Influence of Playing a Prolonged Tennis Match on Shoulder Internal Range of Motion

Quantifying Hitting Load in Racket Sports: A Scoping Review of Key Technologies

PURPOSE

This scoping review aims to identify the primary racket and arm-mounted technologies based on inertial measurement units that enable the quantification of hitting load in racket sports.

METHODS

A comprehensive search of several databases (PubMed, SPORTDiscus, Web of Science, and IEEE Xplore) and Google search engines was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) extension for scoping reviews guidelines. Included records primarily focused on monitoring hitting load in racket sports using commercialized racket or arm-mounted inertial sensors through noncompetitive and competitive racket-sports players.

RESULTS

A total of 484 records were identified, and 19 finally met the inclusion criteria. The largest number of systems found were compatible with tennis (n = 11), followed by badminton (n = 4), table tennis (n = 2), padel (n = 1), and squash (n = 1). Four sensor locations were identified: grip-attached (n = 8), grip-embedded (n = 6), wrist (n = 3), and dampener sensors (n = 2). Among the tennis sensors, only 4 out of the 11 (36.4%) demonstrated excellent reliability (>.85) in monitoring the number of shots hit either during analytic drills or during simulated matches. None of the other racket-sports sensors have undergone successful, reliable validation for hitting-volume quantification.

CONCLUSIONS

Despite recent advancements in this field, the quantification of hitting volume in racket sports remains a challenge, with only a limited number of tennis devices demonstrating reliable results. Thus, further progress in technology and research is essential to develop comprehensive solutions that adequately address these specific requirements.

Influence of angular position on radar gun peak cricket ball speed measurements

The purpose of this study was to determine the agreement in peak ball speed measured using a radar gun and motion capture system then examine the influence of angular position. Peak ball speed was recorded with the radar gun in-line with the ball trajectory (0° offset) and at 5° offsets up to 35°. Agreement between devices was calculated at 0° and for grouped offset bins (0-5°, 10-15°, 20-25°, and 30-35°). At 0°, a strong correlation (r = 0.99) and intraclass correlation coefficient (.984) were observed with a systematic overestimation by the radar gun (1.7 ± 0.8 m/s). The residual speed between devices at the 30-35° offset was significantly different to both 0-5° (p < .001) and 10-15° (p < .001) offsets. The radar gun consistently overestimated peak ball speed up to a ~20° offset and thus can be positioned out of the line-of-throw to avoid obstructions.

Shoulder range of motion in competitive tennis players: systematic review and meta-analysis

Background

To compare shoulder range of motion (ROM) in dominant vs. nondominant shoulder of competitive tennis players, and to determine whether shoulder ROM is different between younger and older players, or males and females.

Methods

A search was performed on PubMed, Embase, and Epistemonikos on December 18, 2023. This study conforms to the principles of the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Clinical studies or case reports on shoulder ROM including external rotation (ER; shoulder at 90° of abduction) and internal rotation (IR) in competitive, elite, or professional tennis players.

Results

We found 25 eligible studies that reported on a total of 18,534 tennis players, of which 20 studies reported the ROM for the dominant and nondominant side. Comparing dominant vs. nondominant shoulders revealed that dominant shoulders had significantly smaller IR (53.0° vs. 62.6°; P < .001). Comparing adults vs. children revealed that adults have significantly smaller IR (44.5° vs. 57.1°; P < .001) and ER (95.3° vs. 110.3°; P < .001). Comparing females vs. males revealed no significant differences in ER (113.4° vs. 104.9°; P = .360) or IR (54.3° vs. 56.4°; P = .710).

Conclusion

IR in shoulders of tennis players is significantly smaller in dominant vs. nondominant sides (53.0° vs. 62.6°, P < .001), and significantly smaller in adults vs. children (44.5° vs. 57.1°, P < .001). These findings could be relevant in the context of physical preparation and training of tennis players, to monitor evolution of IR as a result of their sport and/or as they transition from childhood to adulthood.

