Dept of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
J Sport Rehabil. 2012 Aug;21(3):253-65. doi: 10.1123/jsr.21.3.253. Epub 2012 Mar 2.
CONTEXT: Shoulder injuries are common in swimmers because of the demands of the sport. Muscle imbalances frequently exist due to the biomechanics of the sport, which predispose swimmers to injury. To date, an effective shoulder-injury-prevention program for competitive swimmers has not been established. OBJECTIVE: To assess the effectiveness of a 6-wk strengthening and stretching intervention program on improving glenohumeral and scapular muscle strength and scapular kinematics in collegiate swimmers. DESIGN: Randomized control trial. SETTING: University biomechanics research laboratory. PARTICIPANTS: Forty-four Division I collegiate swimmers. INTERVENTIONS: The intervention program was completed 3 times per week for 6 wk. The program included strengthening exercises completed using resistance tubing-scapular retraction (Ts), scapular retraction with upward rotation (Ys), scapular retraction with downward rotation (Ws), shoulder flexion, low rows, throwing acceleration and deceleration, scapular punches, shoulder internal rotation at 90° abduction, and external rotation at 90° abduction-and 2 stretching exercises: corner stretch and sleeper stretch. MAIN OUTCOME MEASUREMENTS: Scapular kinematics and glenohumeral and scapular muscle strength assessed preintervention and postintervention. RESULTS: There were no significant between-groups differences in strength variables at pre/post tests, although shoulder-extension and internal-rotation strength significantly increased in all subjects regardless of group assignment. Scapular kinematic data revealed increased scapular internal rotation, protraction, and elevation in all subjects at posttesting but no significant effect of group on the individual kinematic variables. CONCLUSIONS: The current strengthening and stretching program was not effective in altering strength and scapular kinematic variables but may serve as a framework for future programs. Adding more stretching exercises, eliminating exercises that overlap with weight-room training and swim training, and timing of implementation may yield a more beneficial program for collegiate swimmers.
背景:由于运动的要求,游泳运动员经常会肩部受伤。由于运动的生物力学,肌肉失衡经常存在,这使游泳运动员容易受伤。迄今为止,还没有为竞技游泳运动员制定出有效的肩部损伤预防计划。
目的:评估 6 周强化和伸展干预计划对改善大学生游泳运动员肩盂肱和肩胛带肌肉力量以及肩胛带运动学的效果。
设计:随机对照试验。
设置:大学生物力学研究实验室。
参与者:44 名一级大学游泳运动员。
干预:干预计划每周进行 3 次,共 6 周。该计划包括使用阻力管进行的强化练习-肩胛带后缩(Ts)、肩胛带上旋后缩(Ys)、肩胛带下旋后缩(Ws)、肩前屈、低划、投掷加速和减速、肩胛带冲击、肩内收 90°外展时的内旋和 90°外展时的外旋-以及 2 种伸展练习:角伸展和仰卧伸展。
主要观察指标:干预前后评估肩胛带运动学和肩盂肱及肩胛带肌肉力量。
结果:虽然所有受试者的肩伸和内旋力量均显著增加,但在预/后测试中,各组之间的力量变量均无显著差异。肩胛带运动学数据显示,所有受试者在测试后肩胛带内旋、前伸和上抬均增加,但组间对个别运动学变量无显著影响。
结论:目前的强化和伸展计划不能有效改变力量和肩胛带运动学变量,但可以作为未来计划的框架。增加更多的伸展练习、消除与举重室训练和游泳训练重叠的练习以及实施的时间可能会为大学生游泳运动员制定出更有益的计划。
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