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      Investigation of the effectiveness of a complex injury prevention programme among young swimmers

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          Abstract

          Purpose

          The training load required at elite level can lead to shoulder pain even among the youngest swimmers, thus, besides modern water training plans and swimming technique development, the planning of dryland training with a preventive approach is of the utmost importance. The aim of the present study was to map kinetic patterns and sports injury risk factors among young competitive swimmers (between 9 and 12 years of age) and to investigate the effectiveness of a complex injury prevention programme on dry land.

          Materials and methods

          A total of 37 swimmers (19 girls and 18 boys, aged 10.8 ± 1 yrs) participated in the research. We performed a physical examination using the PostureScreen11.1 application, a digital goniometer, a manual dynamometer, and functional and diagnostic orthopaedic tests. The swimmers were divided into a trained group and a control group. A three-month complex injury prevention programme was developed for the trained group. We analysed our data using Statistica for Windows.

          Results

          We found that 19% of the swimmers had experienced shoulder pain since starting swimming. We also found several postural faults, a reduction in the rotational arc of motion in the shoulder joint, rotational muscle imbalance, serratus anterior weakness, and scapular dyskinesia. Following the programme, swimmers in the trained group showed significant improvement in the rotational arc of the shoulder joint, internal rotational range of motion, rotational muscle strength, and upper limb stability. Progress was also made in many other areas, although these results were not significant.

          Conclusions

          As shoulder pain and its risk factors can be observed even among the youngest competitors, a dryland training plan tailored to this group can reduce the occurrence of sports injuries.

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          Most cited references36

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          Optimizing Performance by Improving Core Stability and Core Strength

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            Scapular Dyskinesis and Its Relation to Shoulder Pain

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              The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers.

              To examine the correction of posture, increase in strength and decrease in shoulder pain and dysfunction in varsity swimmers. Randomised clinical trial. Twenty-eight National Collegiate Athletic Association division I varsity swimmers. Two testing sessions were conducted before and after an 8-week time period. Posture, strength and shoulder pain and function were assessed. Forward head angle was measured using a digital inclinometer, forward head translation was measured using a ruler and total scapular distance was measured with unmarked string. Average and peak values (N) of strength were measured with the hand-held dynamometer. The intervention subjects then participated in an 8-week exercise training programme to correct posture. The procedures were then repeated in the post-test. Significant group by time interactions (p<0.05) were found in forward head angle and forward shoulder translation indicating a decrease in forward head angle and forward shoulder translation. Significant main effects for time (p<0.05) were found in strength measures for all muscle groups indicating increased strength for shoulder girdle muscles tested. The exercise intervention was successful at decreasing forward head and rounded shoulder postures in elite swimmers. This study supports the theoretical basis for clinical rehabilitation of posture and the shoulder.
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                Author and article information

                Contributors
                Journal
                2066
                Developments in Health Sciences
                DHS
                Akadémiai Kiadó (Budapest )
                2630-9378
                2630-936X
                05 March 2024
                Affiliations
                [1 ] Department of Physiotherapy, Faculty of Health Sciences, Semmelweis University , Budapest, Hungary
                [2 ] Fonyódi Health Institute , Fonyód, Hungary
                [3 ] Department of Orthopaedics, Faculty of Medicine, Semmelweis University , Budapest, Hungary
                Author notes
                [* ]Corresponding author. Department of Physiotherapy, Faculty of Health Sciences, Semmelweis University , Vas utca 17, Budapest H-1088, Hungary. E-mail: chrenko.mate@ 123456stud.semmelweis.hu , matechrenko@ 123456gmail.com
                Author information
                https://orcid.org/0009-0009-6638-9251
                Article
                10.1556/2066.2024.00053
                163c3cb2-5c4d-4c72-940c-523ee89181a9
                © 2024 The Author(s)

                Open Access statement. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated. (SID_1)

                History
                : 03 May 2023
                : 11 December 2023
                : 25 January 2024
                Page count
                Figures: 4, Tables: 1, Equations: 0, References: 36, Pages: 07
                Funding
                Funded by: National Research, Development and Innovation Fund
                Award ID: ÚNKP-21-1
                Custom metadata
                1

                Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
                prevention,dryland training,shoulder pain,swimmers

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