Journal List > Korean J Sports Med > v.33(2) > 1054538

Korean J Sports Med. 2015 Dec;33(2):110-119. Korean.
Published online December 07, 2015.  https://doi.org/10.5763/kjsm.2015.33.2.110
Copyright © 2015 The Korean Society of Sports Medicine
The Effects of Scapular Stabilization Exercise on the Muscular Functions and Pain Release of Shoulder Joints in Youth Baseball Players
Heungil Han,1 Kyungjun An,1 Kwanghyun Ryu,2 and Jongsam Lee1
1Research Center for Exercise and Sport Science, Daegu University, Gyeongsan, Korea.
2Saemyung Sports Rehabilitation Center, Saemyung Hospital, Daegu, Korea.

Correspondence: Jongsam Lee. Research Center for Exercise and Sport Science, Daegu University, 201 Daegudae-ro, Gyeongsan 38453, Korea. Tel: +82-53-850-6083, Fax: +82-53-850 6089, Email: jlee@daegu.ac.kr )
Received October 07, 2015; Revised November 25, 2015; Accepted November 26, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

We investigated the effect of scapular stabilization exercise on shoulder joints mobilization and pain release in youth baseball players. Total 15 youth baseball players were voluntarily participated, and randomly divided into one of two experimental groups: either stabilization exercise group (EXE, n=7) or control group (NonE, n=8). Stabilization exercises (i.e., punching, scapular retraction, scapular fold, shrug, pull over, seated press, scaption with retraction, body blade, rotator cuff) were administered to EXE (8 weeks, 3 times·wk-1, 60-100 min·session-1). Muscular power using Biodex system 3, full range of motion (ROM) with a goniometer, and the degree of pain with the Visual Analogue Scale was assessed at both baseline and the time point of completion of 8 weeks training program. Twoway ANOVA (group vs. time) was adopted to observe any interactive effects between factors. The statistical significance level was set at α=.05. There was an improvement in muscular power at both slow (i.e., 60°/sec) and medium (i.e., 180°/sec) speed setting in isokinetic instrument during internal and external rotation on dominant shoulder, and internal rotation only (not with external rotation) on non-dominant shoulder. There was no change in ROM in NonE, but total ROM was significantly expanded in EXE, revealing only degree of internal rotation increased. VAS significantly decreased in EXE. In conclusion, scapular stabilization exercise exerted positive effect on muscular power output, full range of motion and pain release on shoulder joint in youth baseball players. This indicates that scapular stabilization exercise possibly exert meaningful effect in injury prevention and sport performance.

Keywords: Stabilization exercise; Isokinetic training; Muscular power; Range of motion

Figures


Fig. 1
A Schematic view of experiment protocol. VAS: visual analogue scale, EXE: exercise group, NonE: non-exercise group, ROM: range of motion.
Click for larger image


Fig. 2
Scapular stabilization exercise program.
Click for larger image


Fig. 3
The effect of scapular stabilization exercise on the change of dominant shoulder joint power at 60°/sec. IR60 deg/sec: internal rotation@60°/sec of dominant shoulder joint, ER60 deg/sec: external rotation@60°/sec of dominant shoulder joint, Pre: before stabilization exercise program was applied. Post: after stabilization exercise program was applied, EXE: exercise group, NonE: non-exercise group.
Click for larger image


Fig. 4
The effect of scapular stabilization exercise on the change of non-dominant shoulder joint power at 60°/sec. IR60 deg/sec: internal rotation@60°/sec of non-dominant shoulder joint, ER60 deg/sec: external rotation@60°/sec of non-dominant shoulder joint, Pre: before stabilization exercise program was applied, Post: after stabilization exercise program was applied, EXE: exercise group, NonE: non-exercise group.
Click for larger image


Fig. 5
The effect of scapular stabilization exercise on the change of dominant shoulder joint power at 180°/sec. IR180 deg/sec: internal rotation@180°/sec of dominant shoulder joint, ER180 deg/sec: external rotation@180°/sec of dominant shoulder joint, Pre: before stabilization exercise program was applied, Post: after stabilization exercise program was applied, EXE: exercise group, NonE: non-exercise group.
Click for larger image


Fig. 6
The effect of scapular stabilization exercise on the change of non-dominant shoulder joint power at 180°/sec. IR180 deg/sec: internal rotation@180°/sec of non-dominant shoulder joint, ER180 deg/sec: external rotation@180°/sec of non-dominant shoulder joint, Pre: before stabilization exercise program was applied, Post: after stabilization exercise program was applied, EXE: exercise group, NonE: non-exercise group.
Click for larger image


Fig. 7
The effect of scapular stabilization exercise on the change of VAS. VAS: visual analogue scale, Pre: before stabilization exercise program was applied, Post: after stabilization exercise program was applied.
Click for larger image

Tables


Table 1
Physical characteristics of subjects
Click for larger image


Table 2
Scapular stabilization exercise program
Click for larger image


Table 3
The effect of scapular stabilization exercise on the change of shoulder joint range of motion (unit: °)
Click for larger image

Notes

Conflict of Interest:No potential conflict of interest relevant to this article was reported.

