Effect of a 12-week Shoulder Stability Rehabilitation Program on the Range of Motion and Muscle Strength of Baseball Players with Shoulder Instability
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This study investigated the effect of a 12-week rehabilitation program on the range of motion (ROM) and muscle strength of high school baseball players with shoulder instability. We allocated 12 players with shoulder instability to the rehabilitation group and 13 players without shoulder instability to the normal exercise group. Covariate analysis (ANCOVA) was performed to assess the ROM of the internal (IR) and external (ER) rotational joints before and after participating in the 12 weeks of rehabilitation, and two-way ANOVA was performed to assess isokinetic muscle strength. The statistical significance level was set at p<.05. The IR ROM of the dominant (D) shoulder with instability and non-dominant (ND) shoulder was significantly increased before and after the rehabilitation program. The total ROM of the D shoulder with instability significantly increased after rehabilitation. IR isokinetic strength significantly improved at an angular velocity of 180°/s after rehabilitation. These results indicate that the rehabilitation program used in this study could be effective in improving ROM and muscle strength in patients with shoulder instability. However, due to the limited results, additional research on the premise of extending the rehabilitation period is necessary.
Abstract
This study investigated the effect of a 12-week rehabilitation program on the range of motion (ROM) and muscle strength of high school baseball players with shoulder instability. We allocated 12 players with shoulder instability to the rehabilitation group and 13 players without shoulder instability to the normal exercise group. Covariate analysis (ANCOVA) was performed to assess the ROM of the internal (IR) and external (ER) rotational joints before and after participating in the 12 weeks of rehabilitation, and two-way ANOVA was performed to assess isokinetic muscle strength. The statistical significance level was set at p<.05. The IR ROM of the dominant (D) shoulder with instability and non-dominant (ND) shoulder was significantly increased before and after the rehabilitation program. The total ROM of the D shoulder with instability significantly increased after rehabilitation. IR isokinetic strength significantly improved at an angular velocity of 180°/s after rehabilitation. These results indicate that the rehabilitation program used in this study could be effective in improving ROM and muscle strength in patients with shoulder instability. However, due to the limited results, additional research on the premise of extending the rehabilitation period is necessary.
참고문헌 (31)
- W. A. Wallace, "Sporting injuries to the shoulder", Journal of the Royal College of Surgeons of Edinburgh, 35(6), pp.S21~6 (1990)
- G. C. Terry, "Functional Anatomy of the Shoulder", Journal of Athletic Training, 35(3), pp.248~255 (2000)
- M. Callanan, "Shoulder instability. Diagnosis and management", Australian family physician, 30(7), pp.655~661 (2001)
- Caroline Witney-Lagen, "Diagnosis and management of shoulder instability", British Journal of Hospital Medicine, 80(3), pp.C34~C38 (2019), Mark Allen Group[DOI]
- A. J. Ramappa, "Shoulder disorders in the overhead athlete", Instructional course lectures, 56, pp.35~43 (2007)
- Kimberley Hayes, "Shoulder Instability: Management and Rehabilitation", Journal of Orthopaedic & Sports Physical Therapy, 32(10), pp.497~509 (2002), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Joseph B. Myers, "Glenohumeral Range of Motion Deficits and Posterior Shoulder Tightness in Throwers with Pathologic Internal Impingement", The American Journal of Sports Medicine, 34(3), pp.385~391 (2006), SAGE Publications[DOI]
- Paul A Borsa, "Mobility and Stability Adaptations in the Shoulder of the Overhead Athlete", Sports Medicine, 38(1), pp.17~36 (2008), Springer Science and Business Media LLC[DOI]
