Effectiveness of Mobility Exercises in Resistance-Trained Males With Shoulder Immobility in Different Age Groups
Condition: Mobility Limitation; Exercises
MeSH terms: Mobility Limitation
Study type: Interventional

Summary: 
      The shoulder is a dynamic and mobile joint between the arm and the trunk. The movement of the
      joint in three dimensions performs complex movements in almost every activity of daily life.

      These movements performed during activities of daily living can cause musculoskeletal
      problems and shoulder pathologies. For this reason, the shoulder joint should be carefully
      evaluated, especially in athletes.
    

Detailed description: 
      The shoulder consists of four functional joints. Glenohumeral joint (GH), acromioclavicular
      joint (AC), sternoclavicular joint (SC), and scapulothoracic joint (ST). The most mobile of
      these four joints is the glenohumeral joint, located between the scapula and the glenoid. The
      GH is a synovial joint that has three-dimensional motion, covers the intra-articular capsule,
      and wraps the biceps long head tendon to the biceps sulcus. The glenohumeral capsule,
      glenohumeral ligament, and coracohumeral ligament contain a capsuloligamentous complex
      structure. This complex structure and the rotator cuff tendons form a static and dynamic
      restrictive structure around the glenohumeral joint. The rotator cuff space forms a
      triangular tissue between the edge of the anterior supraspinatus tendon and the superior
      subscapularis, and the apex is located on the lateral ridge of the biceps sulcus at the edge
      of the humeral ligament.

      After providing mobility, movement and balance will return to stability. Increasing muscle
      strength for joint stabilization is a physical training goal for the shoulder in athletes.

      Bone mechanics, intra-articular pressure, glenohumeral labrum and capuloligamentous
      structures are static components.

      Dynamic components are provided by muscle activity coordinated around the joint and modulated
      by the neuromuscular system.

      The basis of static and dynamic interactions is mainly proprioceptive inputs that occur with
      mechanoreceptors in the muscles, joint capsule ligaments, tendons and skin, which are
      integrated into each other.

      Joint stabilization is provided by the coactivation force of dynamic shoulder stabilizers.

      The balance of such forces must be proportional. For this reason, exercises to provide joint
      stabilization should aim to provide equal force distribution around the joint.

      Among the criteria for evaluating the athletes; proprioception and range of motion.

      Body Awareness Questionnaire aims to evaluate body awareness. Posture will be evaluated with
      New York posture analysis.

      As a result of the literature review carried out; As far as is known, there is no adequate,
      up-to-date and evidence-based study in the literature.
    

Intervention name(s): mobility exercises
Intervention type(s): Other
Intervention description(s): Before starting the exercise program, a video and exercise program including the importance of shoulder mobilization and stabilization and the knowledge of how to contract the right muscle groups will be shared in order to raise awareness of the athletes. Following the evaluations, in addition to the classical training programs, the athletes will perform the Wall Angels and Anterior Shoulder Stretch, Shoulder Circle Rotation, Prone Shoulder Controlled Articular Rotations and Shoulder Side Stretch exercises, Prone I, T, W, Y's 3 days a week for 8 weeks, accompanied by the same physiotherapist.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Evaluation was made before the exercise application, after the eight-week application.
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: exercise; body builders