Effect of core-shoulder stability exercises on shoulder performance among throwers with glenohumeral internal rotation deficit

D. Manral, J. Sethi, Ankit Jain, Vimal Sharma
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Abstract

The study aimed to find out the effect of core-shoulder stability exercises on shoulder performance among throwers with glenohumeral internal rotation deficit (GIRD). Out of Forty-two athletes who participated, 30 subjects were selected who fulfilled the selection criteria and were randomized into 2 groups with 15 subjects in each group. Throwing accuracy (functional throwing performance index), throwing distance (overall medicine throw test), and shoulder range of motion were assessed and recorded at baseline, 3rd week, and 6th week of intervention. The control group received shoulder stability exercises while the study group received core-shoulder stability exercises 4 days per week for 6 consecutive weeks. Repeated measure ANOVA was used to see the difference between groups (groups 1 and 2) and time (baseline,3rd week, and 6th week ) Averaged across times statistically significant improvement was found in overhead medicine ball throw in the study group (Group 2) as compared to the control group with p<0.05. No significant difference was found in the functional throwing performance index and range of motion when groups were compared across times. However, for all the outcome measures when compared across groups, a significant difference was found between 6th and 3rd-week scores as compared to baseline scores. This indicates improvements were seen in both groups independently. We conclude that core stability and shoulder stability training both improve the range of motion with throwing accuracy and distance. Core stability training improves throwing distance compared to shoulder stability training in subjects with GIRD.
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核心-肩稳定性训练对肩关节内旋缺陷投掷运动员肩关节表现的影响
本研究旨在探讨核心-肩稳定性训练对肩关节内旋缺陷(GIRD)投掷运动员肩关节表现的影响。在42名参加实验的运动员中,选取符合选择标准的30名受试者,随机分为2组,每组15名受试者。在基线、干预第3周和干预第6周评估并记录投掷精度(功能性投掷性能指标)、投掷距离(整体药物投掷试验)和肩关节活动度。对照组接受肩部稳定训练,研究组接受核心肩部稳定训练,每周4天,连续6周。采用重复测量方差分析(Repeated measure ANOVA)观察各组(第1组和第2组)和时间(基线、第3周和第6周)之间的差异,发现研究组(第2组)头顶实心球投掷的平均时间与对照组相比有统计学显著改善,p<0.05。各组间时间比较,投掷功能指标和运动范围无显著差异。然而,当跨组比较所有结果测量时,发现第6周和第3周的评分与基线评分相比有显著差异。这表明两组独立观察到的改善。我们得出结论,核心稳定性和肩部稳定性训练都能提高投掷精度和距离的运动范围。与肩稳定性训练相比,核心稳定性训练提高了投掷距离。
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