Analysis of the presence and influence of Glenohumeral Internal Rotation Deficit on posterior stiffness and isometric shoulder rotators strength ratio in recreational and amateur handball players

Vigolvino, Lorena Passos; Barros, Bianca R.S.; Medeiros, Cléa Emanuela Barreto de; Pinheiro, Scheila Marisa; Sousa, Catarina de Oliveira

doi:10.1016/j.ptsp.2019.12.004

Cited by 8 publications

(4 citation statements)

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“…Se muestra que la prevalencia de lesiones de hombro está entorno al 44% (Asker et al 2018) -20% (Gaudet et al, 2019). En cuanto a los factores de riesgo se puede destacar una disminución de ROM de RM en la glenohumeral (Lubiatowski et al, 2018;Vigolvino et al, 2020); jugadores de primera línea (Asker et al, 2018;Giroto et al, 2017; y los déficits de fuerza se presentan también como un factor de riesgo (Achenbach et al, 2020).…”

Section: Resultsunclassified

“…La prevalencia promedio actual de dolor de hombro en jugadores/as de balonmano se encuentra entre un 17 y un 41%, siendo en adultos de 0,6 a 2,4 el riesgo de lesión de hombro por cada 1000 horas de entrenamiento. Entre las lesiones que se pueden producir se encuentra el desgarro de labrum y de manguito rotador, lesión en la cápsula articular o pinzamiento interno (Fredriksen et al, 2020;Vigolvino, Barros, Medeiros, Pinheiro & Sousa, 2020;mascarin, de Lira, Vancini, Pochini, da Silva & Andrade, 2017).…”

Section: Introductionunclassified

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Prevalencia y factores de riesgo en lesiones de hombro en jugadores y jugadoras de balonmano. Revisión Sistemática (Prevalence and risk factors in shoulder injuries in male and female handball players. Systematic review)

Lopez¹,

Cardalda

Pedro³

et al. 2022

Retos

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Introducción: El hombro es una de las estructuras más afectadas, en cuanto a las lesiones, en el balonmano. Objetivo:Describir de la tipología, prevalencia y los factores de riesgo de lesiones de hombro en balonmano. Método: Se realizó una búsqueda sistemática de los cinco últimos años en seis bases de datos (Cinahl, Medline, Web of Science, Scopus, SportDiscus, PubMed). Se seleccionaron 15 artículos, de los cuales 12 eran estudios observacionales y tres ensayos clínicos aleatorizados. Resultados: Se presenta una prevalencia mayor en el lado dominante. Los factores de riesgo más salientables son: sexo mujer, déficit de rotación medial, debilidad de la musculatura rotadora, discinesia, dolor o inestabilidad a nivel de tronco o miembros inferiores, aumento de la carga deportiva e incluso la posición de juego en el campo. Además, con la edad también hay mayor prevalencia. En cuanto a los protocolos de prevención los resultados son dispares, es decir, sin resultados significativos o con aumento de la fuerza y disminución de la prevalencia de problemas de hombro. Conclusiones: Teniendo en cuenta los factores de riesgo, la mayor prevalencia en el hombro dominante y el incremento con la edad, parece ser necesario empezar con protocolos preventivos en la adolescencia. Para ello, se deben realizar más estudios con diferentes protocolos según las características del/de la jugador/a. Palabras clave: Prevalencia, Factores de riesgo, Lesión, Hombro, Balonmano. Abstract. Introduction: The shoulder is one of the most affected structures, in terms of injuries, in handball. Objective: To describe the typology, prevalence and risk factors of shoulder injuries in handball. Method: A systematic search of the last five years was carried out in six databases (Cinahl, Medline, Web of Science, Scopus, SportDiscus, PubMed), 15 articles were selected, of which 12 were observational studies and three were randomized clinical trials. Results: There is a higher prevalence on the dominant side. The most salient risk factors are: female sex, medial rotation deficit, weakness of the rotator muscles, dyskinesia, pain or instability in the trunk or lower limbs, increased sports load and even the playing position on the field. In addition, with age there is also a higher prevalence. Regarding prevention protocols, the results are disparate, that is, without significant results or with an increase in strength and a decrease in the prevalence of shoulder problems. Conclusions: Taking into account the risk factors, the higher prevalence in the dominant shoulder and the increase with age, it seems necessary to start with preventive protocols in adolescence. For this, more studies must be carried out with different protocols according to the characteristics of the player. Keywords: Prevalence, Risk factors, Injury, Shoulder, Handball.

