Shoulder acromioclavicular (AC) separation glenohumeral dislocation Elbow olecrannon bursitis
RISK FACTORS FOR SHOULDER INJURIES IN OVERHEAD ATHLETES. · rotators in an eccentric way to avoid...
1
RISK FACTORS FOR SHOULDER INJURIES IN OVERHEAD ATHLETES. Alonso F.J. and O´Mahony O. European School of Physiotherapy. Amsterdam University of Applied Sciences | Hogeschool van Amsterdam Tafelbergweg 51. 1105 BD Amsterdam, The Netherlands. Submitted 13 th May 2016 Acknowledgements: Our sincere gratitude to our coach Mel Major for her valuable time, and to our client Vinicius Santos for the opportunity to embark this project. Results:Of the 418 potentially relevant studies, 2 high-quality and 5 moderate-quality studies were included in this review. Results predisposing to shoulder injury, from at least 2 moderate-quality level studies or 1 high-quality level study, were: history of injury OR=8,3 (95%CI (1.3 to 51.4) p=0.02) and OR=9,286 (p=0.006); external rotation deficit OR=2.2 95%CI (1.2-4.1); shoulder muscle imbalance RR=2.57 95 %Cl (1.6–3.5) and OR=21 95%CI (1,5-293,3) whereas shoulder internal rotators strength OR=0.946, P=0,01, shoulder external rotators strength OR 0.940 P= 0.05 and OR=0.71 95%CI (0.44-0.99) and being male in volleyball players (OR= 0.161, p=0.04) were negatively linked to shoulder injury. Background: Shoulder injuries are common in overhead athletes. Identification of potential risk factors is essential in developing preventive strategies. After the lack of consensus in recent years, a few risk factors have been postulated by several authors predisposing to shoulder injuries. However, these ones have yet to be critically evaluated. Method: A search was conducted across several databases and academic search engines including PubMed, ScienceDirect, EBSCO group and Cochrane. Prospective cohort studies with a follow-up longer than half season or 6 months, that included adult overhead athletes and examined at least 1 possible risk factor for shoulder injuries were included. Two assessment lists, CASP and NIH were applied to evaluate the quality of the studies. Objectives: To identify and to examine the evidence for shoulder injury risk factors in overhead athletes. Conclusion: Strengthening rotator cuff muscles, with special attention to external rotators in an eccentric way to avoid shoulder muscle imbalance, and maintaining a good glenohumeral total range of motion, particularly avoiding an external rotation deficit, should be incorporated to the overhead athlete`s trainings to reduce the risk of shoulder injury. Prevention Program Developed based on the result of our systematic review for our client Vinicius Santos. Contact: [email protected] [email protected] Identified Risk Factors Strengthening of Rotator Cuff Maintaining GH-ROM Scapular Stabilization and Functional exercises Shoulder Assessment and Monitoring form Potential Risk Factors Investigated Methodological Quality CASP/NIH Shoulder Injury Incidence Rate per Sport Search Strategy Number of participants per sport
Transcript of RISK FACTORS FOR SHOULDER INJURIES IN OVERHEAD ATHLETES. · rotators in an eccentric way to avoid...
RISK FACTORS FOR SHOULDER INJURIES IN OVERHEAD ATHLETES. Alonso F.J. and O´Mahony O.
European School of Physiotherapy. Amsterdam University of Applied Sciences | Hogeschool van Amsterdam
Tafelbergweg 51. 1105 BD Amsterdam, The Netherlands. Submitted 13th May 2016
Acknowledgements: Our sincere gratitude to our
coach Mel Major for her valuable time, and to our client
Vinicius Santos for the opportunity to embark this project.
Results:Of the 418 potentially relevant
studies, 2 high-quality and 5 moderate-quality
studies were included in this review. Results
predisposing to shoulder injury, from at least 2
moderate-quality level studies or 1 high-quality
level study, were: history of injury OR=8,3
(95%CI (1.3 to 51.4) p=0.02) and OR=9,286
(p=0.006); external rotation deficit OR=2.2
95%CI (1.2-4.1); shoulder muscle imbalance
RR=2.57 95 %Cl (1.6–3.5) and OR=21 95%CI
(1,5-293,3) whereas shoulder internal rotators
strength OR=0.946, P=0,01, shoulder external
rotators strength OR 0.940 P= 0.05 and OR=0.71
95%CI (0.44-0.99) and being male in volleyball
players (OR= 0.161, p=0.04) were negatively
linked to shoulder injury.
Background: Shoulder injuries are common
in overhead athletes. Identification of potential
risk factors is essential in developing preventive
strategies. After the lack of consensus in recent
years, a few risk factors have been postulated by
several authors predisposing to shoulder injuries.
However, these ones have yet to be critically
evaluated.
Method: A search was conducted across
several databases and academic search engines
including PubMed, ScienceDirect, EBSCO group
and Cochrane. Prospective cohort studies with a
follow-up longer than half season or 6 months,
that included adult overhead athletes and
examined at least 1 possible risk factor for
shoulder injuries were included. Two assessment
lists, CASP and NIH were applied to evaluate the
quality of the studies.
Objectives: To identify and to examine the
evidence for shoulder injury risk factors in
overhead athletes.
Conclusion: Strengthening rotator cuff
muscles, with special attention to external
rotators in an eccentric way to avoid shoulder
muscle imbalance, and maintaining a good
glenohumeral total range of motion, particularly
avoiding an external rotation deficit, should be
incorporated to the overhead athlete`s trainings
to reduce the risk of shoulder injury.
Prevention Program
Developed based on the result of our systematic review for our client
Vinicius Santos.
Contact:[email protected] [email protected]
Identified Risk Factors
Strengthening of Rotator Cuff
Maintaining GH-ROM
Scapular Stabilization and Functional exercises
Shoulder Assessment and Monitoring form
Potential Risk Factors Investigated
Methodological Quality CASP/NIH
Shoulder Injury Incidence Rate per Sport
Search Strategy
Number of participants per sport
