Shoulder Injuries and Disorders Clinical Trial
Official title:
Efficacy of a Physiotherapy Intervention by Stretching the Posterior Capsule of the Shoulder in the Stability of the Glenohumeral Joint and the Throwing Performance in Handball Players. A Randomized Clinical Trial
Introduction: Handball is a sport with a high prevalence of shoulder injuries due to the
overuse that causes a glenohumeral internal rotation deficit, and excess of external rotation
and scapular dyskinesia. Stretching is essential to restore physiological movement and
improve strength.
Aim: To evaluate the efficacy of a posterior capsule stretching and strengthening of the
shoulder and scapular program in handball players from 18 to 37 years old.
Study design: randomized clinical trial, multicenter, single-blind with follow-up period.
Methods: 60 handball players will be randomly assigned to the two study groups (experimental
and control). The intervention will last 4 weeks, with 3 weekly sessions with a duration of
21 and 12 minutes each. The study variables will be: range of motion in internal and external
rotation (goniometer), throwing speed (Ball Throwing Speed Test), functionality (DASH
questionnaire), perceived exertion (Borg scale), glenohumeral stability (CKCUEST y YBT-UQ
Test) and the throwing force (Overhead Medicine Ball Throw). The intervention will consist in
the application of stretching of the posterior shoulder capsule with an exercise protocol. A
Kolmogorov-Smirnov analysis will calculate the normality of the distribution. In case of
homogeneity of the groups, with the t-student test of repeated measurements and an ANOVA of
repeated averages, the difference between the different evaluations and the intra- and
inter-subject effect will be calculated.
Expected results: Improved range of motion of the shoulder, strength and throwing speed after
the intervention.
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