scholarly journals Effects of Local Vibration on Shoulder Horizontal Adduction and Internal Rotation Range of Motion in Subject with Posterior Shoulder Tightness

2020 ◽  
Vol 4 (2) ◽  
pp. 66-69
Author(s):  
Sung-hoon Jung ◽  
Sung-min Ha
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Local Vibration ◽  
Posterior Shoulder ◽  
Posterior Shoulder Tightness

scholarly journals A Randomized Controlled Single-Blinded Comparison of Stretching Versus Stretching and Joint Mobilization for Posterior Shoulder Tightness Measured by Internal Rotation Motion Loss

2009 ◽  
Vol 2 (2) ◽  
pp. 94-100 ◽  
Author(s):  
Robert C. Manske ◽  
Matt Meschke ◽  
Andrew Porter ◽  
Barbara Smith ◽  
Michael Reiman
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Rehabilitation Program ◽  
Intervention Period ◽  
Joint Mobilization ◽  
Randomized Controlled ◽  
Posterior Shoulder ◽  
Rotation Motion ◽  
Posterior Shoulder Tightness

Background: Posterior shoulder tightness, as demonstrated by limited internal rotation range of motion, is a suggested factor in many shoulder pathologies. Methods to increase posterior shoulder mobility may be beneficial. Hypothesis: Shoulder internal rotation range of motion will not change with either of 2 interventions: cross-body stretch alone and cross-body stretch plus posterior capsule joint mobilization. Study Design: Randomized controlled single-blinded clinical trial. Methods: The study comprised 39 college-age asymptomatic participants (7 men, 32 women) who were randomly assigned to 1 of 2 groups: stretching only (n, 20) and stretching plus posterior joint mobilizations (n, 19). All had a between-shoulder difference of internal rotation of 10° or more. Shoulder internal and external rotation was measured before and after a 4-week intervention period and 4 weeks postintervention. Participants in the stretching-only group performed the cross-body stretch on the limited side. Those in the other group (cross-body stretch plus joint mobilization) were treated with posterior joint mobilization techniques on the limited side. Results: Overall means for internal rotation of the treated shoulders significantly increased over baseline at the end of the intervention period and at 4 weeks postintervention. External rotation in all shoulders remained unchanged. By the end of intervention, total motion increased significantly from baseline but decreased significantly from the end of intervention to 4 weeks postintervention. Although not statistically significant, the second group (cross-body stretch plus joint mobilization) had greater increases in internal rotation. At 4 weeks postintervention, the second group had maintained its internal rotation gains to a greater degree than those of the stretching-only group. Conclusion: Internal rotation increased in both groups. Inclusion of joint mobilization in a rehabilitation program created trends toward increased shoulder internal rotation mobility. Clinical Relevance: Both methods—cross-body stretch and cross-body stretch plus joint mobilization—may be beneficial for those with limited internal rotation range of motion.

Effects of Rigid and Kinesio Taping on Shoulder Rotation Motions, Posterior Shoulder Tightness, and Posture in Overhead Athletes: A Randomized Controlled Trial

2019 ◽  
Vol 28 (3) ◽  
pp. 256-265 ◽  
Author(s):  
Damla Gulpinar ◽  
Sibel Tekeli Ozer ◽  
Sevgi Sevi Yesilyaprak
Keyword(s):  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Internal Rotation ◽  
Controlled Trial ◽  
Shoulder Injuries ◽  
Overhead Athletes ◽  
Randomized Controlled ◽  
Kinesio Taping ◽  
Posterior Shoulder ◽  
Posterior Shoulder Tightness

