scholarly journals Shoulder pain assessment in elite wheelchair basketball players

2019 ◽  
Vol 0 (Avance Online) ◽  
Author(s):  
Javier Pérez Tejero ◽  
Saleky García-Gómez
Keyword(s):  
Range Of Motion ◽  
Shoulder Pain ◽  
Rank Correlation ◽  
Clinical Test ◽  
Shoulder Injuries ◽  
Wheelchair Basketball ◽  
Basketball Players ◽  
Pain Questionnaire ◽  
Shoulder Range Of Motion ◽  
Goniometric Measurements

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.

scholarly journals Effect of a Home-based Exercise Program on Shoulder Pain and Range of Motion in Elite Wheelchair Basketball Players: A Non-Randomized Controlled Trial

Sports ◽  
2019 ◽  
Vol 7 (8) ◽  
pp. 180 ◽  
Author(s):  
Saleky García-Gómez ◽  
Javier Pérez-Tejero ◽  
Marco Hoozemans ◽  
Rubén Barakat
Keyword(s):  
Range Of Motion ◽  
Shoulder Pain ◽  
Exercise Program ◽  
Control Group ◽  
Wheelchair Basketball ◽  
Control Groups ◽  
Basketball Players ◽  
Convenience Sample ◽  
Home Based ◽  
And Control

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.

scholarly journals SHOULDER INJURIES IN WHEELCHAIR BASKETBALL PLAYERS: A SYSTEMATIC REVIEW

2021 ◽  
Author(s):  
Małgorzata Jekiełek ◽  
Angelika Sosulska ◽  
Grzegorz Mańko ◽  
Jarosław Jaszczur-Nowick
Keyword(s):  
Upper Limb ◽  
Basketball Player ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Wheelchair Basketball ◽  
Basketball Players ◽  
Search Terms ◽  
Large Numbers ◽  
The Disabled ◽  
Upper Limb Pain

Sport of the disabled has been becoming more and more popular for several years, and wheelchair basketball is one of the most popular disciplines among the disabled. However, playing sports is connected with the possibility of injuries and pain in people training a given discipline. The aim of this study is to determine the occurrence of injuries and to identify most commonly injuries in athletes practicing basketball in wheelchairs. A literature review was conducted in Embase and Medline PubMed databases. Basic search terms are: shoulder injury OR shoulder pain OR upper limb disease OR upper limb disorders OR upper limb pain AND basketball OR basketball player OR wheelchair sport OR wheelchair user OR wheelchair athlete OR wheelchair basketball OR disabled sport OR disabled persons.Results: 511 non-duplicate results were found. At the stage of the analysis of titles and abstracts, 483 were rejected and 28 were qualified for the analysis of full texts. The review included 2 that met all the criteria. The topic is not discussed in large numbers in the literature and requires further research specifically focused on the prevention of shoulder injury as well as assessment of the risk of damage to individual elements that make up the shoulder joint and surrounding structures.

scholarly journals Electrical interferential current stimulation versus electrical acupuncture in management of hemiplegic shoulder pain and disability following ischemic stroke-a randomized clinical trial

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Fariba Eslamian ◽  
Mehdi Farhoudi ◽  
Fatemeh Jahanjoo ◽  
Elyar Sadeghi-Hokmabadi ◽  
Parvin Darabi
Keyword(s):  
Clinical Trial ◽  
Ischemic Stroke ◽  
Range Of Motion ◽  
Randomized Clinical Trial ◽  
Shoulder Pain ◽  
Pain Severity ◽  
Shoulder Range Of Motion ◽  
Significant Difference ◽  
Electrical Acupuncture ◽  
Interferential Current

