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REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT

Objective: The objective of this study was to evaluate the rehabilitation results among baseball players who presented pain and medial rotation deficit in their shoulders. Methods: Out of 55 baseball players assessed between April and June 2009, it was observed that 20 presented pain at some instant...

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Autores principales: Miyazaki, Alberto Naoki, Fregoneze, Marcelo, Santos, Pedro Doneux, da Silva, Luciana Andrade, do Val Sella, Guilherme, Ishioka, Fábio Eduardo, Rosa, João Roberto Polydoro, Estelles, José Renato Depari, Checchia, Sérgio Luiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799414/
https://www.ncbi.nlm.nih.gov/pubmed/27042626
http://dx.doi.org/10.1016/S2255-4971(15)30091-4
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author Miyazaki, Alberto Naoki
Fregoneze, Marcelo
Santos, Pedro Doneux
da Silva, Luciana Andrade
do Val Sella, Guilherme
Ishioka, Fábio Eduardo
Rosa, João Roberto Polydoro
Estelles, José Renato Depari
Checchia, Sérgio Luiz
author_facet Miyazaki, Alberto Naoki
Fregoneze, Marcelo
Santos, Pedro Doneux
da Silva, Luciana Andrade
do Val Sella, Guilherme
Ishioka, Fábio Eduardo
Rosa, João Roberto Polydoro
Estelles, José Renato Depari
Checchia, Sérgio Luiz
author_sort Miyazaki, Alberto Naoki
collection PubMed
description Objective: The objective of this study was to evaluate the rehabilitation results among baseball players who presented pain and medial rotation deficit in their shoulders. Methods: Out of 55 baseball players assessed between April and June 2009, it was observed that 20 presented pain at some instant during throwing movements. They were advised to undergo a rehabilitation program with exercises to stretch the posterior capsule and reinforce the muscles of the scapular belt, especially the lateral rotators. Eighteen patients followed the advice, while two were lost from the follow-up. The parameters evaluated were: pain, range of motion, strength before the program and strength after the end of the program. Results: Comparing the initial and final assessments, we observed mean increases as follows: 10° of elevation (p = 0.001); three vertebral levels of medial rotation (p < 0.001); 20° of medial rotation at 90° abduction (p < 0.001); and 26° of range of motion (p < 0.001). Regarding strength, elevation force increased by 3 kgf (p = 0.002) and lateral rotation force increased by 1 kgf (p = 0.020). Out of the 18 baseball players studied, the pain level improved in 16, while two continued to present pain and underwent magnetic resonance imaging, which showed lesions for surgical treatment. Conclusion: The rehabilitation program conducted among the baseball players was effective and enabled increases in medial rotation, elevation, range of motion and strength of elevation and lateral rotation, consequently producing pain improvements in most of the players.
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spelling pubmed-47994142016-04-01 REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT Miyazaki, Alberto Naoki Fregoneze, Marcelo Santos, Pedro Doneux da Silva, Luciana Andrade do Val Sella, Guilherme Ishioka, Fábio Eduardo Rosa, João Roberto Polydoro Estelles, José Renato Depari Checchia, Sérgio Luiz Rev Bras Ortop Original Article Objective: The objective of this study was to evaluate the rehabilitation results among baseball players who presented pain and medial rotation deficit in their shoulders. Methods: Out of 55 baseball players assessed between April and June 2009, it was observed that 20 presented pain at some instant during throwing movements. They were advised to undergo a rehabilitation program with exercises to stretch the posterior capsule and reinforce the muscles of the scapular belt, especially the lateral rotators. Eighteen patients followed the advice, while two were lost from the follow-up. The parameters evaluated were: pain, range of motion, strength before the program and strength after the end of the program. Results: Comparing the initial and final assessments, we observed mean increases as follows: 10° of elevation (p = 0.001); three vertebral levels of medial rotation (p < 0.001); 20° of medial rotation at 90° abduction (p < 0.001); and 26° of range of motion (p < 0.001). Regarding strength, elevation force increased by 3 kgf (p = 0.002) and lateral rotation force increased by 1 kgf (p = 0.020). Out of the 18 baseball players studied, the pain level improved in 16, while two continued to present pain and underwent magnetic resonance imaging, which showed lesions for surgical treatment. Conclusion: The rehabilitation program conducted among the baseball players was effective and enabled increases in medial rotation, elevation, range of motion and strength of elevation and lateral rotation, consequently producing pain improvements in most of the players. Elsevier 2015-12-06 /pmc/articles/PMC4799414/ /pubmed/27042626 http://dx.doi.org/10.1016/S2255-4971(15)30091-4 Text en © 2012 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Miyazaki, Alberto Naoki
Fregoneze, Marcelo
Santos, Pedro Doneux
da Silva, Luciana Andrade
do Val Sella, Guilherme
Ishioka, Fábio Eduardo
Rosa, João Roberto Polydoro
Estelles, José Renato Depari
Checchia, Sérgio Luiz
REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT
title REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT
title_full REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT
title_fullStr REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT
title_full_unstemmed REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT
title_short REASSESSMENT OF PAINFUL SHOULDERS AMONG BASEBALL PLAYERS AFTER CONSERVATIVE TREATMENT
title_sort reassessment of painful shoulders among baseball players after conservative treatment
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799414/
https://www.ncbi.nlm.nih.gov/pubmed/27042626
http://dx.doi.org/10.1016/S2255-4971(15)30091-4
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