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Submitted
July 28, 2020
Published
July 30, 2020
Copyright (c) 2020 International Journal of Allied Medical Sciences and Clinical Research
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An experimental study on scapulothoracic and glenohumeral kinematics following a rotator cuff fatigue protocol in tennis professionals
Corresponding Author(s) : Venkat Raj R
venkatraj.physio@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 1 No. 2 (2013): 2013 Volume 1- Issue -2
Abstract
Aim
This study aimed to find out the effect of rotator cuff fatigue on humeral head migration during dynamic shoulder external rotation activity (combination of flexion, abduction, external rotation) in tennis players.
Objectives
- The purpose for physiotherapist in sports performance enhancement assessment of shoulder kinematics provides a reliable tool for studying kinematics during arm elevation.
- To understand the importance of external rotation strengthening on clearing superior glenohumeral joint migration for tennis professionals.
Materials and Methods
A total of 20 men of tennis players without shoulder disorders were recruited in the study. The study was conducted in the Tamilnadu tennis association (TNTA) and Gandhi nagar tennis club (GNC adayar). Pre and post tests were performed.
Results
The data was analyzed using SPSS. The experimental group (who received external rotator fatigue protocol) showed significance with (p=0.001) value when compared with the control group. Also, the post-test mean value of the experimental group showed a significant improvement after the protocol.
Conclusion
External rotators stretching and strengthening protocol showed significant improvement in functional status of glenohumeral joint than conventional traditional coaching program alone on tennis professionals.
Keywords
Shoulder kinematics
Rotator cuff fatigue
Tennis professionals
Glenohumeral instability
1.
Raj R V, Thiyagarajan A. An experimental study on scapulothoracic and glenohumeral kinematics following a rotator cuff fatigue protocol in tennis professionals. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2020 Jul. 30 [cited 2025 Mar. 21];1(2):38-42. Available from: https://ijamscr.com/ijamscr/article/view/28
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References
-
[1] Levangie PK, Norkin CC. Joint Structure and Function: A Comprehensive Analysis. 3rd edition. Philadelphia, PA: FA Davis; 2001.
[2] Cohen RB, Williams GR, Ir. Impingement syndrome and rotator cuff disease as repetitive motion disorders. Clin Orthop Relat Res. 1998; 95-101.
[3] Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. I Am Acad Orthop Surg, 2003; 11: 142-151.
[4] Zakaria D, Robertson J, Koval J. Work-related cumulative trauma disorders of the upper extremity: navigating the epidemiologic literature. Am J Ind Med. 2002; 42: 258-269.
[5] Fuller JR, Fung J, Cote JN. Posture-movement changes following repetitive motion included shoulder muscle fatigue. J Electomyogr Kinesiol. 2009; 19: 1043-1052.
[6] 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.
[7] Ludewig PM, cook Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. I Orthop Sports Phys Ther. 1996; 24:57-65.
[8] McQuade KJ, Dawson I, smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther, 1998; 28: 74-80.
[9] McClure PW, Michener LA, Sennett BJ, Direct 3-dimentional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001; 10: 269-277.
[10] Ozaki J. Glenohumeral movements of the involuntary inferior and multidirectional instability. Clin Orthop Relat Res. 1989; 107-111.
[11] Paletta GA, Jr., Warner II. Shoulder kinematics with two-plane x-ray evaluation in patients with anterior instability or rotator cuff tearing. J Shoulder Elbow Surg. 1997;6: 516-527.
[12] Warner II, Micheli LI, Kennedy R. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moire topographic analysis. Clin Orthop Relat Res. 1992; 191-199.
[13] Ebaugh DD, McClure PW, Effects of shoulder muscle fatigue caused by repetitive overhead activities on scapulothoracic and glenohumeral kinematics. J Electromyogr Kinesiol. 2006; 16: 224-235.
[14] Tsai NT, McClure PW. Effects of muscle fatigue on 3-dimentional scapular kinematics. Arch Phys Med Rehabil. 2003; 84: 1000-1005.
[15] Stokdijk M, Eilers PH, Nagels J. External rotation in the glenohumeral joint during elevation of the arm. Clin Biomech (Bristol, Avon). 2003; 18: 296-302.
[16] Wuelker N, Korell M, Thren K.Dynamic glenohumeral joint stability. J Shoulder Elbow Surg. 1998; 7: 43-52.
[17] Perotto AO. Anatomical Guide for the Electromyographer: The limbs and trunk. 3rd ed. Springfield, IL: Charles C. Thomas; 1994.
[18] Yamaguchi K, Sher JS, Andersen WK, et al. Glenohumeral motion in patients with rotator cuff tears: a comparison of asymptomatic and symptomatic shoulders. J Shoulder Elbow Surg. 2000.
[19] Karduna AR, McClure PW, Dynamic measurements of three-dimensional scapular kinematics: a validation study. J Biomech Eng. 2001; 123: 184-190.
References
[1] Levangie PK, Norkin CC. Joint Structure and Function: A Comprehensive Analysis. 3rd edition. Philadelphia, PA: FA Davis; 2001.
[2] Cohen RB, Williams GR, Ir. Impingement syndrome and rotator cuff disease as repetitive motion disorders. Clin Orthop Relat Res. 1998; 95-101.
[3] Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. I Am Acad Orthop Surg, 2003; 11: 142-151.
