scholarly journals Expert’s opinion of a home-based exercise program for shoulder pain prevention: application in wheelchair basketball players.

2017 ◽  
Vol 9 (3) ◽  
pp. 433 ◽  
Author(s):  
Saleky García-Gómez ◽  
Javier Pérez-Tejero ◽  
Carmen Ocete ◽  
Rubén Barakat

The aim of the study was to assess the structure and content validity of a home-based exercise program, as an instrument to prevent of shoulder pain (SP) in wheelchair basketball players. The proposed program was designed considering previous studies but to be applied in this specific population and; it was composed by exercises based on active mobility (4 exercises), strengthening (5 exercises) and stretching (5 exercises) of the shoulder joint. An ad hoc questionnaire was administered to a convenience sample of 9 experts (1 rehabilitation physician,1 sport physician, 4 physiotherapists and 3 coaches) that fulfilled the defined inclusion criteria. The results showed that experts considered the shoulder home-based exercise program (SHEP) as adequate tool for SP prevention in WB; however, some experts suggested some changes to improve it. According to the qualitative analysis performed, findings revealed two main underlying factors such as “design” (content and structure) and “application” that could influence in the adequate use of the home-based exercise program. This study provided evidence that the presentedhome-based exercise program is a validate tool and could be a powerful tool to prevent shoulder pain in WB player’s population.  

Sports ◽  
2019 ◽  
Vol 7 (8) ◽  
pp. 180 ◽  
Author(s):  
Saleky García-Gómez ◽  
Javier Pérez-Tejero ◽  
Marco Hoozemans ◽  
Rubén Barakat

The aim of the present study was to assess the effects of a 10 week shoulder home based exercise program (SHEP) on shoulder pain (SP) and range of motion (ROM) in a group of elite wheelchair basketball (WB) players. A convenience sample of elite WB players (n = 36, 15 males and 21 females), mean age of 26 years (SD 7.6, range 15–45)) were assigned to either an exercise or a control group, according to the use of the wheelchair during daily activities. The shoulder pain index for wheelchair basketball players (SPI-WB), functional tests and ROM were measured at baseline and after a 10 week intervention. In the analysis of the SPI-WB scores, for the exercise and control groups separately, there were no significant reductions of SPI-WB scores after intervention. Related to the analysis between groups after 10 weeks of intervention, there were no significant differences in changes between the exercise and control groups (Z = 0.840, p > 0.05, r = 0.743). In this regard, there was a significant change after the intervention for shoulder extension ROM (Z = 2.81, p ≤ 0.05, r = 0.249). Shoulder Pain did not increase along the 10 weeks of the SHEP development in WB players who reported SP before the intervention program. However, in those players who started the intervention without SP, as no increase in SP was observed and players were free of injury. An exercise program could be a tool to maintain shoulder health and prevent injuries in elite WB players.


2019 ◽  
Vol 0 (Avance Online) ◽  
Author(s):  
Javier Pérez Tejero ◽  
Saleky García-Gómez

