Assessment of Glenohumeral Internal Rotation Deficit and Scapula Upward Rotation Differency Within Hungarian NB2Handball Players

Authors

  • Máté PINTÉR Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Hungary. Corresponding author: eleonora.leidecker@etk.pte.hu.
  • Iuliana BOROS-BALINT Department of Physical Education and Theoretical Subjects, Babeş-Bolyai University, Romania. Email: iuliana.borosbalint@ubbcluj.ro. https://orcid.org/0000-0002-5717-412X
  • Márta HOCK Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Hungary. Corresponding author: eleonora.leidecker@etk.pte.hu. https://orcid.org/0000-0001-6068-6858
  • Melinda JÁROMI Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Hungary. Corresponding author: eleonora.leidecker@etk.pte.hu. https://orcid.org/0000-0002-8931-3470
  • Alexandra MAKAI Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Hungary. Corresponding author: eleonora.leidecker@etk.pte.hu.
  • Eleonóra LEIDECKER Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Hungary. Email: eleonora.leidecker@etk.pte.hu.

DOI:

https://doi.org/10.24193/subbeag.69(3).18

Keywords:

GIRD, handball players, shoulder joint, scapula up rotation, pain

Abstract

The aim of our cross-sectional study was to assess the rotational range of motion of the shoulder joint and the scapula movement of Hungarian NBII handball players, to find out how many athletes may be affected by a rotational range of motion deficit. We also wanted to gain insight into whether players with GIRD report more pain. The study was conducted between September and October 2023. We studied 31 male handball players, all of whom participated in training sessions at least 3 times a week. The survey showed that more than half of the athletes were affected by some level of range of motion deficit. Of those assessed, 29% were affected by Glenohumeral Internal Rotation Deficit (GIRD) and 55% by Total Arc of Motion Deficit (TAMD). Those who had at least 15° of internal rotation deficit during pretesting had significantly less scapula upward rotation in the neutral shoulder, 60° abduction and 90° abduction positions. No significant difference was found in the 120° shoulder abduction position. For the non-dominant upper limb, no significant difference was found between the two groups. Athletes with GIRD reported significantly greater pain on the VAS scale than those without internal rotation deficit.

References

1. Aldridge, R., Stephen Guffey, J., Whitehead, M. T., & Head, P. (2012). The effects of a daily stretching protocol on passive glenohumeral internal rotation in overhead throwing collegiate athletes. International journal of sports physical therapy, 7 (4), 365–371.

2. Almeida, G. P., Silveira, P. F., Rosseto, N. P., Barbosa, G., Ejnisman, B., & Cohen, M. (2013). Glenohumeral range of motion in handball players with and without throwing-related shoulder pain. Journal of shoulder and elbow surgery, 22(5), 602–607. https://doi.org/10.1016/j.jse.2012.08.027

3. Alqarni, A. M., Nuhmani, S., & Muaidi, Q. I. (2024). Glenohumeral internal rotation deficit in volleyball players with and without a history of shoulder pain. Research in sports medicine (Print), 32(2), 225–234. https://doi.org/10.1080/15438627.2022.2102915

4. Amin, N. H., Ryan, J., Fening, S. D., Soloff, L., Schickendantz, M. S., & Jones, M. (2015). The Relationship Between Glenohumeral Internal Rotational Deficits, Total Range of Motion, and Shoulder Strength in Professional Baseball Pitchers. The Journal of the American Academy of Orthopaedic Surgeons, 23(12), 789–796. https://doi.org/10.5435/JAAOS-D-15-00292.

5. 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

6. Fairall, R. R., Cabell, L., Boergers, R. J., & Battaglia, F. (2017). Acute effects of self-myofascial release and stretching in overhead athletes with GIRD. Journal of bodywork and movement therapies, 21(3), 648–652. https://doi.org/10.1016/j.jbmt.2017.04.001

7. Guney, H., & Baltaci, G. (2015). Which stretching technique is effective in decreasing glenohumeral internal rotation deficit? Medicina dello sport; rivista di fisiopatologia dello sport. 68, 291-302.

8. Guzowski, K., Stolarczyk, A., Czyrny, Z., Dębek, A., & Kranc, B. (2019). Assessment of ultrasonography as a diagnostic tool in shoulder pain and alterations in glenohumeral range of motion in tennis players. Wideochirurgia i inne techniki maloinwazyjne = Video surgery and other Mini invasive techniques, 14 (1), 114–125. https://doi.org/10.5114/wiitm.2018.81183.

9. Hosseinimehr, S. H., Anbarian, M., Norasteh, A. A., Fardmal, J., & Khosravi, M. T. (2015). The comparison of scapular upward rotation and scapulohumeral rhythm between dominant and non-dominant shoulder in male overhead athletes and non-athletes. Manual therapy, 20 (6), 758–762. https://doi.org/10.1016/j.math.2015.02.010.

10. Johnson, J. E., Fullmer, J. A., Nielsen, C. M., Johnson, J. K., & Moorman, C. T., 3rd (2018). Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis. Orthopaedic journal of sports medicine, 6 (5), 2325967118773322. https://doi.org/10.1177/2325967118773322.

11. Kay, J. et al. (2018). Humeral Retroversion and Capsule Thickening in the Overhead Throwing Athlete: A Systematic Review. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 34 (4), 1308–1318. https://doi.org/10.1016/j.arthro.2017.10.049.

