Possibility of the Modified Wall-stretching Exercises to Improve Shoulder Flexibility

Main Article Content

Gresilia Tambing
Kunthida Mora
Yaowaraporn Yuenyong
Thaksin Chanata
Phouthasone Thavone
Wilairat Namwong

Abstract

The shoulder joint frequently faces the risk of joint injury affecting its flexibility due to a large range of motion. Current managements usually require several poses and expert guidance that could affect their clinical application. The present study developed a practical strategy, as the so-called modified wall-stretching exercise, and preliminary investigated its possibility to improve shoulder flexibility in order for the findings to estimate the suitable number of sample size required to confirm the effectiveness of this technique. This quasi-experimental design was conducted in 10 pilot participants (5 females, and 5 males) who had limited flexibility in both shoulders as determined using the back scratch test. Participants performed a modified wall-stretching exercise by placing both hands on the wall and bending their upper trunks downward. They executed this exercise in three hand positions, including turning both hands upward, sideward, and downward with holding for 15 seconds in each hand position. The outcomes of the back scratch test were measured immediately before and after the exercise. Participants demonstrated significant reduction in the distance between both hands of the back scratch test immediately after completing a modified wall-stretching exercise (p-value < 0.01). The preliminary findings suggested the possibility of using a modified wall-stretching exercise as an alternative practical strategy to improve shoulder flexibility. In addition, the finding further suggested that a future study required at least 31 participants to confirm the effectiveness of this stretching protocol.

Article Details

How to Cite
1.
Tambing G, Mora K, Yuenyong Y, Chanata T, Thavone P, Namwong W. Possibility of the Modified Wall-stretching Exercises to Improve Shoulder Flexibility. Arch AHS [Internet]. 2024 Aug. 23 [cited 2024 Dec. 19];36(2):59-65. Available from: https://he01.tci-thaijo.org/index.php/ams/article/view/271375
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Original article

References

Gasibat Q, Bin Simbak N, Abd Aziz A. Stretching exercises to prevent work-related musculoskeletal disorders – A review article. Am J Sport Sci Med 2017; 5(2): 27–37.

Nuzzo JL. The case for retiring flexibility as a major component of physical fitness. Sport Med 2020; 50(5): 853–70.

Bouguezzi R, Sammoud S, Markov A, Negra Y, Chaabene H. Why flexibility deserves to be further considered as a standard component of physical fitness: A narrative review of existing insights from static stretching study interventions. Youth 2023; 3(1): 146–56.

Lugo R, Kung P, Ma CB. Shoulder biomechanics. Eur J Radiol 2008; 68(1): 16–24.

De Oliveira Medeiros HB, De Araújo DSMS, De Araújo CGS. Age-related mobility loss is joint-specific: An analysis from 6,000 Flexitest results. Age 2013; 35(6): 2399–407.

Weerapong P, Hume PA, Kolt GS. Stretching: M e c h a n i s m s a n d b e n e fi t s f o r s p o r t performance and injury prevention. Phys Ther Rev 2004; 9(4): 189–206.

Kang MH, Oh JS. Effects of self-stretching with mobilization on shoulder range of motion in individuals with glenohumeral internal rotation deficits: a randomized controlled trial. J Shoulder Elb Surg 2020; 29(1): 36–43.

Bryant J, Cooper DJ, Peters DM, Cook MD. The effects of static stretching intensity on range of motion and strength: A systematic review. J Funct Morphol Kinesiol 2023; 8(2): 1-16.

Konrad A, Stafilidis S, Tilp M. Effects of acute static, ballistic, and PNF stretching exercise on the muscle and tendon tissue properties. Scand J Med Sci Sport 2017; 27(10): 1070–80.

Behm DG, Blazevich AJ, Kay AD, McHugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: A systematic review. Appl Physiol Nutr Metab 2015; 41(1): 1–11.

Behm DG, Alizadeh S, Daneshjoo A, Anvar SH, Graham A, Zahiri A, et al. Acute effects of various stretching techniques on range of motion: A systematic review with metaanalysis. Sport Med - Open 2023; 9(1): 1–16.

Knudson D. The biomechanics of stretching the biomechanics of stretching. J Exerc Sci Physiother 2006; 2: 3–12.

Vetter S, Schleichardt A, Köhler HP, Witt M. The effects of eccentric strength training on flexibility and strength in healthy samples and laboratory settings: A systematic review. Front Physiol 2022; 13: 1–13.

Stecco C, Pirri C, Fede C, Yucesoy CA, De Caro R, Stecco A. Fascial or muscle stretching? A narrative review. Appl Sci 2021; 11(1): 1–11.

Olenich S, Waterworth G, Badger GJ, Levy B, Israel E, Langevin HM. Flexibility and strength training in asthma: A pilot study. J Asthma 2018; 55(12): 1376–83.

Bhattacharya PK, Deka K, Roy A. Assessment of inter-rater variability of the Senior Fitness Test in the geriatric population: A community based study. Int J Biomed Adv Res 2016; 7(5): 208–12.

Rikli RE, Jones CJ. Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act 1999; 7(2): 129–61.

Cote JN, Hoeger Bement MK. Update on the relation between pain and movement: Consequences for clinical practice. Clin J Pain 2010; 26(9): 754–62.

Veale JF. Edinburgh handedness inventory - short form: A revised version based on confirmatory factor analysis. Laterality 2014; 19(2): 164–77.

Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther 2012; 7(1): 109–19.

Thomas E, Bianco A, Paoli A, Palma A. The relation between stretching typology and stretching duration: The effects on range of motion. Int J Sports Med 2018; 39(4): 243–54.

Kang M-H. Relationship of Scratch Test and Glenohumeral Internal Rotation and Horizontal Adduction Range of Motion. J Musculoskelet Sci Technol 2018; 2(2): 29–32.

Kang F-J, Lin K-Y. Observing the effect of physical activity on forward head posture and rounded shoulder posture in young healthy adults. J Phys Ther Sci 2023; 35(8): 564–7.

Stanziano DC, Roos BA, Perry AC, Lai S, Signorile JF. The effects of an active assisted stretching program on functional performance in elderly persons: A pilot study. Clin Interv Aging 2015; 4(1): 115–20.

Kocur P, Pospieszna B, Choszczewski D, Michalowski L, Wiernicka M, Lewandowski J. The effects of nordic walking training on selected upper-body muscle groups in female-office workers: A randomized trial. Work 2017; 56(2): 277–83.

Sanchez-Lastra MA, Varela S, Cancela JM, Ayán C. Upper versus lower body resistance exercise with elastic bands: effects on cognitive and physical function of institutionalized older adults. Eur Geriatr Med 2022; 13(4): 907–16.