The Impact of Tennis and Golfer's Elbow on Shoulder External Rotators and Abductors' Peak Torque.
J Sport Rehabil 2020;
29:469-475. [PMID:
31034312 DOI:
10.1123/jsr.2018-0159]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 01/22/2019] [Accepted: 03/10/2019] [Indexed: 11/18/2022]
Abstract
CONTEXT
Upper limb activities require a repetitive movement of the shoulder external rotator and abductor muscles. The malfunction of the proximal part of the upper limb kinetic chain tends to change the mechanics of the distal part and increase the risk of injuries.
OBJECTIVES
To compare the normalized eccentric peak torque (NEPT) of the shoulder external rotator and abductor muscles among healthy athletes and those with tennis elbow and golfer's elbow.
DESIGN
An experimental cross-sectional study.
SETTING
Isokinetic laboratory, Faculty of Physical Therapy, Cairo University.
PARTICIPANTS
A total of 30 male athletes participated voluntarily in this study.
INTERVENTION
Participants were distributed into 3 groups: healthy group, tennis elbow group, and golfer's elbow group.
MAIN OUTCOME MEASURES
NEPT of shoulder abductors and external rotators. The Biodex Isokinetic Dynamometer was used to measure the variables of interest.
RESULTS
There was a significant increase in the NEPT of shoulder abductors and external rotators in healthy control group compared with both tennis elbow and golfer's elbow groups at an angular velocity of 60°/s (P < .05). Moreover, there was a significant increase in the NEPT of shoulder external rotators and abductors at an angular velocity of 120°/s in healthy control group compared with tennis elbow group and in golfer's elbow group compared with tennis elbow group (P < .05).
CONCLUSION
Tennis elbow and golfer's elbow are associated with decreased NEPT of shoulder external rotators and abductors compared with those of healthy athletes. This tends to decrease the external stability of the shoulder joint and put high stress on the distal joints of the upper kinetic chain.
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