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The Influence of Training on Maximum Performance and Shoulder Pain in Flatwater Kayak-Paddlers


Authors: P. Davídek 1;  A. Kobesová 2
Authors‘ workplace: Katedra základů kinantropologie a humanitních věd, Fakulta tělesné výchovy a sportu, Univerzita Karlova, Praha 1;  Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN Motol, Praha 2
Published in: Rehabil. fyz. Lék., 26, 2019, No. 4, pp. 148-156.
Category: Original Papers

Overview

Background and objectives: The goal of sports performance training is to increase athlete performance, which among other factors, is influenced by the quality of postural stabilization. The aim of this study was to identify the effect of trunk stabilization training on sports performance and incidence of painful syndromes of the musculoskeletal system in competitive flatwater kayakers.

Methods: Twenty flatwater kayakers (17 - 25 years old) were randomly divided into two groups. For a period of 6 weeks, the experimental group integrated trunk stabilization exercise according to Dynamic Neuromuscular Stabilization (DNS) concept within routine off-season training. The control group practiced the same routine off-season training program without the specific focus on postural stabilization. In all individuals from both groups, the maximum paddling output was measured on kayak ergometer before the study and after the six weeks observational period. The standardized self-report questionnaire for Disabilities of the Arm, Shoulder, and Hand (DASH) was used to evaluate shoulder girdle and upper extremity dysfunction and pain.

Results: In the experimental group, the maximum paddling output increased after the 6- weeks period by 13.22 %, while in the control group the increase was 0.92 %. Although in the experimental group the increase was bigger, the inter-group difference did not reach statistical significance (p = 0.065). Disability and symptoms evaluated by DASH decreased in the experimental group by 43.38 % and in the control group by 5.88 %. In the experimental group, the improvement in disability and pain was significantly better (p = 0.038) comparing to the control group.

Conclusion: Trunk stabilization training based on DNS may improve sports performance and reduce upper extremity and shoulder girdle pain syndromes in elite flatwater kayakers.

Keywords:

Dynamic Neuromuscular Stabilization (DNS) – flat water kayakers – maximum paddling output – musculoskeletal pain


Sources

1.    BRAHAM, D., STEPKOVITCH, N.: The hawkesbury canoe classic: musculoskeletal injury surveillance and risk factors associated with marathon paddling. Wilderness and Environmental Medicíně, 23, 2012, 2, s. 133-139.

2.    BELL, S., BORODY, C.: Symptomatic os trigonum in natio­nal level javelin thrower: a case report. Journal of the Canadian Chiropractic Association, 62, 2018, 3, s. 202-210.

3.    COHEN, J.: Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, N.J.: L. Erlbaum Associates, 1988. ISBN 08-058-0283-5.

4.    DAVIDEK, P., ANDEL, R.,KOBESOVA, A.: Influence of dynamic neuromuscular stabilization approach on maximum kyak paddling force. Journal of Human Kinetice, 61, 2018, 1, s. 15-27. DOI: 10.1515/hukin-2017-0127. ISSN 1899-7562. Dostupné také z: http://content.sciendo.com/view/journals/hukin/61/1/article-p15.xml

5.    FERNANDEZ-FERNANDEZ, J., ELLENBECKER, T., SANZ-RIVAS, D., ULBRICHT, A., FERRAUTIA A.: Effects of A 6-week junior tennis conditioning program on service velocity. Journal of Sports Science and Medicíně, 12, 2013, 2, s. 231-239.

6.    FRANK, C., KOBESOVA, A., KOLAR, P.: Dynamic neuromuscular stabilization & sports rehabilitation. International Journal of Sports Physical Therapy, 8, 2013, 1, s. 62-73.

7.    HAGEMANN, G., RIJKE, A. M., MARS, M.: Shoulder pathoanatomy in marathon kayakers. British Journal of Sports Medicíně, 38, 2004, s. 413-417.

