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Comparison of Shoulder Neuromuscular Control in Overhead Athletes with and without Shoulder Hypermobility

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PURPOSE: A wider range of motion of shoulder joint is necessary for explosive throwing performance and the increase of the range ofmotion by repetitive throwing is inevitable. The wide range of motion is related with the instability of the joint. Neuromuscular controlplays an essential role in stabilizing the joint. However, when the joint becomes hypermobile, how neuromuscular control was affectedwas not clear. The purpose of this study was to compare shoulder neuromuscular control of overhead shoulder athletes and identify theinfluence of hypermobility on it. METHODS: Total 24 subjects (hypermobility group (HMG); 12 athletes, normal range group (CON); 12 athletes) were recruited in thisresearch. To assess shoulder neuromuscular functions, joint position sense (JPS), the threshold of detection to passive motion (TTDPM),and force reproduction (FR) were measured. RESULTS: In active JPS at HMG was greater than CON at the 90% target angle, (p<.05). In passive JPS, HMG showed lower JPScompared to CON at the 50% target angle (p<.05). In FR, HMG was lower than CON in internal rotation (p<.05). In relationship test,hypermobility was negatively correlated with active JPS (p<.05). CONCLUSIONS: It was found that the hypermobile shoulder has greater neuromuscular control compared normal range shoulder tocompensate for the hypermobility and active sub-system plays a crucial role in the neuromuscular control of the shoulder joint. Thus, itis recommended that neuromuscular training should be considered in training program for overhead athletes with hypermobile shoulder.

Abstract

PURPOSE: A wider range of motion of shoulder joint is necessary for explosive throwing performance and the increase of the range ofmotion by repetitive throwing is inevitable. The wide range of motion is related with the instability of the joint. Neuromuscular controlplays an essential role in stabilizing the joint. However, when the joint becomes hypermobile, how neuromuscular control was affectedwas not clear. The purpose of this study was to compare shoulder neuromuscular control of overhead shoulder athletes and identify theinfluence of hypermobility on it. METHODS: Total 24 subjects (hypermobility group (HMG); 12 athletes, normal range group (CON); 12 athletes) were recruited in thisresearch. To assess shoulder neuromuscular functions, joint position sense (JPS), the threshold of detection to passive motion (TTDPM),and force reproduction (FR) were measured. RESULTS: In active JPS at HMG was greater than CON at the 90% target angle, (p<.05). In passive JPS, HMG showed lower JPScompared to CON at the 50% target angle (p<.05). In FR, HMG was lower than CON in internal rotation (p<.05). In relationship test,hypermobility was negatively correlated with active JPS (p<.05). CONCLUSIONS: It was found that the hypermobile shoulder has greater neuromuscular control compared normal range shoulder tocompensate for the hypermobility and active sub-system plays a crucial role in the neuromuscular control of the shoulder joint. Thus, itis recommended that neuromuscular training should be considered in training program for overhead athletes with hypermobile shoulder.

참고문헌 (41)