Context:Alterations in posture and motion patterns are thought to play a role in developing shoulder injuries in overhead athletes. Taping is widely used in the sporting population, but there are limited empirical data regarding its effectiveness.Objectives:To determine and compare the effects of rigid and kinesio taping on shoulder rotation motions, posterior shoulder tightness (PST), and posture in overhead athletes.Design:Randomized controlled trial.Setting:Athletic training rooms.Participants:Eighty-six asymptomatic elite overhead athletes.Interventions:Participants were randomly divided into 4 groups: rigid taping group (RTG) that underwent therapeutic rigid taping, kinesio taping group (KTG) that underwent therapeutic kinesio taping, placebo group that underwent placebo kinesio taping (shoulder and scapular region taping for taping groups), and control group (no taping).Main Outcome Measures:Shoulder rotation motions, PST, and head and shoulder posture were evaluated at baseline, immediately after application and 60 to 72 hours after application for all groups.Results:Glenohumeral internal rotation increased immediately (P < .001) and at 60 to 72 hours after application in the KTG (P = .01), whereas it decreased immediately after application in the RTG (P < .001). Immediately after application, total rotation range of motion increased in the KTG (P =.02) and decreased in the RTG (P < .001), and there was a difference between groups (P = .02). Immediately after application, PST increased in the RTG (P < .001); after 60 to 72 hours, it decreased in the KTG (P = .04) and increased in the RTG (P = .01). Posture outcomes did not change significantly (P > .05).Conclusions:Kinesio taping may improve and rigid taping may worsen glenohumeral internal rotation and PST in overhead athletes. For increasing total rotation range of motion, kinesio taping is superior to rigid taping. Taping did not affect posture. Short-term kinesio taping in overhead athletes may be useful to improve glenohumeral internal rotation, total rotation range of motion, and PST.

scholarly journals Effect of a Novel Stretching Technique on Shoulder Range of Motion in Overhead Athletes with Glenohumeral Internal Rotation Deficits: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Omar Gharisia ◽  
Everett Lohman ◽  
Noha Daher ◽  
Alan Eldridge ◽  
Amjad Shallan ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
The Novel ◽  
Satisfaction Level ◽  
Traditional Group ◽  
Overhead Athletes ◽  
Shoulder Range Of Motion ◽  
Posterior Shoulder ◽  
The Cross ◽  
Over Time

Abstract Background: The cross-body and the modified sleeper stretch have been used to improve posterior shoulder soft tissue flexibility and to increase glenohumeral joint internal rotation (GHJ IR) in overhead athletes. However, due to the inability to stabilize patient’s scapula and control GHJ rotation with the cross-body stretch and the potential for subacromial impingement or symptoms’ aggravation with the modified sleeper stretch, a new stretching technique (Passive Glenohumeral Internal Rotation with Clam Shell Bridging) was developed as an alternative to these commonly used stretches that may allow for greater stability of the scapula without reproducing symptoms, as well as providing an inhibition component to the posterior shoulder girdle muscles. Thus, the current study aimed to examine and compare a novel stretching technique to the traditional modified sleeper stretch to determine the effect on glenohumeral IR range of motion (ROM), self-reported pain, and subject satisfaction in overhead athletes with glenohumeral internal rotation deficits (GIRD). Methods: Forty-two overhead athletes with GIRD [mean age 25.9 ± 2.6 years, 20 males and 22 females] participated in this study. Participants were randomly assigned into either novel stretching group or modified sleeper stretching group. IR ROM was measured with a digital inclinometer, pain was measured with Numeric Pain Rating Scale, and subject satisfaction level was measured by a 6-item questionnaire developed and validated by the study’s authors. Outcomes were measured before, immediately, and at week 4 post intervention.Results: There was no significant group by time interaction effect for IR ROM (p=0.27); however, there was a significant change over time (p<0.001, η2=0.77). Both groups demonstrated a significant increase in IR from baseline to immediate and week 4, and from immediate to week 4 (p<0.001). There was also a significant reduction in pain intensity over time for the novel group (p=0.016, r=0.6) compared to the traditional group (p=0.080). For the satisfaction level, only the easiness of performance was significantly different and in favor of the traditional group (p=0.020, r=0.5) following the 4 weeks of the stretching protocols. Conclusion: Both stretches appear to be effective at improving IR ROM in overhead athletes with GIRD. However, the novel stretching is more effective at reducing shoulder pain and thus might be more appropriate for symptomatic patients. Trial registration: Prospectively registered in February 6, 2017 under Clinical Trial Registry # NCT03044236

