Browse > Article
http://dx.doi.org/10.14474/ptrs.2019.8.3.152

Effect of postural change on shoulder joint internal and external rotation range of motion in healthy adults in their 20s  

Kim, Beom-Ryong (Department of Physical Therapy, Design Hospital)
Yi, Dong-Hyun (Department of Physical Therapy, The Graduate School of Sahmyook University)
Yim, Jong-Eun (Department of Physical Therapy, The Graduate School of Sahmyook University)
Publication Information
Physical Therapy Rehabilitation Science / v.8, no.3, 2019 , pp. 152-157 More about this Journal
Abstract
Objective: We aimed to investigate differences of range of motion in measuring shoulder internal rotation (IR) and external rotation (ER) resulting from posture change in manual scapular stabilization in prone, hook-lying, sitting, and standing positions in healthy young adults. Design: Cross-sectional study. Methods: This study included healthy young adults who agreed to participate after a thorough explanation about the study purpose and methods. A clinometer was used to measure shoulder rotation. Measurements of shoulder rotation according to postural change were performed in prone, hook-lying, sitting, and standing positions. The repeated measures analysis of variance was used to compare between-group differences in postural change. Results: The lower the posture, the greater the average value of IR angle. In contrast, the higher the posture, the greater the average value of the external rotation angle. In active and passive IR with posture change, there was difference in average value but with no statistical significance. In active and passive ER, there was a statistically significant difference between prone and sitting, prone and standing, hook-lying and sitting, hook-lying and standing, and sitting and standing position (p<0.05). Conclusions: Our findings suggest that postural change should be considered in order to increase the strength or range of motion of the internal and external rotation of the patient's shoulder joint.
Keywords
External rotation; Internal rotation; Shoulder; Range of motion;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Laudner KG, Sipes RC, Wilson JT. The acute effects of sleeper stretches on shoulder range of motion. J Athl Train 2008;43:359-63.   DOI
2 Shanley E, Rauh MJ, Michener LA, Ellenbecker TS, Garrison JC, Thigpen CA. Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. Am J Sports Med 2011;39:1997-2006.   DOI
3 Borsa PA, Dover GC, Wilk KE, Reinold MM. Glenohumeral range of motion and stiffness in professional baseball pitchers. Med Sci Sports Exerc 2006;38:21-6.   DOI
4 Neumann DA. Kinesiology of the musculoskeletal system - e-book: foundations for rehabilitation. Elsevier Health Sciences;2013.
5 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
6 Ellenbecker TS, Roetert EP, Piorkowski PA, Schulz DA. Glenohumeral joint internal and external rotation range of motion in elite junior tennis players. J Orthop Sports Phys Ther 1996;24:336-41.   DOI
7 McConnell J, McIntosh B. The effect of tape on glenohumeral rotation range of motion in elite junior tennis players. Clin J Sport Med 2009;19:90-4.   DOI
8 Scher S, Anderson K, Weber N, Bajorek J, Rand K, Bey MJ. Associations among hip and shoulder range of motion and shoulder injury in professional baseball players. J Athl Train 2010;45:191-7.   DOI
9 Sauers EL, Huxel Bliven KC, Johnson MP, Falsone S, Walters S. Hip and glenohumeral rotational range of motion in healthy professional baseball pitchers and position players. Am J Sports Med 2014;42:430-6.   DOI
10 Oliver GD, Weimar WH. Hip and shoulder range of motion in youth baseball pitchers. J Strength Cond Res 2016;30:2823-7.   DOI
11 Sadeghifar A, Ilka S, Dashtbani H, Sahebozamani M. A comparison of glenohumeral internal and external range of motion and rotation strength in healthy and individuals with recurrent anterior instability. Arch Bone Jt Surg 2014;2:215-9.
12 Boon AJ, Smith J. Manual scapular stabilization: its effect on shoulder rotational range of motion. Arch Phys Med Rehabil 2000;81:978-83.   DOI
13 Keating JL, Matyas TA. Method-related variations in estimates of gravity correction values using electromechanical dynamometry: a knee extension study. J Orthop Sports Phys Ther 1996;24:142-53.   DOI
14 Kibler WB. Specificity and sensitivity of the anterior slide test in throwing athletes with superior glenoid labral tears. Arthroscopy 1995;11:296-300.   DOI
15 Gerber C, Ganz R. Clinical assessment of instability of the shoulder. With special reference to anterior and posterior drawer tests. J Bone Joint Surg Br 1984;66:551-6.   DOI
16 Clarkson HM. Musculoskeletal assessment: joint range of motion and manual muscle strength. Philadelphia: Lippincott Williams and Wilkins; 2000.
17 McFarland EG, Campbell G, McDowell J. Posterior shoulder laxity in asymptomatic athletes. Am J Sports Med 1996;24:468-71.   DOI
18 Werner BC, Holzgrefe RE, Griffin JW, Lyons ML, Cosgrove CT, Hart JM, et al. Validation of an innovative method of shoulder range-of-motion measurement using a smartphone clinometer application. J Shoulder Elbow Surg 2014;23:e275-82.   DOI
19 Radomski MV, Latham CAT. Occupational therapy for physical dysfunction. Philadelphia: Lippincott Williams and Wilkins;2008.
20 Park IW, Lim OB, Park KN, Yi CH. Intra- and inter-rater reliability of measuring passive range of shoulder motion with smartphone and goniometer in patients with stroke. Phys Ther Korea 2014;21:1-12.   DOI
21 Yang H, Jeong C, Yoo Y, Bae S. Reliability study of hip range of motion measurement by smartphone inclinometer. J Korean Soc Integr Med 2016;4:89-96.   DOI
22 Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques. Philadelphia: F.A. Davis Company; 2017.
23 Cadet ER. Evaluation of glenohumeral instability. Orthop Clin North Am 2010;41:287-95.   DOI
24 Kolber MJ, Saltzman SB, Beekhuizen KS, Cheng MS. Reliability and minimal detectable change of inclinometric shoulder mobility measurements. Physiother Theory Pract 2009;25:572-81.   DOI
25 Provencher CM, Makani A, McNeil JW, Pomerantz ML, Golijanin P, Gross D. The role of the scapula in throwing disorders. Sports Med Arthrosc Rev 2014;22:80-7.   DOI
26 Park KM, Cynn HS, Yi CH, Kwon OY. Effect of isometric horizontal abduction on pectoralis major and serratus anterior EMG activity during three exercises in subjects with scapular winging. J Electromyogr Kinesiol 2013;23:462-8.   DOI
27 Choung SD, Weon JH, Jung DY. Effect of movement plane and shoulder flexion angle on scapular upward rotator during scapular protraction exercise. J Korean Soc Phys Med 2013;8:41-8.   DOI
28 Ha SM, Kwon OY, Cynn HS, Lee WH, Park KN, Kim SH, et al. Comparison of electromyographic activity of the lower trapezius and serratus anterior muscle in different arm-lifting scapular posterior tilt exercises. Phys Ther Sport 2012;13:227-32.   DOI
29 Ludewig PM, Hoff MS, Osowski EE, Meschke SA, Rundquist PJ. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. Am J Sports Med 2004;32:484-93.   DOI