8.    HASS, CH., FEIGENBAUM, M., FRANKLIN, B.: Prescription of resistance training for healthy populations. Sports Medicíně, 31, 2001, 14, s. 953-964. DOI: 10.2165/00007256-200131140-00001. ISSN 0112-1642. Dostupné také z: http://link.springer.com/10.2165/00007256-200131140-00001.

9.    HELLER, J., VODIČKA, P.: Vývoj aerobní a anaerobní kapacity horních končetin u rychlostních kanoistů: aspekty věku a pohlaví. Česká kinantropologie, 16, 2012, 3, s. 239-252.

10.  HENSEL, P., PERRONI, M. G., LEAL, E. C. P. JUNIOR: Lesões musculoesqueléticas na temporada de 2006 em atletas da seleção brasileira feminina principal de canoagem velocidade. Acta Ortopédica Brasileira, 16, 2008, 4, s. 233-237. DOI: 10.1590/S1413-78522008000400009. ISSN 1413-7852.

11.  INSTITUTE FOR WORK & HEALTH. Czech DASH. Disabilities of the arm, shoulder and hand [online]. Toronto: Institute for Work & Health, 2006 [cit. 2019-05-23]. Dostupné z: http://www.dash.iwh.on.ca/sites/dash/public/translations/DASH_Czech.pdf.

12.  JOHANSSON, A, SVANTESSON, U., TANNERSTEDT, J., ALRICSSON,M.: Prevalence of shoulder pain in Swedish flatwater kayakers and its relation to range of motion and scapula stability of the shoulder joint. Journal of Sports Science, 34, 2015, 10, s. 951-958. DOI: 10.1080/02640414.2015.1080852. ISSN 0264-0414. Dostupné také z: http://www.tandfonline.com/doi/full/10.1080/02640414.2015.1080852

13.  KAMEYAMA, O., SHIBANO, K., KAWAKITA, H., OGAWA, R., KUMAMOTO, M.: Medical check of competitive canoeists. Journal of Orthopaedic science, 4, 1999, 4, s. 243-249.

14.  KIBLER, W. B., PRESS, J., SCIASCIA, A.: The role of core stability in athletic function. Sports Medicíně, 36, 2006, 3, s. 189-198.

15.  KOBESOVA, A., ANDEL, R., CIZKOVA, K., KOLAR, P., KRIZ, J.: Can exercise targeting mid-thoracic spine segmental movement reduce back pain and improve sensory perception in cross-country skiers?. Clinical Journal of Sport Medicine. 2019, 1. DOI: 10.1097/JSM.0000000000000699. ISSN 1050-642X. Dostupné také z: http://Insights.ovid.com/crossref?an=00042752-900000000-99097.

16.  KOBESOVA, A., DZVONIK, J., KOLAR, P., SARDINA, A., ANDEL. R.: Effects of shoulder girdle dynamic stabilization exer­cise on hand muscle strength. Isokinetics and Exercise Science, 23, 2015, 1, s. 21-32. DOI: 10.3233/IES-140560. ISSN 18785913.

17.  KOBESOVA, A., SAFAROVA, M., KOLAR, P.: Dynamic neuromuscular stabilization: Exercise in developmental positions to achieve spinal stability and functional joint centration. Oxford Textbook of Musculoskeletal Medicine. Oxford University Press, 2015, s. 678-689. DOI: 10.1093/med/9780199674107.003.0061. ISBN 9780199674107. Dostupné také z: http://oxfordmedicine.com/view/10.1093/med/9780199674107.001.0001/med-9780199674107-chapter-61

18.  KOBESOVA, A., VALOUCHOVA, P., KOLAR, P.: Dynamic neuromuscular stabilization: Exercises based on developmental kinesiology models. Functional Training Handbook. Philadelphia, Wolters & Kluwer, 2014, s. 25-51. ISBN 9781582559209.

19.  KOLÁŘ, P.: Vertebrogenní obtíže a stabilizační funkce svalů - diagnostika. Rehabilitace a fyzikální Lékařství, 13, 2006, 4, s. 155-170.

