Article

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 degrees +/-14 degrees and 40 degrees
+/-10 degrees , 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 degrees +/-17 degrees among the scapular stabilization group and 65
degrees +/-13 degrees among the nonstabilization group (P<.001). Measurements of
IR were also significantly different between groups, with a mean angle of 51
degrees +/-14 degrees among the scapular stabilization group and 43 degrees +/-9
degrees among the nonstabilization group (P=.006). CONCLUSIONS: Horizontal
adduction stretches performed with scapular stabilization produced significantly
greater improvements in IR and PST than horizontal adduction stretching without
scapular stabilization.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS