Athletic Injuries, Shoulder Injury, Shoulder Pain
Conditions
Keywords
Exercise Therapy, Shoulder pain, Shoulder injuries, Shoulder function, Prevention, Wheelchair users
Brief summary
Shoulder pain is the most common symptom of physical dysfunction in wheelchair basketball players. About the 85% of this population had shoulder pain in some moment of their life. Some studies suggest that exercise is an important tool as an element to treat and prevent shoulder injuries. For that reason, an intervention program would be a useful tool for prevent shoulder injuries in this population. The purpose of this study is determine the effects of therapeutic exercise program wheelchair basketball players, in order to prevent shoulder injuries.
Detailed description
The hypothesis of the study was that the exercise program was effective to prevent shoulder injuries in this population.
Interventions
This group will receive a home exercise program of shoulder based on mobility, strength and strengthening exercises, lasting 10 weeks, 3 times per weeks. The target dose use for mobility consisted in 8 repetitions for each 4 movements, for strengthening using resistive bands, 3 sets (including 5 exercises) of 10 repetitions with a 45 second rest between sets and 5 repetitions for each 5 strength with a 30 second rest and general protocol of postural hygiene. The instructional of the program is 30 minutes each day during the time of the study (10 weeks) with a screening about the exercise program and the daily activities performed every 4 weeks. Physiotherapist provided support to subjects through email along 10 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
Study Population 36 wheelchair basketball players belonging to the male and female preselection Spanish wheelchair basketball national team were recruiting during a campus. The inclusion and
Exclusion criteria
were chosen to include a specific population. Inclusion Criteria: * Players belonging to the male and female preselection Spanish wheelchair basketball national team. * Have the federal license at the Spanish Sport Federation for People with Physical Disabilities available at the time of the study (2015-2016 season). * For players using wheelchair for daily activities, to use the manual wheelchair at least for 3 hours a day and 6 hours of wheelchair basketball training per week. * For players not using wheelchair for daily activities, to use the manual wheelchair at least for 6 hours of wheelchair basketball training per week. * Use wheelchair at least one year before the study and at least one year of experience in the sport competition. * Acceptance of informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline shoulder pain at 10 weeks | Baseline and at 10 weeks | The presence of shoulder pain will be measured at the beginning and at 10 weeks with Shoulder Pain Index for Wheelchair Basketball (SPI-WB) (submitting). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder range of motion | Baseline and at 10 weeks | The range of motion will be evaluated in flexion, extension, internal rotation, external rotation and abduction with a goniometric at the beginning and at 10 weeks. |
| Neer test | Baseline and at 10 weeks | Neer's Test assesses for possible rotator cuff impingement. Pain is a positive test. |
| Hawkins-Kennedy test | Baseline and at 10 weeks | Hawkins-Kennedy's test indicative a possible impingement between the greater tuberosity of the humerus against the coraco- humeral ligament. |
| Jobe test | Baseline and at 10 weeks | Jobe's test assesses for possible supraspinatus weakness and/or impingement. |
| Patte test | Baseline and at 10 weeks | Patte's test measure for possible infraspinatus and teres minor weakness and/or impingement. |
| Players´ adherence to the exercise program | At 4 and 8 weeks | Players will complete a questionnaire rating their adherence to the exercise program. |
| Players´ self-efficacy to the exercise program | Baseline | Players will complete a questionnaire about the self-efficacy according to the exercise program. |
| Players adherence to the protocol of postural hygiene. | At 4 and 8 weeks | Players will complete a follow-up questionnaire rating their adherence to the protocol of postural hygiene. |
| Activities performed outside of the training and exercise program. | At 4 and 8 weeks | Players will be complete a follow-up questionnaire about the activities performed outside of the training and exercise program. |
Countries
Spain