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ORIGINAL PAPER
Use of closed chain exercises, eccentric exercises, and proprioceptive muscle facilitation to prevent elbow injuries in climbers: a randomized control trial
1
Department of Olympic and Professional Sport, Sport Games and Tourism, H.S. Skovoroda Kharkiv National Pedagogical University, Kharkiv, Ukraine
2
Faculty of Sciences, Physical Education and informatics, University of Pitesti, Pitesti, Romania
3
Rector, H.S. SkovorodaKharkiv National Pedagogical University, Kharkiv, Ukraine
4
School of Medicine, V.N. Karazin Kharkiv National University, Kharkiv, Ukrain
5
Department of Cyclic Sports, H.S. Skovoroda Kharkiv National Pedagogical University, Kharkiv, Ukraine
6
Department of Medical and Biological Foundations of Sport and Physical Rehabilitation, Black Sea National University named after Petro Mohyla, Mykolayiv, Ukraine
Submission date: 2021-06-11
Acceptance date: 2021-11-09
Publication date: 2022-03-23
Physiother Quart. 2022;30(2):90-99
KEYWORDS
TOPICS
ABSTRACT
Introduction:
To determine the influence of exercises in a closed kinematic chain, exercises in eccentric mode in combination with proprioceptive muscle facilitation on the level of injuries and technical skill of amateur climbers.
Methods:
The participants in this study were 84 male amateur rock climbers, aged 18–19; 40 athletes were in the Intervention Group and 44 athletes were in the Control Group. In the Intervention Group, a developed injury prevention program was used. The program included the use of neuromuscular training. Exercises for proprioceptive muscle facilitation were also used. We determined the Incidence rate ratio and confidence intervals and the reliability of the influence of the level of mastery of the technique on the number of injuries by the Cochran’s and Mantel-Haenszel methods.
Results:
The use of our program reduces the Incidence rate ratio in climbers for mild, moderate and severe elbow injuries; a significant decrease was found for moderate and severe injuries. There was also a significant improvement in the results of biomechanical analysis of climbing technique in athletes in the Intervention Group (p < 0.001). There was a high reliability of the influence of the level of mastery of the technique on the number of injuries (p < 0,001).
Conclusions:
The use of exercises in a closed kinematic chain, exercises in eccentric mode in combination with proprioceptive muscle facilitation reduces the Incidence rate ratio of the shoulders and increases technical skill among amateur climbers.
To determine the influence of exercises in a closed kinematic chain, exercises in eccentric mode in combination with proprioceptive muscle facilitation on the level of injuries and technical skill of amateur climbers.
Methods:
The participants in this study were 84 male amateur rock climbers, aged 18–19; 40 athletes were in the Intervention Group and 44 athletes were in the Control Group. In the Intervention Group, a developed injury prevention program was used. The program included the use of neuromuscular training. Exercises for proprioceptive muscle facilitation were also used. We determined the Incidence rate ratio and confidence intervals and the reliability of the influence of the level of mastery of the technique on the number of injuries by the Cochran’s and Mantel-Haenszel methods.
Results:
The use of our program reduces the Incidence rate ratio in climbers for mild, moderate and severe elbow injuries; a significant decrease was found for moderate and severe injuries. There was also a significant improvement in the results of biomechanical analysis of climbing technique in athletes in the Intervention Group (p < 0.001). There was a high reliability of the influence of the level of mastery of the technique on the number of injuries (p < 0,001).
Conclusions:
The use of exercises in a closed kinematic chain, exercises in eccentric mode in combination with proprioceptive muscle facilitation reduces the Incidence rate ratio of the shoulders and increases technical skill among amateur climbers.
REFERENCES (39)
1.
Lutter C, El-Sheikh Y, Schöffl I, Schöffl V. Sport climbing: medical considerations for this new Olympic discipline. Br J Sports Med. 2017;51(1):2–3; doi: 10.1136/bjsports-2016-096871.
2.
Backe S, Ericson L, Janson S, Timpka T. Rock climbing injury rates and associated risk factors in a general climbing population. Scand J Med Sci Sports. 2009;19(6):850–856; doi: 10.1111/j.1600-0838.2008.00851.x.
3.
Durand-Bechu M, Chaminade B, Belleudy P, Gasq D. Rock-climbing injuries in France from 2004 until 2011 [in French]. Sci Sports. 2014;29(3):125–130; doi: 10.1016/j.scispo.2013.12.005.
4.
Hochholzer T, Schöffl VR. Epiphyseal fractures of the finger middle joints in young sport climbers. Wilderness Environ Med. 2005;16(3):139–142; doi: 10.1580/pr15-04.1.
5.
Jones G, Asghar A, Llewellyn DJ. The epidemiology of rock-climbing injuries. Br J Sports Med. 2008;42(9):773–778; doi: 10.1136/bjsm.2007.037978.
6.
Jones G, Johnson MI. A critical review of the incidence and risk factors for finger injuries in rock climbing. Curr Sports Med Rep. 2016;15(6):400–409; doi: 10.1249/JSR.0000000000000304.