  1. van den Tillaar R, "Influence of instruction on velocity and accuracy of overarm throwing", Percept Mot Skills, 96(2), pp.423~434 (2003)
  2. Wassinger CA, "Proprioception and throwing accuracy in the dominant shoulder after cryotherapy", J Athl Train, 42(1), pp.84~89 (2007)
  3. Cameron KL, "Association of generalized joint hypermobility with a history of glenohumeral joint instability", J Athl Train, 45(3), pp.253~258 (2010)
  4. Harryman DT II, "Translation of the humeral head on the glenoid with passive glenohumeral motion", J Bone Joint Surg Am, 72(9), pp.1334~1343 (1990)
  5. Andrade MS, "Effect of fatigue caused by a simulated handball game on ball throwing velocity, shoulder muscle strength and balance ratio : a prospective study", BMC Sports Sci Med Rehabil, 8, pp.13~ (2016)
  6. Dale RB, "The effects of repetitive overhead throwing on shoulder rotator isokinetic work-fatigue", N Am J Sports Phys Ther, 29(2), pp.74~80 (2007)
  7. Hess SA, "Functional stability of the glenohumeral joint", Man Ther, 5(2), pp.63~71 (2000)
  8. Panjabi M, "The Stabilizing system of the spine. Part 1. Function, dysfunction, adaption and enhancement", J Spinal Disord, 5(4), pp.383~389 (1992)
  9. Lephart SM, "The role of proprioception in the management and rehabilitation of athletic injuries", Am J Sports Med, 25(1), pp.130~137 (1997)
  10. Rajaratnam BS, "Control strategies to re-establish glenohumeral stability after shoulder injury", BMC Sports Sci Med Rehabil, 5(1), pp.26~ (2013)
  11. Wilkin LD, "Isokinetic strength of collegiate baseball pitchers during a season", J Strength Cond Res, 20(4), pp.829~832 (2006)
  12. Myers JB, "The role of the sensorimotor system in the athletic shoulder", J Athl Train, 35(3), pp.351~363 (2000)
  13. Ellenbecker TS, "Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers", Med Sci Sports Exerc, 34(12), pp.2052~2056 (2002)
  14. Borsa PA, "Mobility and stability adaptations in the shoulder of the overhead athlete : a theoretical and evidencebased perspective", Sports Med, 38(1), pp.17~36 (2008)
  15. Wilk KE, "Current concepts in the rehabilitation of the overhead throwing athlete", Am J Sports Med, 30(1), pp.136~151 (2002)
  16. Swanik KA, "The effects of shoulder plyometric training on proprioception and selected muscle performance characteristics", J Shoulder Elbow Surg, 11(6), pp.579~586 (2002)
  17. Norkin CC, "Measurement of joint motion: a guide to goniometry" (2016), FA Davis
  18. Dover G, "Reliability of joint position sense and force-reproduction measures during internal and external rotation of the shoulder", J Athl Train, 38(4), pp.304~310 (2003)
  19. Myers JB, "Proprioception and neuromuscular control of the shoulder after muscle fatigue", J Athl Train, 34(4), pp.362~367 (1999)
  20. Riemann BL, "Sensorimotor system measurement techniques", J Athl Train, 37(1), pp.85~98 (2002)
  21. Benjaminse A, "Reliability and precision of hip proprioception methods in healthy individuals", Clin J of Sport Med, 19(6), pp.457~463 (2009)
  22. Deshpande N, "Reliability and validity of ankle proprioceptive measures", Arch Phys Med Rehabil, 84(6), pp.883~889 (2003)
  23. Maenhout AG, "The impact of rotator cuff tendinopathy on proprioception, measuring force sensation", J Sh-oulder Elbow Surg, 21(8), pp.1080~1086 (2012)
  24. Borsa PA, "Glenohumeral range of motion and stiffness in professional baseball pitchers", Med Sci Sports Exerc, 38(1), pp.21~26 (2006)
  25. Cools AM, "Evidence-based rehabilitation of athletes with glenohumeral instability", Knee Surg Sports Traumatol Arthrosc, 24(2), pp.382~389 (2016)
  26. Wuelker N, "Dynamic glenohumeral joint stability", J Shoulder Elbow Surg, 7(1), pp.43~52 (1998)
  27. Folland JP, "Human capacity for explosive force production : neural and contractile determinants", Scand J Med Sci Sports, 24(6), pp.894~906 (2014)
  28. Jensen BR, "Alterations in neuromuscular function in girls with generalized joint hypermobility", BMC Musculoskelet Disord, 17(1), pp.410~ (2016)
  29. Gordon AM, "The variation in isometric tension with sarcomere length in vertebrate muscle fibres", J Physiol, 184(1), pp.170~192 (1966)
  30. Moraes MR, "The characteristics of the mechanoreceptors of the hip with arthrosis", J Orthop Surg. Res, 6, pp.58~ (2011)
  31. Coskun G, "Proprioceptive force-reproduction of the rotator cuff in healthy subjects before and after muscle fatigue", Isokinet Exerc Sci, 26(3), pp.1~7 (2018)
  32. Altchek DW, "T-plasty modification of the bankart procedure for multidirectional instability of the anterior and inferior types", J Bone Joint Surg Am, 73(1), pp.105~112 (1991)
  33. Dewing CB, "An analysis of capsular area in patients with anterior, posterior, and multidirectional shoulder instability", Am J Sports Med, 36(3), pp.515~522 (2008)
  34. Merolla G, "Multidirectional instability of the shoulder : biomechanics, clinical presentation, and treatment strategies", Eur J Orthop Surg Traumatol, 25(6), pp.975~985 (2015)
  35. Barden JM, "Dynamic upper limb proprioception in multidirectional shoulder instability", Clin Orthop Relat Res, 420, pp.181~189 (2004)
  36. Mallon WJ, "Multidirectional instability : current concepts", J Shoulder Elbow Surg, 4(1), pp.54~64 (1995)
  37. Guerrero P, "Congenital instability of the shoulder joint : assessment and treatment options", J Orthop Sports Phys Ther, 39(2), pp.124~134 (2009)
  38. Allison KF, "Force sense of the knee not affected by fatiguing the knee extensors and flexors", J Sport Rehabil, 25(2), pp.155~163 (2016)
  39. Janwantanakul P, "Variation in shoulder position sense at mid and extreme range of motion", Arch Phys Med Rehabil, 82(6), pp.840~844 (2001)
  40. Kaynak H, "Effect of force sense to active joint position sense and relationships between active joint position sense, force sense, jumping and muscle strength", J Mot Behav, 52(3), pp.342~351 (2020)
  41. Cafarelli E, "Sensation of static force in muscles of different length", Exp Neurol, 65(3), pp.511~525 (1979)

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