Shoulder injuries in soccer goalkeepers: review and development of a FIFA 11+ shoulder injury prevention program

Ejnisman, Benno; Barbosa, Gisele; Andreoli, Carlos Vicente; Pochini, Alberto de Castro; Lobo, Thiago; Zogaib, Rodrigo Kallás; Cohen, Moisés; Bizzini, Mario; Dvořák, Jiří

doi:10.2147/oajsm.s97917

Cited by 40 publications

(46 citation statements)

References 36 publications

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“…Joints affected by osteoarthritis of the lower or upper extremities may significantly restrict the performance in jobs, particularly if the goalkeepers are amateur athletes requiring full use of hands and fingers in their occupational jobs. In football, only goalkeepers have a high injury prevalence to the upper extremities including wrists and fingers because of the football-specific skills required on field [9,10]. This study presented the high injury prevalence of 100 % of wrists and fingers of football goalkeepers as well as the prevalence of severe joint injuries to wrists and fingers of more than 50 %.…”

Section: Discussionmentioning

confidence: 91%

“…These differences may also be associated with a different injury profile of goalkeepers. The lower extremities of football goalkeepers are often affected by injury; however, goalkeepers also sustain injuries to the upper extremities up to five times more often than outfield players [10,11]. Particularly the wrist and finger joints of football goalkeepers are frequently affected by injury [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Functional Deficits in the Wrist and Finger Joints of Goalkeepers After 20 Years of Playing Recreational Football

Hilber

Wiesenberg

Kerschbaum

et al. 2019

Sportverletz Sportschaden

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Background Long-term damage in the hip, knee and ankle joints of football players has been thoroughly discussed in the literature. Compared with outfield players, however, goalkeepers sustain injuries to the upper extremities five times more often. There is a lack of studies on long-term functional damage to the wrist and finger joints of football goalkeepers. Hypothesis Repetitive micro-traumas and injuries lead to degenerative diseases in goalkeepers after 20 years of playing recreational soccer. Methods The personal histories, injury histories and clinical examination findings of the wrist and finger joints of 27 goalkeepers were compared with the findings obtained in a control group of outfield players. Results Goalkeepers were significantly more restricted in finger movement (p < 0.05) and experienced more pain and swelling (p < 0.05) as well as higher levels of instability (p < 0.05) in the wrist and finger joints than outfield players. Conclusion Medical history and clinical findings indicate deficits in the hands of soccer goalkeepers and a high prevalence of joint and ligament injuries sustained to the fingers over the course of their sports activity. This necessitates specific strategies in the future to prevent injuries and long-term posttraumatic deficits.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Functional Deficits in the Wrist and Finger Joints of Goalkeepers After 20 Years of Playing Recreational Football

Hilber

Wiesenberg

Kerschbaum

et al. 2019

Sportverletz Sportschaden

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“…Estos circuitos de entrenamiento se pueden realizar dos veces por semana por un periodo de duración de 20 minutos a través de ejercicios funcionales de movimiento utilizando elementos como bancos, bases inestables, maquina de fuerza, bandas elásticas. Adicionalmente, estos circuitos trabajan los elementos centrales y periféricos del movimiento corporal humano obteniendo un balance a nivel articular, muscular, biomecánico y sensorial (20)(21)(22)(23)(29)(30)(31)(32)(33).…”

Section: Programas De Prevención De Lesionesunclassified

Fisioterapia Y Su Rol en El Alto Rendimiento: Una Revisión Sistemática De La Literatura

Mantilla

2018

Riccafd

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RESUMENEl deporte de alto rendimiento, exige que se desarrollen estrategias de recuperación, entrenamiento y rehabilitación que favorezcan la adaptación al entrenamiento físico. En fisioterapia, se usan estrategias para mantener la salud del deportista en su más alto nivel y entre las estrategias más utilizadas se encuentran prevención de lesiones, entrenamiento funcional, recuperación funcional enfocados en objetivos específicos del deportista. Por tal motivo, el objetivo de este artículo es realizar una revisión sistemática de la literatura sobre el rol del fisioterapeuta en el deporte de alto rendimiento. ABSTRACTHigh-performance sport requires the development of recovery, training and rehabilitation strategies that favor adaptation to physical training. In physiotherapy, strategies are used to maintain the health of the athlete at the highest level, among the strategies most used are injury prevention, functional training, functional recovery focused on specific goals of the athlete. For this reason, the objective of this article is to perform a systematic review of the literature on the role of physiotherapist in high performance sport.

