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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress


Ilona Ilinca1,  Elena-Taina Avramescu1,  Cristian Neamtu2
1University of Craiova, Faculty of  Physical Education and Sports, Craiova,
2University of Medicine and Pharmacy  Craiova, Romania

INTRODUCTION. Prevention, rehabilitation and training of the shoulder for athlets that use the overhead movement had suffered a lot of improvements in the last decade. Due to these progresses  the athlets can return on the field much sooner  then before. The background of these improvements  consist in a better understanding  of the shoulder complex from the anatomical point of view, taking into consideration  the  biomechanical aspects specific for different sports and  developement of the ability to transfer and integrate these informations aiming to improve sport performance.  Even  if  in the literature are described extended researches in cinetics and kinematics in different sports, most of
the studies were centered on baseball and only a few publications are foccused on shoulder pathology in volleyball.  For this  reason   the  present research wish to identify  the existent  relationships  between  potential  limitating  factors, mainly traumatic issues, and the impact on sport performance.
AIMS. The research foccus on the determination of mechanical stress in the shoulder for the strike attack in volleyball, aiming to determinate the determinant-facilitating factors   involved in overuse trauma mechanism,  to elaborate and implementate a  prophylactical programmme included into  the  training session, finnaly  leading  to prevention of rotator cuff tendinitis and impingement syndrome in volleyball.
METHOD.The present study was carried on a group formed of 12 women volleyball players, medium age 22,3  years, height 173,5 cm and weight  63,45 kg, components of the team University of Craiova, during august 2006 and july 2007. We used the goniometric method and statistic methods for data standardisation (Student test, Anova and control test  Newman-Keuls). Synthetising the obtained informations we had elaborate a prophylactical programme for prevention of rotator cuff  tendinitis and  impingement syndrome. Measurements were carried out before and after application of the programme.
RESULTS. A significant improvement of the  amplitude of shoulder joint movements was found after application of the programme, internal rotation  for the dominant limb increased  with 12%.  Medium values for muscular forces  investigated  increased with a value between 3% - 23%.
CONCLUSION. Improvement of the investigated parameters show the practical efficiency of the proposed programme leading to improvement of muscular and joint  imbalance.
KEY WORDS: prophylaxix, trauma risk, overuse, shoulder joint.

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