20.  LEPHART, S. M., SMOLIGA, J. M., MYERS, J. B., SELL, T. C., TSAI, Y, S.: An eight-week golf-specific exercise program improves physical characteristics, swing mechanics, and golf performance in recreational golfers. The Journal of Strength and Conditioning Research, 21, 2007, 3, s. 860-869. DOI: 10.1519/R-20606.1. ISSN 1064-8011.

21.  MANCHADO, C., GARCÍA-RUIZ, J., CORTELL, J. M., TORMO, TORTOSA-MARTÍNEZ, J.: Effect of core training on male handball players Throwing velocity. Journal of Human Kinetice, 56, 2017, 1, s. 177-185. DOI: 10.1515/hukin-2017-0035. ISSN 1899-7562. Dostupné také z: http://content.sciendo.com/view/journals/hukin/56/1/article-p177.xml

22.  MUIR, B., KISSEL, J. A., YEDON, D.F.: Intraosseous ganglion cyst of the humeral head in a competitive flat water paddler: case report. The Journal of the Canadian Chiropractic Association, 55, 2011, 4, s. 294-301.

23.  PALMER, T., UHL, T.L., HOWELL, D., HEWETT, T. E., VIELE, K., MATTACOLA, C.G.: Sport-specific training targeting the proximal Segments and Throwing Velocity in Collegiate Throwing Athletes. Journal of Athletic Training, 50, 2015, 6, 567-577. DOI: 10.4085/1062-6040-50.1.05. ISSN 1062-6050. Dostupné také z: http://natajournals.org/doi/10.4085/1062-6040-50.1.05

24.  PEDERSEN, S. J. L., MAGNUSSEN, R., KUFFEL, E., SEILER, S.: Sling Exercise Training improves balance, kicking velocity and torso stabilization strength in elite soccer players. Medicine & Science in Sport & Exercise, 38, 2006, 5, s. 243.

25.  PELHAM, T. W., HOLT, L. E., STALKER, R. E.: The etiology of paddler‘s shoulder. Australian Journal of Science and Medicine in Sport, 27, 1995, 2, s. 43-47.

26.  RINTALA, M., ULM, R., JEZKOVA, M., KOBESOVA, A.: Czech Get-up. NSCA Coach. 2016, 3(2), 8-30. ISSN 2376-0982.

27.  SEILER, S., SKAANES, P. KIRKESOLA, G.: Effects of sling exercise training on maximal clubhead velocity in junior golfers. Medicine & Science in Sports & Exercise, 38, 2006, 2, s. 286-292.

28.  SENBURSA, G., BALTACI, G., ATAY, A.: Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surgery, Sports Traumatology, Arthroscopy. 2007, 15(7), 915-921. DOI: 10.1007/s00167-007-0288-x. ISSN 0942-2056. Dostupné také z: http://link.springer.com/10.1007/s00167-007-0288-x

29.  SHARROCK, C., CROPPER, J., MOSTAD, J., JOHNSON, M., MALONE. T.: A pilot study of core stability and athletic performance: is there a relationship?. International Journal of Sports Physical Therapy, 6, 2011, 2, s. 63-74.

30.  SILFIES, S. P., EBAUGH, D., PONTILLO, M., BUTOWICZ, C. M.: Critical review of the impact of core stability on upper extremity athletic injury and performance. The Brazilian Journal of Physical Therapy, 19, 2015, 5, s. 360-368.

31.  O’SULLIVAN, P. B., DANKAERTS, W., BURNETT, A. F., FARRELL, G. T., JEFFORD, E., NAYLOR, C. S., O’SULLIVAN, K. J.: Effect of different upright sitting postures on spinal-Pelvic Curvature and Trunk Muscle Activation in a Pain-Free Population. Spine, 31, 2006,19, s. 707-712. DOI: 10.1097/01.brs.0000234735.98075.50. ISSN 0362-2436. Dostupné také z: https://insights.ovid.com/crossref?an=00007632-200609010-00024

32.  TOIT, P, SOLE, G., NOAKES, T. N.: Incidence and causes of tenosynovitis of the wrist extensors in long distance paddle canoeists. British Journal of Sports Medicíně, 33, 1999, 2, s. 105-109.

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