The isokinetic rotator cuff strength ratios in overhead athletes: Assessment and exercise effect
| Autor: | Kelly Berckmans, Lien Matthijs, Louise Pieters, Birgit Castelein, Ann Cools, Annelies Maenhout |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Shoulder
medicine.medical_specialty Rotation genetic structures Isokinetic strength Physical Therapy Sports Therapy and Rehabilitation Overweight Concentric Rotator Cuff 03 medical and health sciences 0302 clinical medicine medicine Humans Eccentric Orthopedics and Sports Medicine Rotator cuff Muscle Strength 030212 general & internal medicine Overhead athletes Range of Motion Articular Randomized Controlled Trials as Topic Balance (ability) business.industry 030229 sport sciences General Medicine medicine.anatomical_structure Athletes Inclusion and exclusion criteria Physical therapy sense organs medicine.symptom business Sports |
| Zdroj: | Physical Therapy in Sport. 27:65-75 |
| ISSN: | 1466-853X |
| Popis: | Objective Muscle strength imbalance in the shoulder region can be considered as a predisposing factor in the development of movement dysfunctions, possibly leading to overuse injuries. Repetitive overhead throwing, performed in sports, may result in muscle imbalance between the external (ER) and internal (IR) rotators. Muscle strength measured with an isokinetic device, is reported as a concentric (CON) or eccentric (ECC) force. The balance between an agonist and an antagonist is mentioned as a ratio (CON/CON or ECC/CON). The aim of this systematic literature review is to provide an overview of the existing evidence considering the isokinetic muscle strength ratios of ER and IR of the shoulder in healthy overhead athletes. In addition, the effect of exercise programs on these ratios was investigated. Methods Two online databases (Web of Science and PubMed) were consulted using different search strategies. Articles were selected based on inclusion and exclusion criteria. All included articles were assessed on their methodological quality. Results and conclusions There is moderate evidence for a lower functional deceleration ratio (ECC ER/CON IR) at the dominant side. This lower ratio is due to a large overweight of CON IR strength on that side. There is no consensus about which exercise program is the most effective in altering the shoulder isokinetic strength ratios. |
| Databáze: | OpenAIRE |
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