Abstract Background Hemiplegic Shoulder Pain (HSP) is among common complications occurring after stroke leading to disability. This study was conducted to compare the effects of electrical Interferential Current stimulation (IFC) and Electrical Acupuncture (EAC) on pain intensity, range of motion, and functional ability in patients with HSP and also comparing the two modalities regarding improvement of above indices. Methods In this randomized clinical trial, 46 patients with HSP caused by ischemic stroke were recruited and assigned into 2 groups. Conventional exercise trainings were applied for both groups. Group A received additional IFC with medium frequency of 4000 HZ, and Group B received additional EAC two times a week for a total of 10 sessions. Pain severity, daily function, and shoulder Range of Motion (ROM) were evaluated using Visual Analogue Scale (VAS), Shoulder Pain and Disability Index (SPADI), and goniometry, respectively before and 5 weeks after the treatment. Results Both groups showed relative improvement in pain severity, SPADI score, and its subscales, and also active and passive shoulder ROM after the treatment. However, IFC group compared to EAC group had higher mean changes of active ROM in abduction (28.00 ± 3.81 vs. 12.25 ± 2.39) and functional subscale of SPADI (11.45 ± 1.88 vs. 5.80 ± 1.66) after the treatment. On the contrary, EAC group showed higher percentage of VAS changes (46.14 ± 6.88 vs. 34.28 ± 5.52), indicating better pain improvement compared to IFC group. Other parameters did not show significant difference between two groups. Conclusion Both IFC and EAC caused short term improvement in functional state, increased motion, and decreased pain in patients with HSP. Although pain control was more evident in acupuncture group, IFC resulted in better effects on function and active ROM of abduction, and seems to have higher efficacy. Trial registration This clinical trial was registered in the Iranian Registry of Clinical Trials at 2016-07-16 with a registry number of IRCT201602153217N10.

scholarly journals Neuromodulation of the Suprascapular Nerve

2014 ◽  
Vol 6;17 (6;12) ◽  
pp. E769-E773
Author(s):  
Foad Elahi
Keyword(s):  
Peripheral Nerve ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Nerve Stimulation ◽  
Shoulder Joint ◽  
Adhesive Capsulitis ◽  
Suprascapular Nerve ◽  
Shoulder Range Of Motion ◽  
Shoulder Range ◽  
Chronic Shoulder Pain

The shoulder joint is an enarthrodial or ball-and-socket joint. A complex network of anatomic structures endows the human shoulder with tremendous mobility, greater than any other joint in the body. Many pathologies can been found in those patients with chronic shoulder pain. The painful limitation of shoulder motion affects hand and arm motion as well; therefore, it significantly influences work performance and everyday activities as well as the quality of life. Therefore, the treatment of patients with chronic shoulder pain has major social and health economic implications. In this article we present a patient with a complex history of shoulder pathology including 7 surgeries that left the patient with chronic debilitating shoulder pain. She was suffering from chronic pain and limited mobility of the shoulder joint due to adhesive shoulder capsulitis. She was treated with a multimodality approach with the goals of increasing shoulder range of motion and decreasing her pain. This did not provide significant improvement. The suprascapular nerve supplies motor and sensory innervation to the shoulder, and can be easily accessible in the supraspinatus fossa. A suprascapular nerve block dramatically decreased her pain. This clinical observation along with confirmatory nerve block play an important role during the decision-making process for a trial period of electrical neuromodulation. She was followed for 3 months after the permanent implantation of a suprascapular nerve stimulator. Her pain and shoulder range of motion in all planes improved dramatically. Peripheral nerve stimulation (PNS) of the suprascapular nerve, in addition to multimodality pain management, is one approach to the difficult task of treating adhesive capsulitis with accompanying pain and the inability to move the shoulder. We conducted a literature review on PubMed and found no case describing a similar patient to our knowledge. Key words: Suprascapular nerve, neuromodulation, peripheral nerve stimulation, adhesive capsulitis, chronic shoulder pain

scholarly journals A Cross-Sectional Study Examining Shoulder Pain and Disability in Division I Female Swimmers

