Document Detail


Dynamic acromiohumeral interval changes in baseball players during scaption exercises.
MedLine Citation:
PMID:  21050780     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
HYPOTHESIS: Elevation of the arm during a dynamic scaption exercise will result in a progressive narrowing of the acromiohumeral interval (AHI); however, the addition of a load will not significantly affect the AHI in healthy baseball players.
MATERIALS AND METHODS: Thirteen healthy baseball players performed a seated scaption exercise from 0° to 90°, with and without a normalized additional load. Dynamic AHI intervals were measured using digital fluoroscopic videos with the arm at the side, and at 30°, 45°, 60°, and 75° of humeral elevation.
RESULTS: The mean AHI for unloaded and loaded scaption decreased significantly (P < .001) from the arm at the side (12.7 mm) until 45° (4.9 mm), further changes in the mean AHI between 45°, 60°, and 75° were not significantly different. Generally, loaded scaption resulted in smaller AHI values at 45°, 60°, and 75°; however, only the differences at 60° (P = .005) and 75° (P = .003) were significant.
DISCUSSION: Narrowing of the AHI during dynamic motion was similar to previous reports of static AHI, with the exception of the trend towards widening of the AHI seen at 75° during both conditions. The additional AHI narrowing observed at 60° and 75° during the loaded exercise may indicate that scapular positioning is more influential in this range.
CONCLUSION: An additional AHI narrowing of 11% during loaded scaption, did not result in any clinical impingement during the exercise, but may have more serious implications in other healthy and pathologic populations.
Authors:
Melissa D Thompson; Dennis Landin; Phillip A Page
Publication Detail:
Type:  Journal Article     Date:  2010-11-03
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  20     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  251-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Kinesiology, Louisiana State University, Baton Rouge, LA, USA.
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