12. Kibler, W. B., Ludewig, P. M., McClure, P. W., Michener, L. A., Bak, K., & Sciascia, A. D. (2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'. British journal of sports medicine, 47 (14), 877–885. https://doi.org/10.1136/bjsports-2013-092425.

13. Kibler, W. B., Sciascia, A., & Thomas, S. J. (2012). Glenohumeral internal rotation deficit: pathogenesis and response to acute throwing. Sports medicine and arthroscopy review, 20(1), 34–38. https://doi.org/10.1097/JSA.0b013e318244853e.

14. Laudner, K. G., Myers, J. B., Pasquale, M. R., Bradley, J. P., & Lephart, S. M. (2006). Scapular dysfunction in throwers with pathologic internal impingement. The Journal of orthopaedic and sports physical therapy, 36(7), 485–494. https://doi.org/10.2519/jospt.2006.2146.

15. Le Gal, J., Begon, M., Gillet, B., & Rogowski, I. (2018). Effects of Self-Myofascial Release on Shoulder Function and Perception in Adolescent Tennis Players. Journal of sport rehabilitation, 27(6), 530–535. https://doi.org/10.1123/jsr.2016-0240.

16. Lubiatowski, et al. (2018). Rotational glenohumeral adaptations are associated with shoulder pathology in professional male handball players. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 26(1), 67–75. https://doi.org/10.1007/s00167-017-4426-9.

17. Nakamizo, H., Nakamura, Y., Nobuhara, K., & Yamamoto, T. (2008). Loss of glenohumeral internal rotation in little league pitchers: a biomechanical study. Journal of shoulder and elbow surgery, 17(5), 795–801. https://doi.org/10.1016/j.jse.2008.02.013

18. Ohuchi, K., Kijima, H., Saito, H., Sugimura, Y., Yoshikawa, T., & Miyakoshi, N. (2023). Risk Factors for Glenohumeral Internal Rotation Deficit in Adolescent Athletes: A Comparison of Overhead Sports and Non-overhead Sports. Cureus, 15(1), e34045. https://doi.org/10.7759/cureus.34045.

19. Prateek, S., Ganesh, B., & Siddharth, B. (2018). Prevalence of Glenohumeral Internal Rotation Deficit and its Association with Scapular Dyskinesia and Rotator Cuff Strenght Ratio in Collegiate Athletes Playing Overhead Sports. Journal of Clinical an Diagnostic Research, 2018 Dec, Vol-12(12): YC01-YC04. DOI: 10.7860/JCDR/2018/37819.12377.

20. Reuther, K. E., Sheridan, S., & Thomas, S. J. (2018). Differentiation of bony and soft-tissue adaptations of the shoulder in professional baseball pitchers. Journal of shoulder and elbow surgery, 27 (8), 1491–1496. https://doi.org/10.1016/j.jse.2018.02.053.

21. Seabra, P., Van Eck, C. F., Sá, M., & Torres, J. (2017). Are professional handball players at risk for developing a glenohumeral internal rotation deficit in their dominant arm?. The Physician and Sports Medicine, 45(2), 77–81. https://doi.org/10.1080/00913847.2017.1295774.

22. Suszter, M., Nicolas V., Mollee, S., & John, S. (2015). Glenohumeral Internal Rotation Deficit in Adolescent Water Polo Players. J Orthop Res Physiother 1.006 https://doi.org/10.24966/ORP-2052/100006.

23. Thomas, S. J., et al. (2011). A bilateral comparison of posterior capsule thickness and its correlation with glenohumeral range of motion and scapular upward rotation in collegiate baseball players. Journal of shoulder and elbow surgery, 20 (5), 708–716. https://doi.org/10.1016/j.jse.2010.08.031.

24. Thomas, S. J., Swanik, C. B., Swanik, K., & Kelly, J. D. (2013). Change in glenohumeral rotation and scapular position after a Division I collegiate baseball season. Journal of sport rehabilitation, 22(2), 115–121. https://doi.org/10.1123/jsr.22.2.115.

25. Thomas, S. J., Swanik, K. A., Swanik, C. B., & Kelly, J. D., 4th (2010). Internal rotation deficits affect scapular positioning in baseball players. Clinical orthopaedics and related research, 468(6), 1551–1557. https://doi.org/10.1007/s11999-009-1124-z.

26. Tooth, C., Schwartz, C., Gofflot, A., Bornheim, S., Croisier, J. L., & Forthomme, B. (2023). Preseason shoulder screening in volleyball players: is there any change during season?. JSES international, 7(4), 662–667. https://doi.org/10.1016/j.jseint.2023.03.022.

27. Tucker, W. S., & Slone, S. W. (2016). The Acute Effects of Hold-Relax Proprioceptive Neuromuscular Facilitation with Vibration Therapy on Glenohumeral Internal-Rotation Deficit. Journal of sport rehabilitation, 25(3), 248–254. https://doi.org/10.1123/jsr.2014-0329.

Downloads

Published

2024-11-27

How to Cite

PINTÉR, M., BOROS-BALINT, I., HOCK, M., JÁROMI, M., MAKAI, A., & LEIDECKER, E. (2024). Assessment of Glenohumeral Internal Rotation Deficit and Scapula Upward Rotation Differency Within Hungarian NB2Handball Players. Studia Universitatis Babeș-Bolyai Educatio Artis Gymnasticae, 69(3), 17–26. https://doi.org/10.24193/subbeag.69(3).18

Issue

Section

Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.