The Immediate Effects of Muscle Energy Technique on Range of Motion and Isokinetic Muscle Strength in Volleyball Players with Glenohumeral Internal Rotation Deficit: A Randomized Controlled Trial


Abstract views: 470 / PDF downloads: 280

Authors

DOI:

https://doi.org/10.5152/eurjther.2021.20012

Keywords:

Volleyball, muscle strength, shoulder joint

Abstract

Objective: The purpose of the present study was to investigate acute effects of muscle energy technique (MET) for the posterior shoulder on glenohumeral joint (GHJ) range of motion (ROM) and isokinetic peak torque values of GHJ rotators. Methods: Eighteen male volleyball players volunteered to participate. All participants attended both MET trial for the GHJ horizontal abductors and sham trial. Preintervention and postintervention internal rotation (IR) and external rotation ROM and GHJ rotators isokinetic peak torque values were measured. Repeated measures one-way ANOVA and Bonferroni correction were used for analyzing the differences in the ROM and isokinetic parameters among the trials. Significance was defined as P .05. Results: The experimental group had a significantly greater increase in GHJ IR ROM postintervention compared to the control group (P ¼ .005). No significant difference between the experimental group and control group was found for external rotation ROM (P > .05). However, a significant increase between the control/experimental and sham trials was found for external rotation ROM postintervention (P ¼ .005). Besides, 60 internal rotator (P ¼ .001) and external rotator (P ¼ .008), and 180 internal rotator (P ¼ .019) and external rotator (P ¼ .049) peak torque values showed significant increase between the experimental and control/sham trials. Conclusion: A single application of an MET for the posterior shoulder provides immediate improvement in GHJ IR ROM and isokinetic peak torque values of both GHJ internal and external rotators in asymptomatic volleyball players.

Metrics

Metrics Loading ...

References

Reeser JC, Fleisig GS, Bolt B, Ruan M. Upper limb biomechanics during the volleyball serve and spike. Sports Health. 2010;2(5):368-

Wagner H, Pfusterschmied J, Tilp M, Landlinger J, Von Duvillard SP, Mu¨ ller E. Upper-body kinematics in team-handball throw, tennis

serve, and volleyball spike. Scand J Med Sci Sports. 2014;24(2):345-354.

Forthomme B, Wieczorek V, Frisch A, Crielaard JM, Croisier JL. Shoulder pain among high-level volleyball players and

preseason features. Med Sci Sports Exerc. 2013;45(10):1852-1860.

Oyama S, Hibberd EE, Myers JB. Changes in humeral torsion and shoulder rotation range of motion in high school baseball players

over a 1-year period. Clin Biomech. 2013;28(3):268-272.

Challoumas D, Stavrou A, Dimitrakakis G. The volleyball athlete’s shoulder: Biomechanical adaptations and injury associations.

Sports Biomech. 2017;16(2):220-237.

Borsa PA, Laudner KG, Sauers EL. Mobility and stability adaptations in the shoulder of the overhead athlete. Sports Med. 2008;38(1):17-36.

Tonin K, Strazˇar K, Burger H, Vidmar G. Adaptive changes in the dominant shoulders of female professional overhead athletes:

Mutual association and relation to shoulder injury. Int J Rehabil Res. 2013;36(3):228-235.

Johnson JE, Fullmer JA, Nielsen CM, Johnson JK, Moorman CT, III. Glenohumeral internal rotation deficit and injuries: A systematic

review and meta-analysis. Orthop J Sports Med. 2018;6(5):232596711877332.

Scha¨r MO, Dellenbach S, Pfirrmann CW, Raniga S, Jost B, Zumstein MA. Many shoulder MRI findings in elite professional throwing athletes resolve after retirement: A clinical and radiographic study. Clin Orthop Relat Res. 2018;476(3):620-631.

Salamh PA, Kolber MJ, Hanney WJ. Effect of scapular stabilization during horizontal adduction stretching on passive internal rotation

and posterior shoulder tightness in young women volleyball athletes: A randomized controlled trial. Arch Phys Med Rehabil.

;96(2):349-356.

