Posterior deltoid shoulder tightness and greater contralateral lower limb muscle strength are associated with swimmers' shoulder pain
To identify factors associated with shoulder pain in swimmers based on elastic muscle modulus, joint range of motion, and isometric muscle strength. Cohort study. Forty-eight competitive swimmers without shoulder pain (age: 18–28 years; men: 29) were followed-up for 6 months. Baseline measurements o...
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| Veröffentlicht in: | Journal of science and medicine in sport 2023-12, Vol.26 (12), p.694-699 |
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| creator | Matsuura, Yuiko Fujimoto, Tomomi Koizumi, Keisuke Mise, Takao Edama, Mutsuaki Shimoyama, Yoshimitsu |
| description | To identify factors associated with shoulder pain in swimmers based on elastic muscle modulus, joint range of motion, and isometric muscle strength.
Cohort study.
Forty-eight competitive swimmers without shoulder pain (age: 18–28 years; men: 29) were followed-up for 6 months. Baseline measurements of the elastic modulus of the pectoralis minor, supraspinatus, infraspinatus, posterior deltoid, and pectoralis minor muscles were obtained using shear wave elastography. Range of motion and isometric strength were measured using a goniometer and a hand-held dynamometer, respectively. A questionnaire was administered weekly for 6 months to determine shoulder pain occurrence. Each item was compared between shoulders with and without pain at baseline. For participants with shoulder pain exceeding 2 weeks, shear wave elastography and range of motion at baseline (pre pain) and during follow-up (post pain) were compared.
Of 46 swimmers followed-up for 6 months, 20 reported shoulder pain. 14 swimmers with pain were evaluated twice. Participants with shoulder pain during follow-up had significantly higher posterior deltoid and pectoralis minor stiffness at baseline and high lower extremity isometric muscle strength contralateral to the shoulder with pain compared to those without pain (p |
| doi_str_mv | 10.1016/j.jsams.2023.09.019 |
| format | Article |
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Cohort study.
Forty-eight competitive swimmers without shoulder pain (age: 18–28 years; men: 29) were followed-up for 6 months. Baseline measurements of the elastic modulus of the pectoralis minor, supraspinatus, infraspinatus, posterior deltoid, and pectoralis minor muscles were obtained using shear wave elastography. Range of motion and isometric strength were measured using a goniometer and a hand-held dynamometer, respectively. A questionnaire was administered weekly for 6 months to determine shoulder pain occurrence. Each item was compared between shoulders with and without pain at baseline. For participants with shoulder pain exceeding 2 weeks, shear wave elastography and range of motion at baseline (pre pain) and during follow-up (post pain) were compared.
Of 46 swimmers followed-up for 6 months, 20 reported shoulder pain. 14 swimmers with pain were evaluated twice. Participants with shoulder pain during follow-up had significantly higher posterior deltoid and pectoralis minor stiffness at baseline and high lower extremity isometric muscle strength contralateral to the shoulder with pain compared to those without pain (p < 0.05). Swimmers with pain exceeding 2 weeks exhibited no differences in ultrasound shear wave elastography and range of motion at baseline and after pain onset.
Posterior deltoid and pectoralis minor muscle stiffness, and high isometric lower extremity strength contralateral to the shoulder with pain may be associated with shoulder pain development, thereby indicating the importance of maintaining posterior deltoid and pectoralis minor muscle flexibility during conditioning.</description><identifier>ISSN: 1440-2440</identifier><identifier>EISSN: 1878-1861</identifier><identifier>DOI: 10.1016/j.jsams.2023.09.019</identifier><identifier>PMID: 37845159</identifier><language>eng</language><publisher>Australia: Elsevier Ltd</publisher><subject>Cohort analysis ; Elastography ; Injury prevention ; Muscle strength ; Muscle tightness ; Pain ; Range of motion ; Risk factors ; Shoulder ; Shoulder injuries ; Swimming ; Ultrasonic imaging</subject><ispartof>Journal of science and medicine in sport, 2023-12, Vol.26 (12), p.694-699</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.</rights><rights>2023. Sports Medicine Australia</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c382t-b856d75cf578e6b23e32276d14d09561bbfad5fb2a987234d63e0f584849e3833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2897491016?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37845159$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuura, Yuiko</creatorcontrib><creatorcontrib>Fujimoto, Tomomi</creatorcontrib><creatorcontrib>Koizumi, Keisuke</creatorcontrib><creatorcontrib>Mise, Takao</creatorcontrib><creatorcontrib>Edama, Mutsuaki</creatorcontrib><creatorcontrib>Shimoyama, Yoshimitsu</creatorcontrib><title>Posterior deltoid shoulder tightness and greater contralateral lower limb muscle strength are associated with swimmers' shoulder pain</title><title>Journal of science and medicine in sport</title><addtitle>J Sci Med Sport</addtitle><description>To identify factors associated with shoulder pain in swimmers based on elastic muscle modulus, joint range of motion, and isometric muscle strength.
