Análise da cinemática 3D da escápula em atletas overhead com e sem dor no ombro

Abstract

Introduction: Efficient control of the scapula support during the lifting movements of the upper limb. Changes in scapular kinematics are associated with dysfunctions in the shoulder complex. In sports athletes such as handball and volleyball, there is excessive stress in the shoulder region due to high speed and repetition of movements, a factor that can occur in the presence of pain and changes in scapular kinematics. Objective: To analyze and compare the scapular kinematics during elevation and depression of the arm in the scapular plane in volleyball and handball athletes with and without shoulder pain. Methods: the study was an observational study, in which 37 volleyball and handball athletes were evaluated and allocated into two groups, based on the self-report of pain and function: group with dominant shoulder pain (GCD) totaling 18 athletes and group without pain in the (GSD), with a total of 19 athletes. Scapular kinematics was evaluated during arm elevation and depression in the scapular plane. Scapular movements were made using the electromagnetic tracking system. Results: A greater great anterior scapula was found in the GCD during the 30º, 60º and 90º elevation and in the 30º, 60º, 90 ° and 120º of depression of the arm (p> 0.05). There was no difference between the groups regarding the variables evaluated. Conclusion: Volleyball and handball athletes with shoulder pain present anterior scapular enlargement during arm elevation and depression.