7.
Aras D, Gül S, Akça F, Gülü M, Güler Ö, Bıldırcın C, et al. Four-week of local electromyostimulaiton training on fingerboard increases the isokinetic wrist strength and endurance. Phys Educ Stud. 2020;24(3):127–134; doi: 10.15561/20755279.2020.0301.
8.
Woollings KY, McKay CD, Kang J, Meeuwisse WH, Emery CA. Incidence, mechanism and risk factors for injury in youth rock climbers. Br J Sports Med. 2015;49(1):44–50; doi: 10.1136/bjsports-2014-094067.
9.
LaBella CR, Huxford MR, Grissom J, Kim K-Y, Peng J, Christoffel KK. Effect of neuromuscular warm-up on injuries in female soccer and basketball athletes in urban public high schools: cluster randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165(11):1033–1040; doi: 10.1001/archpediatrics.2011.168.
10.
Parkkari J, Taanila H, Suni J, Mattila VM, Ohrankämmen O, Vuorinen P, et al. Neuromuscular training with injury prevention counselling to decrease the risk of acute musculoskeletal injury in young men during military service: a population-based, randomised study. BMC Med. 2011;9(1):35; doi: 10.1186/1741-7015-9-35.
11.
Kozina Z, Goloborodko Y, Boichuk Y, Sobko I, Repko O, Bazilyuk T, et al. The influence of a special technique for developing coordination abilities on the level of technical preparedness and development of psycho-physiological functions of young volleyball players 14–16 years of age. J Phys Educ Sport. 2018;18(3):1445–1454; doi: 10.7752/jpes.2018.03214.
12.
Weineck J. Optimal training: performance-physiological training theory with special consideration of children’s and youth training [in German]. Balingen: Spitta; 2019.
13.
Coppack RJ, Etherington J, Wills AK. The effects of exercise for the prevention of overuse anterior knee pain: a randomized controlled trial. Am J Sports Med. 2011;39(5):940–948; doi: 10.1177/0363546510393269.
14.
Augustsson J, Esko A, Thomeé R, Svantesson U. Weight training of the thigh muscles using closed vs. open kinetic chain exercises: a comparison of performance enhancement. J Orthop Sports Phys Ther. 1998;27(1):3–8; doi: 10.2519/jospt.1998.27.1.3.
15.
Lee J-H, Han J-T. Comparison of the thickness of the neck flexor between open and closed kinetic chain exercises during chin-in movement [in Korean]. PNF Mov. 2020;18(3):333–341; doi: 10.21598/JKPNFA.2020.18.3.333.
16.
An C-M, Roh J-S. Effects of isokinetic strength exercise of the hemiparetic knee joint on lower extremity sensorimotor and gait functions in patients with chronic stroke: open kinetic chain versus closed kinetic chain. Phys Ther Korea. 2019;26(2):49–60; doi: 10.12674/ptk.2019.26.2.049.
17.
Kozin S, Safronov D, Kozina Z, Kniaz H, Proskurnia O, Prontenko K, et al. Comparative biomechanical characteristics of one-arm hang in climbing for beginners and qualified athletes. Acta Bioeng Biomech. 2020;22(1):57–66; doi: 10.37190/ABB-01440-2019-03.
18.
Kozin SV. Biomechanical substantiation of the technique of hanging in rock climbing [in Russian]. Health Sport Rehabil. 2019;5(1):25–35; doi: 10.34142/HSR.2019.05.01.03.
19.
Alkahtani S, Aljuhani O, Alkhalidi N, Almasuod N, Hezam O, Aljaloud I, et al. Impact of acute eccentric versus concentric running on exercise-induced fat oxidation and postexercise physical activity in untrained men. Biomed Res Int. 2020;2020:2608730; doi: 10.1155/2020/2608730.
20.
Alonso-Fernandez D, Abalo-Núñez R, Mateos-Padorno C, Martínez-Patiño MJ. Effects of eccentric exercise on the quadriceps architecture. Sci Sports. 2021;36(1):60–67; doi: 10.1016/j.scispo.2019.11.006.
21.
Beato M, McErlain-Naylor SA, Halperin I, Dello Iacono A. Current evidence and practical applications of flywheel eccentric overload exercises as postactivation potentiation protocols: a brief review. Int J Sports Physiol Perform. 2020;15(2):154–161; doi: 10.1123/ijspp.2019-0476.
22.
Büker N, Şavkın R, Süzer A, Akkaya N. Effect of eccentric and concentric squat exercise on quadriceps thickness and lower extremity performance in healthy young males. Acta Gymnica. 2021;51:e2021.015; doi: 10.5507/ag.2021.015.
23.
Areeudomwong P, Wongrat W, Neammesri N, Thongsakul T. A randomized controlled trial on the long-term effects of proprioceptive neuromuscular facilitation training, on pain-related outcomes and back muscle activity, in patients with chronic low back pain. Musculoskelet Care. 2017;15(3):218–229; doi: 10.1002/msc.1165.
