Effect of Clubbell Exercises on Shoulder Kinematics in Female Handball Players

Sibi Walter, Amin Daneshfar, Carl Petersen

Abstract


Background: Clubbells were popular shoulder exercise equipment used during the 17-18th centuries. Currently there is a resurgence in the use of clubbells to strengthen the shoulder rotators, but there are no studies to prove their effectiveness on shoulder kinematics. Therefore, this study aimed to find out if clubbell exercises had any effect on glenohumeral rotational range of motion (ROM) and shoulder rotator strength. Methods: Using a randomised control study design, female handball athletes (n=15) were voluntarily recruited and were assigned randomly to either a handball training only group (HT) (n = 8, age 25±7 y, height 1.77 ± 0.11m, mass 76 ± 15 kg,) or a shoulder exercise group (SE) (n = 7, age 27±8 y, height 1.78 ± 0.12m, mass 79 ± 15 kg). The SE group underwent an exercise programme (8 weeks, 3 days/week, 20 min/day) using clubbells. The ROM and muscle strength were assessed at baseline and at the end of weeks 2, 4, 6 and 8. Results: After eight weeks, comparison between groups showed that the SE group’s dominant arm internal rotators muscle strength improved (28±5 to 33±7 Nm) significantly (p<0.05). Within the SE group, internal rotation ROM, internal rotators, and external rotators muscle strength all significantly (p<0.05) improved. Conclusions: Clubbell exercises increases internal rotation ROM and shoulder rotators muscle strength. Therefore, it is suggested that handball athletes could use clubbell exercises to improve their shoulder rotational ROM and strengthen the shoulder rotators whereby reducing shoulder injury risk.

Keywords


Shoulder Injury, Rotator Cuff, Glenohumeral Joint, Shoulder Kinematics, Clubbell Exercises, Throwing Injuries

Full Text:

PDF

References


Achenbach, L., Laver, L., Walter Sven, S., Zeman, F., Kuhr, M., & Krutsch, W. (2020). Decreased external rotation strength is a risk factor for overuse shoulder injury in youth elite handball athletes. Knee Surgery, Sports Traumatology, Arthroscopy, 28(4), 1202-1211. https://doi.org/10.1007/s00167-019-05493-4.

Andersson, S. H., Bahr, R., Olsen, M. J., & Myklebust, G. (2019). Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation. Scandinavian Journal of Medicine & Science in Sports, 29(12), 1996-2009. https://doi:10.1111/sms.13522.

Asker, M., Walden, M., KÄLlberg, H., Holm, L. W., & Skillgate, E. V. A. (2020). Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study. Journal of Orthopaedic & Sports Physical Therapy, 50(2), 67-74. https://doi:10.2519/jospt.2020.9044.

Bao Fredriksen, A., & Tillaar, R. V. D. (2022). The Acute Effects of Different Wearable Resistance Loads Attached to the Forearm on Throwing Kinematics, Myoelectric Activity and Performance in Experienced Female Handball Players. Journal of Functional Morphology and Kinesiology, 7(3):58. https://doi.org/10.3390/jfmk7030058.

Clarke, M., DA Mhuircheartaigh, N., Walsh, G., Walsh, J., & Meldrum, D. (2011). Intra-tester and inter-tester reliability of the MicroFET 3 hand-held dynamometer. Physiotherapy Practice and Research, 32(1), 13-18. htts://doi.org/10.3233/PPR-2011-32103

David, G., Magarey, M. E., Jones, M. A., Dvir, Z., Türker, K. S., & Sharpe, M. (2000). EMG and strength correlates of selected shoulder muscles during rotations of the glenohumeral joint. Clinical biomechanics, 15(2), 95–102. https://doi.org/10.1016/s0268-0033(99)00052-2

Donatelli, R., Ellenbecker, T. S., Ekedahl, S. R., Wilkes, J. S., Kocher, K., & Adam, J. (2000, Sep). Assessment of shoulder strength in professional baseball pitchers. Journal of Orthopedic & Sports Physical Therapy, 30(9), 544-551. https://doi.org/10.2519/jospt.2000.30.9.544.

Forthomme, B., Croisier, J. L., Delvaux, F., Kaux, J. F., Crielaard, J. M., & Gleizes-Cervera, S. (2018). Preseason Strength Assessment of the Rotator Muscles and Shoulder Injury in Handball Players. Journal of Athletic Training, 53(2), 174-180. https://doi.org/10.4085/1062-6050-216-16.

