The effect and permanence of corrective exercises on pain intensity, functional disability and kinematic parameters of bodybuilders with shoulder impingement syndrome

Yousfvand, Mahdi; Golpayegani, Masoud; Ghasemi, Safoura

doi:10.22059/sshr.2024.366058.1108

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	The effect and permanence of corrective exercises on pain intensity, functional disability and kinematic parameters of bodybuilders with shoulder impingement syndrome
Sport Sciences and Health Research
دوره 15، شماره 2، مهر 2023، صفحه 275-287 اصل مقاله (594.41 K)
نوع مقاله: Research Paper
شناسه دیجیتال (DOI): 10.22059/sshr.2024.366058.1108
نویسندگان
Mahdi Yousfvand¹؛ Masoud Golpayegani²؛ Safoura Ghasemi^* ³
¹Department of Sport Pathology and Corrective Exercises, Faculty of Sport Sciences, Arak University, Arak, Iran
²Department of Sport Pathology and Corrective Exercises, Faculty of Sport Sciences, Arak University, Arak, Iran.
³Assistant Professor of Sports Biomechanic, Department of Sports Physiology and Pathology, Faculty of Sport Sciences, Arak University, Arak, Iran
چکیده
Background: Shoulder impingement syndrome is a common complication that causes pain and disability, functional limitations and reduced quality of life. This syndrome is usually seen in people who are involved in activities and sports involving rotating movements above the head, including bodybuilders. Meanwhile, corrective exercises have been considered as an intervention in the rehabilitation of the condition. Exercises based on National Academy of Sports Medicine (NASM) principles are known as one of the new methods in the rehabilitation and prevention of sports injuries. Aim: The purpose of this study was to investigate the effect and permanence of corrective exercises on pain intensity, functional disability and kinematic parameters of bodybuilders with shoulder impingement syndrome. Materials and Methods: In this semi-experimental research with a pre-test-post-test design, 20 male bodybuilders with shoulder impingement syndrome were randomly assigned in two groups; corrective exercises as the experimental group (n=10) and control group (n=10). Visual Analog Scale (VAS) questionnaire was used for pain intensity. Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire was used for functional disability. Kinovea software was used to kinematic parameters. The evaluations carried out during three stages: the pre-test, the first post-test (after 8 weeks) and the second post-test (after 12 weeks). Data were analyzed using descriptive statistics, repeated measures analysis of variance (ANOVA) at a significance level of 0.05 using SPSS version 20 software. Results: The findings showed that after 8 weeks of corrective exercises, there were significant changes in pain intensity and functional disability in the experimental group (P<0.05). Also, significant changes in shoulder biomechanical parameters during flexion, abduction, external rotation and internal rotation movements were observed between the two groups (P<0.05). Permanence of the exercises in the studied variables after 12 weeks showed a significant difference between the two groups (P<0.05). Conclusion: According to the obtained results, it can be stated that a course of NASM exercises reduced shoulder pain, improved functional disability and improved kinematic parameters in male bodybuilders with shoulder impingement syndrome.
کلیدواژه‌ها
Bodybuilder؛ functional disability؛ kinematic parameters؛ shoulder impingement syndrome

مراجع
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The effect and permanence of corrective exercises on pain intensity, functional disability and kinematic parameters of bodybuilders with shoulder impingement syndrome

[1] Basford JR. “Weightlifting, weight training and injuries”. Thopedics. 1986; 8: 1051-1056. doi: https://doi.org/10.3928/0147-7447-19850801-19.

[2] Gross ML, Brenner SL, Esformes I, Sonzogni JJ. “Anterior shoulder instability in weightlifters”. Am. J. Sports Med. 1993; 21: 599-603. doi: https://doi.org/10.1177/036354659302100419.

[3] Kolber MJ, Beekhuizen KS, Cheng MS, Hellman MA. “Shoulder injuries attributed to resistance training: A brief review”. J Strength Cond Res. 2010; 24: 1696-704. doi: https://doi.org/10.1519/JSC.0b013e3181dc4330.

[4] Barlow JC, Benjamin BW, BIRT PJ, Hughes CJ. “Shoulder strength and range-of-motion characteristics in bodybuilders”. The Journal of Strength & Conditioning Research. 2002; 16(3): 367-72. doi: https://doi.org/10.1519/1533-4287.

