Hip and shoulder internal rotation range of motion deficits in professional tennis players

Vad, Vijay B.; Gebeh, A; Dines, David M.; Altchek, David W.; Norris, Beryl

doi:10.1016/s1440-2440(03)80010-5

Cited by 122 publications

(101 citation statements)

References 9 publications

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“…About one-quarter of the patients were discharged to home with, on average, 2 joint contractures severe enough to interfere with daily activities. 8,17,19,[21][22][23][24][25][26] Several previous reports have mentioned persistent functional deficits after immobility. 2,5,8,15,16,28,29 Joint contractures have been identified as a potentially important cause of such deficits, but their prevalence and risk factors have not been quantified.…”

Section: Discussionmentioning

confidence: 99%

“…[22][23][24][25] It also allowed us to quantify a potential dose-effect relation between exposure to the ICU and severity of limitation in the range of motion. In addition, we defined "functionally significant contracture" as more severe limitation in the range of motion, to an extent that has been established in the literature as causing functional limitation 8,17,19,21,26 (Table 1).…”

Section: -21mentioning

confidence: 99%

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Joint contracture following prolonged stay in the intensive care unit

Clavet¹,

Hébert²,

Fergusson³

et al. 2008

Canadian Medical Association Journal

155

102

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Section: Discussionmentioning

confidence: 99%

Section: -21mentioning

confidence: 99%

Joint contracture following prolonged stay in the intensive care unit

Clavet¹,

Hébert²,

Fergusson³

et al. 2008

Canadian Medical Association Journal

155

102

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“…4,6,7 Several previous researchers have shown that shoulder ROM is modified as an adaptive response to tennis play, 5,8,9 resulting in greater glenohumeral ER ROM, lower glenohumeral IR ROM and lower total arc of motion (TAM) of the dominant shoulder compared to the non-dominant shoulder. [4][5][6][8][9][10] A glenohumeral IR deficit (GIRD) of the dominant shoulder compared to the non-dominant shoulder is considered a major risk factor for glenohumeral joint injury in overhead athletes as it causes imbalance in the soft tissues and could lead to shoulder instability 11,12 , resulting in subacromial impingement syndromes and labral tears. 13 However, few studies have analyzed the relationship of asymmetries in shoulder rotation ROM and the shoulder pain history in tennis players, and these have shown different results.…”

mentioning

confidence: 99%

A Comparative Study of Passive Shoulder Rotation Range of Motion, Isometric Rotation Strength and Serve Speed Between Elite Tennis Players With and Without History of Shoulder Pain

Moreno-Pérez

Elvira

Fernández-Fernández

et al. 2018

Intl J Sports Phys Ther

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Background: Glenohumeral internal rotation deficit and external rotation strength have been associated with the development of shoulder pain in overhead athletes.Objective: To examine the bilateral passive shoulder rotational range of motion (ROM), the isometric rotational strength and unilateral serve speed in elite tennis players with and without shoulder pain history (PH and NPH, respectively) and compare between dominant and non-dominant limbs and between groups.Study Design: Cohort study.Methods: Fifty-eight elite tennis players were distributed into the PH group (n = 20) and the NPH group (n = 38). Serve velocity, dominant and non-dominant passive shoulder external and internal rotation (ER and IR) ROM, total arc of motion (TAM: the sum of IR and ER ROM), ER and IR isometric strength, bilateral deficits and ER/IR strength ratio were measured in both groups. Questionnaires were administered in order to classify characteristics of shoulder pain. Results:The dominant shoulder showed significantly reduced IR ROM and TAM, and increased ER ROM compared to the non-dominant shoulder in both groups. Isometric ER strength and ER/IR strength ratio were significantly lower in the dominant shoulder in the PH group when compared with the NPH group. No significant differences between groups were found for serve speed. Conclusion:These data show specific adaptations in the IR, TAM and ER ROM in the dominant shoulder in both groups. Isometric ER muscle weakness and ER/IR strength ratio deficit appear to be associated with history of shoulder injuries in elite tennis players. It would be advisable for clinicians to use the present information to design injury prevention programs. Level of evidence: 2

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“…Changes in ROM have been attributed to shortening of the posterior shoulder musculature and tightening of the posterior capsule secondary to microtrauma and consequent scar formation associated with the demand placed on these structures. 26 Overhead athletes who commence intensive training in the prepubertal years have also been ob-served to develop osseous adaptations resulting in greater retroversion of the humeral head and consequently reduced IR ROM. 7 Studies on muscle strength have demonstrated variable findings.…”

mentioning

confidence: 99%

Shoulder Strength and Range of Motion in Female Amateur-League Tennis Players

Stanley

McGann²,

Hall³

et al. 2004

J Orthop Sports Phys Ther

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Study Design: Cross sectional. Objectives: To compare the strength and range of motion of the dominant and nondominant shoulders of adult female amateur tennis players. The secondary purpose of the study was to examine whether there were any differences in the observed relationships between women with a past history of shoulder pain and those with no history of shoulder pathology. Background: Information on characteristics of the shoulder in amateur female tennis players is scarce, as research has concentrated on highly skilled or male players, despite the cumulative prevalence of shoulder pain in this group. Methods and Measures: Fifty-one female competitive, amateur tennis players (average age, 45 years) were tested bilaterally for shoulder internal/external rotation passive range of motion and isokinetic concentric strength. Results: Shoulder range of motion and strength ratios were comparable between sides. In the dominant arm, the total rotational range of motion was 221°, with an internal to external rotator peak torque ratio of 1.05. External rotator strength was significantly greater in the dominant arm of individuals with no history of pain. Conclusions: Range of motion and strength adaptations widely reported in highly skilled tennis players were not apparent in amateur female players. In assessment and management, clinicians should regard the amateur female tennis player as a separate entity from the highly skilled player. J Orthop Sports Phys Ther 2004;34:402-409.

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Hip and shoulder internal rotation range of motion deficits in professional tennis players

Cited by 122 publications

References 9 publications

Joint contracture following prolonged stay in the intensive care unit

Joint contracture following prolonged stay in the intensive care unit

A Comparative Study of Passive Shoulder Rotation Range of Motion, Isometric Rotation Strength and Serve Speed Between Elite Tennis Players With and Without History of Shoulder Pain

Shoulder Strength and Range of Motion in Female Amateur-League Tennis Players

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