[4] Zakaria D, Robertson J, Koval J. Work-related cumulative trauma disorders of the upper extremity: navigating the epidemiologic literature. Am J Ind Med. 2002; 42: 258-269.
[5] Fuller JR, Fung J, Cote JN. Posture-movement changes following repetitive motion included shoulder muscle fatigue. J Electomyogr Kinesiol. 2009; 19: 1043-1052.
[6] 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.
[7] Ludewig PM, cook Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. I Orthop Sports Phys Ther. 1996; 24:57-65.
[8] McQuade KJ, Dawson I, smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther, 1998; 28: 74-80.
[9] McClure PW, Michener LA, Sennett BJ, Direct 3-dimentional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001; 10: 269-277.
[10] Ozaki J. Glenohumeral movements of the involuntary inferior and multidirectional instability. Clin Orthop Relat Res. 1989; 107-111.
[11] Paletta GA, Jr., Warner II. Shoulder kinematics with two-plane x-ray evaluation in patients with anterior instability or rotator cuff tearing. J Shoulder Elbow Surg. 1997;6: 516-527.
[12] Warner II, Micheli LI, Kennedy R. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moire topographic analysis. Clin Orthop Relat Res. 1992; 191-199.
[13] Ebaugh DD, McClure PW, Effects of shoulder muscle fatigue caused by repetitive overhead activities on scapulothoracic and glenohumeral kinematics. J Electromyogr Kinesiol. 2006; 16: 224-235.
[14] Tsai NT, McClure PW. Effects of muscle fatigue on 3-dimentional scapular kinematics. Arch Phys Med Rehabil. 2003; 84: 1000-1005.
[15] Stokdijk M, Eilers PH, Nagels J. External rotation in the glenohumeral joint during elevation of the arm. Clin Biomech (Bristol, Avon). 2003; 18: 296-302.
[16] Wuelker N, Korell M, Thren K.Dynamic glenohumeral joint stability. J Shoulder Elbow Surg. 1998; 7: 43-52.
[17] Perotto AO. Anatomical Guide for the Electromyographer: The limbs and trunk. 3rd ed. Springfield, IL: Charles C. Thomas; 1994.
[18] Yamaguchi K, Sher JS, Andersen WK, et al. Glenohumeral motion in patients with rotator cuff tears: a comparison of asymptomatic and symptomatic shoulders. J Shoulder Elbow Surg. 2000.
[19] Karduna AR, McClure PW, Dynamic measurements of three-dimensional scapular kinematics: a validation study. J Biomech Eng. 2001; 123: 184-190.
[2] Cohen RB, Williams GR, Ir. Impingement syndrome and rotator cuff disease as repetitive motion disorders. Clin Orthop Relat Res. 1998; 95-101.
[3] Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. I Am Acad Orthop Surg, 2003; 11: 142-151.
[4] Zakaria D, Robertson J, Koval J. Work-related cumulative trauma disorders of the upper extremity: navigating the epidemiologic literature. Am J Ind Med. 2002; 42: 258-269.
[5] Fuller JR, Fung J, Cote JN. Posture-movement changes following repetitive motion included shoulder muscle fatigue. J Electomyogr Kinesiol. 2009; 19: 1043-1052.
[6] 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.
[7] Ludewig PM, cook Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. I Orthop Sports Phys Ther. 1996; 24:57-65.
[8] McQuade KJ, Dawson I, smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther, 1998; 28: 74-80.
[9] McClure PW, Michener LA, Sennett BJ, Direct 3-dimentional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001; 10: 269-277.
[10] Ozaki J. Glenohumeral movements of the involuntary inferior and multidirectional instability. Clin Orthop Relat Res. 1989; 107-111.
[11] Paletta GA, Jr., Warner II. Shoulder kinematics with two-plane x-ray evaluation in patients with anterior instability or rotator cuff tearing. J Shoulder Elbow Surg. 1997;6: 516-527.
[12] Warner II, Micheli LI, Kennedy R. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moire topographic analysis. Clin Orthop Relat Res. 1992; 191-199.
[13] Ebaugh DD, McClure PW, Effects of shoulder muscle fatigue caused by repetitive overhead activities on scapulothoracic and glenohumeral kinematics. J Electromyogr Kinesiol. 2006; 16: 224-235.
[14] Tsai NT, McClure PW. Effects of muscle fatigue on 3-dimentional scapular kinematics. Arch Phys Med Rehabil. 2003; 84: 1000-1005.
[15] Stokdijk M, Eilers PH, Nagels J. External rotation in the glenohumeral joint during elevation of the arm. Clin Biomech (Bristol, Avon). 2003; 18: 296-302.
[16] Wuelker N, Korell M, Thren K.Dynamic glenohumeral joint stability. J Shoulder Elbow Surg. 1998; 7: 43-52.
[17] Perotto AO. Anatomical Guide for the Electromyographer: The limbs and trunk. 3rd ed. Springfield, IL: Charles C. Thomas; 1994.
[18] Yamaguchi K, Sher JS, Andersen WK, et al. Glenohumeral motion in patients with rotator cuff tears: a comparison of asymptomatic and symptomatic shoulders. J Shoulder Elbow Surg. 2000.
[19] Karduna AR, McClure PW, Dynamic measurements of three-dimensional scapular kinematics: a validation study. J Biomech Eng. 2001; 123: 184-190.