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http://dx.doi.org/10.13066/kspm.2015.10.4.1

Effects of Modified Cross-body Stretching on Range of Motion in Glenohumeral Joint  

Koh, Eun-Kyung (Department of Physical Therapy, Masan University)
Jung, Do-Young (Department of Physical Therapy, kinesiopathologic Science Institute, Joongbu University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.10, no.4, 2015 , pp. 1-7 More about this Journal
Abstract
PURPOSE: The purpose of this study was to compare the effects of cross-body stretching (CBS) and modified cross-body stretching (MCBS) on the range of motion (ROM) of glenohumeral joint (GHJ) in healthy subjects. METHODS: Thirty subjects were randomly assigned to 1 of 2 groups: CBS group without stabilization of scapula (n=15) and MCBS group with stabilization of scapula (n=15). We measured horizontal adduction and internal rotation ROM of GHJ in pre- and post-intervention. The data were analyzed using the analyses of covariate (ANCOVA) and least significant difference (LSD) post hoc tests (p=.05). RESULTS: In the post-intervention, the MCBS group had a significantly greater increase in horizontal adduction ROM (mean ${\pm}$ SD, $11.46^{\circ}{\pm}0.83^{\circ}$) compared to the CBS group ($7.81^{\circ}{\pm}0.83^{\circ}$) (p=.007) and a greater increase in internal rotation ROM ($62.27^{\circ}{\pm}0.74^{\circ}$) compared to the CBS group ($59.20^{\circ}{\pm}0.74^{\circ}$) (p=.004). CONCLUSION: A single session application of an MCBS provides immediate more improvements in both horizontal adduction and internal rotation ROM than CBS. These results suggest that application of MCBS with stabilization of scapula may be a more useful to gain ROM of GHJ than CBS without stabilization of scapula.
Keywords
Cross-body stretch; Posterior shoulder tightness; Shoulder impingement;
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1 Borsa PA, Dover GC, Wilk KE, et al. Glenohumeral range of motion and stiffness in professional baseball pitchers. Med Sci Sports Exerc. 2006;38(1):21-6.   DOI
2 Borstad JD, Dashottar A. Quantifying strain on posterior shoulder tissues during 5 simulated clinical tests: a cadaver study. J Orthop Sports Phys Ther. 2011; 41(2):90-9.   DOI
3 Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003;19(6):641-61.   DOI
4 Dillman CJ, Fleisig GS, Andrews JR. Biomechanics of pitching with emphasis upon shoulder kinematics. J Orthop Sports Phys Ther. 1993;18(2):402-8.   DOI
5 Ellenbecker TS, Roetert EP, Bailie DS, et al. Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc. 2002;34(12):2052-6.   DOI
6 Fleisig GS, Andrews JR, Dillman CJ, et al. Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med. 1995;23(2):233-9.   DOI
7 Grossman MG, Tibone JE, McGarry MH, et al. A cadaveric model of the throwing shoulder: a possible etiology of superior labrum anterior-to-posterior lesions. J Bone Joint Surg Am. 2005;87(4):824-31.   DOI
8 Harryman DT II, Sidles JA, Clark JM, et al. Translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone Joint Surg Am. 1990;72(9):1334-43.   DOI
9 Izumi T, Aoki M, Muraki T, et al. Stretching positions for the posterior capsule of the glenohumeral joint: strain measurement using cadaver specimens. Am J Sports Med. 2008;36(10):2014-22.   DOI
10 Lintner D, Mayol M, Uzodinma O, et al. Glenohumeral internal rotation deficits in professional pitchers enrolled in an internal rotation stretching program. Am J Sports Med. 2007;35(4):617-21.   DOI
11 Ludewig PM, Cook TM. Translations of the humerus in persons with shoulder impingement symptoms. J Orthop Sports Phys Ther. 2002;32(6):248-59.   DOI
12 Manske RC, Meschke M, Porter A, et al. 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. 2010;2(2):94-100.   DOI
13 McClure P, Balaicuis J, Heiland D, et al. A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther. 2007;37(3):108-14.   DOI
14 Moore SD, Laudner KG, McLoda TA, et al. The immediate effects of muscle energy technique on posterior shoulder tightness: a randomized controlled trial. J Orthop Sports Phys Ther. 2011;41(6):400-7.   DOI
15 Pappas AM, Zawacki RM, Mccarthy CF. Rehabilitation of the pitching shoulder. Am J Sports Med. 1985; 13(4):223-35.   DOI
16 Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg Am. 1997;79(5):732-7.   DOI
17 Muraki T, Yamamoto N, Zhao KD, et al. Effect of posteroinferior capsule tightness on contact pressure and area beneath the coracoacromial arch during pitching motion. Am J Sports Med. 2010;38(3):600-7.   DOI
18 Myers JB, Laudner KG, Pasquale MR, et al. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. Am J Sports Med. 2006;34(3):385-91.   DOI
19 Tyler TF, Nicholas SJ, Roy T, et al. Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement. Am J Sports Med. 2000; 28(5):668-73.   DOI
20 Warner JJ, Micheli LJ, Arslanian LE, et al. Patterns of flexibility, laxity, and strength in normal shoulders and shoulders with instability and impingement. Am J Sports Med. 1990;18(4):366-75.   DOI
21 Wilk KE, Hooks TR, Macrina LC. The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete. J Orthop Sports Phys Ther. 2013; 43(12):891-4.   DOI
22 Wilk KE, Meister K, Andrews JR. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med. 2002;30(1):136-51.   DOI