남자 고등학교 야구선수들에서 견관절 내회전 관절범위 결손을 향상시키는 재활프로그램의 효과 = Clinical Article : The Effect of Glenohumeral Internal Rotation Deficit Improving Rehabilitation Program in the Male High-School Baseball Players

다국어 초록 (Multilingual Abstract)

To investigate the effect of the glenohumeral internal rotation deficit (GIRD) improving rehabilitation program in high school baseball players on the change in muscle strength balance and pain of their shoulders. Seventy-six players (35 control group, 41 experimental group) participated in this 6-month study, from April, 2012 to September, 2012. The rehabilitation program (sleeper stretch) was carried out by coaches of experimental group. The experimental group showed a significant decrease, while the control group didn``t show significant change in GIRD. The shoulder flexion-extension isokinetic strength ratio of experimental group changed only slightly, while that of control group experienced a bigger change. Experimental group players initially had high frequency of shoulder pain, but decreased to 53% at the end. Also, the Short Form-36 Health Survey showed the increase of total score. GIRD improving rehabilitation program helps to maintain the balance of shoulder extension-flexion strength ratio and relieve shoulder pain in the baseball players.

참고문헌 (Reference)

1 Shanley E, "Throwing injuries in the adolescent athlete" 8 : 630-640, 2013

2 Kibler WB, "The relationship of glenohumeral rotation deficit to shoulder and elbow injuries in tennis players: A prospective evaluation of posterior capsular stretching" Mosby 1998

3 Laudner K, "The incidence of shoulder injury among collegiate overhead athletes" 2 : 260-268, 2009

4 Burkhart SS, "The disabled throwing shoulder: spectrum of pathology. Part II: evaluation and treatment of SLAP lesions in throwers" 19 : 531-539, 2003

5 Burkhart SS, "The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics" 19 : 404-420, 2003

6 Laudner KG, "The acute effects of sleeper stretches on shoulder range of motion" 43 : 359-363, 2008

7 Edouard P, "Shoulder strength imbalances as injury risk in handball" 34 : 654-660, 2013

8 Shanley E, "Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players" 39 : 1997-2006, 2011

9 Braun S, "Shoulder injuries in the throwing athlete" 91 : 966-978, 2009

10 Cook EE, "Shoulder antagonistic strength ratios: a comparison between college-level baseball pitchers and nonpitchers" 8 : 451-461, 1987

11 Osbahr DC, "Retroversion of the humerus in the throwing shoulder of college baseball pitchers" 30 : 347-353, 2002

12 Sethi PM, "Quantitative assessment of glenohumeral translation in baseball players: a comparison of pitchers versus nonpitching athletes" 32 : 1711-1715, 2004

13 Jobe CM, "Posterior superior glenoid impingement: expanded spectrum" 11 : 530-536, 1995

14 DiFiori JP, "Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine" 48 : 287-288, 2014

15 Crockett HC, "Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers" 30 : 20-26, 2002

16 Hughes RE, "Normative values of agonist-antagonist shoulder strength ratios of adults aged 20 to 78 years" 80 : 1324-1326, 1999

17 Ivey FM Jr, "Isokinetic testing of shoulder strength: normal values" 66 : 384-386, 1985

18 Noffal GJ, "Isokinetic eccentric-to-concentric strength ratios of the shoulder rotator muscles in throwers and nonthrowers" 31 : 537-541, 2003

19 Powell JW, "Injury patterns in selected high school sports: a review of the 1995-1997 seasons" 34 : 277-284, 1999

20 Whiteley R, "Indirect ultrasound measurement of humeral torsion in adolescent baseball players and non-athletic adults: reliability and significance" 9 : 310-318, 2006

21 Kuhn JE, "Failure of the biceps superior labral complex: a cadaveric biomechanical investigation comparing the late cocking and early deceleration positions of throwing" 19 : 373-379, 2003

22 Wilk KE, "Current concepts in the rehabilitation of the overhead throwing athlete" 30 : 136-151, 2002

23 Reinold MM, "Current concepts in the evaluation and treatment of the shoulder in overhead throwing athletes, part 2: injury prevention and treatment" 2 : 101-115, 2010

24 Wilk KE, "Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers" 39 : 329-335, 2011

25 Whitley JD, "Changes in peak torque arm-shoulder strength of high school baseball pitchers during the season" 86 : 1361-1362, 1998

26 Scher S, "Associations among hip and shoulder range of motion and shoulder injury in professional baseball players" 45 : 191-197, 2010

27 Jenkinson C, "Assessment of the SF-36 version 2 in the United Kingdom" 53 : 46-50, 1999

28 Yoon JS, "A study on sport injuries of the baseball player's position" Kookmin University 2006

29 Grossman MG, "A cadaveric model of the throwing shoulder: a possible etiology of superior labrum anterior-toposterior lesions" 87 : 824-831, 2005