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“…Appropriate strengthening of the shoulder dynamic stabilizer muscles and adequate neuromuscular control-patterns is crucial in preventing shoulder injuries 4,12 . Based on these insights, recent shoulder injury prevention programs for athletes 4,13,14 have purposed specific shoulder instability resistance training exercises. Particularly, most of the exercises are performed uni-laterally in unstable conditions involving an increased level of postural control (standing, planking, kneeing and laying on stability ball) and/or with external overload devices challenging motor-coordination (elastics, balls, dumbbells).…”

Section: Introductionmentioning

confidence: 99%

Neuromuscular shoulder activity during exercises with different combinations of stable and unstable weight mass

Baritello

Khajooei

Engel

et al. 2019

Preprint

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Background Recent shoulder injury prevention programs have utilized resistance exercises combined with different forms of instability, with the goal of eliciting functional adaptations and thereby reducing the risk of injury. However, it is still unknown how an unstable weight mass affects the muscular activity of the shoulder stabilizers (ST). Aim of the study was to analyzed the neuromuscular activity of the dynamic ST under four combinations of stable and unstable weight mass during three shoulder exercises. It was hypothesized that a combined condition of weight with unstable mass would elicit significantly greater activation due to the increased stabilization demand. Methods Sixteen participants (7 m/9 f) were included in this cross-sectional study and prepared with an EMG-setup for the: Mm. upper/lower trapezius (U.TA/L.TA), lateral deltoid (DE), latissimus dorsi (LD), serratus anterior (SA) and pectoralis major (PE). A maximal voluntary isometric contraction test (MVIC; 5 sec.) was performed on an isokinetic dynamometer. Next, internal/external rotation (In/Ex), abduction/adduction (Ab/Ad) and diagonal flexion/extension (F/E) exercises (5 reps.) were performed with four custom-made-pipes representing different training conditions. First, the empty-pipe (P; 0.5 kg) and then, randomly ordered, water-filled-pipe (PW; 1 kg), weight-pipe (PG; 4.5 kg) and weight + water-filled-pipe (PWG; 4.5 kg), while EMG was recorded. Raw root mean square values (RMS) were normalized to MVIC (%MVIC). Differences between conditions for RMS%MVIC, scapular stabilizer (SR: U.TA/L.TA; U.TA/SA) and contraction (CR: concentric/eccentric) ratios were analyzed (paired t-test;Bonferroni adjusted α=0.008) Results PWG showed significantly greater activation for all exercises and all muscles except for PE compared to P and PW. Condition PG elicited muscular activity comparable to PWG (p>0.008) with significantly lower activation of L.TA and SA in the In/Ex rotation. The SR ratio was significantly higher in PWG compared to P and PW. No significant differences were found for the CR ratio in all exercises and for all muscles. Conclusion Higher weight generated greater muscle activation whereas an unstable weight mass behavior raised the neuromuscular activity, increasing the stabilization demands. Especially in the In/Ex rotation, an unstable weight mass increased the RMS%MVIC and SR ratio. This might improve training effects in shoulder prevention and rehabilitation programs.

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Shoulder injuries in soccer goalkeepers: review and development of a FIFA 11+ shoulder injury prevention program

Cited by 40 publications

References 36 publications

Functional Deficits in the Wrist and Finger Joints of Goalkeepers After 20 Years of Playing Recreational Football

Functional Deficits in the Wrist and Finger Joints of Goalkeepers After 20 Years of Playing Recreational Football

Fisioterapia Y Su Rol en El Alto Rendimiento: Una Revisión Sistemática De La Literatura

Neuromuscular shoulder activity during exercises with different combinations of stable and unstable weight mass

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