Journal of Research in Rehabilitation Sciences

The Effect of 8 Weeks of Rotator Cuff Muscle Specific Exercises on the Range of Motion, Strength, and Electrical Activity of Selected Shoulder Muscles in Man Volleyball Players with Glenohumeral Internal Rotation Deficit

Document Type : Original Articles

Authors

1 Department of Corrective Exercise and Sport Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran

2 Assistant Professor, Department of Corrective Exercise and Sport Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran

10.22122/jrrs.v13i6.3024

Abstract

Introduction: Disorder and injury in the shoulder joint have a high prevalence in overhead throwing athletes such as volleyball players. The glenohumeral internal rotation deficit is directly related to shoulder injuries. Therefore, the purpose of this study was to assess the effect of 8 weeks of rotator cuff muscle specific exercises on the range of motion, strength, and electrical activity of selected shoulder muscles in man volleyball players with shoulder internal rotation deficit.Materials and Methods: Thirty man athletes with glenohumeral internal rotation deficit participated in this study. After initial screening and identifying qualified athletes, the subjects were divided into equal groups of experimental and control. Specific rotator cuff exercises included stretching, strength, neuromuscular, and performance exercises. The range of motion was measured with goniometer, strength with isokinetic device, and electrical activity of the muscles with electromyographic device.Results: Specific exercises of rotator cuff muscles improved muscle strength in concentric and eccentric contractions (P < 0.001), decreased supraspinatus (P = 0.001), infraspinatus (P = 0.001), anterior deltoid (P = 0.005), and posterior deltoid (P = 0.004) muscle activity, and increased internal rotaion range of motion of shoulder joint (P < 0.001).Conclusion: According to positive influence of specific rotator cuff exercises on the range of motion, strength, and electrical activity of selected shoulder muscles, adding these programs to the volleyball rehabilitation therapy programs of athletes with an glenohumeral internal rotation deficit is recommended to improve the limitations of injury.

