Effect of therapeutic exercise on joint range and strength in throwing athletes with dyskinesia. A systematic review

Authors

  • Sebastián Álvarez‐Arangua Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Leónidas Arias Poblete Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Sebastián Espoz-Lazo Facultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Lota 2465, Providencia, 7510157, Chile
  • Mauricio Alejandro Silva Mella Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Ben-yamin Parada Osses Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Jovina Zamora Pinoleo Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Cristian Rubilar Henríquez Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Catalina Lizana Rodríguez Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
  • Mario Ríos-Riquelme Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Chile
  • Claudio Farías‐Valenzuela Instituto del Deporte, Universidad de las Américas, Santiago 9170022, Chile
DOI: https://doi.org/10.6018/sportk.570411
Keywords: Scapular dyskinesis, Strength training, Sapulothoracic, Therapeutic exercise, Performance, Sports

Abstract

The aim of this study was to determine the effect of using therapeutic exercise (TE) on changes in the range of motion (ROM) and muscle strength (MS) in throwing athletes with scapular dyskinesis (SD). A systematic review was carried out in databases (Pubmed, Scopus, WoS, ScienceDirect) over the last five years, searching for randomized clinical trials, cohort studies, meta-analyses and concept reviews that met the inclusion, exclusion, and methodological quality criteria. A total of six articles related to throwing athletes with scapular dyskinesia were included. Favorable results were found within the interventions that included TE, which obtained a significant effect on the variables of ROM and muscle strength in throwing athletes. In conclusion, therapeutic stretching exercises are the most favorable and effective tool compared to any other type of intervention, having an effect on the MS and ROM of throwing athletes, thus helping their competitive performance.

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References

Bailey, L. B., Thigpen, C. A., Hawkins, R. J., Beattie, P. F., & Shanley, E. (2017). Effectiveness of manual therapy and stretching for baseball players with shoulder range of motion deficits. Sports Health, 9(3), 230-237. https://doi.org/10.1177/1941738117702835

Başkurt, Z., Başkurt, F., Gelecek, N., & Özkan, M. H. (2011). The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. Journal of back and musculoskeletal rehabilitation, 24(3), 173-179. https://doi.org/10.3233/BMR-2011-0291

Borsa, P. A., Laudner, K. G., & Sauers, E. L. (2008). Mobility and stability adaptations in the shoulder of the overhead athlete. Sports medicine, 38(1), 17-36. https://doi.org/10.2165/00007256-200838010-00003

Burn, M. B., McCulloch, P. C., Lintner, D. M., Liberman, S. R., & Harris, J. D. (2016). Prevalence of scapular dyskinesis in overhead and nonoverhead athletes: a systematic review. Orthopaedic journal of sports medicine, 4(2), 2325967115627608. https://doi.org/10.1177/2325967115627608

Clarsen, B., Bahr, R., Andersson, S. H., Munk, R., & Myklebust, G. (2014). Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. British journal of sports medicine, 48(17), 1327-1333. https://doi.org/10.1136/bjsports-2014-093702

Cools, A. M., Struyf, F., De Mey, K., Maenhout, A., Castelein, B., & Cagnie, B. (2014). Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. British journal of sports medicine, 48(8), 692-697. https://doi.org/10.1136/bjsports-2013-092148

Crockett, H. C., Gross, L. B., Wilk, K. E., Schwartz, M. L., Reed, J., OMara, J., ... & Andrews, J. R. (2002). Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. The American journal of sports medicine, 30(1), 20-26. https://doi.org/10.1177/03635465020300011701

Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association: JMLA, 106(4), 420. https://doi.org/10.5195/jmla.2018.345

Forthomme, B., Crielaard, J. M., & Croisier, J. L. (2008). Scapular positioning in athlete’s shoulder. Sports Medicine, 38(5), 369-386. https://doi.org/10.2165/00007256-200838050-00002

Gharisia, O., Lohman, E., Daher, N., Eldridge, A., Shallan, A., & Jaber, H. (2021). Effect of a novel stretching technique on shoulder range of motion in overhead athletes with glenohumeral internal rotation deficits: a randomized controlled trial. BMC Musculoskeletal Disorders, 22(1), 1-10. https://doi.org/10.1186/s12891-021-04292-8

Giuseppe, L. U., Laura, R. A., Berton, A., Candela, V., Massaroni, C., Carnevale, A., ... & Denaro, V. (2020). Scapular dyskinesis: from basic science to ultimate treatment. International journal of environmental research and public health, 17(8), 2974. https://doi.org/10.3390/ijerph17082974

Hannah, D. C., Scibek, J. S., & Carcia, C. R. (2017). Strength profiles in healthy individuals with and without scapular dyskinesis. International journal of sports physical therapy, 12(3), 305.

