Swanik ◽  
C. Buz Swanik ◽  
Scott M. Lephart ◽  
Kellie Huxel

Objective:To determine whether functional training reduces the incidence of shoulder pain and increases strength in intercollegiate swimmers.Design:Pretest–posttest.Setting:Laboratory and weight room.Participants:26 intercollegiate swimmers (13 men, 13 women).Intervention:6-wk functional training program.Main Outcome Measures:Incidence of shoulder pain was recorded throughout the study. Isokinetic shoulder strength was assessed before and after training.Results:Attest showed significant differences (P< .05) for the incidence of shoulder pain between the experimental (mean episodes = 1.8 ± 2.1) and control (mean episodes = 4.6 ± 4.7) groups. ANOVA with repeated measures revealed no significant strength differences between groups but exhibited significant within-group increases.Conclusions:Incorporating functional exercises might reduce incidence of shoulder pain in swimmers. The results also validate the need to modify preventive programs as the demands of the sport change throughout the season.


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