Abstract Objective: The aim of this study was to evaluate shoulder pain in a sample of elite wheelchair basketball players during their preparation for a major competition. Method: Seventeen male wheelchair basketball players, between 16 and 43 years of age, were studied during their athletic preparation for a wheelchair basketball championship. The shoulder pain questionnaire, impingement tests and shoulder range of motion were evaluated during a training camp. Spearman´s rank correlation coefficient was used to analyze the relationship between shoulder pain and range of motion indicating the value of the effect size. Results: Shoulder pain was evident in 52.9% of the sample and was significant and negatively correlated with range of motion, while 35.3% related to impingement tests player’s reported pain. The correlation was moderate to high. Conclusions: In conclusion, the use of shoulder pain questionnaire, goniometric measurements and clinical test could be a useful approach for monitoring the shoulder injuries of wheelchair basketball players to explore the possible consequences of performing repetitive movements. Resumen Objetivo: El objetivo de este estudio fue evaluar el dolor de hombro en jugadores de baloncesto en silla de ruedas de élite durante su preparación para una competencia de alto nivel. Método: Diecisiete jugadores masculinos de baloncesto en silla de ruedas, entre 16 y 43 años, fueron evaluados con el cuestionario para el dolor de hombro en jugadores de baloncesto en silla de ruedas, las pruebas clínicas y el rango de movimiento del hombro durante la preparación para un campeonato. El coeficiente de correlación de Spearman se utilizó para analizar la correlación entre el dolor de hombro y el rango de movimiento, indicando el valor del tamaño del efecto. Resultados: El dolor de hombro fue evidente en el 52.9% de la muestra, siendo significativo. En tanto que, hubo una correlación negativa entre el dolor de hombro y el rango de movimiento, mientras que el 35.3% reportó dolor de acuerdo con las pruebas clínicas. La correlación fue de moderada a alta. Conclusiones: La utilización del cuestionario, las mediciones goniométricas y las pruebas clínicas podrían ser herramientas adecuadas para monitorear la condición del hombro en los jugadores de baloncesto en silla de ruedas, y así explorar las posibles consecuencias de los movimientos repetitivos. Resumo Objetivo: O objetivo deste estudo foi avaliar a dor no ombro em uma amostra de jogadores de elite de basquete em cadeira de rodas durante sua preparação para uma competição de alto nível. Método: Dezessete jogadores de basquete em cadeira de rodas do sexo masculino, entre 16 e 43 anos de idade, foram avaliados com o questionário de dor no ombro, testes clínicos de impacto e amplitude articular durante o treinamento para um campeonato. O coeficiente de correlação de Spearman foi utilizado para analisar a relação entre dor no ombro e amplitude de movimento que indica o valor do tamanho do efeito. Resultados: A dor no ombro foi evidente em 52,9% da amostra e foi significativa e negativamente correlacionada com a amplitude de movimento, enquanto 35,3% teve uma correlação de moderada a alta em relação à dor durante os testes de impacto. Conclusões: Em conclusão, o uso de questionário de dor no ombro, medições goniométricas e teste clínico poderia ser uma abordagem útil para monitorar as lesões no ombro de jogadores de basquete em cadeira de rodas para explorar as possíveis consequências da realização de movimentos repetitivos.


2019 ◽  
Vol 32 (3) ◽  
pp. 479-485
Author(s):  
Necmiye Ün Yıldırım ◽  
Şener Büyüköztürk ◽  
Kezban Bayramlar ◽  
Nuriye Özengin ◽  
Bahar Anaforoğlu Külünkoğlu ◽  
...  

2016 ◽  
Vol 29 (4) ◽  
pp. 795-800 ◽  
Author(s):  
Kenji Tsunoda ◽  
Hirotaka Mutsuzaki ◽  
Kazushi Hotta ◽  
Kaori Tachibana ◽  
Yukiyo Shimizu ◽  
...  

2020 ◽  
Vol 34 (10) ◽  
pp. 1245-1255
Author(s):  
Giovanna Santello ◽  
Denise Martineli Rossi ◽  
Jaqueline Martins ◽  
Thiele de Cássia Libardoni ◽  
Anamaria Siriani de Oliveira

Objective: To investigate the effect on shoulder pain and disability of teaching patients with shoulder pain how to undertake a home-based exercise program. Design: A randomized controlled trial conducted from September 2015 to January 2016. Setting: Participants’ home. Participants: Sixty participants with shoulder pain who were waiting for physiotherapeutic treatment. Interventions: The control group ( n = 30) received minimal education about their shoulder condition and instructions to continue their activities as normal. The intervention group ( n = 30) received a two-month home exercise program with one-hour sessions delivered by a physiotherapist to begin and one month after the program for exercise instructions. Main measures: The primary outcome was change in the Shoulder Pain and Disability Index (SPADI). The secondary outcomes included change in the numeric pain rating scale and medication intake for pain relief. Results: The patients’ average age was 54.3 (13.8) years. SPADI scores at baseline were 60.9 (16.5) in the intervention and 64.7 (15.3) in the control group. After two months, the SPADI scores decreased to 18.8 (28.6) and to 61.4 (24.0), respectively, in the intervention and control groups with an estimated mean difference of 40.0, effect size: 1.61. The intervention group showed a reduced pain intensity (estimated mean difference: 3.7, effect size: 2.43) and medication intake (chi-square: 0.001). The number needed to treat was 1.2 for one patient to have a SPADI score <20. Conclusion: Teaching patients with shoulder pain how to undertake a home-based exercise program improved shoulder function and reduced pain intensity and medication intake over two months.


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