Internal Rotation Deficit of the Glenohumeral Joint in Advanced-level Handball Players

N/ACompletedNCT02011243

Centre Hospitalier Universitaire de Nīmes86 enrolled

Overview

The main objective of this study is to estimate the incidence and prevalence of Internal Rotation Deficit (IRD) defined by a measure of IRD 2 (Internal Rotation Deficit in position 2) strictly greater than 20 ° in a population of advanced-level handball players over a training season.

The secondary objectives of this study are : A- To estimate and compare the prevalence of Internal Rotation Deficit within groups B- To assess the association between the Internal Rotation Deficit and the appearance of a shoulder pain and/or discomfort when throwing C- To assess the association between Internal Rotation Deficit and the appearance of a shoulder pathology demonstrated by clinical examination by at least one abnormality in one of the following three tests: the arming apprehension test, the relocation test or the O'Brien test D- Assess changes in values of IRD 2, the ratio IRD 2/GRE 2, and the Total Range of Motion over the training season E- Evaluate the association between the values of IRD 2 and the appearance of shoulder pain or discomfort when throwing F- To evaluate the association between IRD 2 values and the appearance of a shoulder pathology (at least one anomaly in one of three tests: the arming apprehension test, the relocation test or the O'Brien test). G- To assess the association between values of the IRD 2/GRE 2 ratio and the appearance of shoulder pain or discomfort when throwing H- To assess the association between values of the IRD 2/GRE 2 ratio and the appearance of a shoulder pathology (at least one anomaly in one of three tests: the arming apprehension test, the relocation test or the O'Brien test). I- To estimate the optimal threshold value of the IRD 2/GRE 2 ratio that would define an Internal Rotation Deficit in a more relevant fashion as compred to the IRD 2 alone

Study Type

OBSERVATIONAL

Enrollment

Conditions

Internal Rotation Contracture-shoulder Articulation Disorders Athletic Injuries

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * The subject or his/her legal guardian must have given his/her informed and signed consent * The subject must be insured or beneficiary of a health insurance plan * The subject is a member of the professional and pre-professional handball clubs in Nîmes, France (the USAM or HBCN clubs) -- OR-- a member of the training centers associated with the same clubs whose parents or legal representatives have given informed consent Exclusion Criteria: * The subject is under judicial protection, under tutorship or curatorship * The subject or his/her legal respresentative refuses to sign the consent * It is impossible to correctly inform the subject * The subject is pregnant, parturient, or breastfeeding * The subject has been operated for shoulder instability, regardless of the surgical technique used * The subject has a history of fracture of the proximal end of the humerus and / or elbow * The subject has a history of rotator cuff surgery * The subject has neurological or spinal problems, or has received physiotherapy on the shoulder complex within 30 days prior to the study assessment

Locations (1)

CHRU de Nîmes - Hôpital Universitaire Carémeau

Nîmes, France

Outcomes

Primary Outcomes

Presence/absence of an internal rotation deficit (IRD 2 > 20°)

IRD 2 = internal rotation deficit in position 2 Position 2 = dominant arm in abduction at 90°

Time frame: 6 months

Secondary Outcomes

Presence/absence of an internal rotation deficit (IRD 2 > 20°)

Time frame: baseline (Day 0)

Presence/absence of an internal rotation deficit (IRD 2 > 20°)

Time frame: 3 months

Measure of the internal rotation deficit

Time frame: baseline (day 0)

Measure of the internal rotation deficit

Time frame: 3 months

Measure of the internal rotation deficit

Time frame: 6 months

The ratio of DRI 2 / GRE 2

GRE 2 = measure of the external gain in rotation in position 2 Position 2 = dominant arm in abduction at 90°

Time frame: baseline (day 0)

The ratio of DRI 2 / GRE 2

Time frame: 3 months

The ratio of DRI 2 / GRE 2

Time frame: 6 months

Measure of the total range of motion

Time frame: baseline (day 0)

Measure of the total range of motion

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.