Glenohumeral range of motion in handball players with and without throwing-related shoulder pain

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• 作者：Gabriel Peixoto Le&atilde ; o Almeida ; PT^a ; ^b ; ^{gabriel_alm@hotmail.com} ; Paula Fiquetti Silveira ; PT^a ; Nathá ; lia Polisello Rosseto ; PT^a ; Gisele Barbosa ; PT^a ; Benno Ejnisman ; MD ; PhD^a ; Moisé ; s Cohen ; MD ; PhD^a
• 关键词：Level III ; Transversal Study ; Case-Control Study
• 刊名：Journal of Shoulder and Elbow Surgery
• 出版年：2013
• 出版时间：May, 2013
• 年：2013
• 卷：22
• 期：5
• 页码：602-607
• 全文大小：285 K

文摘

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Background

Overhead athletes are subject to adaptations in the shoulder including glenohumeral internal rotation deficit (GIRD). It has been documented that this alteration is more evident in overhead athletes with pain. Our objective was to compare glenohumeral rotation motion between symptomatic and asymptomatic handball players.

Materials and methods

Glenohumeral rotation range of motion, GIRD, external rotation gain (ERG), and total rotation motion were determined with a standard goniometer in 30 handball players with pain and 27 without pain. Differences between the throwing and non-throwing shoulder were determined in each group.

Results

Handball players with pain had significantly greater GIRD (P = .002), ERG (P = .027), and?external rotation in the throwing arm (P = .042) and lesser internal rotation in the throwing arm (P = .029) in comparison to the athletes without pain. Comparisons between limbs exhibited a significant difference in the 2 groups regarding internal and external rotation (P < .02), but differences within the group with pain were greater. Differences were not found in the total rotation motion between the 2?groups.

Conclusion

Handball players showed specific adaptations in the throwing shoulder; in particular, handball players with pain have greater GIRD, ERG, and external rotation and lesser internal rotation of the throwing shoulder.