Niederbracht Yvonne, Shim Andrew L
Indiana University of Pennsylvania, Department of Health and Physical Education, Indiana, PA.
N Am J Sports Phys Ther. 2008 May;3(2):89-94.
Shoulder muscle imbalance is a potential shoulder injury risk factor in athletes performing overhead sports. While normative functional peak strength of concentric external to concentric internal shoulder muscle fatigue data is available, comparisons of functional eccentric external to concentric internal shoulder rotator muscle fatigue resistance, which impacts muscle imbalance throughout the duration of play, have not been studied in this population.
To assess fatigue resistance of the internal and external shoulder rotator muscles in female tennis players.
Fifteen female collegiate tennis players were tested bilaterally for shoulder concentric internal and eccentric external peak torque production throughout 20 maximal repetitions on a Kin-Com isokinetic dynamometer. Twelve t - tests were conducted to evaluate for differences in peak torque, relative fatigue ratios, and functional peak torque ratios between extremities and mode of activation during the first, as well as, last five repetitions that were conducted.
Non-dominant concentric internal and eccentric external peak torque production significantly decreased throughout the twenty repetitions. Neither dominant concentric internal peak torque decrements and eccentric peak torque decrements were not significantly different across the twenty contractions. These changes in peak torque upon subsequent repetitions resulted in relative fatigue ratios of dominant eccentric external rotation that were significantly greater than non-dominant eccentric external rotation. Relative fatigue ratios of dominant concentric internal rotation did not differ from non-dominant concentric internal rotation.
The data suggest that eccentrically activated external shoulder rotator muscles could possibly adapt to overhead activities by becoming more fatigue resistant.
肩部肌肉失衡是从事过头运动的运动员潜在的肩部受伤风险因素。虽然已有关于肩部肌肉从向心收缩外部到向心收缩内部的功能性峰值力量以及疲劳数据的规范,但对于影响比赛全程肌肉失衡的肩部旋转肌从功能性离心收缩外部到向心收缩内部的疲劳抵抗能力的比较,尚未在该人群中进行研究。
评估女子网球运动员肩部内旋肌和外旋肌的抗疲劳能力。
15名大学女子网球运动员在Kin-Com等速测力计上进行双侧测试,测量肩部向心收缩内部和离心收缩外部的峰值扭矩,共进行20次最大重复动作。进行12次t检验,以评估在第1次以及最后5次重复动作期间,两侧肢体之间以及激活方式之间在峰值扭矩、相对疲劳率和功能性峰值扭矩比率方面的差异。
在20次重复动作过程中,非优势侧肩部向心收缩内部和离心收缩外部的峰值扭矩产生显著下降。优势侧肩部向心收缩内部的峰值扭矩下降和离心收缩峰值扭矩下降在20次收缩过程中均无显著差异。随后重复动作中峰值扭矩的这些变化导致优势侧离心收缩外旋的相对疲劳率显著高于非优势侧离心收缩外旋。优势侧向心收缩内旋的相对疲劳率与非优势侧向心收缩内旋无差异。
数据表明,离心激活的肩部外旋肌可能通过增强抗疲劳能力来适应过头活动。