Influence of Successive Wheelchair Tennis Matches on Handgrip Strength in High-Level Male Players

The purpose of this study was to examine the effects on upper strength in high-level male players playing four successive wheelchair tennis (WT) matches. Eight international WT players took part in a competition, playing one match per day over four consecutive tournament days. Before and after the match, the maximal isometric handgrip strength was measured on the dominant and non-dominant hand. Additionally, each player was equipped with one radiofrequency and IMU device on their wheelchair to control his activity profile (distance). The results showed significant differences between successive matches, with decreasing dominant handgrip strength (p = 0.02, η² = 0.043), and there was a significant interaction between successive matches and the accumulated distance (p = 0.013, η² = 0.049). The pre- and post-match strength values of the dominant hand decreased throughout the matches over a number of days, and post hoc analysis showed differences between the first and fourth matches only in pre-match strength (49.06 ± 6.96 vs. 45.94 ± 7.1; p = 0.045; ES: 1.04) but not in the non-dominant hand. Successive matches caused a decrease in the strength values of the WT players, mainly in the dominant hand. These results should be taken into account in the recovery and prevention of injuries in competitions with successive matches.

Professional tennis players suffer high prevalence of shoulder alterations during the season: a possible tennis shoulder syndrome

PURPOSE

To analyze the shoulder alterations of professional tennis players during the competition season and to compare the differences between their dominant vs. non-dominant shoulders, as well as gender and age differences.

METHODS

Two-hundred and seventy shoulders of (78 men and 57 women) professional active tennis players were assessed during 3 ATP and WTA tournaments.

MAIN VARIABLES STUDIED

long head of biceps (LHB) tenderness and synovitis; glenohumeral internal rotation deficit (GIRD), total range of motion (TRM), external rotation (ER) and scapular dyskinesis (DK). Secondary variables: shoulder dominance, gender, age, training hours, ranking, type of backhand. LHB tenderness and synovitis were assessed by clinical and ultrasound examination, TRM with goniometer and DK by dynamic observation.

RESULTS

LHB tenderness of the dominant shoulder was present in 35% of all players, being more prevalent in women (47.4%) than men (26.9%) p = 0.023. LHB synovitis of the dominant shoulder was present in 20.2% of all players without difference between genders (n.s). High prevalence of GIRD was found in both dominant (87.4%) and non-dominant (56.3%) shoulders, being more prevalent in the dominant shoulder p = 0.00005. TRM was decreased in both dominant (144.5° ± 20.2°) and non-dominant shoulders (161.2° ± 18.9°) p = 0.00005. ER was normal in dominant (93.8° + /9.3°) and non-dominant shoulders (93.4° + /8.4°) (n.s). DK was present in 57.7% of dominant and 45.9% of non-dominant shoulders (n.s). The combination of LHB alterations, GIRD and DK in the dominant shoulder was present in 13.3% of the participants. There were no significant differences between younger (< 22 years) vs older players (≥ 22 years).

CONCLUSION

Professional tennis players actively playing suffer a high prevalence of LHB inflammation, GIRD, scapular dyskinesis and decreased TRM in their dominant and non-dominant shoulders. The LHB is a significant cause for anterior shoulder pain in this population. Women suffer more LHB tenderness than men. Young players are as affected as older players.

LEVEL OF EVIDENCE

Level IV.

Effects of a Six-Week International Tour on the Physical Performance and Body Composition of Young Chilean Tennis Players

In tennis, it is common for young male tennis players to spend several weeks away from their local training camps during the competition season, which could affect their performance. The purpose of the study was to analyze the effects of a six-week international tour on physical performance and body composition in young Chilean tennis players. Twenty-four men between the ages of 14 and 16 participated in this research. In body composition and anthropometric measurement, body weight, height, skinfolds, and perimeters were measured. Body fat percentage (BFP) and skeletal muscle mass (SMM) were calculated. For physical performance, 5-m and 10-m sprints, modified agility test (MAT test), countermovement jump (CMJ), and medicine ball throw (MBT) were evaluated. Results show that, in body composition, BFP and SMM significantly decreased post-tour (p < 0.05; effect sizes ranging from 0.23 to 0.33, respectively). In physical performance, agility and 5-m and 10-m sprints significantly decreased (p < 0.05, effect sizes ranging from −0.63 to 1.10). We conclude that after a six-week international tour, BFP, SMM, agility, and speed (linear sprint) tend to decrease significantly, with a greater effect in the sprint tests.

