ABSTRACT
The purpose of this study was to investigate muscle volume (MV) and strength characteristics of the rotator cuff (supraspinatus, infraspinatus, teres minor, and subscapularis) and deltoid muscles in each shoulder of asymptomatic baseball pitchers. Twelve collegiate baseball pitchers (PG) and ten male students (CG) who never played an overhand sports volunteered to participate in this study. Magnetic resonance imaging (Straits II, Hitachi Medico, 1.5 T) was used to measure the MV of rotator cuff and deltoid muscles in both shoulders of each subject. Since the individual muscles were difficult to identify on MRI scans, the infraspinatus and teres minor were analyzed as one infraspinatus muscle. Shoulder abduction (ABD), external rotation (ER), and internal rotation (IR) strengths were measured each side using a hand-held dynamometer (Power Track II, Jtech Medical Industry) . The MV of deltoid muscle was significantly larger value on the dominant side (DOM) than on the non-dominant side (NDOM) in both the PG and CG groups (p<0.05) . However, no significant differences in the MV of the rotator cuff muscles and the measured shoulder strength (ABD, ER, and IR) were observed between both sides in either group. Similarly, no significant differences in the DOM/NDOM ratio of the muscle volume and the measured shoulder strength were observed between the two groups. These results suggest that the rotator cuff muscle volume and strength does not differ in both sides of the PG, and DOM/NDOM ratios of the rotator cuff muscle volume and strength of the PG does not differ in those of the CG.
ABSTRACT
The purpose of this study was to investigate the influence of a shoulder injury on rotator cuff muscle thickness and shoulder muscle strength in baseball players. Based on orthopedic medical checks performed by a doctor for 57 male collegiate baseball players, two groups, the pain-free normal group (NOR group, n=19) and the impingement test positive group (IMP group, n=17) volunteered to participate in the study. Muscle thickness of the supraspinatus, infraspinatus and posterior deltoid muscles was measured bilaterally using a B-mode ultrasound apparatus (SSD-500, Aloka) with a 5-MHz transducer. Isometric shoulder abduction strength was measured bilaterally with a hand-held dynamometer in the sitting position with the arm at 45 degrees abduction, and shoulder external and internal rotation strength were measured bilaterally with an isokinetic dynamometer in the sitting position with the upper arm at 90 degrees abduction.<BR>When the two groups were compared, the NOR group showed significantly greater values on the dominant side than on the non-dominant side for muscle thickness of the posterior deltoid. However, the IMP group showed significantly greater values on the non-dominant side than on the dominant side of muscle thickness of the supraspinatus, the muscle strength with the abduction and external rotation (300 deg/sec) and external internal rotation strength ratio (180 deg/sec) .<BR>Also, the IMP group had a significantly weaker dominant/non-dominant ratio of supraspinatus muscle thickness (p<0.05) and abduction strength than the NOR group (p<0.01) .<BR>These results suggest that baseball players with positive impingement show both a morphological and functional decline in the supraspinatus muscle. The dominant side supraspinatus weakness observed in the IMP group of this study may reflect muscle atrophy and chronic fatigue.