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  • Title: A survey of glenohumeral joint rotational range and non-specific shoulder pain in elite cricketers.
    Author: Giles K, Musa I.
    Journal: Phys Ther Sport; 2008 Aug; 9(3):109-16. PubMed ID: 19083711.
    Abstract:
    OBJECTIVES: To determine if a glenohumeral joint internal rotation range of motion difference (IRD) and external rotation difference (ERD) exists between dominant and non-dominant shoulders of cricketers as demonstrated in other overhead sports, and, if present, to establish if differences exist between cricketers with and without a history of gradual onset non-specific shoulder pain. DESIGN: An observational study. SETTING: Non-clinical, at national cricket indoor training venues. PARTICIPANTS: One hundred and nine elite male and female cricketers (11-35 years), representing 97% of the England and Wales national and West of England regional Under 13 teams, consented. The final number included for data analysis was 133. MAIN OUTCOME MEASURES: Data relating to playing position, cricket exposure, shoulder pain and demographic details collected using a questionnaire. Passive isolated glenohumeral rotation measured in 90 degrees shoulder abduction using an inclinometer. RESULTS: Cricketers who regularly bowl or throw overarm had significantly less internal (-7.9 degrees , p<0.001) and greater external (8.6 degrees , p<0.001) dominant to non-dominant glenohumeral rotation. Wicket-keepers had tendencies for smaller differences that were still statistically significant [mean IRD -5.9 degrees (p<0.001); ERD 5.0 degrees (p=0.002)]. Cricketers who experienced shoulder pain demonstrated a significantly greater IRD [mean 3.2 degrees (p=0.032)] than those who did not. CONCLUSIONS: The results of this study support measurement of passive glenohumeral joint rotation during musculoskeletal profiling and indicate that a possible link between increased IRD and non-specific shoulder pain warrants further investigation.
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