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- Title
RELATIONSHIP OF MOVEMENT SCREENS WITH PAST SHOULDER OR ELBOW SURGERIES IN COLLEGIATE BASEBALL PLAYERS.
- Authors
Busch, Andrew M.; Clifton, Daniel R.; Onate, James A.
- Abstract
Background: Upper extremity injuries commonly occur in baseball players, and can often necessitate surgical interventions. Athletes recovering from previous surgeries may be at greater risk of a secondary injury due to potential residual deficits in global movement. Identifying individuals with residual movement dysfunction following surgery during a pre-participation examination may help health care professionals identify baseball players who may be at a greater risk of re-injury in their throwing arms so that appropriate interventions can be developed. Purpose: The purpose of this study was to assess relationships between history of shoulder or elbow surgeries and Functional Movement ScreenTM (FMSTM) shoulder mobility scores or Selective Functional Movement Assessment (SFMA) upper extremity patterns in collegiate baseball players. Study Design: Cohort study. Methods: One hundred seventy-six healthy, male, Division III collegiate baseball players (mean age = 19.65 ± 1.52 years) underwent preseason screening using the FMSTM shoulder mobility screen, and SFMA upper extremity patterns. Total FMSTM scores were dichotomized into "good" and "poor" groups (good = 2 or 3, poor = 0 or 1). SFMA scores were dichotomized into "good" and "poor" groups (good = functional non-painful (FN), poor = dysfunctional painful (DP), dysfunctional non-painful (DN), and functional painful (FP). Dichotomized FMSTM and SFMA scores were compared to questionnaire data regarding history of shoulder or elbow surgeries. Results: Thirty participants (17%) reported a previous shoulder or elbow surgery in their dominant arms. Past surgeries in the shoulder or elbow were not related to FMSTM (odds ratio [OR]=0.74, 95% confidence interval [CI]=0.30, 1.82), p=0.52) or SFMA performance (OR=0.93, 95%CI=0.38, 2.27, p=0.88) independent of grade and playing position. Conclusion: History of shoulder or elbow surgery was not related to performance on the FMSTM shoulder mobility test or SFMA upper extremity patterns. Differences in the dates of surgery at the time of testing, and sport-specific adaptations of the upper extremities that are common in baseball players due to the cumulative tissue stress from years of throwing at the collegiate level, may explain these insignificant findings.
- Subjects
ARM physiology; MEDICAL examinations of athletes; ATHLETIC ability; BASEBALL; CHI-squared test; COLLEGE athletes; CONFIDENCE intervals; ELBOW injuries; RANGE of motion of joints; LONGITUDINAL method; RESEARCH evaluation; SHOULDER injuries; SPORTS injuries; LOGISTIC regression analysis; DATA analysis software; FUNCTIONAL assessment; ODDS ratio
- Publication
International Journal of Sports Physical Therapy, 2018, Vol 13, Issue 6, p1008
- ISSN
2159-2896
- Publication type
Article
- DOI
10.26603/ijspt20181008