Effectiveness of Myofascial release and Muscle Energy Technique on Posterior Shoulder Tightness in Overhead Athletes Savasaviya Krishna1,*, Warude Trupti2, Jadhav Amrutkuvar2, Godse Apurva3, Kandalkar Nilakshi3 1Physiotherapist, Faculty of Physiotherapy, Krishna College of Physiotherapy 2Assistant Professor, Department of Orthopaedics, Krishna College of Physiotherapy 3Physiotherapist, Faculty of Physiotherapy, KIMS ‘Deemed to be’ university, Karad, Maharashtra, India *Corresponding Author: Krishna Savasaviya, Physiotherapist, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed to be university, Karad-415110, Maharashtra, India, Phone: 7887413967, Email: savsaviyakrishna@gmail.com
Online published on 4 June, 2019. Abstract Background In overhead throwers, high stress is applied to the shoulder joint due to high forces generated in them thus extra demand on shoulder complex is placed by the overhead athlete. The posterior shoulder tightness (PST) is diagnosed with the decrease of internal rotation and increase in external rotation in the dominant throwing shoulders. So the following study was carried out to improve internal rotation range of motion (ROM). Objectives To determine the effect of myofascial release (MFR) on PST in overhead athletes to improve internal rotation of shoulder. To determine the effect of muscle energy technique (MET) on PST in overhead athletes to improve internal rotation of shoulder. To compare the effect of MFR and MET on PST in overhead athletes to improve internal rotation of shoulder.
Method 200 overhead athletes were screened according to inclusion criteria, out of which 42 fulfilled the criteria. Consent was taken and they were divided into two group. Group A was receive MET and group B receive MFR. The pre and post assessment is taken by using internal rotation ROM and disabilities of the arm shoulder and hand (DASH questionnaire). Result In the present study, intra group comparison results showed that internal rotation ROM and DASH questionnaire were statistically significant in both groups. Whereas inter group comparison results showed that MET was statistically significant in improving internal rotation ROM and then MFR in subjects with posterior shoulder tightness, but in DASH score there were no significant difference. Conclusion MET showed extremely significant increased in internal rotation ROM than MFR. Both the technique had similar effect on DASH questionnaire in overhead athletes. Top Keywords Posterior shoulder tightness, muscle energy technique, myofascial release, internal rotation range of motion, disabilities of the arm shoulder and hand, glenohumeral internal rotation deficit, overhead athletes. Top |