This study will examine the effects of a single session of a quick stretch technique delivered to the neck on neck and shoulder motion as well as shoulder strength in collegiate overhead athletes.
Athletes participating in sports such as baseball, softball, tennis, swimming, and volleyball, are uniquely predisposed to cervical and shoulder dysfunction due to repetitive, high-intensity movements that require coordination between the cervical spine, shoulder, and upper extremities. These repetitive motions involve extreme glenohumeral (GH) range of motion (ROM) as well as high angular velocities, often leading to adaptations such as Glenohumeral Internal Rotation Deficit (GIRD). Overhead athletes with GIRD are at a higher risk of developing shoulder injuries. This study aims to assess the effects of cervical spinal manipulation on cervical rotation ROM, GH rotational ROM and strength in overhead athletes. The current body of literature suggests an association between cervical rotation ROM deficits and arm injury risk in professional and collegiate-level baseball players. Restrictions in the cervical spine may alter neural and muscular pathways, potentially contributing to decreased shoulder ROM, compromised strength, and impaired performance. Given the complex interplay of cervical spine and shoulder function, understanding how cervical manipulation impacts the kinetic chain can play a vital role in developing shoulder rehabilitation and preventative programs for overhead athletes.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Cervical upglide/rotation manipulation targeted to C5/C6 on the dominant shoulder side
Sacred Heart University
Fairfield, Connecticut, United States
Cervical rotation active range of motion
Cervical rotation active ROM will be measured using the Cervical Range of Motion (CROM) device
Time frame: from baseline to immediately post-intervention
Shoulder Rotational range of motion
Dominant shoulder external rotation and internal rotation passive ROM at 90° of shoulder abduction will be measured using a digital inclinometer
Time frame: from baseline to immediately post-intervention
Shoulder Rotational strength
Dominant shoulder external rotation and internal rotation strength will be measured using the Hoggan MicroFET2 handheld dynamometer
Time frame: from baseline to immediately post-intervention
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