The Effectiveness of Posterior Shoulder Stretching on Reducing Posterior Shoulder Tightness in Overhead Athletes: A Critically Appraised Topic

2016 ◽  
Vol 21 (5) ◽  
pp. 8-13
Author(s):  
Megan Pathoomvanh ◽  
Chase Feldbrugge ◽  
Lauren Welsch ◽  
Bonnie Van Lunen
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Clinical Question ◽  
Bottom Line ◽  
High Quality ◽  
Overhead Athletes ◽  
High Quality Evidence ◽  
Posterior Shoulder ◽  
Posterior Shoulder Tightness ◽  
Quality Evidence

Clinical Question:Are posterior shoulder stretching programs effective in reducing posterior shoulder tightness, or tightness to the soft tissue of the shoulder, in overhead athletes? Clinical Bottom Line:In overhead athletes, there is high quality evidence to support the use of posterior shoulder stretching to reduce a commonly used measure of posterior shoulder tightness. All three studies1–3 reported an increase in shoulder internal rotation range of motion following implementation of posterior shoulder stretching.

scholarly journals Effect of A Novel Stretching Technique on Shoulder Range of Motion in Overhead Athletes with Glenohumeral Internal Rotation Deficits: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Omar Gharisia ◽  
Everett Lohman ◽  
Noha Daher ◽  
Alan Eldridge ◽  
Amjad Shallan ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
The Novel ◽  
Satisfaction Level ◽  
Traditional Group ◽  
Overhead Athletes ◽  
Shoulder Range Of Motion ◽  
Posterior Shoulder ◽  
The Cross ◽  
Over Time

Abstract Background: The cross-body and the modified sleeper stretch have been used to improve posterior shoulder soft tissue flexibility and to increase glenohumeral joint internal rotation (GHJ IR) in overhead athletes. However, due to the inability to stabilize patient’s scapula and control GHJ rotation with the cross-body stretch and the potential for subacromial impingement or symptoms’ aggravation with the modified sleeper stretch, a new stretching technique was developed as an alternative to these commonly used stretches that may allow for greater stability of the scapula without reproducing symptoms, as well as providing an inhibition component to the posterior shoulder girdle muscles. Thus, the current study aimed to examine and compare a novel stretching technique to the traditional modified sleeper stretch to determine the effect on glenohumeral IR range of motion (ROM), self-reported pain, and subject satisfaction in overhead athletes with glenohumeral internal rotation deficits (GIRD). Methods: Forty-two overhead athletes with GIRD [mean age 25.9 ± 2.6 years, 20 males and 22 females] participated in this study. Participants were randomly assigned into either novel stretching group or modified sleeper stretching group. IR ROM was measured with a digital inclinometer, pain was measured with Numeric Pain Rating Scale, and subject satisfaction level was measured by a 6-item questionnaire developed and validated by the study’s authors. Outcomes were measured before, immediately, and at week 4 post intervention. Results: There was no significant group by time interaction effect for IR ROM (p=0.27); however, there was a significant change over time (p<0.001, η2=0.77). Both groups demonstrated a significant increase in IR from baseline to immediate and week 4, and from immediate to week 4 (p<0.001). There was also a significant reduction in pain intensity over time for the novel group (p=0.016, r=0.6) compared to the traditional group (p=0.080). For the satisfaction level, only the easiness of performance was significantly different and in favor of the traditional group (p=0.020, r=0.5) following the 4 weeks of the stretching protocols. Conclusion: Both stretches appear to be effective at improving IR ROM in overhead athletes with GIRD. However, the novel stretching is more effective at reducing shoulder pain and thus might be more appropriate for symptomatic patients. Trial registration: Prospectively registered in February 6, 2017 under Clinical Trial Registry # NCT03044236

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