24.
Cini A, de Vasconcelos GS, Soligo MC, Felappi C, Rodrigues R, Vaz MA, et al. Comparison between 4 weeks passive static stretching and proprioceptive neuromuscular facilitation programmes on neuromuscular properties of hamstring muscles: a randomised clinical trial. Int J Ther Rehabil. 2020;27(3); doi: 10.12968/ijtr.2018.0104.
25.
Masekar MB, Rayjade A, Yadav T, Chotai K. Effectiveness of muscle energy technique and proprioceptive neuromuscular facilitation in knee osteoarthritis. Int J Life Sci Pharma Res. 2021;11(1):L16–L22; doi: 10.22376/ijpbs/lpr.2021.11.1.L16-22.
26.
Portilla-Dorado E, Villaquiran-Hurtado A, Molano-Tobar N. Jump power in futsal players after foam roller use and proprioceptive neuromuscular facilitation in the ischiosural muscles [in Spanish]. Rev Acad Colomb Cienc Ex Fis Nat. 2019;43(167):165–176; doi: 10.18257/raccefyn.846.
27.
Silva SB, de Faria EM, Almeida JB, Bernardes RC, Valenti VE, Vanderlei LCM, et al. Effects of two proprioceptive neuromuscular facilitation techniques in different planes on hamstrings muscles of healthy subjects. Healthmed. 2012;6(7):2332–2338.
28.
Tonak HA, Büker N, Kitiş A, Kavlak E. Comparison of two different applications of proprioceptive neuromuscular facilitation techniques to increase upper-extremity muscle strength. Bezmialem Sci. 2021;9(2):190–197; doi: 10.14235/bas.galenos.2020.3854.
29.
Youdas JW, Arend DB, Exstrom JM, Helmus TJ, Rozeboom JD, Hollman JH. Comparison of muscle activation levels during arm abduction in the plane of the scapula vs. proprioceptive neuromuscular facilitation upper extremity patterns. J Strength Cond Res. 2012;26(4):1058–1065; doi: 10.1519/JSC.0b013e31822e597f.
30.
Kozin S, Kozina Z, Korobeinik V, Cieślicka M, Muszkieta R, Ryepko O, et al. Neuro-muscular training for injury prevention of students-rock climbers studying in the specialty “Physical Education and Sports”: a randomized study. J Phys Educ Sport. 2021;21(Suppl. 2):1251–1259; doi: 10.7752/jpes.2021.s2159.
31.
Kozin S, Cretu M, Kozina Z, Chernozub A, Ryepko O, Shepelenko T, et al. Application of closed kinematic chain exercises with eccentric and strength exercises for the shoulder injuries prevention in student rock climbers: a randomized controlled trial. Acta Bioeng Biomech. 2021;23(2):159–168; doi: 10.37190/ABB-01828-2021-01.
32.
Kozin S, Kozina Z, Korobeinik V. Injury prevention of rock climbers. Neuro-muscular training for injury prevention of rock climbers based on biomechanical analysis of the one-arm hang. Scholarly Community Encyclopedia; 2021. Available from: https://encyclopedia.pub/9802.
33.
Knowles SB, Marshall SW, Guskiewicz KM. Issues in estimating risks and rates in sports injury research. J Athl Train. 2006;41(2):207–215.
34.
Attwood MJ, Roberts SP, Trewartha G, England ME, Stokes KA. Efficacy of a movement control injury prevention programme in adult men’s community rugby union: a cluster randomised controlled trial. Br J Sports Med. 2018;52(6):368–374; doi: 10.1136/bjsports-2017-098005.
35.
Dingwell JB, Bohnsack-McLagan NK, Cusumano JP. Humans control stride-to-stride stepping movements differently for walking and running, independent of speed. J Biomech. 2018;76:144–151; doi: 10.1016/j.jbiomech.2018.05.034.
36.
Newell KM, Liu Y-T. Collective variables and task constraints in movement coordination, control and skill. J Mot Behav. 2021;53(6):770–796; doi: 10.1080/00222895.2020.1835799.
37.
Santuz A, Ekizos A, Janshen L, Mersmann F, Bohm S, Baltzopoulos V, et al. Modular control of human movement during running: an open access data set. Front Physiol. 2018;9:1509; doi: 10.3389/fphys.2018.01509.
38.
Seth A, Hicks JL, Uchida TK, Habib A, Dembia CL, Dunne JJ, et al. OpenSim: simulating musculoskeletal dynamics and neuromuscular control to study human and animal movement. PLoS Comput Biol. 2018;14(7):e1006223; doi: 10.1371/journal.pcbi.1006223.
39.
Zou L, Yeung A, Li C, Chiou S-Y, Zeng N, Tzeng H-M, et al. Effects of mind-body movements on balance function in stroke survivors: a meta-analysis of randomized controlled trials. Int J Environ Res Public Health. 2018;15(6):1292; doi: 10.3390/ijerph15061292.
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