Range of motion and muscle function on shoulder joints of young handball athletes

Ceballos‐Laita, Luis; Pérez-Manzano, Alberto; Mingo-Gómez, Teresa; Hernando-Garijo, Ignacio; Medrano-de-la-Fuente, Ricardo; Estébanez-de-Miguel, Elena; Jiménez‐del‐Barrio, Sandra

doi:10.3233/bmr-200304

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…The intervention in each trial consisted of different approaches. Eight studies applied self-stretching or passive stretching [20,[23][24][25][26][27][28][29]; six studies used manual therapy, frequently based on anteroposterior mobilization [24,26,27,[30][31][32]; two studies applied exercise therapy [23,31] and one study used a kinesiotaping application [29]. Three studies mixed conservative therapy (self-stretching plus manual therapy [24,27] and exercise therapy associated with manual therapy [26]).…”

Section: Characteristics Of the Eligible Studiesmentioning

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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Section: Characteristics Of the Eligible Studiesmentioning

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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“…Men have the highest injury rates per 1000 h of exposure and the shoulder complex is one of the most susceptible regions to injuries [1]. The shoulder complex of handball athletes presents several adaptations due to the repeated throwing actions at high velocity, such as glenohumeral internal rotation deficit (GIRD) of the throwing shoulder (TS), reduction in the total rotation range of motion (tROM), and limitation of the horizontal adduction (HA) ROM [2][3][4][5]. These adaptations are considered risk factors for pain and injuries when the GIRD is higher than 15 • [6] and the tROM reduction is higher than 10 • [3].…”

Section: Introductionmentioning

confidence: 99%

Dry Needling versus Diacutaneous Fibrolysis for the Treatment of the Mechanical Properties of the Teres Major Muscle: A Randomized Clinical Trial

Ceballos-Laita,

Jiménez-Rejano,

Rebollo-Salas

et al. 2023

Applied Sciences

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(1) Background: The stiffness of the posterior shoulder muscles has been shown to be related to shoulder pain and range of motion (ROM) restriction in athletes. Specifically, the treatment of the teres major muscle showed promising results in previous studies. The aim of this study was to compare the effects of dry needling (DN) vs. diacutaneous fibrolysis (DF) to improve the stiffness and tone of the teres major muscle, pain intensity, shoulder ROM, and extensibility in the short-term and at one-week follow-up in handball athletes. (2) Methods: A randomized clinical trial with blinded examiners was carried out. Elite handball athletes with shoulder pain and glenohumeral internal rotation deficit (n = 30) were randomly allocated to the DN group or the DF group. Patients in both groups received a single treatment session directly applied to the teres major muscle. The primary outcome variables and instrument were mechanical properties of the teres major muscle (stiffness and tone) measured with myotonometry. The secondary outcome variables were intensity of shoulder pain evaluated with visual analogue scale and shoulder ROM and extensibility recorded with a digital inclinometer. (3) Results: No between-group differences were found after the intervention or at one-week follow-up in the mechanical properties of teres major muscle, pain intensity, shoulder ROM, or extensibility. (4) Conclusions: the DN and DF techniques showed similar results at both timepoints in elite handball athletes with shoulder pain and glenohumeral internal rotation deficits.

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“…The repetitive throwing actions have shown several adaptations in the shoulder complex. The most frequent adaptation is the reduction of the glenohumeral internal rotation (IR) range of motion (ROM) commonly known as glenohumeral internal rotation deficit (GIRD), and the decrease of the total rotation ROM (tROM) [8,[13][14][15][16]. Athletes with GIRD have shown a two-to four-fold increased risk of suffering injuries in the shoulder complex [5].…”

Section: Introductionmentioning

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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Range of motion and muscle function on shoulder joints of young handball athletes

Cited by 5 publications

References 30 publications

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

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

Dry Needling versus Diacutaneous Fibrolysis for the Treatment of the Mechanical Properties of the Teres Major Muscle: A Randomized Clinical Trial

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

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