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Julien Le Gal, Mickael Begon, Benoit Gillet and Isabelle Rogowski

Context: Tennis induces a decreased internal rotation range of motion at the dominant glenohumeral joint. The effects of self-myofascial release have not yet been investigated to restore glenohumeral range of motion. Objective: This study aimed at investigating the effects of self-myofascial release on shoulder function and perception in adolescent tennis players. Design: Test–retest design. Setting: Tennis training sport facilities. Participants: Eleven male players participated in this study (age: 15 [3] y; height: 173.1 [11.1] cm; mass: 56.0 [15.1] kg; International Tennis Number: 3). Intervention: During 5 weeks, the players performed their regular tennis training. During 5 additional weeks, self-myofascial release of the infraspinatus and pectoralis muscles was implemented 3 times per week after the warm-up of the regular training session. Main Outcome Measures: The primary outcome was glenohumeral internal rotation range of motion. The secondary outcomes were perceived shoulder instability and tennis serve accuracy and velocity. Results: Adding self-myofascial release allowed an increase of 11° (2°) of internal rotation range of motion at the dominant glenohumeral joint (P < .001) and a decreased perception of shoulder instability (P = .03), while maintaining tennis serve velocity and accuracy. Conclusions: Implementing self-myofascial release on infraspinatus and pectoralis muscles 3 times per week during 5 weeks improved dominant glenohumeral internal rotation range of motion in tennis players. It can be used as a strategy to preserve the mobility of this joint.

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Romy H. Chan and James J. Lam

Shoulder pain among overhead-sport athletes is common and often presents a challenge to clinicians in making an accurate diagnosis. A case report of a young college tennis player is presented, with emphasis on the clinical examination process leading to the diagnosis of a superior labrum anteroposterior lesion. The current literature regarding the clinical diagnosis of glenoid labrum lesion in the shoulder with respect to specific clinical tests was reviewed. It is recommended that clinicians consider glenoid labral lesions in the context of shoulder instability. Glenohumeral internal-rotation deficit should be routinely evaluated and corrected in high-performance tennis players.

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Samuele Contemori, Andrea Biscarini, Fabio M. Botti, Daniele Busti, Roberto Panichi and Vito E. Pettorossi

Overhead-activity athletes employ their shoulders in repetitive high-stress actions performed at high speed over a great range of motion and at a high level of muscle activity, 1 – 3 which predisposes this joint to acute and overuse injuries. 4 , 5 Overhead sport gestures can also induce

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Kristina Amrani, Andrew Gallucci and Marshall Magnusen

interval sport programs tailored to overhead athletes in collegiate softball and volleyball. 10 , 11 Tennis players experience many of the same maladaptive imbalances, resulting injuries, and rehabilitations as other overhead sport athletes. Additionally, quantifying the shot volume during a tennis match

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Saurabh Sharma and M. Ejaz Hussain

athletic population. 3 , 4 Overhead athletes use their shoulder at or above 90° in their respective sports games. This includes sports such as badminton, volleyball, lawn tennis, cricket, swimming, football, and others. The prevalence of shoulder impingement ranges between 6–20%, depending on the overhead

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Jereme Wilroy and Elizabeth Hibberd

Wheelchair users participating in overhead sport activities are twice as likely to develop rotator cuff tears than their nonsports counterpart. 24 In addition to the risk of shoulder injury due to repetitive motions in sport, wheelchair basketball athletes are at an even greater risk of injury due to the

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Samuele Contemori and Andrea Biscarini

overhead sport gestures that require coordinated activity of the GH and ST muscles for the correct functioning of the shoulder girdle. 2 This study highlighted altered shoulder muscle activity levels, ST muscle imbalances, and abnormal ST recruitment patterns in the HS of professional volleyball players

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Damla Gulpinar, Sibel Tekeli Ozer and Sevgi Sevi Yesilyaprak

protocol was approved by the ethics committee of Dokuz Eylul University. Informed written and verbal consent were obtained from all participants prior to their participation, and all their rights were protected. Inclusion criteria were: (1) age between 13 and 40 years; (2) competing in an overhead sport at