Hickey, D., Solvig, V., Cavalheri, V., Harrold, M., & Mckenna, L. (2018). Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis. British journal of sports medicine, 52(2), 102-110. https://doi.org/10.1136/bjsports-2017-097559

Higgins, J. P., Green, S., & Scholten, R. J. P. M. (2008). Maintaining reviews: updates, amendments and feedback. Cochrane handbook for systematic reviews of interventions, 31.

Hogan, C., Corbett, J. A., Ashton, S., Perraton, L., Frame, R., & Dakic, J. (2021). Scapular dyskinesis is not an isolated risk factor for shoulder injury in athletes: a systematic review and meta-analysis. The American Journal of Sports Medicine, 49(10), 2843-2853. https://doi.org/10.1177/0363546520968508

Huang, T. S., Du, W. Y., Wang, T. G., Tsai, Y. S., Yang, J. L., Huang, C. Y., & Lin, J. J. (2018). Progressive conscious control of scapular orientation with video feedback has improvement in muscle balance ratio in patients with scapular dyskinesis: a randomized controlled trial. Journal of Shoulder and Elbow Surgery, 27(8), 1407-1414. https://doi.org/10.1016/j.jse.2018.04.006

Hwang, M., Lee, S., & Lim, C. (2021). Effects of the proprioceptive neuromuscular facilitation technique on scapula function in office workers with scapula Dyskinesis. Medicina, 57(4), 332. https://doi.org/10.3390/medicina57040332

Jildeh, T. R., Ference, D. A., Abbas, M. J., Jiang, E. X., & Okoroha, K. R. (2021). Scapulothoracic dyskinesis: a concept review. Current Reviews in Musculoskeletal Medicine, 14(3), 246-254. https://doi.org/10.1007/s12178-021-09705-8

Kheradmandi, A., Kamali, F., Ebrahimian, M., & Abbasi, L. (2021). Comparison between dry needling plus manual therapy with manual therapy alone on pain and function in overhead athletes with scapular dyskinesia: A randomized clinical trial. Journal of Bodywork and Movement Therapies, 26, 339-346. https://doi.org/10.1016/j.jbmt.2020.11.017

Kibler, W. B., & Sciascia, A. (2019). Evaluation and management of scapular dyskinesis in overhead athletes. Current Reviews in Musculoskeletal Medicine, 12(4), 515-526. https://doi.org/10.1007/s12178-019-09591-1

Kisner, C Kisner, C., & Colby, L. A. (2005). Ejercicio terapéutico. Fundamentos y técnicas (Vol. 88). Editorial Paidotribo.

Matsui, K., Tachibana, T., Nobuhara, K., & Uchiyama, Y. (2018). Translational movement within the glenohumeral joint at different rotation velocities as seen by cine MRI. Journal of Experimental Orthopaedics, 5(1), 1-8. https://doi.org/10.1186/s40634-018-0124-x

Noguchi, M., Chopp, J. N., Borgs, S. P., & Dickerson, C. R. (2013). Scapular orientation following repetitive prone rowing: implications for potential subacromial impingement mechanisms. Journal of Electromyography and Kinesiology, 23(6), 1356-1361. https://doi.org/10.1016/j.jelekin.2013.08.007

Paine, R., & Voight, M. L. (2013). The role of the scapula. International journal of sports physical therapy, 8(5), 617.

