[논문]Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits

Bailey, Lane B.; Thigpen, Charles A.; Hawkins, Richard J.; Beattie, Paul F.; Shanley, Ellen

doi:10.1177/1941738117702835

Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits 원문보기

Sports health, v.9 no.3, 2017년, pp.230 - 237

Bailey, Lane B. (Memorial Hermann’s Ironman Sports Medicine Institute, Houston, Texas) , Thigpen, Charles A. (ATI Physical Therapy, Greenville, South Carolina) , Hawkins, Richard J. (Greenville Health System, Department of Orthopedics, Greenville, South Carolina) , Beattie, Paul F. (Department of Physical Therapy, The University of South Carolina, Columbia, South Carolina) , Shanley, Ellen (ATI Physical Therapy, Greenville, South Carolina)

Abstract ▼ AI-Helper

Background:Baseball players displaying deficits in shoulder range of motion (ROM) are at increased risk of arm injury. Currently, there is a lack of consensus regarding the best available treatment options to restore shoulder ROM.Hypothesis:Instrumented manual therapy with self-stretching will result in clinically significant deficit reductions when compared with self-stretching alone.Study Design:Controlled laboratory study.Methods:Shoulder ROM and humeral torsion were assessed in 60 active baseball players (mean age, 19 ± 2 years) with ROM deficits (nondominant − dominant, ≥15°). Athletes were randomly assigned to receive a single treatment of instrumented manual therapy plus self-stretching (n = 30) or self-stretching only (n = 30). Deficits in internal rotation, horizontal adduction, and total arc of motion were compared between groups immediately before and after a single treatment session. Treatment effectiveness was determined by mean comparison data, and a number-needed-to-treat (NNT) analysis was used for assessing the presence of ROM risk factors.Results:Prior to intervention, players displayed significant (P < 0.001) dominant-sided deficits in internal rotation (−26°), total arc of motion (−18°), and horizontal adduction (−17°). After the intervention, both groups displayed significant improvements in ROM, with the instrumented manual therapy plus self-stretching group displaying greater increases in internal rotation (+5°, P = 0.010), total arc of motion (+6°, P = 0.010), and horizontal adduction (+7°, P = 0.004) compared with self-stretching alone. For horizontal adduction deficits, the added use of instrumented manual therapy with self-stretching decreased the NNT to 2.2 (95% CI, 2.1-2.4; P = 0.010).Conclusion:Instrumented manual therapy with self-stretching significantly reduces ROM risk factors in baseball players with motion deficits when compared with stretching alone.Clinical Relevance:The added benefits of manual therapy may help to reduce ROM deficits in clinical scenarios where stretching alone is ineffective.

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참고문헌 (30)

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Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits 원문보기

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