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Influencia da limitacao da amplitude de movimento sobre a melhora da flexibilidade do ombro apos um treino de seis semanas (Influence of the range of motion (ROM) limitation on the shoulder flexibility improvement after a six-week traininig) [Portuguese]
Azevedo DC, de Carvalho SC, Leal EWPS, Damasceno SP, Ferreira ML
Revista Brasileira de Medicina do Esporte [Brazilian Journal of Sports Medicine] 2008 Mar-Apr;14(2):119-121
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Previous research has shown that pre-training aerobic and strength status can influence on the training results, with untrained individuals presenting a more pronounced improvement. No study has investigated this correlation in a flexibility program so far. The purpose of this study was to observe the influence of the range of motion (ROM) limitation on ROM gain after a six-week shoulder external rotation stretching training. 30 volunteer physiotherapy students, with limited shoulder external rotation ROM were randomly assigned to one of three groups: control group (CG), experimental group 1 (EG1), with wider ROM limitation, and experimental group 2 (EG2), with narrower ROM limitation. Subjects in the experimental groups were submitted to a 6-week program of active shoulder external rotation stretching. One-way ANOVA showed a significant difference in mean external rotation ROM gains among all three groups (p = 0.001), with EG1 having the highest ROM increase (30.1 +/- 8.6 degrees), followed by EG2 (15.2 +/- 7.5 degrees) and CG (1.1 +/- 5.8 degrees). The Pearson correlation analysis showed a significant negative correlation between previous ROM and ROM improvement (r = -0.70, p = 0.001). The results of our study showed that shoulder external rotation ROM limitation influences ROM improvement after a six-week stretching program in a healthy young population. Subjects with more pronounced ROM limitation respond with a more remarkable ROM improvement.

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