Department of Physical Therapy Faculty Articles

Effect of Scapular Stabilization During Horizontal Adduction Stretching on Passive Internal Rotation and Posterior Shoulder Tightness in Young Women Volleyball Athletes: A Randomized Controlled Trial

Publication Title

Archives of physical medicine and rehabilitation

Publisher

W.B. Saunders

ISSN

1532-821X

Publication Date

2-1-2015

Keywords

Adolescent, Female, Humans, Muscle Stretching Exercises, Range of Motion, Articular, Rotation, Scapula, Shoulder Joint, Single-Blind Method, Volleyball

Abstract

OBJECTIVE: To evaluate the effect of scapular stabilization during horizontal adduction stretching (cross-body) on posterior shoulder tightness (PST) and passive internal rotation (IR).

DESIGN: Randomized controlled trial with single blinding.

SETTING: Athletic club.

PARTICIPANTS: Asymptomatic volleyball players who are women with glenohumeral internal rotation deficit (N=60).

INTERVENTIONS: Subjects were randomly assigned to either horizontal adduction stretching with manual scapular stabilization (n=30) or horizontal adduction stretching without stabilization (n=30). Passive stretching was performed for 3- to 30-second holds in both groups.

MAIN OUTCOME MEASURES: Range of motion measurements of PST and IR were performed on the athlete's dominant shoulder prior to and immediately after the intervention.

RESULTS: Baseline mean angular measurements of PST and IR for all athletes involved in the study were 62°±14° and 40°±10°, respectively, with no significant difference between groups (P=.598 and P=.734, respectively). Mean PST measurements were significantly different between groups after the horizontal adduction stretch, with a mean angle of 83°±17° among the scapular stabilization group and 65°±13° among the nonstabilization group (P

CONCLUSIONS: Horizontal adduction stretches performed with scapular stabilization produced significantly greater improvements in IR and PST than horizontal adduction stretching without scapular stabilization.

DOI

10.1016/j.apmr.2014.09.038

Volume

96

Issue

2

First Page

349

Last Page

356

Disciplines

Medicine and Health Sciences

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