Immediate effects of two types of stretching techniques on glenohumeral internal rotation deficit and posterior shoulder tightness; a crossover randomised controlled trial.

BACKGROUND: Posterior shoulder tightness as demonstrated by glenohumeral internal rotation deficit (GIRD) is a common contributor to many shoulder pathologies in overhead throwing athletes. PURPOSE: This study aimed to assess immediate effect of combining glenohumeral and scapulothoracic mobilization with stretching on improving internal rotation range of motion (ROM) in overhead athletes with GIRD METHODS: This study was a single-blind randomized controlled trial with parallel groups. The participants were 30 asymptomatic male volleyball players who had a loss of shoulder internal rotation ROM of 15 degrees or more on their dominant compared to their nondominant side. They were randomly assigned to 1 of 2 groups: stretching only (n = 15) or stretching plus joint mobilization (n = 15). Participants in the stretching group performed cross-body stretches, and those in stretching plus mobilization group were treated with both cross-body stretching and mobilization techniques for the glenohumeral and scapulothoracic joints. Both groups received the intervention every other day for 1 week. Shoulder internal and external ROM were measured before and after the intervention. RESULTS: Before the intervention, dominant-side deficits in internal rotation ROM compared to the nondominant side were 20.11±5.27 degrees in the stretching group and 21.87±8.06 degrees in the stretching plus mobilization group. After the intervention, internal rotation ROM deficit between the dominant and nondominant side decreased to 11.28±5.82 in the stretching group (P < 0.001) and 10.85±9.19 in the stretching plus mobilization group (P < 0.001). However, the between-group difference was not statistically significant (P = 0.389). External rotation ROM remained unchanged in both groups (P > 0.05). CONCLUSION: Both interventions (stretching and stretching plus mobilization) can have the same beneficial effect in decreasing GIRD in asymptomatic overhead athletes.

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WITHDRAWN: Posterior shoulder tightness, joint position sense, and shoulder strength in subjects with and without glenohumeral internal rotation deficit

Physical Therapy in Sport ◽

10.1016/j.ptsp.2020.04.007 ◽

2020 ◽

Vol 45 ◽

pp. e1

Author(s):

Scheila Marisa Pinheiro ◽

Bianca Rodrigues da Silva ◽

Lorena Passos Vigolvino ◽

Catarina de Oliveira Sousa

Keyword(s):

Internal Rotation ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Glenohumeral Internal Rotation Deficit ◽

Posterior Shoulder ◽

Shoulder Strength ◽

Posterior Shoulder Tightness

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Effect of Scapular Stabilization During Horizontal Adduction Stretching on Passive Internal Rotation and Posterior Shoulder Tightness in Young Women Volleyball Athletes: A Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2014.09.038 ◽

2015 ◽

Vol 96 (2) ◽

pp. 349-356 ◽

Cited By ~ 20

Author(s):

Paul A. Salamh ◽

Morey J. Kolber ◽

William J. Hanney

Keyword(s):

Randomized Controlled Trial ◽

Internal Rotation ◽

Young Women ◽

Controlled Trial ◽

Randomized Controlled ◽

Posterior Shoulder ◽

Posterior Shoulder Tightness

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

Journal of Sport Rehabilitation ◽

10.1123/jsr.2017-0047 ◽

2019 ◽

Vol 28 (3) ◽

pp. 256-265 ◽

Cited By ~ 4

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.

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