- Mark G. Grossman, "A Cadaveric Model of the Throwing Shoulder", The Journal of Bone & Joint Surgery, 87(4), pp.824~831 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Stephen S. Burkhart, "The disabled throwing shoulder: Spectrum of pathology part I: Pathoanatomy and biomechanics", Arthroscopy: The Journal of Arthroscopic & Related Surgery, 19(4), pp.404~420 (2003), Elsevier BV[DOI]
- H.E.J. Veeger, "Shoulder function: The perfect compromise between mobility and stability", Journal of Biomechanics, 40(10), pp.2119~2129 (2007), Elsevier BV[DOI]
- G. Baltaci, "Shoulder range of motion characteristics in collegiate baseball players", The Journal of sports medicine and physical fitness, 41(2), pp.236~242 (2001)
- F. T. Dodds, "Shoulder Strength and Range of Motion Between Collegiate Pitchers and Position Players in Baseball", International journal of exercise science, 13(6), pp.123~130 (2020)
- Kevin E. Wilk, "Current Concepts in the Rehabilitation of the Overhead Throwing Athlete", The American Journal of Sports Medicine, 30(1), pp.136~151 (2002), SAGE Publications[DOI]
- PAUL A. BORSA1, "Glenohumeral Range of Motion and Stiffness in Professional Baseball Pitchers", Medicine & Science in Sports & Exercise, 38(1), pp.21~26 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
- F. A. Matsen, "Mechanics of glenohumeral instability", Clinics in Sports Medicine, 10, pp.783~788 (1991)
- H. S. Tullos, "Throwing mechanism in sports", The Orthopedic clinics of North America, 4, pp.709~720 (1973)
- P. W. McClure, "Treatment of limited shoulder motion using an elevation splint", Physical therapy, 72(1), pp.57~62 (1992)
- Paul F. Lachiewicz, "The Role of Continuous Passive Motion After Total Knee Arthroplasty", Clinical Orthopaedics and Related Research, 380, pp.144~150 (2000), Ovid Technologies (Wolters Kluwer Health)[DOI]
- K. E. Wilk, "Rehabilitation following elbow surgery in the throwing athlete", Operative Techniques in Sports Medicine, 4, pp.114~132 (1996)
- William N. Levine, "Shoulder adaptive changes in youth baseball players", Journal of Shoulder and Elbow Surgery, 15(5), pp.562~566 (2006), Elsevier BV[DOI]
- Heber C. Crockett, "Osseous Adaptation and Range of Motion at the Glenohumeral Joint in Professional Baseball Pitchers", The American Journal of Sports Medicine, 30(1), pp.20~26 (2002), SAGE Publications[DOI]
- Steve Scher, "Associations Among Hip and Shoulder Range of Motion and Shoulder Injury in Professional Baseball Players", Journal of Athletic Training, 45(2), pp.191~197 (2010), Journal of Athletic Training[DOI]
- John E. Kuhn, "Ligamentous Restraints to External Rotation of the Humerus in the Late-Cocking Phase of Throwing", The American Journal of Sports Medicine, 28(2), pp.200~205 (2000), SAGE Publications[DOI]
- Jordan E. Johnson, "Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis", Orthopaedic Journal of Sports Medicine, 6(5), pp.232596711877332~ (2018), SAGE Publications[DOI]
- B. G. Kim, "The Effect of Game Participation by a Professional Pitcher on Isokinetic and Isometric Muscle", Indian Journal of Science and Technology, 8(8), pp.1~10 (2015)
- T. S. Ellenbecker, "Concentric isokinetic shoulder internal and external rotation strength in professional baseball players", Journal of Orthopaedic and Sports Physical Therapy, 25(5), pp.323~328 (1997)[DOI]
- L. P. Brown, "Upper extremity range of motion and isokinetic strength of the internal and external shoulder rotators in major league baseball players", The American Journal of Sports Medicine, 16, pp.577~585 (1988)
- K. E. Wilk, "The strength characteristics of internal and external rotator muscle in professional baseball pitchers", The American Journal of Sports Medicine, 21(1), pp.61~66 (1993)
- K. E. Wilk, "Current concepts : The stabilizing structures of the glenohumeral joint", Journal of Orthopaedic and Sports Physical Therapy, 25(6), pp.364~379 (1997)
- Joseph B. Myers, "Sensorimotor contribution to shoulder stability: Effect of injury and rehabilitation", Manual Therapy, 11(3), pp.197~201 (2006), Elsevier BV[DOI]