Sports Physical Therapy
Conditions
Keywords
Musculoskeletal Manipulations, Range Of Motion, Articular, Proprioception, Volleyball
Brief summary
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
Detailed description
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. The occurence of GIRD and decreased joint proprioception may lead to different shoulder pathologies (e.g. Impingement syndrome). Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. Several joint mobilization techniques exists, which can be applied for stretching of periarticular tissues. Maitland mobilization is a well applied mobilization type. The effectiveness of both end-range and not end-range Maitland mobilization in lengthening of periarticular tissues and improvement of joint proprioception has been previously confirmed amongst several diseases. However, the effect of end-range Maitland mobilization on decrease of GIRD and proprioception in addition to physical therapy has not been investigated in volleyball players so far. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
Interventions
PROCEDUREEnd-range Maitland mobilization + proprioception training
End-range Maitland mobilization performed in end position of internal rotation of the shoulder accompanied with 8--week long proprioception training
PROCEDURENon end-range Maitland mobilization + proprioception training
Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training
PROCEDURESham manual therapy technique + proprioception training
Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training
Sponsors
University of Pecs
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* National Championship players in I. or II. level * at least, 10 degree deficit of glenohumeral internal rotation in the dominant shoulder compared to the non-dominant hand
Exclusion criteria
* previous trauma or surgery on the dominant shoulder * participation in any kind of treatment during the intervention period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Internal rotation of the dominant glenohumeral joint | after 8 weeks | Measurement of active internal rotation of the dominant glenohumeral joint with goniometer expressed in degree |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flexion of the dominant glenohumeral joint | after 8 weeks | Measurement of active flexion of the dominant glenohumeral joint with goniometer expressed in degree |
| Extension of the dominant glenohumeral joint | after 8 weeks | Measurement of active extension of the dominant glenohumeral joint with goniometer expressed in degree |
| Abduction of the dominant glenohumeral joint | after 8 weeks | Measurement of active abduction of the dominant glenohumeral joint with goniometer expressed in degree |
| Adduction of the dominant glenohumeral joint | after 8 weeks | Measurement of active adduction of the dominant glenohumeral joint with goniometer expressed in degree |
| External rotation of the dominant glenohumeral joint | after 8 weeks | Measurement of active external rotation of the dominant glenohumeral joint with goniometer expressed in degree |
| Western Ontario Shoulder Instability Index | after 8 weeks | Western Ontario Shoulder Instability Index of the dominant shoulder |
| Posterior Shoulder Endurance Test | after 8 weeks | Muscle strength test of the dominant shoulder expressed in Newton |
| Proprioception of the shoulder | after 8 weeks | Proprioception of the shoulder measured with plurimeter expressed in degree |
| Davies test | after 8 weeks | Measurement of proprioception and muscle strength test by the Davies test expressed in amount of success touch |
| Sportspecific proprioception test | after 8 weeks | Measurement of the precision of serving expressed in centimeter |
Countries
Hungary
Outcome results
None listed