Cadeia cinética aberta versus cadeia cinética fechada na reabilitação avançada do manguito rotador

Boeck, Rudiel Luciano; Döhnert, Marcelo Baptista; Pavão, Tiago Sebastiá

doi:10.1590/s0103-51502012000200006

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…Due to the simultaneous contraction of the agonist and antagonist muscles in the closed kinetic chain exercises, the incidence of injury is less and these exercises are more functional (18). The closed chain exercises, compared to open chain exercises, significantly increase strength, mobility and function of shoulder muscles (19). Although closed chain exercises are effective in stabilizing the scapula, open kinetic chain workout is preferred to fix the scapula, and these exercises are more effective in preventing shoulder injuries (20).…”

Section: Introductionmentioning

confidence: 99%

The Effect of 8 Weeks Open and Closed Kinetic Chain Strength Training on the Torque of the External and Internal Shoulder Rotator Muscles in Elite Swimmers

2019

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Objectives: In accordance with the multiple causes of impingement syndrome being a major injury of the swimmers' shoulder, choosing an effective method in preventing shoulder injury is important. The purpose of this study was to compare the effect of eight weeks open and closed kinetic chain exercises on muscle torque of internal and external rotators of shoulder in elite swimmers. Methods: In this study, 45 swimmers were selected based on the inclusion criteria and divided randomly and equally into three groups of open chain, closed chain exercises, and control. Both open and closed chain groups performed their own exercises three times a week for eight weeks, but no upper extremity exercises were given to the control group. Before the training, the pick torque of the external and internal rotators of shoulder were measured by the isokinetic HUMAC NORM machine at various speeds of 60, 120 and 180 degrees/s. After eight weeks of practice, the variables were re-measured. Shapiro-Wilk test was used for data normalization, one-way ANOVA and Tukey post hoc testes were used accordingly to compare the groups and to show the intra-group difference (P < 0.05). Results: The results of this study showed that eight weeks of open and closed chain training improved the torque of internal and external shoulder rotator muscles at 60, 120 and 180 degrees per second (P < 0.05). There was a significant difference between open chain and closed chain exercises, and the effect of open chain was more than closed chain training (P < 0.05). Conclusions: According to this study, it can be concluded that open and closed kinetic chain exercises improve the torque of the external and internal rotating muscles in swimmers. They also suggest that kinetic chain exercises are more effective than closed kinetic chain exercises in this regard so could be prescribed for swimmers.

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Section: Introductionmentioning

confidence: 99%

The Effect of 8 Weeks Open and Closed Kinetic Chain Strength Training on the Torque of the External and Internal Shoulder Rotator Muscles in Elite Swimmers

2019

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Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs

Steuri

Sattelmayer

Elsig³

et al. 2017

Br J Sports Med

215

178

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ObjectiveTo investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement.DesignSystematic review and meta-analysis of randomised trials.Data sourcesMedline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017.Study selection criteriaRandomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments.ResultsFor pain, exercise was superior to non-exercise control interventions (standardised mean difference (SMD) −0.94, 95% CI −1.69 to −0.19). Specific exercises were superior to generic exercises (SMD −0.65, 95% CI −0.99 to −0.32). Corticosteroid injections were superior to no treatment (SMD −0.65, 95% CI −1.04 to −0.26), and ultrasound guided injections were superior to non-guided injections (SMD −0.51, 95% CI −0.89 to −0.13). Nonsteroidal anti-inflammatory drugs (NSAIDS) had a small to moderate SMD of −0.29 (95% CI −0.53 to −0.05) compared with placebo. Manual therapy was superior to placebo (SMD −0.35, 95% CI −0.69 to −0.01). When combined with exercise, manual therapy was superior to exercise alone, but only at the shortest follow-up (SMD −0.32, 95% CI −0.62 to −0.01). Laser was superior to sham laser (SMD −0.88, 95% CI −1.48 to −0.27). Extracorporeal shockwave therapy (ECSWT) was superior to sham (−0.39, 95% CI −0.78 to –0.01) and tape was superior to sham (−0.64, 95% CI −1.16 to −0.12), with small to moderate SMDs.ConclusionAlthough there was only very low quality evidence, exercise should be considered for patients with shoulder impingement symptoms and tape, ECSWT, laser or manual therapy might be added. NSAIDS and corticosteroids are superior to placebo, but it is unclear how these treatments compare to exercise.

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Specific or general exercise strategy for subacromial impingement syndrome–does it matter? A systematic literature review and meta analysis

Shire

Stæhr

Overby

et al. 2017

BMC Musculoskelet Disord

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BackgroundExercise is frequently suggested as a treatment option for patients presenting with symptoms of subacromial impingement syndrome. Some would argue implementing a specific exercise strategy with special focus on correction of kinematic deficits would be superior to general exercise strategy. There is however a lack of evidence comparing such exercise strategies to determine which is the most effective in the treatment of subacromial impingement syndrome. The aim of this review is to evaluate whether implementing specific exercise strategies involving resistive exercises are more effective than a general exercise strategy for the treatment of patients with subacromial impingement syndrome.MethodsRandomized controlled trials were identified through an electronic search on PubMed/MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science and PEDro. In addition, article reference lists and Clinicaltrials.gov were searched. Studies were considered eligible if they included interventions with resistive specific exercises as compared to general resistance exercise. Four reviewers assessed risk of bias and methodological quality guided by Cochrane recommendations. Results were synthesised qualitatively or quantitatively, where appropriate.ResultsSix randomized controlled trials were included with 231 participants who experienced symptoms of subacromial impingement syndrome. Four studies evaluated the effectiveness of specific scapular exercise strategy and two studies evaluated the effectiveness of specific proprioceptive strategy. Five studies were of moderate quality and one study was of low quality. No consistent statistical significant differences in outcomes between treatment groups were reported in the studies. Standardized mean difference (SMD) for pain was SMD −0.19 (95% CI −0.61, 0.22) and SMD 0.30 (95% CI −0.16, 0.76) for function.ConclusionsThere is insufficient evidence to support or refute the effectiveness of specific resistive exercise strategies in the rehabilitation of subacromial impingement syndrome. More high quality research is needed to accurately assess this. This review provides suggestions on how to improve the methodological design of future studies in this area.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1518-0) contains supplementary material, which is available to authorized users.

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Cadeia cinética aberta versus cadeia cinética fechada na reabilitação avançada do manguito rotador

Cited by 3 publications

References 18 publications

The Effect of 8 Weeks Open and Closed Kinetic Chain Strength Training on the Torque of the External and Internal Shoulder Rotator Muscles in Elite Swimmers

The Effect of 8 Weeks Open and Closed Kinetic Chain Strength Training on the Torque of the External and Internal Shoulder Rotator Muscles in Elite Swimmers

Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs

Specific or general exercise strategy for subacromial impingement syndrome–does it matter? A systematic literature review and meta analysis

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