Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes

Volleyball players develop shoulder sports-related adaptations due to repetitive overhead motions. It is essential to differentiate between these sports-related adaptations and pathological patterns in clinical assessments, particularly on scapular resting posture and scapulohumeral rhythm. Using an...

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Main Authors: Augusto Gil Pascoal, Andrea Ribeiro, Jorge Infante
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/11/6/114
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author Augusto Gil Pascoal
Andrea Ribeiro
Jorge Infante
author_facet Augusto Gil Pascoal
Andrea Ribeiro
Jorge Infante
author_sort Augusto Gil Pascoal
collection DOAJ
description Volleyball players develop shoulder sports-related adaptations due to repetitive overhead motions. It is essential to differentiate between these sports-related adaptations and pathological patterns in clinical assessments, particularly on scapular resting posture and scapulohumeral rhythm. Using an electromagnetic tracking system, the 3D shoulder kinematics of 30 male elite asymptomatic volleyball players and a matching control group were recorded at rest and in eight humeral elevation positions, in 15-degree increments from 15 to 120 degrees. The results indicated that the dominant scapular resting posture of the volleyball group was more anteriorly tilted than the control group (Volleyball: mean = −12.02°, STD = 4.16°; Control: mean = −7.45°, STD = 5.42°; Mean difference = 4.57°; STD = 6.85°; CI95% = 2.1° to 7.1°). The scapulohumeral rhythm in the volleyball group showed greater scapular internal rotation (Volleyball: mean = 41.60°, STD = 9.14°; Control: mean = 35.60°, STD = 6.03°; mean difference = 6.02°, STD = 1.47°; CI95% = 4.80° to 7.25°) and anterior tilt (Volleyball: mean = −9.10°, STD = 5.87°; mean = −2.3°, STD = 9.18°; mean difference = 6.88°, STD = 0.66°; CI95% = 6.34° to 7.43°). These findings suggest that volleyball players have developed a sports-related scapular adaptive pattern. This information may be valuable for clinical assessment and rehabilitation planning in injured volleyball players and may aid in the decision-making process for determining a safe return-to-play after a shoulder injury.
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spelling doaj.art-9ce033e3dc6c4e85906362a0cd3e72082023-11-18T12:38:55ZengMDPI AGSports2075-46632023-06-0111611410.3390/sports11060114Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in AthletesAugusto Gil Pascoal0Andrea Ribeiro1Jorge Infante2Biomechanics and Functional Morphology Laboratory (BFML), Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculdade de Motricidade Humana, Universidade de Lisboa, P-1499-002 Lisboa, PortugalISAVE, Instituto Superior de Saúde, Rua Castelo de Almourol 13, P-4720-155 Amares, PortugalSports Expertise Laboratory (LPD), Faculdade de Motricidade Humana, Universidade de Lisboa, P-1499-002 Lisboa, PortugalVolleyball players develop shoulder sports-related adaptations due to repetitive overhead motions. It is essential to differentiate between these sports-related adaptations and pathological patterns in clinical assessments, particularly on scapular resting posture and scapulohumeral rhythm. Using an electromagnetic tracking system, the 3D shoulder kinematics of 30 male elite asymptomatic volleyball players and a matching control group were recorded at rest and in eight humeral elevation positions, in 15-degree increments from 15 to 120 degrees. The results indicated that the dominant scapular resting posture of the volleyball group was more anteriorly tilted than the control group (Volleyball: mean = −12.02°, STD = 4.16°; Control: mean = −7.45°, STD = 5.42°; Mean difference = 4.57°; STD = 6.85°; CI95% = 2.1° to 7.1°). The scapulohumeral rhythm in the volleyball group showed greater scapular internal rotation (Volleyball: mean = 41.60°, STD = 9.14°; Control: mean = 35.60°, STD = 6.03°; mean difference = 6.02°, STD = 1.47°; CI95% = 4.80° to 7.25°) and anterior tilt (Volleyball: mean = −9.10°, STD = 5.87°; mean = −2.3°, STD = 9.18°; mean difference = 6.88°, STD = 0.66°; CI95% = 6.34° to 7.43°). These findings suggest that volleyball players have developed a sports-related scapular adaptive pattern. This information may be valuable for clinical assessment and rehabilitation planning in injured volleyball players and may aid in the decision-making process for determining a safe return-to-play after a shoulder injury.https://www.mdpi.com/2075-4663/11/6/114shoulderkinematicsvolleyballfunctional assessmentsport-related adaptations
spellingShingle Augusto Gil Pascoal
Andrea Ribeiro
Jorge Infante
Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes
Sports
shoulder
kinematics
volleyball
functional assessment
sport-related adaptations
title Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes
title_full Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes
title_fullStr Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes
title_full_unstemmed Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes
title_short Scapular Resting Posture and Scapulohumeral Rhythm Adaptations in Volleyball Players: Implications for Clinical Shoulder Assessment in Athletes
title_sort scapular resting posture and scapulohumeral rhythm adaptations in volleyball players implications for clinical shoulder assessment in athletes
topic shoulder
kinematics
volleyball
functional assessment
sport-related adaptations
url https://www.mdpi.com/2075-4663/11/6/114
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