Keywords

  1. Sahebozamani M, Sharifian E, Daneshmandi H, Dehnavi H. Comparison between shoulder strength ratio and shoulder internal to external rotation range of motion in Zurkhaneh athletes and non-athletes subjects. J Res Rehabil Sci 2013; 9(1): 84-93. [In Persian].
  2. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: Spectrum of pathology Part I: Pathoanatomy and biomechanics. Arthroscopy 2003; 19(4): 404-20.
  3. Kibler WB, Sciascia A, Thomas SJ. Glenohumeral internal rotation deficit: pathogenesis and response to acute throwing. Sports Med Arthrosc Rev 2012; 20(1): 34-8.
  4. Clarsen B, Bahr R, Andersson SH, Munk R, Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med 2014; 48(17): 1327-33.
  5. Lintner D, Mayol M, Uzodinma O, Jones R, Labossiere D. Glenohumeral internal rotation deficits in professional pitchers enrolled in an internal rotation stretching program. Am J Sports Med 2007; 35(4): 617-21.
  6. Almeida GP, Silveira PF, Rosseto NP, Barbosa G, Ejnisman B, Cohen M. Glenohumeral range of motion in handball players with and without throwing-related shoulder pain. J Shoulder Elbow Surg 2013; 22(5): 602-7.
  7. Guney H, Harput G, Colakoglu F, Baltaci G. Glenohumeral internal rotation deficit affects functional rotator strength ratio in adolescent overhead athletes. J Sport Rehabil 2015; 25(1): 5257.
  8. Cools AM, Witvrouw EE, Declercq GA, Danneels LA, Cambier DC. Scapular muscle recruitment patterns: Trapezius muscle latency with and without impingement symptoms. Am J Sports Med 2003; 31(4): 542-9.
  9. Cools AM, Johansson FR, Cagnie B, Cambier DC, Witvrouw EE. Stretching the posterior shoulder structures in subjects with internal rotation deficit: Comparison of two stretching techniques. Shoulder Elbow 2012; 4(1): 56-63.
  10. Laudner KG, Sipes RC, Wilson JT. The acute effects of sleeper stretches on shoulder range of motion. J Athl Train 2008; 43(4): 359-63.
  11. Oyama S, Goerger P, Goerger B, Lephart M, Myers J. Effects of non-assisted posterior shoulder stretches on shoulder range of motion among collegiate baseball pitchers. Athl Train Sports Health Care 2010. 2(4): 163-70.
  12. Cools AM, Cambier D, Witvrouw EE. Screening the athlete's shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. Br J Sports Med 2008; 42(8): 628-35.
  13. Tyler TF, Nicholas SJ, Lee SJ, Mullaney M, McHugh MP. Correction of posterior shoulder tightness is associated with symptom resolution in patients with internal impingement. Am J Sports Med 2010; 38(1): 114-9.
  14. Thomas SJ, Swanik CB, Higginson JS, Kaminski TW, Swanik KA, Bartolozzi AR, et al. A bilateral comparison of posterior capsule thickness and its correlation with glenohumeral range of motion and scapular upward rotation in collegiate baseball players. J Shoulder Elbow Surg 2011; 20(5): 708-16.
  15. Boettcher CE, Ginn KA, Cathers I. Standard maximum isometric voluntary contraction tests for normalizing shoulder muscle EMG. J Orthop Res 2008; 26(12): 1591-7.
  16. Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review. Br J Sports Med 2010; 44(5): 319-27.
  17. Rayegani SM, Salman Roghani R. Electrodiagnostic Medicine Consultation in Peripheral Nerve Disorders. Basic Principles of Peripheral Nerve Disorders. IntechOpen; 2012.
  18. Haddad Nejad M. Comparison of the effect of functional and palmometric stability exercises on some of the pulmonary tonsil electromyography indices in active women with trunk control defect (susceptible to anterior cruciate ligament injury) [PhD Thesis]. Tehran, Iran: University of Tehran; 2013. [In Persian].
  19. Forouhideh F, Naeimi S, Khademi Kalantari K, Rahimi A, Farhadi A. The short term effects of one-session of whole body vibration training on isokinetic strength of rotator cuff and shoulder proprioception in young healthy subjects. Sci J Kurdistan Univ Med Sci 2011; 15(4): 52-64. [In Persian].
  20. Salamh PA, Kolber MJ, Hanney WJ. Effect of scapular stabilization during horizontal adduction stretching on passive internal rotation and posterior shoulder tightness in young women volleyball athletes: a randomized controlled trial. Arch Phys Med Rehabil 2015; 96(2): 349-56.
  21. Lee J, Kim LN, Song H, Kim S, Woo S. The effect of glenohumeral internal rotation deficit on the isokinetic strength, pain, and quality of life in male high school baseball players. Ann Rehabil Med 2015; 39(2): 183-90.
  22. Kryger AI, Andersen JL. Resistance training in the oldest old: consequences for muscle strength, fiber types, fiber size, and MHC isoforms. Scand J Med Sci Sports 2007; 17(4): 422-30.
  23. Patten C, Dozono J, Schmidt S, Jue M, Lum P. Combined functional task practice and dynamic high intensity resistance training promotes recovery of upper-extremity motor function in post-stroke hemiparesis: a case study. J Neurol Phys Ther 2006; 30(3): 99-115.
  24. Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: A prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc 2007; 15(7): 915-21.
  25. Abdel-Aziem AA, Mohammad WS. Plantar-flexor static stretch training effect on eccentric and concentric peak torque - a comparative study of trained versus untrained subjects. J Hum Kinet 2012; 34: 49-58.
  26. Lin YL, Karduna A. Four-week exercise program does not change rotator cuff muscle activation and scapular kinematics in healthy subjects. J Orthop Res 2016; 34(12): 2079-88.
  27. de Oliveira FCL, Bouyer LJ, Ager AL, Roy JS. Electromyographic analysis of rotator cuff muscles in patients with rotator cuff tendinopathy: A systematic review. J Electromyogr Kinesiol 2017; 35: 100-14.
  28. Sangwan S, Green RA, Taylor NF. Stabilizing characteristics of rotator cuff muscles: a systematic review. Disabil Rehabil 2015; 37(12): 1033-43.
  29. Hall J, Oliver CD, Stone AJ. Comparison of active, passive, and proprioceptive neuromuscular facilitation stretching for improving glenohumeral internal rotation. Athl Train Sports Health Care 2012; 4(4): 181-8.
  30. Jurgel J, Rannama L, Gapeyeva H, Ereline J, Kolts I, Paasuke M. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas) 2005; 41(1): 30-8.
  31. Pai-Lian C, Ming-Miau T. The influence of posterior shoulder tightness on shoulder range of motion in pitchers with glenohumeral internal rotation deficit. Health Med Care Serv Rev 2017; 42(2): 172-3.
Journal of Research in Rehabilitation Sciences
Volume 13, Issue 6 - Serial Number 6
March 2018
Pages 350-58