Fredriksen Hilde, Cools Ann, Myklebust Grethe
Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Sports Medicine Department, Oslo, Norway.
Rehabilitation Sciences and Physiotherapy, Ghent University, Gent, Belgium.
Phys Ther Sport. 2020 Jul;44:92-98. doi: 10.1016/j.ptsp.2020.05.005. Epub 2020 May 19.
Weakness of the shoulder external rotators (ER) is one of the main risk factors for shoulder pain in handball. Short, effective shoulder ER strength programs the players will adhere to are lacking.
to develop a short and effective shoulder ER strength program, handball players will adhere to.
We conducted a modified Delphi study, including experts in the field of shoulder, strength training and handball. In the first round, the experts were asked to rate eight pre-defined shoulder ER exercises on efficacy and adherence and to suggest other preferred exercises. In round two, they were asked to rate the new exercises from round one. In round three, they received a statistical summary of the panels scores, their own score and a summary of the suggestions. Based on the feedback, the experts were asked to revise their response.
Sixteen experts completed three rounds with 100% response rate. Twenty-eight exercises were rated. We reached consensus for both efficacy and adherence for two exercises, ER in 90° abduction in a bent-over squat position and ER in 90° abduction combined with horizontal abduction and trunk rotation in a push-up position.
We reached consensus for both efficacy and adherence for two exercises.
手球运动中，肩部外旋肌（ER）力量薄弱是导致肩部疼痛的主要风险因素之一。目前缺乏能让运动员坚持执行的简短且有效的肩部外旋肌力量训练计划。
制定一个简短且有效的肩部外旋肌力量训练计划，让手球运动员能够坚持执行。
我们开展了一项改良的德尔菲研究，邀请了肩部、力量训练和手球领域的专家参与。在第一轮中，要求专家们对八项预先定义的肩部外旋肌练习的效果和可接受程度进行评分，并提出其他更受欢迎的练习。在第二轮中，要求他们对第一轮中的新练习进行评分。在第三轮中，他们收到了专家小组评分的统计摘要、自己的评分以及建议摘要。根据反馈，要求专家们修改他们的回答。
16位专家完成了三轮调查，回复率为100%。共对28项练习进行了评分。我们就两项练习的效果和可接受程度达成了共识，即俯身深蹲位90°外展位的外旋练习以及俯卧撑位90°外展并结合水平外展和躯干旋转的外旋练习。
我们就两项练习的效果和可接受程度达成了共识。
