Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers

Background: During the repetitive execution of the swimming strokes, the muscles responsible for the internal rotations of the shoulders tend to become stronger compared to the muscles that oppose these movements. The aim of this study was to analyse the effect of a strengthening program for the sho...

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Main Authors: Ivan Della Tommasina, Alfonso Trinidad-Morales, Pedro Martínez-Lozano, Ángel González-de-la-Flor, José Ángel Del-Blanco-Muñiz
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1275285/full
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author Ivan Della Tommasina
Alfonso Trinidad-Morales
Pedro Martínez-Lozano
Ángel González-de-la-Flor
José Ángel Del-Blanco-Muñiz
author_facet Ivan Della Tommasina
Alfonso Trinidad-Morales
Pedro Martínez-Lozano
Ángel González-de-la-Flor
José Ángel Del-Blanco-Muñiz
author_sort Ivan Della Tommasina
collection DOAJ
description Background: During the repetitive execution of the swimming strokes, the muscles responsible for the internal rotations of the shoulders tend to become stronger compared to the muscles that oppose these movements. The aim of this study was to analyse the effect of a strengthening program for the shoulder rotator muscles using elastic band exercises in a diagonal Kabat pattern (D2 for flexion) in swimmers, to develop an effective, quick and easy-to-implement protocol for preventive training routines.Methods: A randomized controlled trial design was carried out. Internal and external rotation range of movement, isometric strength of the muscles responsible for internal and external rotation of the shoulder, scapular movements, was measured at the beginning of the study and after 8 weeks post-intervention. A total of 22 male swimmers participated in the study and were randomly assigned to either an experimental group (n = 11) or a control group (n = 11). The experimental group underwent a 8-week shoulder-strength program using elastic bands, while the control group focused on aquatic training.Results: The strength-training program resulted in an improvement in the isometric strength of the muscles responsible for external rotation and a better balance between the shoulder rotator muscles in the experimental group. However, these improvements have not been significant (p > 0.05).Conclusion: The strengthening exercise program showed minimal improvement in shoulder rotation strength and range of motion. These findings suggest that the prescribed shoulder-strengthening exercise could be a quick-beneficial dry-land training option to improve external rotation shoulder strength or range of motion, but more studies with larger sample sizes and more weeks of treatment are needed to determine the efficacy of this protocol.
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spelling doaj.art-db03240dbea7474fbccfdd86208ea6332023-11-14T02:38:14ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-11-011410.3389/fphys.2023.12752851275285Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmersIvan Della Tommasina0Alfonso Trinidad-Morales1Pedro Martínez-Lozano2Ángel González-de-la-Flor3José Ángel Del-Blanco-Muñiz4Faculty of Physical Activity and Sport Sciences, European University of Madrid, Madrid, SpainFaculty of Education and Humanities, European University of Madrid, Madrid, SpainFaculty of Physical Activity and Sport Sciences, European University of Madrid, Madrid, SpainFaculty of Physical Activity and Sport Sciences, European University of Madrid, Madrid, SpainFaculty of Physical Activity and Sport Sciences, European University of Madrid, Madrid, SpainBackground: During the repetitive execution of the swimming strokes, the muscles responsible for the internal rotations of the shoulders tend to become stronger compared to the muscles that oppose these movements. The aim of this study was to analyse the effect of a strengthening program for the shoulder rotator muscles using elastic band exercises in a diagonal Kabat pattern (D2 for flexion) in swimmers, to develop an effective, quick and easy-to-implement protocol for preventive training routines.Methods: A randomized controlled trial design was carried out. Internal and external rotation range of movement, isometric strength of the muscles responsible for internal and external rotation of the shoulder, scapular movements, was measured at the beginning of the study and after 8 weeks post-intervention. A total of 22 male swimmers participated in the study and were randomly assigned to either an experimental group (n = 11) or a control group (n = 11). The experimental group underwent a 8-week shoulder-strength program using elastic bands, while the control group focused on aquatic training.Results: The strength-training program resulted in an improvement in the isometric strength of the muscles responsible for external rotation and a better balance between the shoulder rotator muscles in the experimental group. However, these improvements have not been significant (p > 0.05).Conclusion: The strengthening exercise program showed minimal improvement in shoulder rotation strength and range of motion. These findings suggest that the prescribed shoulder-strengthening exercise could be a quick-beneficial dry-land training option to improve external rotation shoulder strength or range of motion, but more studies with larger sample sizes and more weeks of treatment are needed to determine the efficacy of this protocol.https://www.frontiersin.org/articles/10.3389/fphys.2023.1275285/fullswimmingshoulder injuriesexerciserotator cuffelastic band
spellingShingle Ivan Della Tommasina
Alfonso Trinidad-Morales
Pedro Martínez-Lozano
Ángel González-de-la-Flor
José Ángel Del-Blanco-Muñiz
Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
Frontiers in Physiology
swimming
shoulder injuries
exercise
rotator cuff
elastic band
title Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
title_full Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
title_fullStr Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
title_full_unstemmed Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
title_short Effects of a dry-land strengthening exercise program with elastic bands following the Kabat D2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
title_sort effects of a dry land strengthening exercise program with elastic bands following the kabat d2 diagonal flexion pattern for the prevention of shoulder injuries in swimmers
topic swimming
shoulder injuries
exercise
rotator cuff
elastic band
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1275285/full
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