Force-Time Curve Variable Outcomes Following a Simulated Tennis Match in Junior Players

This study examined the alterations induced by a simulated tennis competition on maximal isometric voluntary contraction (MVC), peak rate of force development (PRFD) and rate of force development (RFD) at different stages of contraction. Twenty junior tennis players performed an 80-minute simulated tennis match and two (pre and post) muscular performance tests. Variables tested included MVC, PRFD and RFD at 50, 100, 150 and 200 ms while performing a 90º shoulder internal rotation (IR90), 90º shoulder external rotation (ER90), shoulder horizontal adduction (ADD), shoulder horizontal abduction (ABD) and isometric mid-thigh pull (IMTP). Serve velocity (SV) was also registered. No significant changes were found regarding MVC, PRFD or SV. Non-significant moderate effect size (ES) towards a decrease in the IR90 RFD at 50 ms could be observed (16%; ES = 0.5) alongside an increase in the ADD and IMTP RFD at 150 ms (-15.8%, -8.2%; ES = -0.53, -0.54) and IMTP RFD at 200 ms (-13%; ES = -0.54). Results indicate that MVC, PRFD, RFD at different time intervals and SV are unaltered following an 80-minute simulated match, possibly due to insufficient alterations triggered on key factors affecting the tested variables.

A Scoping Review on Shoulder Injuries of Wheelchair Tennis Players: Potential Risk-Factors and Musculoskeletal Adaptations

Wheelchair tennis players are prone to develop shoulder injuries, due to the combination of wheelchair propulsion, overhead activities and daily wheelchair activities. A methodical literature search was conducted to identify articles on shoulder complaints in wheelchair tennis, wheelchair sports and tennis. The aims were to identify (1) type of shoulder complaints; (2) possible risk factors for the development of shoulder injuries; (3) musculoskeletal adaptations in the shoulder joint in wheelchair tennis players. Fifteen papers were included in this review, five on wheelchair tennis, three on wheelchair sports and seven on tennis. Type of shoulder complaints were acromioclavicular pathology, osteoarthritic changes, joint effusion and rotator cuff tears. Possible risk factors for the development of shoulder injuries in wheelchair tennis are overhead movements, repetitive activation of the anterior muscle chain and internal rotators, as well as a higher spinal cord injury level. Muscular imbalance with higher values for the internal rotators, increase in external range of motion, decrease in internal range of motion and reduced total arc of motion were the most common proposed musculoskeletal adaptations due to an unbalanced load. These presented risk factors and musculoskeletal adaptations might help researchers, coaches and wheelchair tennis players to prevent shoulder injuries.

Acute Effects of 2 Consecutive Simulated Badminton Matches on the Shoulder Range of Motion and Isometric Strength of Elite Youth Players

PURPOSE

To analyze the influence of playing 2 consecutive prolonged badminton matches on the shoulder strength and range of motion (ROM) of young players.

METHODS

Sixteen elite junior badminton players (12 males and 4 females; mean (SD): age 16.2 [0.8] years, body mass 63.5 [6.6] kg, height 173.2 [6.3] cm) participated in a cross-sectional study. Shoulder internal (IR)/external rotation (ER) ROM and IR/ER strength measures were conducted before and after 2 consecutive prolonged (ie, 35 min) matches and 12 hours after the second match.

