Dataset Information

Scapula kinematics of pull-up techniques: Avoiding impingement risk with training changes.

ABSTRACT:

Objectives

Overhead athletic activities and scapula dyskinesia are linked with shoulder pathology; pull-ups are a common training method for some overhead sports. Different pull-up techniques exist: anecdotally some are easier to perform, and others linked to greater incidences of pathology. This study aims to quantify scapular kinematics and external forces for three pull-up techniques, thus discussing potential injury implications.

Design

An observational study was performed with eleven participants (age=26.8±2.4 years) who regularly perform pull-ups.

Methods

The upward motions of three pull-up techniques were analysed: palms facing anterior, palms facing posterior and wide-grip. A skin-fixed scapula tracking technique with attached retro-reflective markers was used.

Results

High intra-participant repeatability was observed: mean coefficients of multiple correlations of 0.87-1.00 in humerothoracic rotations and 0.77-0.90 for scapulothoracic rotations. Standard deviations of hand force was low: <5% body weight. Significantly different patterns of humerothoracic, scapulothoracic and glenohumeral kinematics were observed between the pull-up techniques. The reverse technique has extreme glenohumeral internal-external rotation and large deviation from the scapula plane. The wide technique has a reduced range of pro/retraction in the same HT plane of elevation and 90° of arm abduction with 45° external rotation was observed. All these factors suggest increased sub-acromial impingement risk.

Conclusions

The scapula tracking technique showed high repeatability. High arm elevation during pull-ups reduces sub-acromial space and increases pressure, increasing the risk of impingement injury. Wide and reverse pull-ups demonstrate kinematics patterns linked with increased impingement risk. Weight-assisted front pull-ups require further investigation and could be recommended for weaker participants.

SUBMITTER: Prinold JA

PROVIDER: S-EPMC4916995 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Publications

Scapula kinematics of pull-up techniques: Avoiding impingement risk with training changes.

Prinold Joe A I JA Bull Anthony M J AM

Journal of science and medicine in sport 20150903 8

<h4>Objectives</h4>Overhead athletic activities and scapula dyskinesia are linked with shoulder pathology; pull-ups are a common training method for some overhead sports. Different pull-up techniques exist: anecdotally some are easier to perform, and others linked to greater incidences of pathology. This study aims to quantify scapular kinematics and external forces for three pull-up techniques, thus discussing potential injury implications.<h4>Design</h4>An observational study was performed wit ...[more]

PMID: 26383875

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Project description:BackgroundSprint performance is an essential skill to target within soccer, which can be likely achieved with a variety of methods, including different on-field training options. One such method could be heavy resisted sprint training. However, the effects of such overload on sprint performance and the related kinetic changes are unknown in a professional setting. Another unknown factor is whether violating kinematic specificity via heavy resistance will lead to changes in unloaded sprinting kinematics. We investigated whether heavy resisted sled training (HS) affects sprint performance, kinetics, sagittal plane kinematics, and spatiotemporal parameters in professional male soccer players.MethodsAfter familiarization, a nine-week training protocol and a two-week taper was completed with sprint performance and force-velocity (FV) profiles compared before and after. Out of the two recruited homogenous soccer teams (N = 32, age: 24.1 ± 5.1 years: height: 180 ± 10 cm; body-mass: 76.7 ± 7.7 kg, 30-m split-time: 4.63 ± 0.13 s), one was used as a control group continuing training as normal with no systematic acceleration training (CON, N = 13), while the intervention team was matched into two HS subgroups based on their sprint performance. Subgroup one trained with a resistance that induced a 60% velocity decrement from maximal velocity (N = 10, HS60%) and subgroup two used a 50% velocity decrement resistance (N = 9, HS50%) based on individual load-velocity profiles.ResultsBoth heavy resistance subgroups improved significantly all 10-30-m split times (p < 0.05, d = - 1.25; -0.62). Post-hoc analysis showed that HS50% improved significantly more compared to CON in 0-10-m split-time (d = 1.03) and peak power (d = 1.16). Initial maximal theoretical horizontal force capacity (F0) and sprint FV-sprint profile properties showed a significant moderate relationship with F0 adaptation potential (p < 0.05). No significant differences in sprinting kinematics or spatiotemporal variables were observed that remained under the between-session minimal detectable change.ConclusionWith appropriate coaching, heavy resisted sprint training could be one pragmatic option to assist improvements in sprint performance without adverse changes in sprinting kinematics in professional soccer players. Assessing each player's initial individual sprint FV-profile may assist in predicting adaptation potential. More studies are needed that compare heavy resisted sprinting in randomized conditions.

Project description:BackgroundThe peroral "pull" technique and the direct "push" procedure are the two main methods for percutaneous endoscopic gastrostomy (PEG) placement. Although pull-PEG is generally recommended as the first-line modality, many oncological patients require a push-PEG approach to prevent tumor seeding or overcome tumor-related obstruction.ObjectiveWe aimed to compare the efficacy and safety of both PEG procedures in cancer patients.MethodsWe retrospectively analyzed all consecutive PEG procedures within a tertiary oncological center. Patients were followed up with the hospital databases and National Cancer Registry to assess the technical success rate for PEG placement, the rate of minor and major adverse events (AEs), and 30-day mortality rates. We compared those outcomes between the two PEG techniques. Finally, risk factors for PEG-related adverse events were analyzed using a multivariable Cox proportional-hazard regression model adjusted for patients' sex, age, performance status (ECOG), Body Mass Index (BMI), diabetes, chemoradiotherapy (CRT) status (pre-/current-/post-treatment), and type of PEG.ResultsWe included 1055 PEG procedures (58.7% push-PEG/41.4% pull-PEG) performed in 994 patients between 2014 and 2021 (mean age 62.0 [±10.7] yrs.; 70.2% males; indication: head-and-neck cancer 75.9%/other cancer 24.1%). The overall technical success for PEG placement was 96.5%. Although the "push" technique had a higher rate of all AEs (21.4% vs. 7.1%, Hazard Ratio [HR] = 2.9; 95% CI = 1.9-4.3, p < 0.001), most of these constituted minor AEs (71.9%), such as tube dislodgement. The methods had no significant difference regarding major AEs and 30-day mortality rates. Previous CRT was associated with an increased risk of major AEs (hazard ratio = 2.7, 95% CI = 1.0-7.2, p = 0.042).ConclusionThe risk of major AEs was comparable between the push- and pull-PEG techniques in cancer patients. Due to frequent tube dislodgement in push-PEG, the pull technique may be more suitable for long-term feeding. Previous CRT increases the risk of major AEs, favoring early ("prophylactic") PEG placement when such treatment is expected.

Dataset Information

Scapula kinematics of pull-up techniques: Avoiding impingement risk with training changes.

Objectives

Design

Methods

Results

Conclusions

Publications

Scapula kinematics of pull-up techniques: Avoiding impingement risk with training changes.

Similar Datasets

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