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INFLUENCE OF LIMB DOMINANCE AND SHOULDER INJURY ON STRENGTH AND EXPLOSIVE FORCE IN US MARINES
Kathleen M Poploski1, Kelsey J Picha2, Joshua D Winters3
1Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
International Journal of Sports Physical Therapy
|December 21, 2020
Summary
United States Marines with nondominant shoulder injuries showed significant strength deficits compared to their dominant side and healthy controls. This highlights the need for individualized rehabilitation strategies based on injury side.
Area of Science:
- Orthopedics
- Sports Medicine
- Military Health
Background:
- Military roles impose high physical demands, increasing shoulder injury risk.
- Understanding bilateral shoulder strength is crucial for assessing military personnel's readiness and recovery.
Purpose of the Study:
- To evaluate strength and explosive force differences in US Marines with dominant or nondominant shoulder pathology.
Main Methods:
- A cross-sectional study involving 52 male US Marines with recent shoulder injuries.
- Measured isokinetic shoulder internal/external rotation strength and explosive push-up performance.
- Compared dominant vs. nondominant injured sides and a healthy control group.
Main Results:
- Marines with nondominant shoulder injuries exhibited significantly lower strength and explosive force on the injured side.
- No bilateral differences were found in Marines with dominant shoulder injuries.
- Nondominant injured Marines showed reduced external rotation strength compared to controls.
Conclusions:
- Nondominant shoulder injuries in Marines lead to measurable strength and performance asymmetries.
- Distinguishing between dominant and nondominant shoulder injuries is vital for accurate assessment.
- Tailored treatment strategies are necessary for effective rehabilitation in military personnel.
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