REMODELING ANATOMI BAHU AKIBAT AKTIVITAS OVERHEAD: KAJIAN LITERATUR PADA ATLET SEPAK BOLA, RENANG, DAN VOLI

Nadia Purnama Dewi; Melya Susanti; Yuliza Birman; Ade Teti Vani

doi:10.59003/nhj.v5i1.1622

Authors

Nadia Purnama Dewi Universitas Baiturrahmah
Melya Susanti Universitas Baiturrahmah
Yuliza Birman Universitas Baiturrahmah
Ade Teti Vani Universitas Baiturrahmah

DOI:

https://doi.org/10.59003/nhj.v5i1.1622

Keywords:

overhead activities, shoulder anatomical remodelling, musculoskeletal adaptation

Abstract

Repetitive and intense overhead activities, such as those found in swimming, volleyball, and goalkeeping in football, cause repetitive biomechanical stress on the shoulder joints. This exposure has the potential to cause anatomical remodelling, in the form of significant structural and functional adaptations in the shoulder complex, including the scapula, humerus, and supporting soft tissues. This study analyses narrative literature on research from the past five years regarding anatomical changes caused by overhead activities in swimmers, volleyball players, and footballers. The Scopus, PubMed, and DOAJ databases were used to search for literature focusing on shoulder structural changes and biomechanics. Articles must be in English or Indonesian and open-access. A literature synthesis revealed that the shoulders of overhead athletes undergo anatomical changes, including increased lateral rotation, decreased medial rotation, and increased scapular asymmetry. Anatomical applications also vary across specific sports. Volleyball athletes have larger rotator cuff muscles and a higher risk of subacromial impingement. In contrast, swimmers have a higher risk of humeral epiphysiolysis due to the frequent shoulder movements they experience from a young age. In football goalkeepers, remodelling is more focused on shoulder muscle imbalance and reduced glenohumeral stability due to direct contact and ball-reaching activities. Overhead activities in sports cause unique structural adaptations in the shoulder, depending on the type of sport and specific movement patterns. A deep understanding of this remodelling is crucial for designing targeted injury prevention and rehabilitation programmes for overhead athletes.

Downloads

Download data is not yet available.

References

De Luigi, A., Raum, G., King, B., & Bowers R. Osteopathic approach to injuries of the overhead thrower’s shoulder. J Osteopath Med. 2024;125:285-298.

Mihata T. Shoulder Injuries in Overhead Athletes. Sport Inj Shoulder. 2019;

Johnson, J., & Houchin G. Adolescent Athlete’s Shoulder: A Case Series of Proximal Humeral Epiphysiolysis in Nonthrowing Athletes. Clin J Sport Med. 2006;16:84–6.

Papandreou, M., Diamantis, E., Vrachlioti, V., Billis, E., & Gliatis J. Clinical evaluation of static scapular posture in overhead athletes with asymptomatic shoulder injuries. J Sports Med Phys Fitness. 2018;58(7–8):1071–7.

DeFroda, S., Goyal, D., Patel, N., Gupta, N., & Mulcahey M. Shoulder Instability in the Overhead Athlete. Curr Sports Med Rep. 2018;17:308–14.

Arabi, E., & Nazemzadegan G. Comparison of Upper Limb Disability in Overhead Women Athletes of Handball, Volleyball, Softball, and Swimming. Phys Treat - Specif Phys Ther J. 2021;11:103–10.

Mazoué, C., & Andrews J. njuries to The Shoulder in Athletes. South Med J. 2004;97:748–54.

Lintner, D., Noonan, T., & Kibler W. njury patterns and biomechanics of the athlete’s shoulder. Clin Sports Med. 2008;27(4):527–51.

Challoumas, D., Stavrou, A., & Dimitrakakis G. The volleyball athlete’s shoulder: biomechanical adaptations and injury associations. Sport Biomech. 2017;16:220–37.

Wymore L FJ. Shoulder Functional Performance Status of National Collegiate Athletic Association Swimmers: Baseline Kerlan-Jobe Orthopedic Clinic Scores. Am J Sports Med. 2015;43(6):1513–7.

Joseph Chorley, MD, FACSM, FAAP, Richard E. Eccles, MD, and Armand Scurfield

M. Care of Shoulder Pain in the Overhead Athlete. Pediatr Ann. 2017;46(3).

Nagamoto, H., Takahashi, H., Kurokawa, D., Muraki, T., Yaguchi, H., Shinagawa, K., & Kumai T. Prevalence of disabled throwing shoulder and its shoulder function among youth football goalkeepers. J Orthop. 2022;34:74–9.

Reeser, J., Fleisig, G., Cools, A., Yount, D., & