Effect of Sleeper Stretch with Muscle Energy Technique on Posterior Shoulder Tightness Among College Level Cricket Bowlers
DOI:
https://doi.org/10.18311/jeoh/2023/32072Keywords:
DASH, Horizontal Adduction, Internal Rotation Range, Modified Supine Assessment, Posterior Capsular ExtensibilityAbstract
Introduction: Posterior shoulder tightness is the extensibility limitations of the soft tissue, due to repetitive tensile loading in overhead athletes such as cricket and other sports. Bowling is the main cause for Posterior shoulder tightness. Hence the Sleeper stretch with muscle energy technique is proposed to be effecting in improving range, flexibility and functional ability. Purpose: To examine the effectiveness of Sleeper stretch with Muscle energy technique on posterior shoulder tightness among college level cricket bowlers. Materials and Methods: The study design was a single group experimental study design. On inclusion criteria one hundred and thirty one subjects were selected through convenient sampling technique. The subjects were given sleeper stretch combined with muscle energy technique for 8 consecutive weeks for 5 times in a week, post-test assessment was taken and the data analysis was done respectively. Results: The result of the study post intervention of internal rotation is (72.29° ± 3.73°, P = 0.001<0.05), Horizontal adduction (38.51° ± 2.70°. P = 0.001<0.05), flexibility of posterior capsule (109.81° ± 2.65° P = 0.001<0.05), DASH score for functional ability is (4.43 ± 1.53). Through Pearson chi square test there is a significant association in internal rotation (χ2 = 61.38, P = 0.001<0.005), Horizontal adduction (χ2 = 16.11, P = 0.001<0.05) and no significant association in flexibility of posterior capsule (χ2 = 0.98, P = 0.806>0.05) and DASH Score (χ2 = 4.25, P = 0.120>0.05). Conclusion: Effect of sleeper stretch with MET on PST showed effective results in improving internal rotation range, horizontal adduction, flexibility, functional ability among college level cricket bowlers.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Addu Dhanalaxmi, Kalidasan Varathan, Sudhakar Subramanian
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Hibberd EE, Oyama S, Myers JB. Increase in humeral retro torsion accounts for age-related increase in glenohumeral internal rotation deficit in youth and adolescent baseball players. Am J Sports Med. 2014; 42:851–8. PMid: 24521613. https://doi.org/10.1177/0363546513519325 DOI: https://doi.org/10.1177/0363546513519325
Salamh PA, Liu X, Hanney WJ, Sprague PA, Kolber MJ. The efficacy and fidelity of clinical interventions used to reduce posterior shoulder tightness: A systematic review with meta-analysis. J Shoulder Elbow Surg. 2019; 28(6):1204–13. PMid: 30902594. https://doi.org/10.1016/j.jse.2018.12.006 DOI: https://doi.org/10.1016/j.jse.2018.12.006
Papas AM, Zawacki RM. McCarthy CF. Rehabilitation of the pitching shoulder. Am J Sports Med. 1985; 13:223–35. PMid: 4025674. https://doi.org/10.1177/036354658501300403 DOI: https://doi.org/10.1177/036354658501300403
Marcondes FB, et al., Posterior shoulder tightness and rotator cough strength assessment in painful shoulder of amateur tennis players. Braz J Phys Then. 2013 Mar-Apr; 17(2J):185–93. PMid: 23778770. https://doi.org/10.1590/ S1413-35552012005000079 DOI: https://doi.org/10.1590/S1413-35552012005000079
Mine K. Immediate effects of two types of stretching techniques on glenohumeral internal rotation deficit and posterior shoulder tightness: A cross over randomized controlled trial. J Phys Ther Sports Med. 2017; 1(1):19–24. https://doi.org/10.35841/physical-therapy.1.1.19-24 DOI: https://doi.org/10.35841/physical-therapy.1.1.19-24
Muraki T, Yamamoto N, Kd, et al., Effect of posterior capsule tightness on subacromial contact behavior during shoulder motions. J shoulder Elbow Surg. 2012; 21(9). PMid: 22079765. https://doi.org/10.1016/j.jse.2011.08.042 DOI: https://doi.org/10.1016/j.jse.2011.08.042
Arora M, et al., The shoulder in cricket: What’s causing all the painful shoulders? Jrnl of Arth scopy and Jt Sugry. 2015. https://doi.org/10.1016/j.jajs.2015.06.003 DOI: https://doi.org/10.1016/j.jajs.2015.06.003
Mihata T, Gates J, McGarry MH, Neo M, Lee TQ. Effect of posterior shoulder tightness on internal impingement in a cadaveric model of throwing. Knee Surg Sports Traumatol Arthrosc. 2015; 23(2):548–54. PMid: 23322267. https://doi. org/10.1007/s00167-013-2381-7 DOI: https://doi.org/10.1007/s00167-013-2381-7
Ticker JB, Beim GM, Warner JJ. Recognition and treatment of refractory posterior capsular contracture of the shoulder. Arthroscopy. 2000; 16(1):27–34. PMid: 10627342. https://doi.org/10.1016/S0749-8063(00)90124-5 DOI: https://doi.org/10.1016/S0749-8063(00)90124-5
Tyler TF, Nicholas SJ, Roy T, G leim GW. Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement. Am J Sports Med. 2000; 28:668–73. PMid: 11032222. https://doi.org/10.1177/03635465000280 050801 DOI: https://doi.org/10.1177/03635465000280050801
Hall K, et al., Borstad JD. Posterior tightness: To treat or not to treat? J Orthop Sports Phys Ther. 2018; 48(3):133–6. PMid: 29490601. https://doi.org/10.2519/jospt.2018.0605 DOI: https://doi.org/10.2519/jospt.2018.0605
Ranson C, Gregory PL. Shoulder injury in professional cricketers. Phys Ther Sport. 2008; 9:34–9. PMid: 19083702. https://doi.org/10.1016/j.ptsp.2007.08.001 DOI: https://doi.org/10.1016/j.ptsp.2007.08.001
Orchard J, James T, Alcott E, et al., Injuries in Australian cricket at first class level 1995/1996 to 2000/2001. Br J Sports Med. 2002; 36(1):39–44. PMid: 11867491 PMCid: PMC1724448. https://doi.org/10.1136/bjsm.36.1.39 DOI: https://doi.org/10.1136/bjsm.36.4.270
Gregory PL, Batt ME, Wallace WA. Comparing injuries of spin bowling with fast bowling in young cricketers. Clin J Sport Med. 2002; 12:107–12. PMid: 11953557. https://doi. org/10.1097/00042752-200203000-00007 DOI: https://doi.org/10.1097/00042752-200203000-00007
Codine P, Bernard P L, Pocholle M, Benaim C, Brun V. Influence of Sports Discipline on Shoulder Rotator Cuff Balance. Med Sci Sports Exercise. 1997; 29:1400–5. PMid: 9372473. https://doi.org/10.1097/00005768-199711000- 00002 DOI: https://doi.org/10.1097/00005768-199711000-00002
Laudner KG, Stanek JM, Meister. Assessing posterior shoulder contracture: The reliability and validity of measuring glenohumeral joint horizontal adduction. Journal of Athletic Training. 2006; 41(4):375–80.
Manske RC, Meschke M, Porter A, Smith B, Reiman M. A randomized controlled single-blinded comparison of stretching versus stretching and joint mobilization for posterior shoulder tightness measured by internal rotation motion loss. Sports Health. 2010; 2:94– 100. PMid: 23015927 PMCid: PMC3445079. https://doi. org/10.1177/1941738109347775 DOI: https://doi.org/10.1177/1941738109347775
Bukhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: Spectrum of pathology part I: pathoanatomy and biomechanics. Arthroscopy. 2003; 19:404–20. PMid: 12671624. https://doi.org/10.1053/jars.2003.50128 DOI: https://doi.org/10.1053/jars.2003.50128
McClure P, Balaicuis J, Heiland D, Broersma ME, Thorndike CK, Wood A. A randomized controlled comparison of stretching procedures for posterior shoulder tightness. Journal of Orthopaedic and Sports Physical Therapy. 2007 Mar; 37(3):108–14. PMid: 17416125. https://doi.org/10.2519/jospt.2007.2337 DOI: https://doi.org/10.2519/jospt.2007.2337
Ballantyne F, Fryer G, McLaughlin P. The effect of muscle energy technique on hamstring extensibility: The mechanism of altered flexibility. J Osteopath Med. 2003; 6:59–63. https://doi.org/10.1016/S1443-8461(03)80015-1 DOI: https://doi.org/10.1016/S1443-8461(03)80015-1
Moore SD, Laudner KG, McLoda TA, Shaffer MA. The immediate effects of muscle energy technique on posterior shoulder tightness: A randomized controlled trial. J Orthop Sports Phys Ther. 2011; 41(6):400–7. PMid: 21471651. https://doi.org/10.2519/jospt.2011.3292 DOI: https://doi.org/10.2519/jospt.2011.3292
Laudner KG, Sipes RC, Wilson JT. The acute effects of sleeper stretches on shoulder range of motion. J Ath Train. 2008; 43(4):359–63. PMid: 18668168 PMCid: PMC2474815. https://doi.org/10.4085/1062-6050-43.4.359 DOI: https://doi.org/10.4085/1062-6050-43.4.359
Reed ML. et al., Acute effects of MET and joint mobilization on shoulder tightness in youth young throwing athletes. Int J Sports Phys Ther. 2018 Dec; 13(6):1024–31. PMid: 30534468 PMCid: PMC6253760. https://doi.org/10.26603/ ijspt20181024 DOI: https://doi.org/10.26603/ijspt20181024
Chepeha JC, et al., Magee DJ, Bouliane M. Effectiveness of a posterior shoulder stretching program on university level over head athletes.Clin J Sport Med. 2017; 0:1–7.
Myers JB, Oyama S, Wassinger CA, Ricci RD, Abt JP, Conley KM, Lephart SM. Reliability, precision, accuracy, and validity of posterior shoulder tightness assessment in overhead athletes. The American Journal of Sports Medicine. 2007; 35(11):1922–30. PMid: 17609529. https:// doi.org/10.1177/0363546507304142 DOI: https://doi.org/10.1177/0363546507304142
Joseph JK. Effectiveness of sleeper stretch in posterior capsular tightness innovative. Journal of Medical Sciences. 2014; 4(5 ):1–3.
Ganesh BR, et al., Effect of muscle energy technique on strength and range of motion in young swimmers with sick scapula syndrome: A pre-post clinical trial. Indian Journal of Physiotherapy and Occupational Therapy. 2020 Apr-Jun; 14(2):45–9.
Kim SG, et al., Test-retest reliability of an active range of motion test for the shoulder and hip joints by unskilled examiner by using a manual goniometer. J Phys Ther Sci. 2016; 28:722–4. PMid: 27134347 PMCid: PMC4842428. https://doi.org/10.1589/jpts.28.722 DOI: https://doi.org/10.1589/jpts.28.722
Hsu JE, et.al. The disability of arm shoulder and hand questionnaire in intercollegiate athletes. J Shldr Elbw Surg. 2010; 19:349–54. PMid: 20303460. https://doi.org/10.1016/j. jse.2009.11.006 DOI: https://doi.org/10.1016/j.jse.2009.11.006
Seshagiri M, et al., Comparison of 3 stretching protocols for posterior shoulder tightness in throwers. Int J Physiotherapy Res. 2016; 2:1429–35. https://doi. org/10.16965/ijpr.2016.112 DOI: https://doi.org/10.16965/ijpr.2016.112
Torres RR, Gomes JLE. Measurement of glenohumeral internal rotation in asymptomatic tennis players and swimmers. American Journal of Sports Medicine. 2009; 37:1017. PMid: 19261903. https://doi.org/10.1177/0363546508329544 DOI: https://doi.org/10.1177/0363546508329544
Mishra N, et al., Effect of capsular stretch versus sleeper stretch on pain, range of motion and shoulder function in patients with adhesive capsulitis. International Journal of Recent Scientific Research. 2018 Apr; 9(4(B)):25634–37.
Riemann BL, Lephart SM. The sensorimotor system, Part II: The Role of Proprioception in Motor Control and Functional Joint Stability. J Athl Train. 2002; 37(1):80–4.
Chary DS, et al., Immediate effects of muscle energy technique on pain and posterior shoulder tightness in badminton players: An experimental study. International Journal of Physical Education, Sports and Health. 2020; 7(3):273–6.