THE IMPACT OF LUMBOPELVIC CONTROL ON OVERHEAD PERFORMANCE AND SHOULDER INJURY IN OVERHEAD ATHLETES: A SYSTEMATIC REVIEW

Overview

Journal Int J Sports Phys Ther

Specialty Rehabilitation Medicine

Date 2019 Aug 24

PMID 31440403

Citations 4

Authors

Thane Cope

Sarah Wechter

Michaella Stucky

Corey Thomas

Mark Wilhelm

Affiliations

Soon will be listed here.

Abstract

Background: The lumbopelvic region is utilized in almost all functional tasks and has been proposed to provide dynamic stability to distal extremities.

Purpose: To systematically evaluate the current literature that examined the effect of lumbopelvic control on overhead performance and shoulder injury in overhead athletes.

Study Design: Systematic Review.

Methods: A comprehensive systematic electronic search was conducted using PubMed, CINAHL, ProQuest, Scopus, and SPORTDiscus. Articles were considered for inclusion if they included a measure of lumbopelvic control and assessed shoulder pain, disability, injury, or overhead performance outcome. Cohen's effect size was calculated when necessary statistical data were available to determine the impact of lumbopelvic control.

Results: The search revealed 3,312 total articles and 2,883 articles were screened after duplicates were removed. After titles and abstracts were screened, 45 full text articles were reviewed. Fifteen full-text articles ultimately met inclusion criteria. Effect sizes ranged from trivial (0.10) to large (0.86), indicating a varying degree of positive effects on performance and shoulder injuries. The majority of included articles concluded individuals with greater lumbopelvic control demonstrated improved performance and decreased occurrence of injury.

Conclusion: Results suggest that improved lumbopelvic control relates to improved athletic performance and decreased shoulder injury. Additional higher quality research is needed to further support these findings, establish a standard measure for lumbopelvic control, and determine preventative factors for injury, pain, and disability.

Level Of Evidence: 2a.

Citing Articles

Thinking outside the shoulder: A systematic review and metanalysis of kinetic chain characteristics in non-athletes with shoulder pain.

Fonseca Fialho H, Gava V, Fonseca R, Kamonseki D, Barbosa G PLoS One. 2024; 19(12):e0314909.

PMID: 39652591 PMC: 11627437. DOI: 10.1371/journal.pone.0314909.

Relationship between Shoulder Pain, Trunk and Lower Limb Pain in Overhead Athletes: A Systematic Review with Meta-analysis.

Leroux M, Lagniaux F Int J Sports Phys Ther. 2024; 19(12):1509-1520.

PMID: 39628781 PMC: 11611473. DOI: 10.26603/001c.125882.

Is an Exercise-Based Injury-Prevention Program Effective in Team Handball Players? A Systematic Review and Meta-Analysis.

Naderi A, Shaabani F, Keikha M, Degens H J Athl Train. 2023; 59(8):845-856.

PMID: 37681675 PMC: 11340671. DOI: 10.4085/1062-6050-0680.22.

Effect of lumbopelvic control on landing mechanics and lower extremity muscles' activities in female professional athletes: implications for injury prevention.

Fadaei Dehcheshmeh P, Gandomi F, Maffulli N BMC Sports Sci Med Rehabil. 2021; 13(1):101.

PMID: 34455978 PMC: 8403466. DOI: 10.1186/s13102-021-00331-y.

References

Lintner D, Noonan T, Ben Kibler W . Injury patterns and biomechanics of the athlete's shoulder. Clin Sports Med. 2008; 27(4):527-51. DOI: 10.1016/j.csm.2008.07.007. View

Sheu Y, Chen L, Hedegaard H . Sports- and Recreation-related Injury Episodes in the United States, 2011-2014. Natl Health Stat Report. 2016; (99):1-12. View

Saeterbakken A, van den Tillaar R, Seiler S . Effect of core stability training on throwing velocity in female handball players. J Strength Cond Res. 2010; 25(3):712-8. DOI: 10.1519/JSC.0b013e3181cc227e. View

Endo Y, Sakamoto M . Correlation of shoulder and elbow injuries with muscle tightness, core stability, and balance by longitudinal measurements in junior high school baseball players. J Phys Ther Sci. 2014; 26(5):689-93. PMC: 4047233. DOI: 10.1589/jpts.26.689. View

