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Neuromuskulär kontroll och styrka iskulderbladsmuskulaturen: Kan fyra veckors intervention påverka upplevda besvär iaxlar och nacke hos unga simmare?
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Sports medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Sports medicine.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
Abstract [sv]

Bakgrund:

 Simning är en populär sport. De extrema repetitiva rörelserna som ingår i sporter med

majoriteten av rörelserna över huvudet, som exempelvis simning, och otillräcklig stabilitet i axelleden

resulterar ofta i överansträngning och skador. Ett vanligt syndrom är impingement och det har rapporterats att

40-91 % av alla simmare har eller upplever problem i axelleden eller de omkringliggande strukturerna.

Syfte:

Att undersöka om en intervention bestående av övningar för scapulas närliggande muskler i fyra

veckor kan påverka upplevd smärta i axel och nacke hos unga simmare.

Deltagare:

Sexton unga simmare mellan åldrarna (13±2), bestående av (10 flickor och 6 pojkar) deltog. Alla

deltagare utförde minst fyra simpass i veckan. Alla deltagare i studien upplever problematik i axel och/eller

nacke.

Metod:

Deltagarna fick fylla i ett (SRQ-S) formulär och genomgå ett Beighton-test. Alla deltagare

instruerades i fyra olika övningar, syftet med övningarna var att öka neuromuskulär kontroll och styrka i

axelns stabiliserande muskler. Alla övningar skulle utföras innan träningspass, minst en gång om dagen, i

fyra veckor. Efter fyra veckors interventionen fick deltagarna fylla i ett nytt (SRQ-S) formulär, den totala

poängen innan och efter jämfördes.

Resultat:

 (SRQ-S) formulären resulterade i en signifikant skillnad (p=0,0005) mellan innan och efter

interventionen. Majoriteten av deltagarna rapporterade ett högre välmående i axel och/eller nacke.

Konklusion

: Majoriteten av deltagarna upplevde minskad problematik i axel och/eller nacke efter fyra

veckors interventionen. Det visar på att det finns ett samband mellan ökad axel stabilisering och minskad

upplevd smärta i axel/nacke. Dock kan denna studie inte komma till en säker konklusion då vidare undersökning måste göras i detta område.

Abstract [en]

Background

: Competitive swimming is a popular sport. The extreme repetitive motions that overhead-sports

implies, like swimming, and inadequate stability in the shoulder joint often results in overexertions and

injuries. A common condition is impingement syndrome and it has been reported that 40-91% of all

swimmers have or experience problems in the shoulder joint or in the surrounding structures.

Purpose

: To investigate whether an intervention consisting of exercises for scapulas nearby muscles for four

weeks can affect perceived distress in the shoulders and neck of young swimmers.

Participants

: Sixteen young swimmer between the age of (13±2), consisting of (10 females and 6 males)

volunteered to participate. All the participants are performing at least four sessions of swimming a week. All

the participants in the study are experiencing trouble in their neck or/and shoulders.

Method

: The participants had to fill in a (SRQ-S) form and do a Beighton-test. Participants were instructed

in four different exercises, the purpose of the exercises were to increase neuromuscular control and strength

in the shoulder stabilizing muscles. All exercise were to be performed before every session of swimming, at

least once a day, for four weeks. After the four weeks of intervention the participants had to fill in a new

(SRQ-S) form, the before and after score were compared.

Results

: The (SRQ-S) formulas resulted in a significant difference (p=0,0005) between before and after the

intervention. The majority of the participants reported also a higher prosperous in their shoulder and/or neck

area.

Conclusion:

The majority of the participant experienced less discomfort in their shoulder and neck area after

the four weeks of intervention. There seems to be a relationship between increased shoulder stability and

decrease in discomfort in the shoulder/neck. However this study can not come to a secure conclusion and

further investigation has to be made in this area.

Place, publisher, year, edition, pages
2017.
Keyword [en]
Shoulder, Swimmer, Scapula dyskinesi, Neuromuscular control.
Keyword [sv]
Axel, Simmare, Scapula dyskinesi, Neuromuskulär kontroll
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:umu:diva-137067OAI: oai:DiVA.org:umu-137067DiVA: diva2:1115030
External cooperation
Umeå Simsällskap (USS)
Educational program
Physical Trainer Pogramme
Available from: 2017-06-26 Created: 2017-06-26 Last updated: 2017-06-26Bibliographically approved

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