Abstract
Overhead athletes are susceptible to acute as well as chronic shoulder injury, compromising their ability to fully compete. This chapter describes science-based guidelines for shoulder rehabilitation in the overhead athlete, focusing on rotator cuff exercises, scapular muscle training, implementation of kinetic chain variables into functional exercises in sport-specific conditions, and stretching of the posterior shoulder structures. In addition, clinical return-to-play criteria and suggestions for preventive screening and exercise programs are described.
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References
Axe MJ, Windley TC, Snyder-Mackler L (2002) Data-based interval throwing programs for collegiate softball players. J Athl Train 37(2):194–203
Borsa PA, Laudner KG, Sauers EL (2008) Mobility and stability adaptations in the shoulder of the overhead athlete: a theoretical and evidence-based perspective. Sports Med 38(1):17–36
Borstad JD, Ludewig PM (2006) Comparison of three stretches for the pectoralis minor muscle. J Should Elb Surg 15(3):324–330
Byram IR, Bushnell BD, Dugger K et al (2010) Preseason shoulder strength measurements in professional baseball pitchers: identifying players at risk for injury. Am J Sports Med 38(7):1375–1382
Chan DK, Hagger MS (2012) Theoretical integration and the psychology of sport injury prevention. Sports Med 42(9):725–732
Cools AM, Dewitte V, Lanszweert F et al (2007) Rehabilitation of scapular muscle balance: which exercises to prescribe? Am J Sports Med 35(10):1744–1751
Cools AM, Cambier D, Witvrouw EE (2008) Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. Br J Sports Med 42(8):628–635
Cools AM, Johansson FR, Cagnie B et al (2012) Stretching the posterior shoulder structures in subjects with internal rotation deficit: comparison of two stretching techniques. Should Elb 4:56–63
Cools AM, Palmans T, Johansson FR (2014) Age-related sport-specific adaptations of the shoulder girdle in elite adolescent tennis players. J Athl Train (in press)
De Mey K, Danneels L, Cagnie B et al (2013) Kinetic chain influences on upper and lower trapezius muscle activation during eight variations of a scapular retraction exercise in overhead athletes. J Sci Med Sport 16(1):65–70
Finch CF (2011) No longer lost in translation: the art and science of sports injury prevention implementation research. Br J Sports Med 45(16):1253–1257
Kibler WB, McMullen J, Uhl T (2001) Shoulder rehabilitation strategies, guidelines, and practice. Orthop Clin N Am 32(3):527–538
Maenhout A, Van PK, Pizzi L et al (2010) Electromyographic analysis of knee push up plus variations: what is the influence of the kinetic chain on scapular muscle activity? Br J Sports Med 44(14):1010–1015
Maenhout A, Van EV, Van DL et al (2012) Quantifying acromiohumeral distance in overhead athletes with glenohumeral internal rotation loss and the influence of a stretching program. Am J Sports Med 40(9):2105–2112
Maenhout AG, Mahieu NN, De MM et al (2013) Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial. Knee Surg Sports Traumatol Arthrosc 21(5):1158–1167
Maffulli N, Longo UG, Denaro V (2010) Novel approaches for the management of tendinopathy. J Bone Joint Surg Am 92(15):2604–2613
Manske RC, Meschke M, Porter A et al (2010) A randomized controlled single-blinded comparison of stretching versus stretching and joint mobilization for posterior shoulder tightness measured by internal rotation motion loss. Sports Health 2(2):94–100
Matheson GO, Shultz R, Bido J et al (2011) Return-to-play decisions: are they the team physician’s responsibility? Clin J Sport Med 21(1):25–30
McClure P, Balaicuis J, Heiland D et al (2007) A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther 37(3):108–114
Moore SD, Laudner KG, McLoda TA et al (2011) The immediate effects of muscle energy technique on posterior shoulder tightness: a randomized controlled trial. J Orthop Sports Phys Ther 41(6):400–407
Sciascia A, Cromwell R (2012) Kinetic chain rehabilitation: a theoretical framework. Rehabil Res Pract 2012:853037
Seitz AL, McClure PW, Finucane S et al (2011) Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clin Biomech (Bristol Avon) 26(1):1–12
Shanley E, Rauh MJ, Michener LA et al (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(9):1997–2006
Smith J, Dahm DL, Kotajarvi BR et al (2007) Electromyographic activity in the immobilized shoulder girdle musculature during ipsilateral kinetic chain exercises. Arch Phys Med Rehabil 88(11):1377–1383
Uhl TL, Muir TA, Lawson L (2010) Electromyographical assessment of passive, active assistive, and active shoulder rehabilitation exercises. PM R 2(2):132–141
Wilk KE, Macrina LC, Fleisig GS et al (2011a) Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. Am J Sports Med 39(2):329–335
Wilk KE, Yenchak AJ, Arrigo CA et al (2011b) The advanced throwers ten exercise program: a new exercise series for enhanced dynamic shoulder control in the overhead throwing athlete. Phys Sportsmed 39(4):90–97
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Cools, A., De Mey, K., Maenhout, A. (2015). Rehabilitation and Return to Sports After Conservative and Surgical Treatment 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_35
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DOI: https://doi.org/10.1007/978-3-642-36569-0_35
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