Bailey B, Gravel J, Daoust R . Reliability of the visual analog scale in children with acute pain in the emergency department. Pain. 2012; 153(4):839-842. DOI: 10.1016/j.pain.2012.01.006. View

Jayanthi N, LaBella C, Fischer D, Pasulka J, Dugas L . Sports-specialized intensive training and the risk of injury in young athletes: a clinical case-control study. Am J Sports Med. 2015; 43(4):794-801. DOI: 10.1177/0363546514567298. View

Manchado C, Garcia-Ruiz J, Cortell-Tormo J, Tortosa-Martinez J . Effect of Core Training on Male Handball Players' Throwing Velocity. J Hum Kinet. 2017; 56:177-185. PMC: 5384065. DOI: 10.1515/hukin-2017-0035. View

Radwan A, Francis J, Green A, Kahl E, Maciurzynski D, Quartulli A . Is there a relation between shoulder dysfunction and core instability?. Int J Sports Phys Ther. 2014; 9(1):8-13. PMC: 3924603. View

Tashjian R, Deloach J, Porucznik C, Powell A . Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease. J Shoulder Elbow Surg. 2009; 18(6):927-32. DOI: 10.1016/j.jse.2009.03.021. View

10.

Ben Kibler W, Press J, Sciascia A . The role of core stability in athletic function. Sports Med. 2006; 36(3):189-98. DOI: 10.2165/00007256-200636030-00001. View

11.

Chaudhari A, McKenzie C, Borchers J, Best T . Lumbopelvic control and pitching performance of professional baseball pitchers. J Strength Cond Res. 2011; 25(8):2127-32. DOI: 10.1519/JSC.0b013e31820f5075. View

12.

Reeser J, Joy E, Porucznik C, Berg R, Colliver E, Willick S . Risk factors for volleyball-related shoulder pain and dysfunction. PM R. 2010; 2(1):27-36. DOI: 10.1016/j.pmrj.2009.11.010. View

13.

Reed C, Ford K, Myer G, Hewett T . The effects of isolated and integrated 'core stability' training on athletic performance measures: a systematic review. Sports Med. 2012; 42(8):697-706. PMC: 4166601. DOI: 10.2165/11633450-000000000-00000. View

14.

Blaiser C, Roosen P, Willems T, Danneels L, Vanden Bossche L, De Ridder R . Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Phys Ther Sport. 2017; 30:48-56. DOI: 10.1016/j.ptsp.2017.08.076. View

15.

Chaudhari A, McKenzie C, Pan X, Onate J . Lumbopelvic control and days missed because of injury in professional baseball pitchers. Am J Sports Med. 2014; 42(11):2734-40. PMC: 4216605. DOI: 10.1177/0363546514545861. View

16.

Palmer T, Uhl T, Howell D, Hewett T, Viele K, Mattacola C . Sport-Specific Training Targeting the Proximal Segments and Throwing Velocity in Collegiate Throwing Athletes. J Athl Train. 2015; 50(6):567-77. PMC: 4527440. DOI: 10.4085/1062-6040-50.1.05. View

17.

Tate A, Turner G, Knab S, Jorgensen C, Strittmatter A, Michener L . Risk factors associated with shoulder pain and disability across the lifespan of competitive swimmers. J Athl Train. 2012; 47(2):149-58. PMC: 3418126. DOI: 10.4085/1062-6050-47.2.149. View

18.

Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G . Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther. 2013; 44(1):30-9. DOI: 10.2519/jospt.2014.4893. View

19.

Hibbs A, Thompson K, French D, Wrigley A, Spears I . Optimizing performance by improving core stability and core strength. Sports Med. 2008; 38(12):995-1008. DOI: 10.2165/00007256-200838120-00004. View

20.

Godfrey J, Hamman R, Lowenstein S, Briggs K, Kocher M . Reliability, validity, and responsiveness of the simple shoulder test: psychometric properties by age and injury type. J Shoulder Elbow Surg. 2006; 16(3):260-7. DOI: 10.1016/j.jse.2006.07.003. View