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Prevention Strategies of Shoulder Injuries

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Sports Injuries

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.

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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

    Google Scholar 

  • American Academy of Orthopaedic Surgeons Committee on Sports Medicine (1974) The shoulder in sports (summarized course papers). Am J Sports Med 2:47–50

    Google Scholar 

  • Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39:324–329

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • Crichton J, Jones DR, Funk L (2012) Mechanisms of traumatic shoulder injury in elite rugby players. Br J Sports Med 46:538–542

    Article  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Gerrard DF (1998) The use of padding in rugby union. An overview. Sports Med 25:329–332

    Article  CAS  Google Scholar 

  • Hagel B, Meeuwisse W (2004) Risk compensation: a “side effect” of sport injury prevention? Clin J Sport Med 14:193–196

    Article  Google Scholar 

  • Headey J, Brooks JHM, Kemp SPT (2007) The epidemiology of shoulder injuries in English professional rugby union. Am J Sports Med 35:1537–1543

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Kibler WB, Sciascia AD (2010) Current concepts: scapular dyskinesis. Br J Sports Med 44:300–305

    Article  Google Scholar 

  • Lintner D, Noonan TJ, Kibler WB (2008) Injury patterns and biomechanics of the athlete’s shoulder. Clin Sports Med 27:527–552

    Article  Google Scholar 

  • Lo YP, Hsu YC, Chan KM (1990) Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med 24:173–177

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    CAS  Google Scholar 

  • Sciascia AD, Thigpen CA, Namdari S, Baldwin K (2012) Kinetic chain abnormalities in the athletic shoulder. Sports Med Arthrosc Rev 20:16–21

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Stevenson JH, Trojian T (2002) Evaluation of shoulder pain. J Fam Pract 51(7):605–611

    Google Scholar 

  • Van der Heijden GJ (1999) Shoulder disorders: state of the art review. Baillieres Best Pract Res Clin Rheumatol 13:287–309

    Article  Google Scholar 

  • Van Mechelen W, Hlobil H, Kemper H (1992) Incidence, severity, etiology and prevention of sports injuries. Sports Med 14(2):82–99

    Article  Google Scholar 

  • 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

    CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

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Correspondence to Gabriele Severini .

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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

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_34

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

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