RESULTS

After consecutive matches, IR strength of the dominant side and ER strength of the dominant and nondominant sides (effect size [ES] = 0.20-0.57) were reduced. Shoulder total ROM of the dominant side was decreased (ES = 0.80), while on the nondominant side, IR (ES = 0.66) was also decreased. After 12 hours, results showed decreased values in the IR/ER strength of the dominant side (ES = 0.36-1.00), as well as ER of both dominant and nondominant sides (ES = 0.30-0.59). IR ROM of the nondominant side (ES = 0.69) was also decreased.

CONCLUSION

Present results showed that 2 consecutive matches on the same day with brief rest periods led to significant impairments in shoulder strength and ROM levels. These data can potentially elucidate the need for shoulder-specific training and recovery strategies prior to or during competitions.

Within-Session Sequence of the Tennis Serve Training in Youth Elite Players

The influence of muscular fatigue on tennis serve performance within regular training sessions is unclear. Therefore, the aim of the present study was to examine the within-session sequence of the tennis serve in youth tennis. Twenty-five young male (14.9 ± 0.9 years) and female (14.5 ± 0.9 years) players participated in this within-subject crossover study, and they were randomly but sex-matched assigned to different training sequences (serve exercise before tennis training (BTS) or after tennis training (ATS)). Pre- and post-tests included serve velocity performance and accuracy, shoulder strength, and range-of-motion (ROM) performance (internal/external rotation). Results showed that after one week of serve training conducted following the ATS sequence, significant decreases were found in serve performance (e.g., speed and accuracy), with standardized differences ranging from d = 0.29 to 1.13, as well as the shoulder function (strength [d = 0.20 to 1.0] and ROM [d = 0.17 to 0.31]) in both female and male players, compared to the BTS sequence. Based on the present findings, it appears more effective to implement serve training before the regular tennis training in youth players. If applied after training, excessive levels of fatigue may cause shoulder imbalances that could be related to an increased injury risk.

Rotator Cuff Injuries in Tennis Players

PURPOSE OF REVIEW

This review presents epidemiology, etiology, management, and surgical outcomes of rotator cuff injuries in tennis players.

RECENT FINDINGS

Rotator cuff injuries in tennis players are usually progressive overuse injuries ranging from partial-thickness articular- or bursal-sided tears to full-thickness tears. Most injuries are partial-thickness articular-sided tears, while full-thickness tears tend to occur in older-aged players. The serve is the most energy-demanding motion in the sport, and it accounts for 45 to 60% of all strokes performed in a tennis match, putting the shoulder at increased risk of overuse injury and rotator cuff tears. Studies have shown deficits in shoulder range of motion and scapular dyskinesia to occur even acutely after a tennis match. First-line treatment for rotator cuff injuries in any overhead athlete consists of conservative non-operative management with appropriate rest, anti-inflammatory drugs, followed by a specific rehabilitation program. Operative treatment is usually reserved for older-aged players and to those who fail to return to play after conservative measures. Surgical options include rotator cuff debridement with or without tendon repair, biceps tenodesis, and labral procedures. Unlike rotator cuff repairs in the general population, repairs in the elite tennis athlete have less than ideal rates of return to sport to the same level of performance. Rotator cuff injuries are a common cause of pain and dysfunction in tennis players and other overhead athletes. The etiology of rotator cuff tears in tennis players is multifactorial and usually results from microtrauma and internal impingement in the younger athlete leading to partial tearing and degenerative full-thickness tears in older players. Surgical treatment is pursued in athletes who are still symptomatic despite an extensive course of non-operative treatment as outcomes with regard to returning to sport to the same pre-injury level are modest at best. Debridement alone is usually preferred over rotator cuff repairs for partial tears in younger players due to potential over-constraining of the shoulder joint and decreased rates of return to sport after rotator cuff repairs.

Acute Beetroot Juice Supplementation Does Not Improve Match-Play Activity in Professional Tennis Players

OBJECTIVE

Beetroot juice is a source of dietary nitrate (NO₃-) recognized as a potential ergogenic aid to enhance tolerance during endurance exercise of submaximal-to-maximal intensity. However, little is known about the effects of beetroot juice on exercise performance in intermittent sports such as tennis. The present study aimed to determine the effect of acute beetroot juice supplementation on movement patterns during a competitive tennis match in professional players.

