@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(2):95-103
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(2):95-103
Comparison of Internal and External Rotator Muscles Strength in Dominant and Non-Dominant Organ and Their Relationship with Shoulder Pain of Wheelchair Basketball Players
ARTICLE INFO
Article Type
Original ResearchAuthors
Kazemi O. (*)Shojaedin S.S. (1)
Hadadnezhad M. (1)
(*) Corrective Movement & Sport Pathology Department, Physical Education & Sport Science Faculty, Kharazmi University, Tehran, Iran
(1) Corrective Movement & Sport Pathology Department, Physical Education & Sport Science Faculty, Kharazmi University, Tehran, Iran
Correspondence
Address: Physical Education & Sport Science Faculty, Enghelab Street, Mofatteh Street, Kharazmi University, Tehran, IranPhone: -
Fax: -
okazemi97@yahoo.com
Article History
Received: February 4, 2016Accepted: June 6, 2016
ePublished: June 18, 2016
ABSTRACT
Aims
The most widely used joint in the wheelchair basketball players is shoulder. The shoulder joint undergoes stressful situations during repetitive movements and overhead movements, resulting in pain. The aim of this study was to compare the strength of the rotating muscles of shoulder joint in the dominant and non-dominant organs, as well as to investigate their correlations with the pain level in the shoulders of male wheelchair basketball players.
Instrument & Methods In this descriptive correlational study with a relation survey, 50 male athletes of wheelchair basketball teams of Tehran and Alborz provinces, selected via purposeful non-random sampling method, were studied in 2014. MMT device was used to measure the strength of the rotating muscles in both zero degree and 45 degrees of shoulder abduction. Wheelchair users’ shoulder pain index (WUSPI) was used to measure the shoulder pain. Data was analyzed using paired-T test and Pearson correlation coefficient.
Findings There was a significant correlation between the strengths of the internal and external rotating muscles of dominant and non-dominant organs in zero and 45 degrees (p<0.05). There was a significant correlation between the strengths of rotating muscles of dominant and non-dominant organs in both degrees (p<0.05). In addition, there was a significant correlation between the strength of internal rotating muscles and pain in the dominant and non-dominant organs. Nevertheless, there was no significant correlation between the strength of external rotating muscles and pain in the dominant and non-dominant organs (p>0.05).
Conclusion In male wheelchair basketball players, there is a correlation between the strengths of rotating muscles of dominant and non-dominant organs, but the strength of rotating muscles in the dominant organs is higher than non-dominants. In addition, there is a correlation between the strength of internal rotating muscles and the shoulder pain.
Instrument & Methods In this descriptive correlational study with a relation survey, 50 male athletes of wheelchair basketball teams of Tehran and Alborz provinces, selected via purposeful non-random sampling method, were studied in 2014. MMT device was used to measure the strength of the rotating muscles in both zero degree and 45 degrees of shoulder abduction. Wheelchair users’ shoulder pain index (WUSPI) was used to measure the shoulder pain. Data was analyzed using paired-T test and Pearson correlation coefficient.
Findings There was a significant correlation between the strengths of the internal and external rotating muscles of dominant and non-dominant organs in zero and 45 degrees (p<0.05). There was a significant correlation between the strengths of rotating muscles of dominant and non-dominant organs in both degrees (p<0.05). In addition, there was a significant correlation between the strength of internal rotating muscles and pain in the dominant and non-dominant organs. Nevertheless, there was no significant correlation between the strength of external rotating muscles and pain in the dominant and non-dominant organs (p>0.05).
Conclusion In male wheelchair basketball players, there is a correlation between the strengths of rotating muscles of dominant and non-dominant organs, but the strength of rotating muscles in the dominant organs is higher than non-dominants. In addition, there is a correlation between the strength of internal rotating muscles and the shoulder pain.
CITATION LINKS
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[13]Erol Ö, Özçakar L, Çeliker R. Shoulder rotator strength in patients with stage I-II subacromial impingement: Relationship to pain, disability, and quality of life. J Shoulder Elbow Surg. 2008;17(6):893-7.
[14]Seminati E, Minetti AE. Overuse in volleyball training/practice: A review on shoulder and spine-related injuries. Eur J Sport Sci. 2013;13(6):732-43.
