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. 2012 Sep-Oct;47(5):507-13.
doi: 10.4085/1062-6050-47.3.11.

Trunk-rotation flexibility in collegiate softball players with or without a history of shoulder or elbow injury

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Trunk-rotation flexibility in collegiate softball players with or without a history of shoulder or elbow injury

Veronica J Aragon et al. J Athl Train. 2012 Sep-Oct.

Abstract

Context: Throwing is a whole-body motion that requires the transfer of momentum from the lower extremity to the upper extremity via the trunk. No research to date examines the association between a history of shoulder or elbow injury and trunk flexibility in overhead athletes.

Objective: To determine if injury history and trunk-rotation flexibility are associated and to compare trunk-rotation flexibility measured using 3 clinical tests: half-kneeling rotation test with the bar in the back, half-kneeling rotation test with the bar in the front, and seated rotation test in softball position players with or without a history of shoulder or elbow injury.

Design: Cross-sectional design.

Setting: University softball facilities.

Patients or other participants: Sixty-five female National Collegiate Athletic Association Division I softball position players.

Intervention(s): Trunk-rotation flexibility was measured with 3 clinical tests. Recent injury history was obtained using a questionnaire and verified by the certified athletic trainer.

Main outcome measure(s): Binomial regression models were used to determine if injury history was associated with flexibility categories (high, normal, or limited tertiles) for each of the 6 (3 tests × 2 directions) trunk-rotation flexibility measures. Trunk-rotation flexibility measures from 3 clinical tests were compared between participants with and without a history of shoulder or elbow injury using analysis-of-variance models.

Results: When measured using the half-kneeling rotation test with the bar in the back and the seated rotation test, injury history and forward trunk-rotation flexibility were associated. However, no mean group differences were seen in trunk-rotation flexibility between participants with and without a history of shoulder or elbow injury.

Conclusions: Limited forward trunk-rotation flexibility may be a risk factor for shoulder or elbow injuries. However, further study is needed to confirm the study finding.

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Figures

Figure 1.
Figure 1.
A, The half-kneeling rotation test with bar in the back. B, The half-kneeling rotation test with bar in the front. C, The seated rotation test.
Figure 2.
Figure 2.
Alignment of the goniometer during trunk-rotation tests. A, Starting position. B, Ending position.

Comment in

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