METHODS

In a double-blind and randomized experiment, nine professional tennis players performed two experimental trials 3 h after ingesting either 70 mL of a commercially-available concentrated beetroot juice (6.4 mmol NO₃-) or placebo (0.005 mmol NO₃-). In each experimental trial, players completed a 3-set tennis match and two performance tests (i.e., serve speed and isometric handgrip strength) before and after the match. Match-play running performance was recorded using wearable GPS and accelerometer units.

RESULTS

In comparison to the placebo trial, the acute beetroot juice supplementation did not modify any match-play running performance (p = 0.178 to 0.997, d = 0.01 to 0.42). Furthermore, beetroot juice supplementation did not alter the pre-to-post match change in serve speed (p = 0.663, ηp² = 0.03) or isometric handgrip strength (p = 0.219, ηp² = 0.18).

CONCLUSIONS

The current results indicated that acute ingestion of a commercialized shot of nitrate-rich beetroot juice (70 mL containing 6.4 mmol of NO₃-) did not produce any performance benefit on tennis matchplay. Thus, acute beetroot juice supplementation seems an ergogenic aid with little value to enhance physical performance in professional tennis players.

Injury and training history are associated with glenohumeral internal rotation deficit in youth tennis athletes

A glenohumeral internal rotation deficit (GIRD) of the shoulder, is associated with an increased risk of shoulder injuries in tennis athletes. The aim of the present study was to reveal the impact of 1) age, sex, specific training data (i.e. training volume, years of tennis practice, years of competitive play) and 2) upper extremity injuries on GIRD in youth competitive tennis athletes.

A cross-sectional retrospective study design was adopted. Youth tennis players (n = 27, 12.6 ± 1.80 yrs., 18 male) belonging to an elite tennis squad were included. After documenting the independent variables (anthropometric data, tennis specific data and history of injury), the players were tested for internal (IR) and external (ER) shoulder rotation range of motion (RoM, [°]). From these raw values, the GIRD parameters ER/IR ratio and side differences and TRoM side differences were calculated. Pearson’s correlation analyses were performed to find potential associations of the independent variables with the GIRD outcomes.

A significant positive linear correlation between the years of tennis training and IR side asymmetry occurred (p < .05). A significant negative linear relation between the years of tennis training and the ratio of ER to IR range of motion (RoM) in the dominant side (p < .05) was found. The analysis of covariance showed a significant influence of the history of injuries on IR RoM (p < .05).

Injury and training history but not age or training volume may impact on glenohumeral internal rotation deficit in youth tennis athletes. We showed that GIRD in the dominant side in youth tennis players is progressive with increasing years of tennis practice and independent of years of practice associated with the history of injuries. Early detection of decreased glenohumeral RoM (specifically IR), as well as injury prevention training programs, may be useful to reduce GIRD and its negative consequences.

Risk Factors for Upper Limb Injury in Tennis Players: A Systematic Review

Studies in tennis injuries have successfully identified the incident rate, the location, and the type of the injury. The majority of the studies have multiple perspectives (epidemiology, biomechanics, performance), however only a few studies were able to identify risk factors or mechanisms that contribute to tennis injuries. Until now, there has not been a systematic literature review that identifies risk factors for tennis injuries. The objective of this review was to identify and critically appraise the evidence related to risk factors for upper limb injury in tennis players. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, using a research question developed by the Patient Problem, (or Population) Intervention, Comparison or Control, and Outcome (PICO) methodology. The quality of the studies included was moderate to low, indicating prolonged tennis (exposure to tennis), scapular dyskinesis, muscle fatigue, scapulothoracic properties, shoulder kinetics or kinematics, skill level, and technique as risk factors for upper limb injury in tennis players. In this review, it is evidenced that the majority of tennis injuries are associated with overuse and a chronic time course, however, tennis injuries do not arise from a linear combination of isolated and predictive factors. Therefore, the multifactorial and complex nature of tennis injuries has to be further examined. The necessity of more randomized control trial studies is highly recommended.