Pallarés, J. G., Hernández‐Belmonte, A., Martínez‐Cava, A., Vetrovsky, T., Steffl, M., & Courel‐Ibáñez, J. (2021). Effects of range of motion on resistance training adaptations: A systematic review and meta‐analysis. Scandinavian journal of medicine & science in sports, 31(10), 1866-1881. https://doi.org/10.1111/sms.14006

Panagiotopoulos, A. C., & Crowther, I. M. (2019). Scapular dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT-J, 5. https://doi.org/10.1051/sicotj/2019029

Paraskevopoulos, E., Simeonidis, T., Tsolakis, C., Koulouvaris, P., & Papandreou, M. (2021). Mirror Cross-Exercise on a Kinetic Chain Approach Improves Throwing Performance in Professional Volleyball Athletes With Scapular Dyskinesis. Journal of Sport Rehabilitation, 1(aop), 1-9. https://doi.org/10.1123/jsr.2021-0103

Parums, D. V. (2021). review articles, systematic reviews, meta-analysis, and the updated preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 guidelines. Medical science monitor: international medical journal of experimental and clinical research, 27, e934475-1. https://doi.org/10.12659/msm.934475

Patino, O. (2012). Rehabilitación de la Inestabilidad del Hombro. Asoc Arg Artr, 19(1), 73-80.

Rich, R. L., Struminger, A. H., Tucker, W. S., Munkasy, B. A., Joyner, A. B., & Buckley, T. A. (2016). Scapular upward-rotation deficits after acute fatigue in tennis players. Journal of Athletic Training, 51(6), 474-479. https://doi.org/10.4085/1062-6050-51.7.05

Rodríguez, A. T. M., & Shoji, F. H. (2017). Disminución de la rotación interna del hombro (GIRD) en atletas lanzadores. Orthotips AMOT, 12(3), 137-144.

Saini, S. S., Shah, S. S., & Curtis, A. S. (2020). Scapular dyskinesis and the kinetic chain: recognizing dysfunction and treating injury in the tennis athlete. Current Reviews in Musculoskeletal Medicine, 13(6), 748-756. https://doi.org/10.1007/s12178-020-09672-6

Sajadi, N., Alizadeh, M. H., Barati, A. H., & Minoonejad, H. (2019). Effect of Selected Corrective Exercises on Glenohumeral Internal Rotation in Female Adolescent Swimmers with Scapular Dyskinesis. Annals of Military and Health Sciences Research, 17(4). https://doi.org/10.5812/amh.97574

Shanley, E., Rauh, M. J., Michener, L. A., Ellenbecker, T. S., Garrison, J. C., & Thigpen, C. A. (2011). Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. The American journal of sports medicine, 39(9), 1997-2006. https://doi.org/10.1177/0363546511408876

Soliaman, R. R., Azzolini, F. L., Leme, L., Ejnisman, B., Pochini, A. D. C., & Cunha, R. A. D. (2015). The influence of training in scapular dyskinesia of volleyball players: a prospective study. Revista Brasileira de Medicina do Esporte, 21, 206-209.

Tooth, C., Schwartz, C., Colman, D., Croisier, J. L., Bornheim, S., Brüls, O., ... & Forthomme, B. (2020). Kinesiotaping for scapular dyskinesis: The influence on scapular kinematics and on the activity of scapular stabilizing muscles. Journal of Electromyography and Kinesiology, 51, 102400. https://doi.org/10.1016/j.jelekin.2020.102400

Turgut, E., Duzgun, I., & Baltaci, G. (2017). Effects of scapular stabilization exercise training on scapular kinematics, disability, and pain in subacromial impingement: a randomized controlled trial. Archives of physical medicine and rehabilitation, 98(10), 1915-1923. https://doi.org/10.1016/j.apmr.2017.05.023

Wilk, K. E., Macrina, L. C., Fleisig, G. S., Porterfield, R., Simpson, C. D., Harker, P., ... & Andrews, J. R. (2011). Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. The American Journal of Sports Medicine, 39(2), 329-335. https://doi.org/10.1177/0363546510384223

Zago, M., Kawczyński, A., Klich, S., Pietraszewski, B., Galli, M., & Lovecchio, N. (2020). Fatigue-induced scapular dyskinesis in healthy overhead athletes. Frontiers in Bioengineering and Biotechnology, 8, 302. https://doi.org/10.3389/fbioe.2020.00302

Published
17-05-2023
How to Cite
Álvarez‐Arangua, S. ., Arias Poblete, L. ., Espoz-Lazo, S. ., Silva Mella, M. A. ., Parada Osses, B.- yamin ., Zamora Pinoleo, J., … Farías‐Valenzuela, C. . (2023). Effect of therapeutic exercise on joint range and strength in throwing athletes with dyskinesia. A systematic review. SPORT TK-EuroAmerican Journal of Sport Sciences, 12, 1. https://doi.org/10.6018/sportk.570411
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