Cohort study.
Forty-eight competitive swimmers without shoulder pain (age: 18–28 years; men: 29) were followed-up for 6 months. Baseline measurements of the elastic modulus of the pectoralis minor, supraspinatus, infraspinatus, posterior deltoid, and pectoralis minor muscles were obtained using shear wave elastography. Range of motion and isometric strength were measured using a goniometer and a hand-held dynamometer, respectively. A questionnaire was administered weekly for 6 months to determine shoulder pain occurrence. Each item was compared between shoulders with and without pain at baseline. For participants with shoulder pain exceeding 2 weeks, shear wave elastography and range of motion at baseline (pre pain) and during follow-up (post pain) were compared.
Of 46 swimmers followed-up for 6 months, 20 reported shoulder pain. 14 swimmers with pain were evaluated twice. Participants with shoulder pain during follow-up had significantly higher posterior deltoid and pectoralis minor stiffness at baseline and high lower extremity isometric muscle strength contralateral to the shoulder with pain compared to those without pain (p < 0.05). Swimmers with pain exceeding 2 weeks exhibited no differences in ultrasound shear wave elastography and range of motion at baseline and after pain onset.
Posterior deltoid and pectoralis minor muscle stiffness, and high isometric lower extremity strength contralateral to the shoulder with pain may be associated with shoulder pain development, thereby indicating the importance of maintaining posterior deltoid and pectoralis minor muscle flexibility during conditioning.</description><subject>Cohort analysis</subject><subject>Elastography</subject><subject>Injury prevention</subject><subject>Muscle strength</subject><subject>Muscle tightness</subject><subject>Pain</subject><subject>Range of motion</subject><subject>Risk factors</subject><subject>Shoulder</subject><subject>Shoulder injuries</subject><subject>Swimming</subject><subject>Ultrasonic imaging</subject><issn>1440-2440</issn><issn>1878-1861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUuL1TAUgIsozjj6CwQJuNBNax5NmyxcDIMvGNCFrkPanN6bkjbXnNSLP8D_ba53VHDhJjkcvvPgfFX1lNGGUda9mpsZ7YINp1w0VDeU6XvVJVO9qpnq2P0Sty2teXkuqkeIM6Vc9qJ_WF2IXrWSSX1Z_fgUMUPyMREHIUfvCO7jFhwkkv1un1dAJHZ1ZJfAFpKMcc3JhlNsAwnxWHLBLwNZNhwDEMwJ1l3eE5uAWMQ4-sI6cvQlh0e_LJDwxd8pB-vXx9WDyQaEJ3f_VfXl7ZvPN-_r24_vPtxc39ajUDzXg5Kd6-U4yV5BN3ABgvO-c6x1VMuODcNknZwGbrXquWhdJ4BOUrWq1SCUEFfVy3PfQ4pfN8BsFo8jhGBXiBsaXo7HNWNaFvT5P-gct7SW7Qql-1afHBRKnKkxRcQEkzkkv9j03TBqToSZzS9L5mTJUG2KpVL17K73Nizg_tT81lKA12cAyjG-eUgGRw_rCM4nGLNx0f93wE-cmKax</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Matsuura, Yuiko</creator><creator>Fujimoto, Tomomi</creator><creator>Koizumi, Keisuke</creator><creator>Mise, Takao</creator><creator>Edama, Mutsuaki</creator><creator>Shimoyama, Yoshimitsu</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202312</creationdate><title>Posterior deltoid shoulder tightness and greater contralateral lower limb muscle strength are associated with swimmers' shoulder pain</title><author>Matsuura, Yuiko ; Fujimoto, Tomomi ; Koizumi, Keisuke ; Mise, Takao ; Edama, Mutsuaki ; Shimoyama, Yoshimitsu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-b856d75cf578e6b23e32276d14d09561bbfad5fb2a987234d63e0f584849e3833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cohort analysis</topic><topic>Elastography</topic><topic>Injury prevention</topic><topic>Muscle strength</topic><topic>Muscle tightness</topic><topic>Pain</topic><topic>Range of motion</topic><topic>Risk factors</topic><topic>Shoulder</topic><topic>Shoulder