Abstract
Major shoulder injuries, such as those to the labrum and to the rotator cuff, are a growing cause for concern. These injuries can have shown serious consequences for the athlete, in terms of treatment costs, time lost from sport, and increased risk of recurrence. Recent studies have shown that it might be possible to reduce the incidence of shoulder and upper quarter injuries in adults and adolescents by using various training programs. However, this work is multifaceted and must address all the aspects that could be related to the risk of injury (agility, balance, strength, proprioception, awareness of vulnerable shoulder and upper limb positions, and playing technique). A multifactorial approach should be used to account for all the variables involved, which are internal and external risk factor as well as the inciting event (the injury mechanism). Integrating shoulder and core exercises can address potential and present musculoskeletal dysfunction while serving as an effective program aimed at improving skill and preventing further recurrence or new trauma.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abelew T (2001) Kinesiology of the shoulder. In: Tovin BJ (ed) Evaluation and treatment of the shoulder: an integration of the guide to physical therapist practice. FA Davis, Philadelphia, p 25
American Academy of Orthopaedic Surgeons Committee on Sports Medicine (1974) The shoulder in sports (summarized course papers). Am J Sports Med 2:47–50
Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39:324–329
Bathgate A, Best JP, Craig G, Jamieson M (2002) A prospective study of injuries to elite Australian rugby union players. Br J Sports Med 36:265–269
Bitter NL, Clisby EF, Jones MA, Magarey ME, Jaberzadeh S, Sandow MJ (2007) Relative contributions of infraspinatus and deltoid during external rotation in healthy shoulders. J Shoulder Elbow Surg 16:563–568
Bonza JE, Fields SK, Yard EE, Comstock RD (2009) School athletes during the 2005–2006 and 2006–2007 school years. J Athl Train 44(1):76–83
Brooks JHM, Fuller CW, Kemp SPT, Reddin DB (2005a) A prospective study of injuries and training amongst the England 2003 Rugby World Cup squad. Br J Sports Med 39:288–293
Brooks JHM, Fuller CW, Kemp SPT, Reddin DB (2005b) Epidemiology of injuries in English professional rugby union. Part 1 match injuries. Br J Sports Med 39:757–766
Brudvig TJ, Kulkarni H, Shah S (2011) The effect of therapeutic exercise and mobilization on patients with shoulder dysfunction: a systematic review with meta-analysis. J Orthop Sports Phys Ther 41:734–748
Crichton J, Jones DR, Funk L (2012) Mechanisms of traumatic shoulder injury in elite rugby players. Br J Sports Med 46:538–542
Ellenbecker T, Pluim B, Vivier S (2009) Common injuries in tennis players: exercises to address muscular imbalances and reduce injury risk. J Strength Cond Res 31:4
Escamilla RF, Lewis C, Bell D, Bramblet G, Daffron J, Lambert S et al (2010) Core muscle activation during swiss ball and traditional abdominal exercises. J Orthop Sports Phys Ther 40:265–276
Gerrard DF (1998) The use of padding in rugby union. An overview. Sports Med 25:329–332
Hagel B, Meeuwisse W (2004) Risk compensation: a “side effect” of sport injury prevention? Clin J Sport Med 14:193–196
Headey J, Brooks JHM, Kemp SPT (2007) The epidemiology of shoulder injuries in English professional rugby union. Am J Sports Med 35:1537–1543
Kaplan LD, Flanigan DC, Norwing J, Jost P, Bradley J (2005) Prevalence and variance of shoulder injuries in elite collegiate football players. Am J Sports Med 33:1142–1146
Kibler WB, Kuhn JE, Wilk KE, Sciascia AD, Moore SD, Laudner KG et al (2013) The disabled throwing shoulder: spectrum of pathology-10-year update. Arthroscopy 29:141–161
Kibler WB, Sciascia AD (2010) Current concepts: scapular dyskinesis. Br J Sports Med 44:300–305
Lintner D, Noonan TJ, Kibler WB (2008) Injury patterns and biomechanics of the athlete’s shoulder. Clin Sports Med 27:527–552
Lo YP, Hsu YC, Chan KM (1990) Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med 24:173–177
Moreside JM, Vera-Garcia FJ, McGill SM (2007) Trunk muscle activation patterns, lumbar compressive forces, and spine stability when using the body blade. Phys Ther 87:153–163
Niederbracht Y, Shim AL, Sloniger MA, Paternostro-Bayles M, Short TH (2008) Effects of a shoulder injury prevention strength training program on eccentric external rotator muscle strength and glenohumeral joint imbalance in female overhead activity athletes. J Strength Cond Res 22:1
Powell JW, Barber-Foss KD (1999) Injury patterns in selected high school sports: a review of the 1995–1997 seasons. J Athl Train 34(3):277–284
Sciascia AD, Thigpen CA, Namdari S, Baldwin K (2012) Kinetic chain abnormalities in the athletic shoulder. Sports Med Arthrosc Rev 20:16–21
Shanley E, Rauh MJ, Michener LA, Ellenbecker TS, Garrison JC, Thigpen CA (2011) Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. Am J Sports Med 39:1997–2006
Stevenson JH, Trojian T (2002) Evaluation of shoulder pain. J Fam Pract 51(7):605–611
Van der Heijden GJ (1999) Shoulder disorders: state of the art review. Baillieres Best Pract Res Clin Rheumatol 13:287–309
Van Mechelen W, Hlobil H, Kemper H (1992) Incidence, severity, etiology and prevention of sports injuries. Sports Med 14(2):82–99
Wang HK, Cochrane T (2001) Mobility impairment, muscle imbalance, muscle weakness, scapular asymmetry and shoulder injury in elite volleyball athletes. J Sports Med Phys Fitness 41:403–410
Wilk KE, Macrina LC, Fleisig GS, Porterfield R, Simpson CD 2nd, Harker P et al (2011) Loss of internal rotation and the correlation to shoulder injuries in professional baseball pitchers. Am J Sports Med 39:329–335
Woodcock J, Franco OH, Orsini N, Roberts I (2011) Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. Int J Epidemiol 40(1):121–138
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this entry
Cite this entry
Severini, G., Cacchio, A., Campana, V., Milano, G. (2015). Prevention Strategies of Shoulder Injuries. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_34
Download citation
DOI: https://doi.org/10.1007/978-3-642-36569-0_34
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-36568-3
Online ISBN: 978-3-642-36569-0
eBook Packages: MedicineReference Module Medicine