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"If you ain't living on the edge, you're taking up space"

Tennis specific onset of shoulder tendinopathy - re the serve.

23/4/2018

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Tennis is an asymmetric sport with specific muscle-activation patterns, especially eccentrically in the supraspinatus, infraspinatus, and teres minor during the complex and rapid serving motion. In particular, the external rotators are highly loaded eccentrically during the deceleration phase by resisting shoulder internal rotation first, then sharing the deceleration of horizontal adduction at the glenohumeral joint with the rest of the body. A high percentage of athletes will have infraspinatus atrophy without apparent clinical significance. The external rotation strength deficits, whilst apparently not affecting tennis performance, has been reported as a risk factor for shoulder pain (Clarsen et al, 2014). 

Clarsen, B., Bahr, R., Andersson, S. H., Munk, R., & Myklebust, G. (2014). Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med, 48(17), 1327. bjsm.bmj.com/content/48/17/1327.abstract
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  • Home
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    • Masterclass Summit 2020
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    • The 3 Unstoppable Ways to Get Your Ideal Career In Sport
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    • How to implement a movement philosophy approach in a first division professional soccer team. A real case scenario with 3 years follow up
    • Max Velocity Training For Physios
    • Re-Designing Your Warm-Up To Increase Effectiveness Through Co-Operative Strength And Physical Therapy
    • Neuromobilisation for recovery
    • How Strong Is Strong Enough?
    • Clinical reasoning stems disruptive innovation - “Change or be changed"
    • Alternative Physiotherapy Strategies For Calf Injuries
    • Advanced Palpation Masterclass
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    • Fees and Conditions
    • Pre-Physio Questionnaire
    • Covid19 Checklist
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