BACKGROUND: The lumbopelvic region is utilized in almost all functional tasks and has been proposed to provide dynamic stability to distal extremities. PURPOSE: To systematically evaluate the current literature that examined the effect of lumbopelvic control on overhead performance and shoulder injury in overhead athletes. STUDY DESIGN: Systematic Review. METHODS: A comprehensive systematic electronic search was conducted using PubMed, CINAHL, ProQuest, Scopus, and SPORTDiscus. Articles were considered for inclusion if they included a measure of lumbopelvic control and assessed shoulder pain, disability, injury, or overhead performance outcome. Cohen's d effect size was calculated when necessary statistical data were available to determine the impact of lumbopelvic control. RESULTS: The search revealed 3,312 total articles and 2,883 articles were screened after duplicates were removed. After titles and abstracts were screened, 45 full text articles were reviewed. Fifteen full-text articles ultimately met inclusion criteria. Effect sizes ranged from trivial (0.10) to large (0.86), indicating a varying degree of positive effects on performance and shoulder injuries. The majority of included articles concluded individuals with greater lumbopelvic control demonstrated improved performance and decreased occurrence of injury. CONCLUSION: Results suggest that improved lumbopelvic control relates to improved athletic performance and decreased shoulder injury. Additional higher quality research is needed to further support these findings, establish a standard measure for lumbopelvic control, and determine preventative factors for injury, pain, and disability. LEVEL OF EVIDENCE: 2a.
BACKGROUND: The lumbopelvic region is utilized in almost all functional tasks and has been proposed to provide dynamic stability to distal extremities. PURPOSE: To systematically evaluate the current literature that examined the effect of lumbopelvic control on overhead performance and shoulder injury in overhead athletes. STUDY DESIGN: Systematic Review. METHODS: A comprehensive systematic electronic search was conducted using PubMed, CINAHL, ProQuest, Scopus, and SPORTDiscus. Articles were considered for inclusion if they included a measure of lumbopelvic control and assessed shoulder pain, disability, injury, or overhead performance outcome. Cohen's d effect size was calculated when necessary statistical data were available to determine the impact of lumbopelvic control. RESULTS: The search revealed 3,312 total articles and 2,883 articles were screened after duplicates were removed. After titles and abstracts were screened, 45 full text articles were reviewed. Fifteen full-text articles ultimately met inclusion criteria. Effect sizes ranged from trivial (0.10) to large (0.86), indicating a varying degree of positive effects on performance and shoulder injuries. The majority of included articles concluded individuals with greater lumbopelvic control demonstrated improved performance and decreased occurrence of injury. CONCLUSION: Results suggest that improved lumbopelvic control relates to improved athletic performance and decreased shoulder injury. Additional higher quality research is needed to further support these findings, establish a standard measure for lumbopelvic control, and determine preventative factors for injury, pain, and disability. LEVEL OF EVIDENCE: 2a.
Entities:
Keywords:
Core stability; injury; lumbopelvic control; movement system; overhead athletes
Authors: Brian G Leggin; Lori A Michener; Michael A Shaffer; Susan K Brenneman; Joseph P Iannotti; Gerald R Williams Journal: J Orthop Sports Phys Ther Date: 2006-03 Impact factor: 4.751