Exercise Programme for Preventing Overuse Shoulder Injuries
- Anna
- Feb 25, 2017
- 1 min read
Authors: Stig Haugsboe Andersson, Roald Bahr, Benjamin Clarsen, Grethe Myklebust
In the first article I review the study presented at the 13th Scandinavian Congress of Medicine and Science in Sports.The study looked at the risk factors for shoulder injuries in elite handball player and investigated the effect of an exercise programme, designed to reduce the prevalence of shoulder problems.
Prevalence:
44-75% has history of shoulder pain
28% average weekly prevalence of shoulder problems
Risk factors: reduced Glenohumeral rotation, external rotattion weakness, scapular dyskinesis.
Study: 45 elite handball teams (male&female). Intervention and control group: 331 and 329 players followed for one competitive season.
Intervention: 5 exercises with different variation/progression with emphasis on quality of movement, correct positioning of the scapula and good posture and core stability. Recommended 3 times a week.
1. glenohumeral internal rotation
2. external rotation strength
3. scapular muscle strength
4. kinetic chain
5. thoracic mobility
Results:
Reduced prevalence of shoulder probems 23% control group vs 17% intervention group
--> 28% lower risk of reporting shoulder problems compared with control group.
Conclusion:
The studied revealed the positive effect of the OSTRC, Shoulder Injury Prevention Programme, on reducing the prevalence and risk of shoulder problems in elite handball players.
The exercise program aims to increase:
- glenohumeral internal rotation
- external rotation strength
- scapular muscle strength
- kinetic chain and thoracic mobility
Take home message: an exercise programme that includes 1. glenohumeral internal rotation 2. external rotation strength 3. scapular muscle strength 4. kinetic chain 5. thoracic mobility should be implemented as a part of the warm-up at least 3 times a week in throwing sports.
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