Optimizing Shoulder Health in Swimmers with Generalised Joint Hypermobility: A Systematic Review of Exercise-Based Interventions for Prevention of Pain & Injury along with Performance Enhancement
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Optimizing Shoulder Health in Swimmers with Generalised Joint Hypermobility: A Systematic Review of Exercise-Based Interventions for Prevention of Pain & Injury along with Performance Enhancement
Authors:
Samiksha1, Dr. Ishani Sinha2
1MPT Sports, Mewar University, Chittorgarh, Rajasthan
2Assitant Professor, Mewar University, Chittorgarh, Rajasthan
Abstract:
Background: Shoulder pain and injury are common complaints among swimmers, affecting performance and overall well-being. This systematic review aimed to investigate the relationship between various factors, including generalized joint hypermobility (GJH), breathing exercises, strength training, exercise interventions, and dryland strength-power parameters, and shoulder pain and injury in swimmers. Methods: A comprehensive search of major databases yielded 11 studies that met the inclusion criteria. Studies were appraised for methodological quality, and data were extracted and synthesized. Results: The review found that GJH is associated with increased shoulder rotation width and flexibility, while swimmers with GJH exhibit reduced pectoralis major activity during breathing exercises. Strength training programs and exercise interventions can improve eccentric external total work and reduce the risk of shoulder injury. Dryland strength-power parameters are associated with breaststroke kinematics and can increase the risk of shoulder injury. Discussion: The findings of this review highlight the importance of considering GJH, breathing exercises, strength training, exercise interventions, and dryland strength-power parameters in the prevention and management of shoulder pain and injury in swimmers. Coaches, trainers, and healthcare professionals can use these findings to develop targeted training programs and reduce the risk of shoulder injury. Conclusion: This systematic review provides valuable insights into the relationship between various factors and shoulder pain and injury in swimmers.
Keywords: Generalized Joint Hypermobility (GJH), Injury Risk, Swimmers, Joint Instability, Injury Prevention.