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

Keywords

Athletes; Rehabilitation; Rotator cuff; Shoulder

Abstract

Objective To evaluate the effect of scapular stabilization during horizontal adduction stretching (cross-body) on posterior shoulder tightness (PST) and passive internal rotation (IR). Design Randomized controlled trial with single blinding. Setting Athletic club. Participants Asymptomatic volleyball players who are women with glenohumeral internal rotation deficit (N=60). Interventions Subjects were randomly assigned to either horizontal adduction stretching with manual scapular stabilization (n=30) or horizontal adduction stretching without stabilization (n=30). Passive stretching was performed for 3- to 30-second holds in both groups. Main Outcome Measures Range of motion measurements of PST and IR were performed on the athlete's dominant shoulder prior to and immediately after the intervention. Results Baseline mean angular measurements of PST and IR for all athletes involved in the study were 62°±14° and 40°±10°, respectively, with no significant difference between groups (P=.598 and P=.734, respectively). Mean PST measurements were significantly different between groups after the horizontal adduction stretch, with a mean angle of 83°±17° among the scapular stabilization group and 65°±13° among the nonstabilization group (P<.001). Measurements of IR were also significantly different between groups, with a mean angle of 51°±14° among the scapular stabilization group and 43°±9° among the nonstabilization group (P=.006). Conclusions Horizontal adduction stretches performed with scapular stabilization produced significantly greater improvements in IR and PST than horizontal adduction stretching without scapular stabilization.

Publication Date

2-1-2015

Publication Title

Archives of Physical Medicine and Rehabilitation

Volume

96

Issue

2

Number of Pages

349-356

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/j.apmr.2014.09.038

Socpus ID

84921435303 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84921435303

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