Fredriksen, H., Cools, A., Bahr, R., & Myklebust, G. (2020). Does an effective shoulder injury prevention program affect risk factors in handball? A randomized controlled study. Scandinavian Journal of Medicine & Science in Sports, 30(8), 1423-1433. https://doi:10.1111/sms.13674.

Hadjisavvas, S., Efstathiou, M. A., Malliou, V., Giannaki, C. D., & Stefanakis, M. (2022). Risk factors for shoulder injuries in handball: systematic review. BMC Sports Science, Medicine, and Rehabilitation, 14(1), 204. https://doi.org/10.1186/s13102-022-00588-x.

Moezy, A., Sepehrifar, S., & Solaymani Dodaran, M. (2014). The effects of scapular stabilization based exercise therapy on pain, posture, flexibility, and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial. Medical Journal of Islamic Republic of Iran (28) 87. PMCID: PMC4301231

Møller, M., Nielsen, R. O., Attermann, J., Wedderkopp, N., Lind, M., Sørensen, H., & Myklebust, G. (2017). Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players. British Journal of Sports Medicine, 51(4), 231-237. https://doi.org/10.1136/bjsports-2016-096927.

Muir, S. W., Corea, C. L., & Beaupre, L. (2010). Evaluating change in clinical status: reliability and measures of agreement for the assessment of glenohumeral range of motion. North American Journal of Sports Physical Therapy, 5(3), 98-110. PMCID: PMC2971638

Niederbracht, Y., Shim, A. L., Sloniger, M. A., Paternostro-Bayles, M., & Short, T. H. (2008). Effects of a shoulder injury prevention strength training program on eccentric external rotator muscle strength and glenohumeral joint imbalance in female overhead activity athletes. Journal of Strength and Conditioning Research, 22(1), 140-145. https://doi.org/10.1519/JSC.0b013e31815f5634.

Noffal G. J. (2003). Isokinetic eccentric-to-concentric strength ratios of the shoulder rotator muscles in throwers and nonthrowers. The American journal of sports medicine, 31(4), 537–541. https://doi.org/10.1177/03635465030310041001

Page, P. (2011). Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. International Journal of Sports Physical Therapy, 6(1), 51-58. PMCID: PMC3105366

Salwa F, Abdel-Majid, Ola Ibrahim, Mohamed A, Walid R Mohamed (2020). Comparative Study of the Combined Effect of Therapeutic Exercises and Mobilization between Stage II and Stage III Frozen Shoulder. The Medical Journal of Cairo University, 88, 1531-1537. https://doi.org/10.21608/mjcu.2020.116244.

Walter, S. (2020). Shoulder injuries of cricket fast bowlers in New Zealand. University of Canterbury. New Zealand. http://dx.doi.org/10.26021/9736

Walter, S., King, D., & Hume, P. (2022). New Zealand cricket injury analysis based on 12 years of Accident Compensation Corporation data. BMJ Open Sport & Exercise Medicine, 8(3), e001340. https://doi.org/10.1136/bmjsem-2022-001340.

Walter, S., Petersen, C., & Basu, A. (2019). Effect of an 8-week Indian clubbell strengthening programme on Handball players shoulder muscle strength and range of motion. Journal of Science and Medicine in Sport, 22, S113. https://doi.org/10.1016/j.jsams.2019.08.157.

Walter, S., Petersen, C., & Basu, A. (2021). Are there any differences in shoulder muscle strength and range of motion between fast bowlers with and without shoulder pain? New Zealand Journal of Sports Medicine, 48 (1), 17-23.

Wang, H. K., Macfarlane, A., & Cochrane, T. (2000). Isokinetic performance and shoulder mobility in elite volleyball athletes from the United Kingdom. British Journal of Sports Medicine, 34(1), 39-43. https://doi.org/10.1136/bjsm.34.1.39.




DOI: https://doi.org/10.7575/aiac.ijkss.v.11n.1p.10

Refbacks

  • There are currently no refbacks.




License URL: https://creativecommons.org/licenses/by/4.0/

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

International Journal of Kinesiology and Sports Science

You may require to add the 'aiac.org.au' domain to your e-mail 'safe list’ If you do not receive e-mail in your 'inbox'. Otherwise, you may check your 'Spam mail' or 'junk mail' folders.