The acute effect of match-play on hip range of motion and isometric strength in elite tennis players

Background

Groin injuries are some of the most common injuries tennis players suffer. Several factors (e.g., post-match decrease in hip adductor (ADD) strength) have been proposed as possible mechanisms for increasing the incidence of this type of injury. However, the risk factors of developing groin injuries after a tennis match have not yet been delineated.

Objective

The aim of this study was to determine the effect of tennis match-play on isometric ADD and abductor (ABD) strength and passive hip range of motion (ROM).

Methods

Twenty-six male tennis players (20.30 ± 4.98 years) took part in this study. Participants completed an evaluation of strength and flexibility hip measurements before and after a simulated tennis match. Dominant and non-dominant passive hip ROM, ADD and ABD isometric strength, and the ADD/ABD strength ratio were measured before and immediately post-match. A global positioning system (GPS) and a session rating of perceived exertion (RPE) were used to assess the locomotive demands and internal match load.

Results

Isometric dominant ADD strength (17.8%, p ≤ 0.01) and ADD/ABD strength ratio (11.6%, p = 0.04) were lower post-match compared to the pre-match values. No between-limbs differences were observed for isometric ADD strength, ABD strength, and passive hip ROM tests. RPE showed an expected increase between pre- vs. post-match (pre- vs. post-warming-up, 3.42 ± 2.08 vs. 5.62 ± 2.29, p < 0.01). In addition, a significant relationship between ADD strength and the volume of tennis practice per week was found, stablishing that tennis players with lower volume of training per week suffered a reduction in ADD strength in their dominant limb after match-play (r = 0.420, p = 0.04).

Conclusion

The assessment of ADD strength and the ADD/ABD strength ratio in the dominant limb may be considered a post-match tool that can be used to identify players who require rest and additional recovery strategies before competing again.

Rehabilitation and Prehabilitation for Upper Extremity in Throwing Sports: Emphasis on Lacrosse

Lacrosse imposes multiple simultaneous physical demands during play including throwing and catching a ball while holding a crosse, running, cutting, and jumping. Often, these skills are completed while experiencing contact from another player leading to both on-and-off platform movements. Other motions include defensive blocking and pushing past defenders. Repetitive motions over sustained durations in practice or competition impart mechanical stresses to the shoulder or elbow joints, supportive muscles, and connective tissue. Preparation for lacrosse participation involves bilateral optimization of strength and durability of stabilizer muscles. Passing and shooting skills are encouraged to be equally effective on both sides; therefore, symmetric strength and flexibility are vital for prehabilitation and rehabilitation efforts. This article will: 1) provide insights on the upper-extremity musculoskeletal demands of lacrosse and related sports with similar throwing motion and 2) describe prehabilitation and rehabilitation methods that improve athlete durability and reduce likelihood of upper-extremity injury.

Age and sex-related upper body performance differences in competitive young tennis players

Objective

The aims of this study were to analyze the shoulder functional profile of young male and female tennis players and to establish the relationship among physical variables and serve speed.

Methods

A total of 128 Spanish tennis players (Under-13 (n = 32/32 males/females) and Under-15 (n = 36/28 males/females), were tested during National training camps. Tests included passive shoulder range of motion (ROM) for both internal (IR) and external rotation (ER) and isometric strength (i.e., IR and ER) of the dominant/non-dominant shoulders, medicine ball throws (MBT), and serve speed. Age and sex pairwise comparisons were carried using the Hedges’ g index (d_g).

Results

Results showed age and sex effects on serve speed and all MBT, with males showing greater changes (1.51≤d_g≤1.98) with age than females (0.92≤d_g≤1.35; p<0.05). U15 males showed higher (p<0.05) absolute shoulder IR and ER strength than U13, with only significant differences between males and females in the U15. Regarding ROM, U15 males showed a decreased IR ROM compared to U13 (d_g = -0.84; p<0.05) and higher significant IR bilateral deficit (d_g = 0.51; p<0.05). The distances obtained in the different MBT were the variables more correlated to serve speed.

