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Humeral torsion in relation to shoulder range of motion in elite field hockey players

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Abstract
Context: Sport-specific adaptations in shoulder rotation range of motion (ROM) and the relationship with humeral torsion have been described in overhead-throwing sports. However, information is lacking for other shoulder-loading sports such as field hockey. Therefore, this study's purpose was to evaluate humeral torsion in elite, male field hockey players and explore its association with shoulder ROM. Design: Cross-sectional study. Methods: Twenty-five male, elite field hockey players were included. Humeral torsion and shoulder external and internal rotation ROM were evaluated bilaterally by ultrasound and an inclinometer smartphone application, respectively. Results: Field hockey players showed a significantly increased humeral retroversion on the dominant compared with the nondominant side (P < .001; Cohen d= 1.75), along with a significantly increased external (P = .004; Cohen d= -0.64) and decreased internal rotation ROM (P = .003; Cohen d= 0.65). This finding illustrates a shift in total shoulder rotational ROM arc. Correlation analysis showed a significant moderate association between the increased humeral retroversion and decreased internal rotation ROM on the dominant side (r= .523). Conclusions: Elite male field hockey athletes show sport-specific adaptations regarding humeral torsion and shoulder rotation ROM, similar to throwing athletes. These findings increase our insight into the field hockey athlete's shoulder, which is essential to optimize performance and assist in correctly interpreting shoulder rotational ROM measurements.
Keywords
upper-extremity, athletic performance, athletes, adaptation, ultrasonography, ROTATION DEFICIT GIRD, BASEBALL PLAYERS, THROWING SHOULDER, RETROVERSION, INJURY, RETROTORSION, VALIDATION, PITCHERS, GREATER

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MLA
Vanderstukken, Fran, et al. “Humeral Torsion in Relation to Shoulder Range of Motion in Elite Field Hockey Players.” JOURNAL OF SPORT REHABILITATION, vol. 33, no. 5, 2024, pp. 340–45, doi:10.1123/jsr.2023-0295.
APA
Vanderstukken, F., Spanhove, V., Cools, A., & Borms, D. (2024). Humeral torsion in relation to shoulder range of motion in elite field hockey players. JOURNAL OF SPORT REHABILITATION, 33(5), 340–345. https://doi.org/10.1123/jsr.2023-0295
Chicago author-date
Vanderstukken, Fran, Valentien Spanhove, Ann Cools, and Dorien Borms. 2024. “Humeral Torsion in Relation to Shoulder Range of Motion in Elite Field Hockey Players.” JOURNAL OF SPORT REHABILITATION 33 (5): 340–45. https://doi.org/10.1123/jsr.2023-0295.
Chicago author-date (all authors)
Vanderstukken, Fran, Valentien Spanhove, Ann Cools, and Dorien Borms. 2024. “Humeral Torsion in Relation to Shoulder Range of Motion in Elite Field Hockey Players.” JOURNAL OF SPORT REHABILITATION 33 (5): 340–345. doi:10.1123/jsr.2023-0295.
Vancouver
1.
Vanderstukken F, Spanhove V, Cools A, Borms D. Humeral torsion in relation to shoulder range of motion in elite field hockey players. JOURNAL OF SPORT REHABILITATION. 2024;33(5):340–5.
IEEE
[1]
F. Vanderstukken, V. Spanhove, A. Cools, and D. Borms, “Humeral torsion in relation to shoulder range of motion in elite field hockey players,” JOURNAL OF SPORT REHABILITATION, vol. 33, no. 5, pp. 340–345, 2024.
@article{01JHFEBE7R2AAJB3S5EMC1KEYW,
  abstract     = {{Context: Sport-specific adaptations in shoulder rotation range of motion (ROM) and the relationship with humeral torsion have been described in overhead-throwing sports. However, information is lacking for other shoulder-loading sports such as field hockey. Therefore, this study's purpose was to evaluate humeral torsion in elite, male field hockey players and explore its association with shoulder ROM. Design: Cross-sectional study. Methods: Twenty-five male, elite field hockey players were included. Humeral torsion and shoulder external and internal rotation ROM were evaluated bilaterally by ultrasound and an inclinometer smartphone application, respectively. Results: Field hockey players showed a significantly increased humeral retroversion on the dominant compared with the nondominant side (P < .001; Cohen d= 1.75), along with a significantly increased external (P = .004; Cohen d= -0.64) and decreased internal rotation ROM (P = .003; Cohen d= 0.65). This finding illustrates a shift in total shoulder rotational ROM arc. Correlation analysis showed a significant moderate association between the increased humeral retroversion and decreased internal rotation ROM on the dominant side (r= .523). Conclusions: Elite male field hockey athletes show sport-specific adaptations regarding humeral torsion and shoulder rotation ROM, similar to throwing athletes. These findings increase our insight into the field hockey athlete's shoulder, which is essential to optimize performance and assist in correctly interpreting shoulder rotational ROM measurements.}},
  author       = {{Vanderstukken, Fran and Spanhove, Valentien and Cools, Ann and Borms, Dorien}},
  issn         = {{1056-6716}},
  journal      = {{JOURNAL OF SPORT REHABILITATION}},
  keywords     = {{upper-extremity,athletic performance,athletes,adaptation,ultrasonography,ROTATION DEFICIT GIRD,BASEBALL PLAYERS,THROWING SHOULDER,RETROVERSION,INJURY,RETROTORSION,VALIDATION,PITCHERS,GREATER}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{340--345}},
  title        = {{Humeral torsion in relation to shoulder range of motion in elite field hockey players}},
  url          = {{http://doi.org/10.1123/jsr.2023-0295}},
  volume       = {{33}},
  year         = {{2024}},
}

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