2014 ◽  
Vol 23 (1) ◽  
pp. 65-75 ◽  
Author(s):  
Shana Harrington ◽  
Corinne Meisel ◽  
Angela Tate
Keyword(s):  
Range Of Motion ◽  
Shoulder Pain ◽  
Ncaa Division I ◽  
Muscle Length ◽  
Injury Rate ◽  
Division I ◽  
Competitive Swimming ◽  
Shoulder Range Of Motion ◽  
Pectoralis Minor ◽  
Pain Subscale

Context:The prevalence of shoulder pain in the competitive swimming population has been reported to be as high as 91%. Female collegiate swimmers have a reported shoulder-injury rate 3 times greater than their male counterparts. There has been little information on how to best prevent shoulder pain in this population. The purpose of this study was to examine if differences exist in shoulder range of motion, upper-extremity strength, core endurance, and pectoralis minor length in NCAA Division I female swimmers with and without shoulder pain and disability.Methods:NCAA Division I females (N = 37) currently swimming completed a brief survey that included the pain subscale of the Penn Shoulder Score (PSS) and the sports/performing arts module of the Disabilities of the Arm, Shoulder, and Hand (DASH) Outcome Measure. Passive range of motion for shoulder internal rotation (IR) and external rotation (ER) at 90° abduction was measured using a digital inclinometer. Strength was measured using a handheld dynamometer for scapular depression and adduction, scapular adduction, IR, and ER. Core endurance was assessed using the side-bridge and prone-bridge tests. Pectoralis minor muscle length was assessed in both a resting and a stretched position using the PALM palpation meter. All measures were taken on the dominant and nondominant arms.Results:Participants were classified as positive for pain and disability if the following 2 criteria were met: The DASH sports module score was >6/20 points and the PSS strenuous pain score was ≥4/10. If these criteria were not met, participants were classified as negative for pain and disability. Significant differences were found between the 2 groups on the dominant side for pectoralis muscle length at rest (P = .003) and stretch (P = .029).Conclusions:The results provide preliminary evidence regarding an association between a decrease in pectoralis minor length and shoulder pain and disability in Division I female swimmers.

scholarly journals Successful management of a professional viola player with a complex playing related musculoskeletal disorder

2021 ◽  
Vol 72 (1) ◽  
pp. 59-65
Author(s):  
Florina Georgeta Popescu ◽  
Monica Adriana Vaida ◽  
Grant JK Mackay ◽  
Claudia Borza ◽  
Elena-Ana Păuncu ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Pain ◽  
Manual Therapy ◽  
Conservative Management ◽  
Neck Disability Index ◽  
Treatment Techniques ◽  
Therapy Program ◽  
Shoulder Range Of Motion ◽  
Mulligan Concept ◽  
Neck Disability

Abstract Objective: This paper presents the case of a 53-year-old female professional violist with chronic disabling neck and shoulder pain who had failed standard conservative management. A multimodal approach including Mulligan Concept manual therapy techniques resulted in a successful return to the workplace. Methods: Mobilization with Movements and Sustained Natural Apophyseal Glides as part of Mulligan Concept manual therapy approach, were the main treatment techniques utilized. Neuro-dynamic exercises, strengthening exercises, ergonomic interventions, alterations in playing load, and posture training were also implemented. Pain, range of motion and disability levels were monitored throughout treatment. Results: Significant improvements were seen in both neck and shoulder range of motion alongside considerable pain reduction in both regions. Clinically meaningful improvements were also noted in Neck Disability Index and Shoulder Pain and Disability Index scores. Discussion: Ergonomic intervention with postural correction and replacement with a lighter viola also contributed to patient recovery and return to the workplace. The Mulligan approach has proved to be effective in a wide variety of conditions. Still, it has not previously been considered in managing complex neck and upper limb disfunctions in string players. Conclusion: This paper highlights how an intensive manual therapy program had better results compared with standard conservative management. Multimodal intervention with occupational, ergonomic, and physiotherapy approaches was effective, leading to progressive re-integration into the workplace. Mulligan Concept manual therapy techniques should be considered in the management of playing related musculoskeletal disorders.

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