Overhead athlete

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

To read

• Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening¹
• Reliability of Upper Extremity Functional Performance Tests for Overhead Sports Activities²

Clinical presentation

Chronic shouler pain

• Impingement secondary to another condition:
  • “Athletes with chronic shoulder pain present symptoms of impingement as a result from different shoulder conditions like rotator cuff tendinopathy, shoulder instability, scapular dyskinesis, biceps pathology, SLAP (superior labrum anterior-superior) lesions, and GIRD (glenohumeral internal rotation deficit) (Cools and Reeser, 2017)”^{challoumasVolleyballAthleteShoulder2017?}

Assessment

Mobility

• AROM in OKC,
• AROM in CKC? –> depends on sport ie gymnastics
• Kinetic chain rotation
• Thoracic rotation
• Dissociated rotation

Strength

• HHD
• ER:IR ratio,
• Max or mod press/push/pull data bench press, push up, pull

• T
  - Nagatomi et al 2016 found that MMTs were not effective at determining muscle strength symmetry above 75–85%.
  - MMT was only able to detect problems when there one muscle was 25% weaker (75% as strong) compared to other side

References

1.

Wilk KE, Arrigo CA, Hooks TR, Andrews JR. Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening. PM & R: the journal of injury, function, and rehabilitation. 2016;8(3 Suppl):S78-90. doi:10.1016/j.pmrj.2015.12.005

2.

Riemann BL, Wilk KE, Davies GJ. Reliability of Upper Extremity Functional Performance Tests for Overhead Sports Activities. International Journal of Sports Physical Therapy. 2023;V18(3):687-697. doi:10.26603/001c.74368