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[16]Sabick MB, Kotajarvi BR, An KN. A new method to quantify demand on the upper extremity during manual wheelchair propulsion. Arch Phys Med Rehabil. 2004;85(7):1151-9.
[17]Curtis KA, Black K. Shoulder pain in female wheelchair basketball players. J Orthop Sports Phys Ther. 1999;29(4):225-31.
[18]Gil-Agudo A, Del Ama-Espinosa A, Crespo-Ruiz B. Wheelchair basketball quantification. Phys Med Rehabil Clin N Am. 2010;21(1):141-56.
[19]Lafayette Instrument Company, Inc. THE Lafayette Manual Muscle Test System. 2003.
[20]Turner N, Ferguson K, Mobley BW, Riemann B, Davies G. Establishing normative data on scapulothoracic musculature using handheld dynamometry. J Sport Rehabil. 2009;18(4):502-20.
[21]Westrick RB, Duffey ML, Cameron KL, Gerber JP, Owens BD. Isometric shoulder strength reference values for physically active collegiate males and females. Sports Health. 2013;5(1):17-21.
[22]Riemann BL, Davies GJ, Ludwig L, Gardenhour H. Hand-held dynamometer testing of the internal and external rotator musculature based on selected positions to establish normative data and unilateral ratios. J Shoulder Elbow Surg. 2010;19(8):1175-83.
[23]Yildirim NU, Comert E, Ozengin N. Shoulder pain: A comparison of wheelchair basketball players with trunk control and without trunk control. J Back Musculoskelet Rehabil. 2010;23(2):55-61.
[24]Rahmani P, Shahrokhi H, Daneshmandi H. Study of prevalence and reasons of shoulder injury related by pain and strength in elit Basketball wheelchair players. Olympic. 2012;20(2):73-84. [Persian]
[25]Rahmani P, Shahrokhi H, Daneshmandi H. The compression of shoulder pain and strength and relationship between them in wheelchair veterans athletes and non-athletes. Iran J War Public Health. 2012;4(4):49-56. [Persian]
[26]Drongelen S, De Groot S, Veeger HE, Angenot EL, Dallmeijer AJ, Post MW, et al. Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury. Spinal Cord. 2006;44(3):152-9.
[27]MacDermid JC, Ramos J, Drosdowech D, Faber K, Patterson S. The impact of rotator cuff pathology on isometric and isokinetic strength, function, and quality of life. J Shoulder Elbow Surg. 2004;13(6):593-8.
[28]Finley MA, Rodgers MM. Prevalence and identification of shoulder pathology in athletic and nonathletic wheelchair users with shoulder pain: A pilot study. J Rehabil Res Dev. 2004;41(3B):395-402.
[29]Veeger H, Rozendaal L, Van Der Helm F. Load on the shoulder in low intensity wheelchair propulsion. Clin Biomech. 2002;17(3):211-8.
[2]Apple Jr DF, Cody R, Allen A. Overuse syndrome of the upper limb in people with spinal cord injury. Strain. 1996;24:48.
[3]Salamat S, Gouharpy S, Shaterzadeh M. Effects of traditional and functional exercises on pain and maximal voluntary contraction in patients with shoulder impingement syndrome. Jundishapur Sci Med J. 2009;7(3):331-6. [Persian]
[4]Daneshmandi H, Rahmaninia F, Esmaili S. Comparative studies on athlete's shoulder range of motion and its relationship with his sport history and post. Olympic. 2005;13(1):29-40. [Persian]
[5]Itoi E. Pathophysiology and treatment of atraumatic instability ofthe shoulder. J Orthop Sci. 2004;9(2):208-13.
[6]Wilk KE, Meister K, Andrews JR. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med. 2002;30(1):136-51.
[7]Kelly SM, Wrightson PA, Meads CA. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. Clin Rehabil. 2010;24(2):99-109.
[8]de Villarreal ES, Kellis E, Kraemer WJ, Izquierdo M. Determining variables of plyometric training for improving vertical jump height performance: A meta-analysis. J Strength Cond Res. 2009;23(2):495-506.
[9]Ballinger DA, Rintala DH, Hart KA. The relation of shoulder pain and range-of-motion problems to functional limitations, disability, and perceived health of men with spinal cord injury: a multifaceted longitudinal study. Arch Phys Med Rehabil. 2000;81(12):1575-81.
