Scapular kinematics in professional wheelchair tennis players

Martin B. Warner, David Wilson, Markus O. Heller, Dan Wood, Peter Worsley, Sarah Mottram, Nick Webborn, Dirk Jan Veeger, Mark Batt

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Participating in wheelchair tennis increases the demands placed on the shoulder and could increase the risk of developing shoulder pain and injury that might be associated with differences in scapular kinematics. The aim of the study was to examine the presence of shoulder pain and scapular kinematics in professional wheelchair tennis players. Method: Scapular kinematics were obtained in 11 professional wheelchair tennis players, 16 people with shoulder impingement and 16 people without shoulder impingement during humeral elevation and lowering. Clinical examination of the wheelchair tennis players was undertaken using the Wheelchair Users Shoulder Disability Index (WUSPI) and clinical signs of shoulder impingement. Findings: The WUSPI questionnaire (mean = 28 SD 13.8) demonstrated wheelchair tennis participants experienced little shoulder pain and clinical examination revealed negative impingement tests. Wheelchair tennis players had greater scapular posterior tilt during humeral elevation (3.9° SE 1.71; P = 0.048) and lowering (4.3° SE 1.8; P = 0.04) on the dominant compared to non-dominant side. The dominant scapulae of wheelchair tennis players were significantly (P = 0.014) more upwardly rotated (21° SD 6.7) than the scapulae of people with shoulder impingement (14.1° SD 7.0) during scapular plane humeral elevation. Interpretation: This first study of scapular kinematics in professional wheelchair tennis athletes demonstrated bilateral asymmetries and differences to able-bodied participants with shoulder impingement. Understanding the role of sport participation on shoulder function in wheelchair users would assist in the development of preventative and treatment exercise programmes for wheelchair users at risk of shoulder injury and pain.

Original languageEnglish
Pages (from-to)7-13
Number of pages7
JournalClinical Biomechanics
Volume53
DOIs
Publication statusPublished - 1 Mar 2018

Fingerprint

Tennis
Wheelchairs
Biomechanical Phenomena
Shoulder Pain
Scapula
Athletes
Sports

Keywords

  • Kinematics
  • Scapula
  • Tennis
  • Wheelchair

Cite this

Warner, M. B., Wilson, D., Heller, M. O., Wood, D., Worsley, P., Mottram, S., ... Batt, M. (2018). Scapular kinematics in professional wheelchair tennis players. Clinical Biomechanics, 53, 7-13. https://doi.org/10.1016/j.clinbiomech.2018.01.022
Warner, Martin B. ; Wilson, David ; Heller, Markus O. ; Wood, Dan ; Worsley, Peter ; Mottram, Sarah ; Webborn, Nick ; Veeger, Dirk Jan ; Batt, Mark. / Scapular kinematics in professional wheelchair tennis players. In: Clinical Biomechanics. 2018 ; Vol. 53. pp. 7-13.
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Warner, MB, Wilson, D, Heller, MO, Wood, D, Worsley, P, Mottram, S, Webborn, N, Veeger, DJ & Batt, M 2018, 'Scapular kinematics in professional wheelchair tennis players' Clinical Biomechanics, vol. 53, pp. 7-13. https://doi.org/10.1016/j.clinbiomech.2018.01.022

Scapular kinematics in professional wheelchair tennis players. / Warner, Martin B.; Wilson, David; Heller, Markus O.; Wood, Dan; Worsley, Peter; Mottram, Sarah; Webborn, Nick; Veeger, Dirk Jan; Batt, Mark.

In: Clinical Biomechanics, Vol. 53, 01.03.2018, p. 7-13.

Research output: Contribution to JournalArticleAcademicpeer-review

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Warner MB, Wilson D, Heller MO, Wood D, Worsley P, Mottram S et al. Scapular kinematics in professional wheelchair tennis players. Clinical Biomechanics. 2018 Mar 1;53:7-13. https://doi.org/10.1016/j.clinbiomech.2018.01.022