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Section: Resultsunclassified

Section: Introductionunclassified

Prevalencia y factores de riesgo en lesiones de hombro en jugadores y jugadoras de balonmano. Revisión Sistemática (Prevalence and risk factors in shoulder injuries in male and female handball players. Systematic review)

Lopez¹,

Cardalda

Pedro³

et al. 2022

Retos

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“…Maximum isometric strength was initially measured in Kg. Then, strength was normalized by the body weight and multiplied by 100 and expressed as percentage of body weight (%BW) [28]. In addition, the strength ratio between ER and IR muscles was calculated by dividing the average maximal strength of each muscle group and multiplying it by 100 to express the result as percentage [28].…”

Section: Maximum Isometric Strength Assessmentmentioning

confidence: 99%

Increased Tone and Stiffness of the Teres Major Muscle in Elite Handball Athletes: A Cross-Sectional Study

et al. 2023

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Background: The aim of this study was to determine whether the elite handball (HB) athletes with glenohumeral internal rotation deficit (GIRD) present differences in the mechanical properties in the teres major muscle, and strength and extensibility of the posterior shoulder tissues of the throwing shoulder (TS) compared to the non-throwing (non-TS) and non-HB athletes. Methods: A cross-sectional study was carried out, with sixty male participants: 30 HB athletes with GIRD and 30 age-matched healthy non-HB athletes. Mechanical properties of the teres major muscle were measured with MyotonPRO; also, extensibility of the posterior shoulder tissues and maximum isometric internal rotation (IR) and external rotation (ER) strength were recorded. Results: The teres major muscle of the TS in the HB group achieved a higher tone (Δ 0.34; 95% CI: 0.15, 0.53) and stiffness (Δ 30.86; 95% CI: 23.04,38.68), and a lower relaxation time compared to the non-TS of the same group (Δ −0.69; 95% CI: −1.15, −0.24;) and to the TS of the control group for the tone (Δ 0.36; 95% CI: 0.02, 0.70) and for the stiffness (Δ 27.03; 95% CI: 15.24, 38.83). The extensibility of the TS of the HB group presented a statistically significant decrease compared to the control group (Δ−7.83; 95% CI: −12.42, 3.23). A between-groups ER/IR ratio imbalance was found for the TS (Δ−12.18; 95% CI: −25.59, −1.23) and the non-TS (Δ−13.01; 95% CI: −25.79, −0.25). Conclusions: HB athletes with GIRD present a higher tone and stiffness of the teres major muscle and lack of extensibility of the tissues of the posterior part of the shoulder compared to the non-TS and to healthy non-HB athletes.

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“…Recent studies have demonstrated that overhead athletes with GIRD present a higher risk of suffering injury than those without a restricted ROM [5]. In addition, external rotation gain (ERG) or loss of total ROM have been considered as a potential risk factors in this dysfunction [5][6][7][8]. These risk factors have shown to be more frequent in sports like baseball, volleyball, and handball.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Conservative Therapy in Overhead Athletes with Glenohumeral Internal Rotation Deficit: A Systematic Review and Meta-Analysis

Jiménez‐del‐Barrio

Ceballos‐Laita²,

Lorenzo-Muñoz³

et al. 2022

JCM

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Background: To evaluate the effectiveness of conservative therapy in range of movement (ROM), strength, pain, subacromial space and physical function, in overhead athletes with glenohumeral internal rotation deficit (GIRD). Methods: A systematic review and meta-analysis was designed, and the protocol was registered in PROSPERO (CRD42021281559). The databases searched were: PubMed, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database, Web of Science and SCOPUS. Randomized controlled trials (RCTs) involving conservative therapy applied in overhead athletes with GIRD were included. Two independent assessors evaluated the quality of the studies with the PEDro scale, and with the Cochrane Risk-of-Bias tool. The overall quality of the evidence was assessed using GRADE. Data on outcomes of interest were extracted by a researcher using RevMan 5.4 software. Estimates were presented as standardized mean differences (SMD) with 95% confidence intervals (CIs). Results: A total of eleven studies involving 514 overhead athletes were included in the systematic review; of these 8 were included in the meta-analysis. The methodological quality of the included RCTs ranged from high to low. Conservative therapy showed significant improvements in internal rotation, adduction, physical function and subacromial space. Conclusions: Conservative therapy based on stretch, passive joint and muscular mobilizations can be useful to improve the internal rotation and adduction ROM, subacromial space, and physical function of the shoulder in overhead athletes with glenohumeral internal rotation deficit.

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Analysis of the presence and influence of Glenohumeral Internal Rotation Deficit on posterior stiffness and isometric shoulder rotators strength ratio in recreational and amateur handball players

Cited by 8 publications

References 46 publications

Prevalencia y factores de riesgo en lesiones de hombro en jugadores y jugadoras de balonmano. Revisión Sistemática (Prevalence and risk factors in shoulder injuries in male and female handball players. Systematic review)

Prevalencia y factores de riesgo en lesiones de hombro en jugadores y jugadoras de balonmano. Revisión Sistemática (Prevalence and risk factors in shoulder injuries in male and female handball players. Systematic review)

Increased Tone and Stiffness of the Teres Major Muscle in Elite Handball Athletes: A Cross-Sectional Study

Efficacy of Conservative Therapy in Overhead Athletes with Glenohumeral Internal Rotation Deficit: A Systematic Review and Meta-Analysis

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