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DOI: 10.1055/s-2004-819947
© Georg Thieme Verlag Stuttgart · New York
Shoulder Rotation Characteristics in Professional Tennis Players
Publication History
Accepted after revision: June 10, 2003
Publication Date:
26 February 2004 (online)
Abstract
Aim of this study was to assess the glenohumeral joint internal and external rotational range of motion using an ultrasound based kinematic measurement device. Twenty-seven male professional tennis players were bilaterally measured for internal and external rotation at 90 degrees of shoulder abduction while avoiding scapulothoracic motion. The control group consisted of 20 asymptomatic volunteers not involved in overhead sports activities. The dominant arm (playing arm) had a significantly greater range of external rotation than the non-dominant arm, while their internal rotation showed a significant deficit as compared to the non-dominant arm. The dominant arm total rotational range of motion was also significantly reduced in comparison to the non-dominant arm and to the controls. No significant difference was found between the dominant and non-dominant extremity in the control group. For objective measurement of glenohumeral rotational range of motion ultrasound based real time motion analysis is a new application for the diagnostic testing of specific shoulder parameters in orthopedics and sports physical therapy. It is therefore concluded that the specific methodology aiming at isolated glenohumeral motion may have clinical application for the development of rehabilitation and preventative programs.
Key words
Shoulder - glenohumeral rotation - range of motion - tennis
References
- 1 Banzer W, Vogt L. Reproduzierbarkeit thorakaler und lumbaler Wirbelsäulenbewegungen mit der 3D-Ultraschalltopometrie. Phys Rehab Kur Med. 1997; 7 21-25
- 2 Castro W, Sautmann A, Schilgen M, Sautmann M. Noninvasive three-dimensional analysis of cervical spine motion in normal subjects in relation to age and sex. Spine. 2000; 25 443-449
- 3 Chandler T J, Kibler W B, Uhl T L. Flexibility comparisons of junior elite tennis players to other athletes. Am J Sports Med. 1990; 18 134-136
- 4 Chandler T J, Kibler W B, Stracener E C, Ziegler A K, Pace B. Shoulder strength, power, and endurance in college tennis players. Am J Sports Med. 1992; 20 455-458
- 5 Dalichau S, Scheele K, Reissdorf C, Huebner J. Die Kinematische Ganganalyse unter besonderer Berücksichtigung von Lendenwirbelsäule und Becken. Dt Z Sportmed. 1998; 49 340-346
- 6 Davidson P A, Elattrache N S, Jobe C M, Jobe F W. Rotator cuff and posterior-superior glenoid labrum injury associated with increased glenohumeral motion. A new side of impingement. J Shoulder Ellbow Surg. 1995; 4 384-390
- 7 Ellenbecker T S, Roetert E P, Piorkowski P A, Schulz D A. Glenohumeral joint internal and external rotation range of motion in elite junior tennis players. J Orthop Sports Phys Ther. 1996; 24 336-341
- 8 Herrington L. Glenohumeral joint: internal and external rotation range of motion in javelin throwers. Br J Sports Med. 1998; 32 226-228
- 9 Kibler W B, Chandler T J, Livingston B P, Roetert E P. Shoulder range of motion in elite tennis players. Effect of age and years of tournament play. Am J Sports Med. 1996; 24 279-285
- 10 Kibler W B. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998; 26 325-337
- 11 Perry J. Biomechanics of the shoulder. In: Rowe CR (ed). The Shoulder. Churchill Livingstone, New York Edinburgh London 1988: 1-15
- 12 Schmidt-Wiethoff R, Rapp W, Schneider T, Haas H, Steinbrück K. Funktionelle Schulterprobleme und Muskelimbalancen beim Leistungssportler mit Überkopfbelastung. Dt Z Sportmed. 2000; 51 327-335
- 13 Schreiber T U, Smolenski U, Seidel E J. 3-Dimensionale Bewegungsanalyse zur Funktionsbeurteilung der Halswirbelsäule - Messverfahren und Reliabilität. Phys Med Rehab Kuror. 2001; 11 113-122
- 14 Walch G, Boileau P, Noel E, Donell S T. Impingement of the deep surface of the supraspinatus tendon on the posterosuperior rim: An arthroscopic study. J Shoulder Ellbow Surg. 1992; 1 238-245
- 15 Warner J P, Micheli L J, Arslenian L. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instabilty and impingement syndrom. A study using Moiré Topographic analysis. Clin Orthop. 1992; 285 191-199
R. Schmidt-Wiethoff, MD
Klinik für Orthopädie und Sporttraumatologie · Dreifaltigkeits-Krankenhaus
Aachenerstrasse 445-449 · 50933 Köln · Germany ·
Phone: +49-221-94071-226
Fax: +49-221-94071-469
Email: schmidt-wiethoff@t-online.de