Conclusion

The present results suggest that shoulder strength, medicine ball throws and serve speed increased along with age in young elite tennis players of both sexes. However, a decreased range of motion and bilateral deficit for glenohumeral internal rotation is evident in male under-15 tennis players. Muscle strength, power and shoulder range of motion are key factors for serve speed in young tennis players.

Acute effects of a single tennis match on passive shoulder rotation range of motion, isometric strength and serve speed in professional tennis players

Shoulder pain has been associated with glenohumeral internal rotation deficit (GIRD) and a reduction in external rotation (ER) strength; however, in tennis players, there is scarce evidence regarding the impact of a single match on shoulder range of motion (ROM), strength and serve speed. The aim of this study was to determine the acute effect of a single tennis match on shoulder rotation ROM, isometric strength and serve speed. Twenty-six professional tennis players participated in the study (20.4±4.4 years; 10.5±3.2 years tennis expertise; 20.5±5.4 h/week training). Passive shoulder external (ER-ROM) and internal rotation ROM (IR-ROM), ER and IR isometric strength were measured before and after a single tennis match (80.3±21.3 min) in both shoulder´s. Moreover, the total arc of motion (TAM) and ER/IR strength ratio were calculated. Video analysis was used to assess the number of serves and groundstrokes, while a radar gun was utilized to measure maximal ball speed. In the dominant shoulder, compared to pre-match levels, IR-ROM was significantly reduced (-1.3%; p = 0.042), while ER-ROM (5.3%; p = 0.037) and TAM (3.1%; p = 0.050) were significantly increased. In the non-dominant shoulder, ER-ROM (3.7%; p = 0.006) was increased. Furthermore, in the dominant shoulder, the isometric ER strength was significantly reduced after the match (-4.8%; p = 0.012), whereas serve speed was not significantly reduced after match (-1.16%; p = 0.197). A single tennis match leads to significant reductions in shoulder ROM (e.g., IR of the dominant shoulder) and isometric strength (e.g., ER of the dominant shoulder). This study reveals the importance of recovery strategies prescription aiming at minimize post-match alteration in the shoulders.

The effects of playing two consecutive matches in the shoulder rotational profiles of elite youth badminton players

OBJECTIVE

The aim of the present study was to analyse the effects of playing two badminton matches on the same day on the shoulder profile (i.e., range of motion (ROM) and strength) of young badminton players.

DESIGN

Cross-sectional study.

SETTING

Indoor sports facility.

PARTICIPANTS

Thirty-one elite junior badminton players (age 16.6 ± 1.0 years, body mass 63.9 ± 6.1 kg, height 174.8 ± 6.1 cm), including 19 boys and 12 girls.

MAIN OUTCOME MEASURES

Shoulder passive internal rotation (IR) and external rotation (ER) ROM as well as shoulder IR/ER maximal isometric strength were measured before and after a competition including two competitive matches.

RESULTS

Significant decreases (p < 0.05) were found in the shoulder ROM (i.e., dominant and non-dominant ER ROMs as well as in the dominant and non-dominant total arc of motion [TAM]) in boys, while in girls, significant increases (p < 0.05) were found in the non-dominant ER absolute strength, with significant decreases were found in the non-dominant ER ROM and the non-dominant TAM.

CONCLUSION

Playing two badminton matches on the same day led to gender-specific changes on the shoulder profile (i.e., ROM and strength) of young elite badminton players, with more impact on the shoulder profile of boys compared to girls.

Effects of Self-Myofascial Release on Shoulder Function and Perception in Adolescent Tennis Players

CONTEXT

Tennis induces a decreased internal rotation range of motion at the dominant glenohumeral joint. The effects of self-myofascial release have not yet been investigated to restore glenohumeral range of motion.