[10]Dehnavi H, Daneshmandi H, Khajehpoor Glosalari M, Shahrokhi H. A comparison of internal/external rotation strength and range of motion in the shoulder joint between Zurkhaneh athletes and non-athletes. Am J Sports Sci. 2013;1(3):39-43.
[11]Sahebozamani M, Sharifian E, Daneshmandi H, Dehnavi H. Comparison between shoulder strength ratio and shoulder internal to external rotation range of motion in Zurkhaneh athletes and Non-athletes subjects. J Res Rehabil Sci. 2013;9(1):84-93. [Persian]
[12]Kraemer WJ, Mazzetti SA, Nindl BC, Gotshalk LA, Volek JS, Bush JA, et al. Effect of resistance training on women's strength/power and occupational performances. Med Sci Sports Exerc. 2001;33(6):1011-25.
[13]Erol Ö, Özçakar L, Çeliker R. Shoulder rotator strength in patients with stage I-II subacromial impingement: Relationship to pain, disability, and quality of life. J Shoulder Elbow Surg. 2008;17(6):893-7.
[14]Seminati E, Minetti AE. Overuse in volleyball training/practice: A review on shoulder and spine-related injuries. Eur J Sport Sci. 2013;13(6):732-43.
[15]Sadeghi H, Rafei M, Howanloo F. Relationship between shoulder range of motion and anthropometric characteristics with infraspinatus syndrome in elite volleyball players. Olympic. 2007;15(1):7-14. [Persian]
[16]Sabick MB, Kotajarvi BR, An KN. A new method to quantify demand on the upper extremity during manual wheelchair propulsion. Arch Phys Med Rehabil. 2004;85(7):1151-9.
[17]Curtis KA, Black K. Shoulder pain in female wheelchair basketball players. J Orthop Sports Phys Ther. 1999;29(4):225-31.
[18]Gil-Agudo A, Del Ama-Espinosa A, Crespo-Ruiz B. Wheelchair basketball quantification. Phys Med Rehabil Clin N Am. 2010;21(1):141-56.
[19]Lafayette Instrument Company, Inc. THE Lafayette Manual Muscle Test System. 2003.
[20]Turner N, Ferguson K, Mobley BW, Riemann B, Davies G. Establishing normative data on scapulothoracic musculature using handheld dynamometry. J Sport Rehabil. 2009;18(4):502-20.
[21]Westrick RB, Duffey ML, Cameron KL, Gerber JP, Owens BD. Isometric shoulder strength reference values for physically active collegiate males and females. Sports Health. 2013;5(1):17-21.
[22]Riemann BL, Davies GJ, Ludwig L, Gardenhour H. Hand-held dynamometer testing of the internal and external rotator musculature based on selected positions to establish normative data and unilateral ratios. J Shoulder Elbow Surg. 2010;19(8):1175-83.
[23]Yildirim NU, Comert E, Ozengin N. Shoulder pain: A comparison of wheelchair basketball players with trunk control and without trunk control. J Back Musculoskelet Rehabil. 2010;23(2):55-61.
[24]Rahmani P, Shahrokhi H, Daneshmandi H. Study of prevalence and reasons of shoulder injury related by pain and strength in elit Basketball wheelchair players. Olympic. 2012;20(2):73-84. [Persian]
[25]Rahmani P, Shahrokhi H, Daneshmandi H. The compression of shoulder pain and strength and relationship between them in wheelchair veterans athletes and non-athletes. Iran J War Public Health. 2012;4(4):49-56. [Persian]
[26]Drongelen S, De Groot S, Veeger HE, Angenot EL, Dallmeijer AJ, Post MW, et al. Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury. Spinal Cord. 2006;44(3):152-9.
[27]MacDermid JC, Ramos J, Drosdowech D, Faber K, Patterson S. The impact of rotator cuff pathology on isometric and isokinetic strength, function, and quality of life. J Shoulder Elbow Surg. 2004;13(6):593-8.
[28]Finley MA, Rodgers MM. Prevalence and identification of shoulder pathology in athletic and nonathletic wheelchair users with shoulder pain: A pilot study. J Rehabil Res Dev. 2004;41(3B):395-402.
[29]Veeger H, Rozendaal L, Van Der Helm F. Load on the shoulder in low intensity wheelchair propulsion. Clin Biomech. 2002;17(3):211-8.