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Strength Training and Shoulder Proprioception
Strength Training and Shoulder Proprioception
Strength Training and Shoulder Proprioception
doi: 10.4085/1062-6050-49.3.84
Ó by the National Athletic Trainers’ Association, Inc original research
www.natajournals.org
Key Points
Improvements in joint position sense can be attained via standard strength-training exercises.
Performing resistance exercises at consistent intensity rather than varying intensity resulted in better proprioception
performance.
I
mproving muscle strength for joint stability is a goal of context, kinesthesia, joint position, and force sense are
physical training for the shoulder.1–3 According to described as proprioception submodalities.4,10–12
Myers and Lephart,4 the rotator cuff, deltoid, biceps, Proprioception is essential to motor control and joint
teres major, latissimus dorsi, and pectoralis major muscles stability during daily activities and sports practice.10,11 Thus,
are responsible for providing shoulder stabilization. Inman proprioception can be defined as the ability to recognize and
et al5 were the first to state that the coactivation force of the to locate the body in relation to its position and orientation in
shoulder’s dynamic stabilizers provides the joint stability. space.13,14 Allegrucci et al15 identified kinesthetic deficits in
However, joint mechanics and stability may be compro- the dominant shoulder of throwing athletes as a mechanism
mised if such forces are not equalized. Therefore, in order for shoulder instability. The same result was found by Safran
to achieve joint stability, training must be directed at et al.16 Conversely, a recent study17 demonstrated that athletes
attaining proportional strength around the joint. Two main have better joint position sense (JPS) than controls matched
aspects should be taken into account during strength for age, suggesting that sport activity could have an effect on
training: a specific muscle-force level and the force balance proprioception. Despite this result, the effect of strength
among muscles that act on the same joint.3,6 training on proprioception remains unclear, although some
Shoulder-joint stability is the result of passive and authors17–20 have described the effects of muscle strengthen-
dynamic components.7 The bone geometry, relative intra- ing on proprioception. These researchers hypothesized that
articular pressure, glenohumeral labrum, and capsuloliga- strength training directly affects the functional capacity of the
mentous structures are passive components,4 whereas dynamic stabilizers. For this reason, it is important to
dynamic components are provided by contractile muscle understand the effects of this training on proprioception so
activity coordinated around the joint and modulated by the that we can improve the strength-training protocols to increase
neuromuscular system.8 The basis of passive and dynamic joint stability.
interactions is the proprioceptive information emerging However, the effects of different strength-training
from mechanoreceptors in muscles, tendons, joint-capsule programs on the JPS of healthy individuals remain
ligaments, and skin, which are centrally integrated.7,9 In this debatable. Therefore, the focus of our study was to (1)
Address correspondence to José Inácio Salles, PhD, National Institute of Traumatology and Orthopedics (INTO), Avenida Brasil 500,
Rio De Janeiro, Rio de Janeiro 20940070 Brazil. Address e-mail to joseinaciosalles@hotmail.com.