injuries</topic><topic>Swimming</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuura, Yuiko</creatorcontrib><creatorcontrib>Fujimoto, Tomomi</creatorcontrib><creatorcontrib>Koizumi, Keisuke</creatorcontrib><creatorcontrib>Mise, Takao</creatorcontrib><creatorcontrib>Edama, Mutsuaki</creatorcontrib><creatorcontrib>Shimoyama, Yoshimitsu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Australia & New Zealand Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of science and medicine in sport</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuura, Yuiko</au><au>Fujimoto, Tomomi</au><au>Koizumi, Keisuke</au><au>Mise, Takao</au><au>Edama, Mutsuaki</au><au>Shimoyama, Yoshimitsu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior deltoid shoulder tightness and greater contralateral lower limb muscle strength are associated with swimmers' shoulder pain</atitle><jtitle>Journal of science and medicine in sport</jtitle><addtitle>J Sci Med Sport</addtitle><date>2023-12</date><risdate>2023</risdate><volume>26</volume><issue>12</issue><spage>694</spage><epage>699</epage><pages>694-699</pages><issn>1440-2440</issn><eissn>1878-1861</eissn><abstract>To identify factors associated with shoulder pain in swimmers based on elastic muscle modulus, joint range of motion, and isometric muscle strength.
Cohort study.
Forty-eight competitive swimmers without shoulder pain (age: 18–28 years; men: 29) were followed-up for 6 months. Baseline measurements of the elastic modulus of the pectoralis minor, supraspinatus, infraspinatus, posterior deltoid, and pectoralis minor muscles were obtained using shear wave elastography. Range of motion and isometric strength were measured using a goniometer and a hand-held dynamometer, respectively. A questionnaire was administered weekly for 6 months to determine shoulder pain occurrence. Each item was compared between shoulders with and without pain at baseline. For participants with shoulder pain exceeding 2 weeks, shear wave elastography and range of motion at baseline (pre pain) and during follow-up (post pain) were compared.
Of 46 swimmers followed-up for 6 months, 20 reported shoulder pain. 14 swimmers with pain were evaluated twice. Participants with shoulder pain during follow-up had significantly higher posterior deltoid and pectoralis minor stiffness at baseline and high lower extremity isometric muscle strength contralateral to the shoulder with pain compared to those without pain (p < 0.05). Swimmers with pain exceeding 2 weeks exhibited no differences in ultrasound shear wave elastography and range of motion at baseline and after pain onset.
Posterior deltoid and pectoralis minor muscle stiffness, and high isometric lower extremity strength contralateral to the shoulder with pain may be associated with shoulder pain development, thereby indicating the importance of maintaining posterior deltoid and pectoralis minor muscle flexibility during conditioning.</abstract><cop>Australia</cop><pub>Elsevier Ltd</pub><pmid>37845159</pmid><doi>10.1016/j.jsams.2023.09.019</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of science and medicine in sport, 2023-12, Vol.26 (12), p.694-699 |
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| language | eng |
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| source | Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
| subjects | Cohort analysis Elastography Injury prevention Muscle strength Muscle tightness Pain Range of motion Risk factors Shoulder Shoulder injuries Swimming Ultrasonic imaging |
| title | Posterior deltoid shoulder tightness and greater contralateral lower limb muscle strength are associated with swimmers' shoulder pain |
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