[5] Fees M, Decker T, Snyder-Mackler L, Axe MJ. “Upper extremity weight-training modifications for the injured athlete”. Am. J. Sports Med. 1998; 26: 732-742. doi: https://doi.org/10.1177/03635465980260052301.

[6] Kolber MJ, Beekhuizen KS, Cheng MS, Hellman MA. “Shoulder joint and muscle characteristics in the recreational weight training population”. J Strength Cond Res. 2009; 23: 148‑57. doi: https://doi.org/10.1519/JSC.0b013e31818eafb4.

[7] Doyscher R, Kraus K, Finke B, Scheibel M. “Acute and overuse injuries of the shoulder in sports”. Orthopade. 2014; 43: 202‑8. doi: https://doi.org/10.1007/s00132-013-2141-x.

[8] Siewe J, Marx G, Knöll P, Eysel P, Zarghooni K, Graf M, et al. “Injuries and overuse syndromes in competitive and elite bodybuilding”. Int J Sports Med. 2014; 35: 943‑8. doi: https://doi.org/10.1055/s-0034-1367049.

[9] Lombardi Jr I, Magri, Fleury A, Da Silva A, Natour J. “Progressive resistance training in patients with shoulder impingement syndrome: A randomized controlled trial:. Arthritis Rheum. 2008; 59(5): 615-622. doi: https://doi.org/10.1002/art.23576.

[10] Michener L, McClure P, Karduna A. “Anatomical and biomechanical mechanisms of subacromial impingement syndrome”. Clin Biomech. 2003; 18(5): 369-79. doi: https://doi.org/10.1016/S0268-0033(03)00047-0.

[11] McClure P, Michener L, Karduna A. “Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome”. Phys Ther. 2006; 86(8): 1075. doi: https://doi.org/10.1093/ptj/86.8.1075.

[12] Ebaugh D, McClure P, Karduna A. “Three-dimensional scapulothoracic motion during active and passive arm elevation””. Clin Biomech. 2005; 20(7): 700-9. doi: https://doi.org/10.1016/j.clinbiomech.2005.03.008.

[13] Kibler WB, McMullen J. “Scapular dyskinesis and its relation to shoulder pain”. J Am Acad Orthop Surg. 2003; 11: 142-151. doi: https://doi.org/10.5435/00124635-200303000-00008.

[14] Lewis JS, Wright C, Green A. “Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement”. J Orthop Sports Phys Ther. 2005; 35: 72-87. doi: https://www.jospt.org/doi/10.2519/jospt.2005.35.2.72.

[19] Kaya E, Zinnuroglu M, Tugcu I. “Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome”. Clinical Rheumatology. 2018; 30(2): 201–7. doi: https://doi.org/10.1007/s10067-010-1475-6.

[21] Sharifi A, Zolaktaf V. “Effect of eight weeks of NASM exercises on shoulder functional tests”. Sport Rehabilitation. 2019; 7(13): 125-133. doi: https://doi.org/10.22084/RSR.2018.16276.1374.

[22] Clark M, Lucett S. NASM Essentials of Corrective Exercise Training. Lippincott Williams Wilkins Publication. 2010.

[23] Jabbar MK, Gandomi F. “The effects of national academy of sports medicine and sahrmann training on foot pressure distribution in flexed posture students”. Iranian Rehabilitation Journal. 2021; 19(1): 99-110. doi: https://doi.org/10.32598/irj.19.1.1319.1.

[25] Hou CR, Tsai LC, Cheng KF, Chung KC, Hong CZ. “Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity”. Arch Phys Med Rehabil. 2002; 83: 1406-14. doi: https://doi.org/10.1053/apmr.2002.34834.

[26] Kersten P, Küçükdeveci AA, Tennant A. “The use of the Visual Analogue Scale (VAS) in rehabilitation outcomes”. Journal of Rehabilitation Medicine. 2012; 44(7): 609-10. doi: https://doi.org/10.2340/16501977-0999.

[28] Elrahim RM, Embaby EA, Ali MF, Kamel RM. “Inter-rater and intra-rater reliability of Kinovea software for measurement of shoulder range of motion”. Bulletin of Faculty of Physical Therapy. 2016; 21(2) :80-7. doi: https://doi.org/10.4103/1110-6611.196778.

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