Healthy, Shoulder Flexibility, Shoulder Impingement Syndrome, Shoulder Injury, Shoulder Joint Limitation, Shoulder Pain Chronic
Conditions
Keywords
Injury prevention, Glenohumeral rotation deficits, Overhead athletes, shoulder pain, Shoulder instability, Shoulder mobility, Shoulder exercises, Shoulder symetries, Shoulder Asymetries, Shoulder stability, Shoulder strength, Escapulahumeral complex
Brief summary
To evaluate and describe the effect of performing an integrated injury prevention exercises on the variables considered as injury risk factors in overhead athletes
Detailed description
To evaluate and describe the effect of performing fast or 6-8 weeks injury prevention programs on the variables considered as injury risk factors in overhead athletes as glenohumeral rotational range of motion or muscle activation pattern and asymmetries.
Interventions
The injury prevention workout consisted on engaging on a prevention program from 1 day to 8 weeks where the participants will develop functional sport exercises to prevent shoulder injuries or pain in overhead sports.
Sponsors
Study design
Masking description
Participants will be unaware of whether they belong to the experimental or control group. They will receive instructions on their workout regimen without information on the study's hypothesis regarding functional prevention training. Individuals conducting pre- and post-intervention assessments (e.g., EMG analysis, ROM measurements, proprioception tests) will not be informed of the participant group allocation. This prevents bias in data collection and interpretation. Data will be anonymized before analysis, and analysts will not have access to group identifiers during the statistical evaluation phase.
Eligibility
Inclusion criteria
* Signing the informed consent according last version ogf Helsinky Declaration. * Be involved in a overhead sport for a minimum of 2 years.
Exclusion criteria
* Have some pain or disconfort to develop the outcome measurements
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder ROM | From enrollment to the end of the intervention at 8 weeks. Follow-up at 12-weeks | Shoulder rotational range of movement will be measured made by a single experienced examiner with the IMU Output Capture (Output V2 Unit, Ireland). The IMU will be calibrated prior to ROM testing according to the device instructions. The IMU will be securely attached to the participant's forearm with a self-adhering strap, 10 cm distal to the lateral epicondyle. Measurements will be sent wirelessly to a tablet and subsequently transferred to the Output Hub specific software to calculate ROM |
| Muscle RMS | From enrollment to the end of the intervention at 8 weeks. Follow-up at 12-weeks | Escapular complex muscular activation EMG recording will be measured with the mDurance® device (mDurance® Solutions SL, Granada, Spain). The mDurance® system consisted of an EMG Shimmer3 unit (Realtime TechnologiesLtD, Dublin, Ireland). Muscles-activity data were obtained using a validated surface electromyography (EMG) system. This novel system includes a us-er-friendly software, and a light hardware, which make it more affordable and accessible for clinicians and sport trainers. The mDurance® system consisted of an EMG Shimmer3 unit (Realtime TechnologiesLtD, Dublin, Ireland). The unit has a bipolar surface elec-tromyography bipolar sensor for the acquisition of muscle activity. Each Shimmer3 has two channels, with a sampling rate of 1024 Hz applying a bandwidth of 8.4 Hz, and a 24-bit signal with an overall amplification of 100 to10,000 v/v \[41\]. This device is valid and reliable for recording muscle activity during a functional task (ICC = 0.916; 95% CI = 0.831-0.958) |
| Muscles Asymetries | From enrollment to the end of the intervention at 8 weeks. Follow-up at 12-weeks | Diferences in % the muscle activation of the interescapular muscle complex by EMG. These recording will be also performed with the mDurance® device (mDurance® Solutions SL, Granada, Spain). The mDurance® system consisted of an EMG Shimmer3 unit (Realtime TechnologiesLtD, Dublin, Ireland) . This device is valid and reliable for recording muscle activity during a functional task (ICC = 0.916 |
| Shoulder proprioception | From enrollment to the end of the intervention at 8 weeks. Follow-up at 12-weeks | The Ability of recognizing a specific glenohumeral rotational range of movement degrees we will use the IMU Output Capture (Output V2 Unit, Ireland). The IMU was calibrated prior to ROM testing according to the device instructions. The IMU was securely attached to the participant's forearm with a self-adhering strap, 10 cm distal to the lateral epicondyle. Measurements were sent wirelessly to a tablet and subsequently transferred to the Output Hub specific software to calculate ROM |
Countries
Spain