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Avoiding Shoulder Injuries in Weight Training: New Study
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<blockquote data-quote="Nelson Vergel" data-source="post: 691" data-attributes="member: 3"><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/24077379#" target="_blank"> Strength Cond Res.</a> 2013 Sep 25. [Epub ahead of print]</p><p><strong>Characteristics of Shoulder Impingement in the Recreational Weight-Training Population.</strong><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Kolber%20MJ%5BAuthor%5D&cauthor=true&cauthor_uid=24077379" target="_blank">Kolber MJ</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Cheatham%20SW%5BAuthor%5D&cauthor=true&cauthor_uid=24077379" target="_blank">Cheatham SW</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Salamh%20PA%5BAuthor%5D&cauthor=true&cauthor_uid=24077379" target="_blank">Salamh PA</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Hanney%20WJ%5BAuthor%5D&cauthor=true&cauthor_uid=24077379" target="_blank">Hanney WJ</a>.</p><p>[h=3]Source[/b]1Boca Raton Orthopaedic Group, 660 Glades Road, Suite 360. Boca Raton, Florida 33431 2Adjunct Faculty, California State University Dominguez Hills, 1000 E. Victoria Street, Carson, California 90747, (310) 892-4376, <a href="mailto:nirepro@yahoo.com">nirepro@yahoo.com</a> 3Director of Rehabilitation, Southeastern Orthopedics Physical Therapy, 3404 Wake Forest Rd, Suite 201, Raleigh, North Carolina 27609, Phone: (919)-256-1524, Fax: (919)-256-1530, <a href="mailto:psalamh@seortho.net">psalamh@seortho.net</a> 4Assistant Professor, University of Central Florida, Program in Physical Therapy, 12805 Pegasus Drive #262, Orlando, FL 32816-2205, Phone (407) 823-0217, <a href="mailto:William.Hanney@.ucf.edu">William.Hanney@.ucf.edu</a>.</p><p></p><p>[h=3]Abstract[/b]Despite reports implicating subacromial impingement syndrome (SIS) as an etiological source of shoulder pain among weight-training (WT) participants, a paucity of case-controlled evidence exists to support this premise. The purpose of this study was to determine if WT participants present with characteristics of SIS. Additionally, we investigated the role of exercise selection among those identified as having SIS. Seventy-seven (154 shoulders) men (mean age 28) were recruited, including 46 individuals who engaged in WT a minimum of 2 days per week; and 31 controls with no history of WT participation. Prior to testing, participants completed a questionnaire summarizing their training patterns. Upon completing questionnaire, two previously validated tests used to identify SIS were performed on both groups and included the painful arc sign and Hawkins-Kennedy test. When clustered, these tests have a positive likelihood ratio of 5.0 for identifying SIS when compared to diagnostic gold standards. Analysis identified significant between group differences in the combined presence of a positive painful arc and Hawkins-Kennedy (p < .001) test. A significant association existed between clinical characteristics of SIS (p ≤ .004) and both lateral deltoid raises and upright rows above 90°. Conversely, a significant inverse association was found between external rotator strengthening and characteristics of SIS. </p><p></p><p>Results suggest that WT participants may be predisposed to SIS. </p><p></p><p><strong>Avoiding performance of lateral deltoid raises and upright rows beyond an angle of 90 degrees; as well as efforts to strengthen the external rotators may serve as a useful means to mitigate characteristics associated with SIS.</strong></p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 691, member: 3"] [URL="http://www.ncbi.nlm.nih.gov/pubmed/24077379#"] Strength Cond Res.[/URL] 2013 Sep 25. [Epub ahead of print] [b]Characteristics of Shoulder Impingement in the Recreational Weight-Training Population.[/b][URL="http://www.ncbi.nlm.nih.gov/pubmed?term=Kolber%20MJ%5BAuthor%5D&cauthor=true&cauthor_uid=24077379"]Kolber MJ[/URL], [URL="http://www.ncbi.nlm.nih.gov/pubmed?term=Cheatham%20SW%5BAuthor%5D&cauthor=true&cauthor_uid=24077379"]Cheatham SW[/URL], [URL="http://www.ncbi.nlm.nih.gov/pubmed?term=Salamh%20PA%5BAuthor%5D&cauthor=true&cauthor_uid=24077379"]Salamh PA[/URL], [URL="http://www.ncbi.nlm.nih.gov/pubmed?term=Hanney%20WJ%5BAuthor%5D&cauthor=true&cauthor_uid=24077379"]Hanney WJ[/URL]. [h=3]Source[/b]1Boca Raton Orthopaedic Group, 660 Glades Road, Suite 360. Boca Raton, Florida 33431 2Adjunct Faculty, California State University Dominguez Hills, 1000 E. Victoria Street, Carson, California 90747, (310) 892-4376, [email]nirepro@yahoo.com[/email] 3Director of Rehabilitation, Southeastern Orthopedics Physical Therapy, 3404 Wake Forest Rd, Suite 201, Raleigh, North Carolina 27609, Phone: (919)-256-1524, Fax: (919)-256-1530, [email]psalamh@seortho.net[/email] 4Assistant Professor, University of Central Florida, Program in Physical Therapy, 12805 Pegasus Drive #262, Orlando, FL 32816-2205, Phone (407) 823-0217, [email]William.Hanney@.ucf.edu[/email]. [h=3]Abstract[/b]Despite reports implicating subacromial impingement syndrome (SIS) as an etiological source of shoulder pain among weight-training (WT) participants, a paucity of case-controlled evidence exists to support this premise. The purpose of this study was to determine if WT participants present with characteristics of SIS. Additionally, we investigated the role of exercise selection among those identified as having SIS. Seventy-seven (154 shoulders) men (mean age 28) were recruited, including 46 individuals who engaged in WT a minimum of 2 days per week; and 31 controls with no history of WT participation. Prior to testing, participants completed a questionnaire summarizing their training patterns. Upon completing questionnaire, two previously validated tests used to identify SIS were performed on both groups and included the painful arc sign and Hawkins-Kennedy test. When clustered, these tests have a positive likelihood ratio of 5.0 for identifying SIS when compared to diagnostic gold standards. Analysis identified significant between group differences in the combined presence of a positive painful arc and Hawkins-Kennedy (p < .001) test. A significant association existed between clinical characteristics of SIS (p ≤ .004) and both lateral deltoid raises and upright rows above 90°. Conversely, a significant inverse association was found between external rotator strengthening and characteristics of SIS. Results suggest that WT participants may be predisposed to SIS. [B]Avoiding performance of lateral deltoid raises and upright rows beyond an angle of 90 degrees; as well as efforts to strengthen the external rotators may serve as a useful means to mitigate characteristics associated with SIS.[/B] [/QUOTE]
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