Balle SS, Magnusson SP, McHugh MP. Effects of contract-relax vs static stretching on stretch-induced strength loss and length–

tension relationship. Scand J Med Sci Sports. 2015;25(6):764-769.

Bailey LB, Thigpen CA, Hawkins RJ, Beattie PF, Shanley E. Effectiveness of manual therapy and stretching for baseball players with

shoulder range of motion deficits. Sports Health. 2017;9(3):230-237.

Patel VD, Eapen C, Ceepee Z, Kamath R. Effect of muscle energy technique with and without strain–counterstrain technique in

acute low back pain—A randomized clinical trial. Hong Kong Physiother J. 2018;38(01):41-51.

Reddy BC, Metgud S. A randomized controlled trial to compare the effect of muscle energy technique with conventional therapy in

stage II adhesive capsulitis. Int J Physiother Res. 2014;2(3):549-554.

Thomas E, Cavallaro AR, Mani D, Bianco A, Palma A. The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: A systematic review. Chiropr Man Therap. 2019;27(1):35.

Moore SD, Laudner KG, Mcloda TA, Shaffer MA. The immediate effects of muscle energy technique on posterior shoulder tightness:

A randomized controlled trial. J Orthop Sports Phys Ther. 2011;41(6):400-407.

Reed ML, Begalle RL, Laudner KG. Acute effects of muscle energy technique and joint mobilization on shoulder tightness in youth

throwing athletes: A randomized controlled trial. Int J Sports Phys Ther. 2018;13(6):1024-1031.

Huxley AF. Muscular contraction. J Physiol. 1974;243(1):1-43.

Manske RC, Wilk KE, Davies G, Ellenbecker T, Reinold M. Glenohumeral motion deficits: Friend or foe? Int J Sports Phys Ther.

;8(5):537-553.

Kisner C. Chapter III: Range of motion. In Kisner C, Colby LA, Borstad J (eds.): Therapeutic Exercise: Foundations and Techniques. Philadelphia: Fa Davis Company, 2017: 61-82.

Lee DR, Kim LJ. Internal- and external-rotation peak torque in little league baseball players with subacromial impingement syndrome: Improved by closed kinetic chain shoulder training. J Sport Rehabil. 2016;25(3):263-265.

Manske RC, Meschke M, Porter A, Smith B, Reiman M. A randomized controlled single-blinded comparison of stretching versus

stretching and joint mobilization for posterior shoulder tightness measured by internal rotation motion loss. Sports Health.

;2(2):94-100.

Tomalka A, Rode C, Schumacher J, Siebert T. The active force–length relationship is invisible during extensive eccentric contractions

in skinned skeletal muscle fibres. Proc R Soc B. 2017;284(1854):20162497.

Baltzopoulos V. Isokinetic dynamometry. In Payton CJ, Bartlett RM (eds.): Biomechanical Evaluation of Movement in Sport and Exercise. New York: Taylor & Francis e-Library, 2007: 103-128.

Laudner KG, Wenig M, Selkow NM, Williams J, Post E. Forward shoulder posture in collegiate swimmers: A comparative analysis

of muscle-energy techniques. J Athl Train. 2015;50(11):1133-1139.

Fahmy E, Shaker H, Ragab W, Helmy H, Gaber M. Efficacy of spinal extension exercise program versus muscle energy technique in

treatment of chronic mechanical low back pain. Egypt J Neurol Psychiatry Neurosurg. 2019;55(1):1-6.

Sehgal S, Sen S, Dhawan A. Effects of muscle energy technique in increasing range of motion and strength of glenohumeral internal

rotator, in athletes with glenohumeral internal rotation deficit. Am J Sports Sci. 2016;4(2):43-48.

Downloads

Published

2021-03-29

How to Cite

Avci, E. E., Sarı, Z., Ayberk, B., Ozdal, M., & Altindag, Özlem. (2021). The Immediate Effects of Muscle Energy Technique on Range of Motion and Isokinetic Muscle Strength in Volleyball Players with Glenohumeral Internal Rotation Deficit: A Randomized Controlled Trial. European Journal of Therapeutics, 27(3), 199–205. https://doi.org/10.5152/eurjther.2021.20012

Issue

Section

Original Articles