Kabat Training Program With Elastic Bands for Shoulder in Amateur Swimmers

Study Overview
=================
Brief Summary
-----------------
It has been shown that 90% of swimmers experience shoulder pain at some point in their career. During the macrocycle, swimmers present significant alterations in the muscular balance between external and internal rotators of the shoulder: the IR assumes much prominence in strength levels and RE goes progressively weaker. furthermore, all overhead athletes (such as swimmers) present a glenohumeral Internal Rotation Deficit and an increase in External Rotation. The objective of this study is to propose an exercise with an elastic band aimed to strengthening the RE of the shoulder to analyze the effects on the muscular balance between IR and RE. In addition, the effect caused in the limitation of internal rotation is going to be studied

Official Title
-----------------
Kabat Training Program in Diagonal Pattern With Elastic Bands for Shoulder in Amateur Swimmers. A Randomized Controlled Clinical Trial

Conditions
-----------------
Healthy

Intervention / Treatment
-----------------
* Other: PNF training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Healthy volunteers Swimmers minimum 2 times per week Exclusion Criteria: Acute infection Shoulder pathology Neer and Hawkins-Kennedy test positive

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PNF training<br>kabat training with elastic bands for 8 weeks 2 times a week before swimming training. 3 series of 10-15 repetitions will be performed | Other: PNF training<br>* Resistance training with elastic bands in diagonals of PNF<br>|
| No Intervention: Control group<br>swimming training 2 times a week | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in ROM external rotation of the shoulder in degrees | Range of motion in external rotation of the shoulder in 90º of abduction measured with goniometry in degrees | Change from Baseline at 8 weeks | 
| change in ROM internal rotation of the shoulder in degrees | Range of motion in internal rotation of the shoulder in 90º of abduction measured with goniometry in degrees | Change from Baseline at 8 weeks | 
| change in external rotation isometric strength of the shoulder in newton | isometric strength in external rotation of the shoulder measured with pressure dynamometer in newton | Change from Baseline at 8 weeks | 
| change in internal rotation isometric strength of the shoulder in newton | isometric strength in internal rotation of the shoulder measured with pressure dynamometer in newton | Change from Baseline at 8 weeks | 
| change in scapular displacement in maximum flexion in centimeters | horizontal distance covered by the inferior angle of the scapula measured with PALM in centimeters | Change from Baseline at 8 weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Swimming, Proprioceptive Neuromuscular Facilitation, Resistance Training