References
1. Shin MK, Kwon HC, Kim HS, Lee YD, Choi HS. In: Physiologie articulaire. Seoul: Hyunmoon; 1998.
2. Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med 1998;26:325–337.
3. Laudner KG, Stanek JM, Meister K. Differences in scapular upward rotation between baseball pitcher and position players. Am J Sports Med 2007;35:2091–2095.
4. Fleisig GS, Andrews JR, Dillman CJ, Escamilla RF. Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med 1995;23:233–239.
5. Sahrmann S. In: Diagnosis and treatment of movement impairment syndromes. St. Louis: Mosby; 2002.
6. Wallace WA. Sporting injuries to the shoulder. J R Coll Surg Edinb 1990;35:S21–S26.
7. Kim SY, Kim HB. McConnell taping method for the shoulder dysfunction. J Korean Acad Orthop Man Ther 2005;11:96–107.
8. 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;19:641–661.
9. Dover GC, Kaminski TW, Meister K, Powers ME, Horodyski M. Assessment of shoulder proprioception in the female softball athlete. Am J Sports Med 2003;31:431–437.
10. Park JY. Conservative treatment of throwing injury. J Korean Orthop Soc Sports Med 2003;2:127–135.
11. Lee SU, Kim HI, Lim SK. Strength of the internal and external rotators and ROM of shoulder complex in college baseball players. Korean J Phys Educ 2006;45:769–779.
12. Brotzman SB, Manske RC, Daugherty K. In: Clinical orthopaedic rehabilitation: an evidence-based approach. Philadelphia (PA): Elsevier Mosby; 2011.
13. Hong EA. In: Effects of stability exercise on scapular positioning and muscle activity in baseball players with scapular dyskinesis [dissertation]. Chungnam: Dankook University; 2012.
14. Hwang JB, Park SH, Park JB, Shin JH, Cho CH. Comparative analysis of muscle activation and fatigue on scapular upward rotators and shoulder abductors during lateral raises and scaptions. J Coaching Dev 2012;14:29–37.
15. Kim EK. In: The effect of bodyblade training on body alignment of neck and shoulder ma, stability, and foot pressure at forward head posture [dissertation]. Gyeongbuk: Daegu University; 2015.
16. Ellenbecker TS, Roetert EP, Bailie DS, Davies GJ, Brown SW. Glenohymeral joint total range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc 2002;34:2052–2056.
17. Tyler TF, Nicholas SJ, Roy T, Gleim GW. Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement. Am J Sports Med 2000;28:668–673.
18. Bigliani LU, Codd TP, Connor PM, Levine WN, Littlefield MA, Hershon SJ. Shoulder motion and laxity in the professional baseball player. Am J Sports Med 1997;25:609–613.
19. Wilk KE, Meister K, Andrews JR. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med 2002;30:136–151.
20. Crockett HC, Gross LB, Wilk KE, et al. Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. Am J Sports Med 2002;30:20–26.
21. Sethi PM, Tibone JE, Lee TQ. Quantitative assessment of glenohumeral translation in baseball players: a comparison of pitchers versus nonpitching athletes. Am J Sports Med 2004;32:1711–1715.
22. Tomczak RJ, Guenther KP, Rieber A, Mergo P, Ros PR, Brambs HJ. MR imaging measurement of the femoral antetorsional angle as a new technique: comparison with CT in children and adults. AJR Am J Roentgenol 1997;168:791–794.
23. Yang SW. Comparison of muscular strength ratio in shoulder joint isokinetic that external and internal rotator of high school baseball players by pitcher and fielder. J Sport Leis Stud 2007;31:1139–1147.
24. Kim CJ, Kim SK, Kim MW. The strength characteristics of shoulder rotator muscles in korean professional baseball pitchers. Korean J Sports Med 1994;12:219–225.
25. Wilk KE, Andrews JR, Arrigo CA, Keirns MA, Erber DJ. The strength characteristics of internal and external rotator muscles in professional baseball pitchers. Am J Sports Med 1993;21:61–66.
26. Wilk KE, Arrigo CA, Andrews JR. Current concepts: the stabilizing structures of the glenohumeral joint. J Orthop Sports Phys Ther 1997;25:364–379.
27. Toyoshima S, Hoshikawa T, Miyashita M, Oguri T. Contribution of the body parts to throwing performance. In: Komi PV, editor. Biomechanics V-B: proceedings of the Fifth International Congress of Biomechanics, Jyväskylä, Finland. Baltimore: University Park Press; 1976. pp. 110-121.
28. Tullos HS, King JW. Throwing mechanism in sports. Orthop Clin North Am 1973;4:709–720.
29. Lee TK, Kim JH. The correlation between isokinetic muscular function of shoulder joint and ball speed in amateur baseball players. Korean J Phys Educ 2010;19:409–418.
30. Ji YS, Han JW. The changes of subjective pain degree and isokinetic abductor/adductor in baseball pitchers with shoulder joint injury after rehabilitative exercise therapy. J Sport Leis Stud 2002;18:1408–1420.
TOOLS
Similar articles

Upper Extremity Injuries in Youth Baseball Players

The Effect of Glenohumeral Internal Rotation Deficit on the Isokinetic Strength, Pain, and Quality of Life in Male High School Baseball Players

The Effect of Glenohumeral Internal Rotation Deficit Improving Rehabilitation Program in the Male High-School Baseball Players

Resting and Exercise Electrocardiograms in Baseball Players

Clinical research of Shoulder Injuries Developed in Volleybal Players Spking at a Posterior Angle