OBJECTIVE

This study aimed at investigating the effects of self-myofascial release on shoulder function and perception in adolescent tennis players.

DESIGN

Test-retest design.

SETTING

Tennis training sport facilities.

PARTICIPANTS

Eleven male players participated in this study (age: 15 [3] y; height: 173.1 [11.1] cm; mass: 56.0 [15.1] kg; International Tennis Number: 3).

INTERVENTION

During 5 weeks, the players performed their regular tennis training. During 5 additional weeks, self-myofascial release of the infraspinatus and pectoralis muscles was implemented 3 times per week after the warm-up of the regular training session.

MAIN OUTCOME MEASURES

The primary outcome was glenohumeral internal rotation range of motion. The secondary outcomes were perceived shoulder instability and tennis serve accuracy and velocity.

RESULTS

Adding self-myofascial release allowed an increase of 11° (2°) of internal rotation range of motion at the dominant glenohumeral joint (P < .001) and a decreased perception of shoulder instability (P = .03), while maintaining tennis serve velocity and accuracy.

CONCLUSIONS

Implementing self-myofascial release on infraspinatus and pectoralis muscles 3 times per week during 5 weeks improved dominant glenohumeral internal rotation range of motion in tennis players. It can be used as a strategy to preserve the mobility of this joint.

Sequence-dependent rotation axis changes in tennis

The purpose of this study was to evaluate the role of rotation axes during a tennis serve. A motion capture system was used to evaluate the contribution of the potential axes of rotation (minimum inertia axis, shoulder-centre of mass axis and the shoulder-elbow axis) during the four discrete tennis serve phases (loading, cocking, acceleration and follow through). Ten ranked athletes (International Tennis Number 1-3) repeatedly performed a flat service aiming at a target on the other side of the net. The four serve phases are distinct and thus, each movement phase seems to be organised around specific rotation axes. The results showed that the limbs' rotational axis does not necessarily coincide with the minimum inertia axis across the cocking phase of the tennis serve. Even though individual serving strategies were exposed, all participants showed an effect due to the cocking phase and changed the rotation axis during the task. Taken together, the results showed that despite inter-individual differences, nine out of 10 participants changed the rotation axis towards the minimum inertia and/or the mass axis in an endeavour to maximise external rotation of the shoulder to optimally prepare for the acceleration phase.

Impact of a competition with two consecutive matches in a day on physical performance in young tennis players

The purpose of this study was to analyze the effects of playing 2 tennis matches on the same day on physical performance in young tennis players. Twelve well-trained young tennis players took part in a simulated tennis competition consisting of 2 tennis matches on the same day (morning and afternoon sessions). Before and the day after the competition, physical performance was measured using a battery of countermovement jumps; a 10 m sprint; the 5-0-5 agility test; hip, grip and shoulder maximal isometric strength; shoulder range of motion; and a serve velocity test. Postcompetition results showed reduced performance in 10 m (-3.3%, effect size (ES) = small), dominant and nondominant 5-0-5 agility test (-4.6%, ES = moderate; -4.2%, ES = moderate, respectively), bilateral (-5.2%, ES = small), and unilateral countermovement jumps (dominant leg: -7.2%, ES = small; non-dominant leg: -9.1%, ES = small). Both dominant and nondominant shoulder external rotation range of motion increased (12.2%, ES = moderate; 5.6%, ES = small), whereas internal rotation decreased (-4.2%, ES = small; -3.3%, ES = small) in the postcompetition tests, together with the dominant shoulder external rotation (-10.7%, ES = moderate) and internal rotation (-9.3%, ES = small) strength. Physical impairments occurred in neuromuscular performance variables involving lower (e.g., jumping, sprinting, and change of direction) and upper (e.g., isometric strength and range of motion) limbs the day after playing a competition with 2 consecutive matches on the same day. These alterations in neuromuscular and sport-specific performance need to be taken into consideration when planning tournament schedules for young tennis players, as well as preparing match and recovery strategies.