Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study

# Background Studies have grouped different overhead sports and evaluated together the isokinetic strength of shoulder internal (IR) and external (ER) rotator muscles. However, muscular adaptations could be a consequence of the specific sport, and some strength imbalance between these muscles may e...

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Main Authors: Valentine Zimermann Vargas, Caroline Motta, Rodrigo Luiz Vancini, Claudio Andre Barbosa de Lira, Marilia Santos Andrade
Format: Article
Language:English
Published: North American Sports Medicine Institute 2021-06-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.22162
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author Valentine Zimermann Vargas
Caroline Motta
Rodrigo Luiz Vancini
Claudio Andre Barbosa de Lira
Marilia Santos Andrade
author_facet Valentine Zimermann Vargas
Caroline Motta
Rodrigo Luiz Vancini
Claudio Andre Barbosa de Lira
Marilia Santos Andrade
author_sort Valentine Zimermann Vargas
collection DOAJ
description # Background Studies have grouped different overhead sports and evaluated together the isokinetic strength of shoulder internal (IR) and external (ER) rotator muscles. However, muscular adaptations could be a consequence of the specific sport, and some strength imbalance between these muscles may exist as a consequence of the muscular demand unique to the sport. Therefore, grouping different overhead sports together may not be adequate. # Purpose To compare strength balance ratios between different overhead sports (volleyball, handball, swimming, judo, baseball, softball, functional movements performed at high-intensity interval training, and tennis) with a control athletic group (no overhead group). # Study design Cross-sectional study. # Methods A total of 237 athletes were submitted to isokinetic shoulder strength tests. The isokinetic concentric and eccentric peak torque values of shoulder internal IR and external ER rotator muscles were measured. Conventional (CR) and functional strength ratios (FR) were calculated. # Results There were no significant differences between the sports for the CR in the male group. Female softball athletes (90.4±13.6%) had a significantly higher CR than judo (67.3±6.9%), volleyball (74.9±15.9%), and swimming athletes (70.3±8.7%). In the female group, judo athletes had lower FR values (0.76±0.19) than soccer athletes (1.31±0.35), volleyball athletes (1.24±0.27), functional movements performed at high intensity (1.10±0.1), and softball athletes (1.40±0.39). Female handball athletes also had a lower FR (0.99±0.25) than soccer athletes (1.31±0.35) and softball athletes (1.40±0.39). Male handball (0.90±0.23), tennis (0.86±0.30), and judo (0.68±0.22) athletes had lower FR values than soccer athletes (1.20±0.21) and volleyball athletes (1.25±0.28). # Conclusions CR for males may be analyzed together, as there were no significant differences between them. However, for females, the CR for softball athletes should be analyzed individually. As there were several differences between the overhead sports according to the FRs, the authors suggest caution in grouping overhead athletes across multiple sports. These results could have important implications for the design of injury prevention and rehabilitation programs associated with the shoulder joint in overhead sports. # Level of Evidence 3
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series International Journal of Sports Physical Therapy
spelling doaj-art-d35fbbb23c244c269a79174944a7ab892025-02-11T20:28:11ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-06-01163Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional StudyValentine Zimermann VargasCaroline MottaRodrigo Luiz VanciniClaudio Andre Barbosa de LiraMarilia Santos Andrade# Background Studies have grouped different overhead sports and evaluated together the isokinetic strength of shoulder internal (IR) and external (ER) rotator muscles. However, muscular adaptations could be a consequence of the specific sport, and some strength imbalance between these muscles may exist as a consequence of the muscular demand unique to the sport. Therefore, grouping different overhead sports together may not be adequate. # Purpose To compare strength balance ratios between different overhead sports (volleyball, handball, swimming, judo, baseball, softball, functional movements performed at high-intensity interval training, and tennis) with a control athletic group (no overhead group). # Study design Cross-sectional study. # Methods A total of 237 athletes were submitted to isokinetic shoulder strength tests. The isokinetic concentric and eccentric peak torque values of shoulder internal IR and external ER rotator muscles were measured. Conventional (CR) and functional strength ratios (FR) were calculated. # Results There were no significant differences between the sports for the CR in the male group. Female softball athletes (90.4±13.6%) had a significantly higher CR than judo (67.3±6.9%), volleyball (74.9±15.9%), and swimming athletes (70.3±8.7%). In the female group, judo athletes had lower FR values (0.76±0.19) than soccer athletes (1.31±0.35), volleyball athletes (1.24±0.27), functional movements performed at high intensity (1.10±0.1), and softball athletes (1.40±0.39). Female handball athletes also had a lower FR (0.99±0.25) than soccer athletes (1.31±0.35) and softball athletes (1.40±0.39). Male handball (0.90±0.23), tennis (0.86±0.30), and judo (0.68±0.22) athletes had lower FR values than soccer athletes (1.20±0.21) and volleyball athletes (1.25±0.28). # Conclusions CR for males may be analyzed together, as there were no significant differences between them. However, for females, the CR for softball athletes should be analyzed individually. As there were several differences between the overhead sports according to the FRs, the authors suggest caution in grouping overhead athletes across multiple sports. These results could have important implications for the design of injury prevention and rehabilitation programs associated with the shoulder joint in overhead sports. # Level of Evidence 3https://doi.org/10.26603/001c.22162
spellingShingle Valentine Zimermann Vargas
Caroline Motta
Rodrigo Luiz Vancini
Claudio Andre Barbosa de Lira
Marilia Santos Andrade
Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study
International Journal of Sports Physical Therapy
title Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study
title_full Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study
title_fullStr Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study
title_full_unstemmed Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study
title_short Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study
title_sort shoulder isokinetic strength balance ratio in overhead athletes a cross sectional study
url https://doi.org/10.26603/001c.22162
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