Rehabilitation of the pitching shoulder

Pappas, Arthur M.; Zawacki, Richard M.; McCarthy, Claire

doi:10.1177/036354658501300403

Cited by 184 publications

(95 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We also observed changes in the posteroinferior capsule, as described by other authors 13 , [30][31][32] , leading to posterior shoulder tightness, as first hypothesised by Papas et al 4 . The overhead throwing motion leads to overstress in the posterior-inferior structures of the shoulder that cause repetitive microtraumas and, consequently tightness of the posterior-inferior portion of the capsule and rotator cuff muscles, generating GIRD 7,30 .…”

Section: Discussionsupporting

confidence: 88%

“…The most common injuries among tennis players are SLAP (superior labrum anterior to posterior), multidirectional instabilities and posterior shoulder tightness 3 . Posterior shoulder tightness, described for the first time by Papas et al 4 , causes a reduction in internal shoulder rotation and increases external shoulder rotation 5,6 . Because of these characteristics, some adaptations in scapula biomechanics occur that favour biomechanical problems that cause injuries in the overhead throwing shoulder.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Posterior shoulder tightness and rotator cuff strength assessments in painful shoulders of amateur tennis players

Marcondes¹,

Jesus²,

Bryk³

et al. 2013

Braz. J. Phys. Ther.

View full text Add to dashboard Cite

| Background: Previous studies have shown a relationship between shoulder posterior capsule tightness and shoulder pain in overhead athletes. However, this relationship has not been studied in tennis players. Objectives: Assessment of the shoulder range of motion (ROM), strength and posterior capsule tightness of skilled amateur tennis players who had complaints of dominant shoulder pain in comparison with tennis players without pain. Method: Fortynine skilled amateur tennis players were distributed in 2 groups: Control Group (n=22) and Painful Group (n=27). The first group was composed of asymptomatic subjects, and the second was composed of subjects with shoulder pain on the dominant side. These groups were evaluated to determine the dominant and non-dominant shoulder ROM (internal and external rotation), isometric shoulder strength (internal and external rotation) and posterior shoulder tightness by blind evaluators. Results: The ANOVA results indicated significant differences between the groups in the dominant shoulder ROM, posterior capsule tightness, external rotation strength and strength ratio (p<0.05). The intragroup analysis (dominant versus non-dominant) in the Painful Group displayed a significant difference for ROM, posterior capsule tightness and external rotation strength (p<0.05). Conclusions: The tennis players with pain in the dominant shoulder presented greater posterior capsule tightness, internal rotation deficit (ROM), external rotation gain (ROM) and deficits in external rotation strength than the tennis players without pain.Keywords:physical therapy; rehabilitation; tennis; rotator cuff; Shoulder Impingement Syndrome. HOW TO CITE THIS ARTICLEMarcondes FB, Jesus JF, Bryk FF, Vasconcelos RA, Fukuda TY. Posterior shoulder tightness and rotator cuff strength assessments in painful shoulders of amateur tennis players. Braz J Phys Ther.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Posterior shoulder tightness and rotator cuff strength assessments in painful shoulders of amateur tennis players

Marcondes¹,

Jesus²,

Bryk³

et al. 2013

Braz. J. Phys. Ther.

View full text Add to dashboard Cite

show abstract

“…But it does place tremendous stress on the shoulder in the extreme of horizontal abduction and extension (20). Further repetitive stresses of the stance of archer may create recurrent shoulder instability (11,14,15,21).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Shoulder Pain in Competitive Archery

Grover

Sinha

2017

Asian J Sports Med

View full text Add to dashboard Cite

show abstract

“…17,19 Due to limited scientific data from which to design exercise programs, these programs often vary widely. 16,17,19,30,31 Although previous investigations have provided important contributions, they are often constrained by static analysis, 25,27 2-D analysis, 25,26 varied patient diagnoses, 24,25 a lack of control for exposure to overhead activity between subjects with and without symptoms of impingement, 24 -28 small sample sizes, 22,25,26,28 or other methodologic limitations. [22][23][24]28 The purpose of our study was to provide a 3-D analysis of both glenohumeral and scapulothoracic kinematics and associated scapulothoracic muscle activity in subjects with symptoms of shoulder impingement relative to subjects without shoulder impairment who were matched for occupational exposure to overhead work.…”

mentioning

confidence: 99%

Alterations in Shoulder Kinematics and Associated Muscle Activity in People With Symptoms of Shoulder Impingement

2000

View full text Add to dashboard Cite

Background and Purpose. Treatment of patients with impingement symptoms commonly includes exercises intended to restore "normal" movement patterns. Evidence that indicates the existence of abnormal patterns in people with shoulder pain is limited. The purpose of this investigation was to analyze glenohumeral and scapulothoracic kinematics and associated scapulothoracic muscle activity in a group of subjects with symptoms of shoulder impingement relative to a group of subjects without symptoms of shoulder impingement matched for occupational exposure to overhead work. Subjects. Fifty-two subjects were recruited from a population of construction workers with routine exposure to overhead work. Methods. Surface electromyographic data were collected from the upper and lower parts of the trapezius muscle and from the serratus anterior muscle. Electromagnetic sensors simultaneously tracked 3-dimensional motion of the trunk, scapula, and humerus during humeral elevation in the scapular plane in 3 handheld load conditions: (1) no load, (2) 2.3-kg load, and (3) 4.6-kg load. An analysis of variance model was used to test for group and load effects for 3 phases of motion (31°-60°, 61°-90°, and 91°-120°). Results. Relative to the group without impingement, the group with impingement showed decreased scapular upward rotation at the end of the first of the 3 phases of interest, increased anterior tipping at the end of the third phase of interest, and increased scapular medial rotation under the load conditions. At the same time, upper and lower trapezius muscle electromyographic activity increased in the group with impingement as compared with the group without impingement in the final 2 phases, although the upper trapezius muscle changes were apparent only during the 4.6-kg load condition. The serratus anterior muscle demonstrated decreased activity in the group with impingement across all loads and phases. Conclusion and Discussion. Scapular tipping (rotation about a medial to lateral axis) and serratus anterior muscle function are important to consider in the rehabilitation of patients with symptoms of shoulder impingement related to occupational exposure to overhead work. [Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80:276 -291.]

show abstract

Rehabilitation of the pitching shoulder

Cited by 184 publications

References 9 publications

Posterior shoulder tightness and rotator cuff strength assessments in painful shoulders of amateur tennis players

Posterior shoulder tightness and rotator cuff strength assessments in painful shoulders of amateur tennis players

Prevalence of Shoulder Pain in Competitive Archery

Alterations in Shoulder Kinematics and Associated Muscle Activity in People With Symptoms of Shoulder Impingement

Contact Info

Product

Resources

About