Posterior shoulder tightness is common in patients with shoulder injuries. The shoulders are the most commonly injured site in swimmers, suggesting swimmers have tight posterior shoulders. It is believed the posterior capsule is responsible for the tightness in the posterior shoulder, leading to the glenohumeral internal rotational deficit (GIRD) and type 2 superior labrum anterior and posterior (SLAP) lesions, the …
Neuromuscular Response to Pain and Exercise Induced Muscle Damage
Muscle soreness and pain are common sensations following a bout of unfamiliar exercise. This is believed secondary to lengthening and damage of the muscle fibers resulting in inflammation. Moreover, this damage results in changes in neuromuscular function and force production. Surprisingly, this decrease in force is not seen until 12 hours following exercise, perhaps due to pain not occurring until …
Dual Task Core Training Increases Core Stability
Many core exercises are used with the goal of improving core stability and decreasing low back pain. This study used a control group and compared it to a novel exercise. What was done Forty patients with low back pain (~50.35 years; M=19, F=21) performed either the drawing in the abdominal wall (control) or the ankle dorsiflexion in addition to drawing …
Multi-planar Strengthening Appears Important in Rehabilitation
A weak core is considered paramount for athletes, as it is the “engine” of the body. It is also believed a weak core increases the risk of injury. The core is defined as the muscles which surround the lumbopelvic region and includes the abdominals anteriorly, the paraspinals and gluteals posteriorly, the pelvic floor musculature inferiorly, the hip abductors and rotators …
Core Strength is Important for Rehabilitation
Low back pain is very common in the general population, estimated at 85% of people. Adolescent athletes are thought to have more low back pain than age-matched peers. Spondylolysis, a lesion in the pars interarticularis of the neural arch, is more commonly injured in athletes (specifically gymnasts, throwing athletes, rowers, etc.). Athletes have also been shown to have a greater …
Manipulation Responders Have Higher Disc Diffusion
The use of spinal manipulation is quite common in chiropractic, physical therapy, and osteopathic treatments. Yet, the physiological adaptation following a spinal manipulation is not well understood. This study looked at the response to a single spinal manipulation. What was done Nineteen adults between 19 – 45 years (M=6, F=13) of age participated in this study. All had the low …
Low Back Stabilization Prediction Rule
Clinical prediction rules (CPR) are meant to identify patients who would benefit from certain rehabilitation protocols. This study looked at the current CPR for identifying patients most likely to improve with lumbar stabilization exercise (LSE). The current CPR suggests four variables possess the greatest predictive power for treatment success: 1) Age <40 2) Straight leg raise (SLR) > 91 degrees …
Are Functional Movement Screens (FMS) Beneficial for Swimmers?
Injuries are extremely common in those repeatedly performing awkward movements and positions. Movement screening has become quite popular for an injury prevention tool, yet the improvement or applicability of these screens, like the functional movement screen (FMS) used in this study on injury prevention. What was done The FMS was performed on 433 firefighters (M=408, F=25; ~41.8 years). The FMS …
Reliability of Shoulder Blade Timing Tests
Alterations in neuromuscular control are thought to contribute to shoulder impingement. Specifically, this alteration in muscle timing is perpetuated by a muscular imbalance between the muscles which stabilize the shoulder and assist in overhead motion. Recently, rehabilitation focusing on improving the muscular imbalance demonstrates better results than purely strengthening. Unfortunately, the reliability of testing neuromuscular control is limited. The ability …
Back Pain in Adolescent Athletes
Background on Back Pain The low back is the most common site of pain in the population. In swimming, the low back is one of the top five sites of injury. This site of injury used to be exclusive to adults, but over recent years the amount of cases has increased in the pediatric and adolescent population. It is likely …