SHOULDER FLEXIBILITY IN COLOR GUARD PLAYER FOLLOWING POSTERIOR SHOULDER STRETCHING AND MUSCLE ENERGY TECHNIQUE
Keywords:
Posterior Shoulder Stretching, Muscle Energy Technique, Goniometer, Range of Motion, Color Guard Marching BandAbstract
Background: Color guard players often exhibited loss of glenohumeral joint range of motion (ROM) in internal rotation which has been associated with shoulder pathology. Current stretching protocols aimed at improving flexibility of the posterior shoulder have resulted in different outcomes and previous studies have not been discussed color guard players for the subject.
Aims: This study was to determine the differences effects between non assisted posterior shoulder stretching (NAPSS) and muscle energy technique (MET) to increase internal rotation ROM of glenohumeral joint of the color guard marching band.
Methods: This study is experimental pre test and post test two group design, the subjects are 18 color guard players. The subjects were divided into 2 groups that 9 subjects in group I treated NAPSS and 9 subjects in group II treated MET. The treatment was given for 5 times per week in 2 weeks. This study used goniometer for measuring internal rotation ROM. Saphiro Wilk test for the normality test. Paired sample T-test to determine increasing of internal rotation ROM for group I and group II. Independent sample T-test to determine the differences effect between group I and group II.
Result: The result of paired sample T-test is p=0.001 (p< 0.05) in group I and p=0.001 (p< 0.05) in group II which exhibited that there is an effect the treatment of both posterior shoulder stretching and muscle energy technique to increase internal rotation ROM. The result of Independent sample T-test is p=0.084 (p >0.05) indicated that there is no different effect between posterior shoulder stretching and muscle energy technique.
Conclusion: NAPSS and MET were capable of significantly increasing internal rotation ROM of glenohumeral joint and no different effects between the methods. Both methods can be used as stretching program before marching band exercise.
References
Fleisig GS, Andrews JR, Dillman CJ, Escamilla RF. Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med. 1995;23:233-239.
Dillman CJ, Fleisig GS, Andrews JR. Biomechanics of pitching with emphasis upon shoulder kinematics. J Orthop Sports Phys Ther. 1993;18:402-408.
Bandy WD, Irion JM. The effect of time on static stretch on the flexibility of the hamstring muscles. Phys Ther. 1994;74:845-852.
Pappas AM, Zawacki RM, Sullivan TJ. Biomechanics of baseball pitching. A preliminary report. Am J Sports Med. 1985;13:216-222.
Giles K, Musa I. A survey of glenohumeral joint rotational range and non-specific shoulder pain in elite cricketers. Phys Ther Sport. 2008;9:109-116.
Harryman DT 2nd, Sidles JA, Clark JM, McQuade KJ, Gibb TD, Matsen FA 3rd. Translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone Joint Surg Am. 1990;72:1334-1343
Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology, Part I: Pathoanatomy and biomechanics. Arthroscopy. 2003;19:404-420
Morgan CD, Burkhart SS, Palmeri M, Gillespie M. Type II SLAP lesions: Three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy. 1998;14:553-565
Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM. Glenohumeral range of motion deficits and posterior shoulder tight- ness in throwers with pathologic internal impingement. Am J Sports Med. 2006;34:385-391
Dines JS, Frank JB, Akerman M, Yocum LA. Glenohumeral internal rotation deficits in baseball players with ulnar collateral ligament insufficiency. Am J Sports Med. 2009;37:566-570.
Grossman MG, Tibone JE, McGarry MH, Schneider DJ, Veneziani S, Lee TQ. A cadaveric model of the throwing shoulder: A possible etiology of superior labrum anterior-to-posterior lesions. J Bone Joint Surg Am. 2005;87:824-831
Warner JJ, Allen AA, Marks PH, Wong P. Arthroscopic release of postoperative capsular contracture of the shoulder. J Bone Joint Surg Am. 1997;79:1151-1158.
Borich MR, Bright JM, Lorello DJ, Cieminski CJ, Buisman T, Ludewig PM. Scapular angular positioning at end range internal rotation in cases of glenohumeral internal rotation deficit. J Orthop Sports Phys Ther. 2006;36:926-934.
Williams D. Posterior capsule stretching. Strength and Conditioning. 1998(4):11-12.
Oyama,Sakiki.,Georger,Candice.,Georger,BenjaminM.,Lephart,ScottM.,danMyers,JosephB.EffectsofNon-AssistedPosterior
Shoulder Stretches on Shoulder Range of Motion Among Collegiate Baseball Pitcher. Ath Train Sport Health Care. 2010;2(4),
Moore, S.D., Laudner, K.G., Mcloda, T.A. dan Shaffer, M.A.,. The Immediate Effects of Muscle Energy Technique on Posterior
Shoulder Tightness: A Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy, 2011. 41(6), pp.400-407.
Lunden, Jason B. Muffenbier, Mike. Giveans, M Rusell. Cieminski, Cort J. Reliability of Shoulder Internal Rotation Passive Range of Motion Measurements in the Supine Versus Sidelying Position. Journal of Orthopaedic & Sports Physical Therapy. 2010;vol 40,
number 9, p.589
pp.163-107.
Schneiders A.G., Davidsson, Asa., Horman, Elvira., dan Sullivan S.J. Original Research: Functional Movement ScreenTM Normative
Values in a Young, Active Population. The International Journal of Sports Physical Therapy.2011;vol 6, number 2, p.75
Rosati, P.M., Chopp J.N., dan Dickerson, C.R. Investigating Shoulder Muscle Loading and Exerted Forces during Wall Painting
Tasks: Influence of Gender Work Height and Paint Tool Design. Applied Ergonomics.2014.;vol 45 p.1133-1139
Lintner, D., Mayol, M., Uzodinma, O., Jones, R. dan Labossiere, D. Glenohumeral Internal Rotation Deficits in Professional Pitchers
Enrolled in an Internal Rotation Stretching Program. The American Journal of Sports Medicine. 2007;35(4), pp.617-621.
Jonsson, B. The static load component in muscle work. 1988. Eur. J. Appl. Physiol. 57, 305e310.
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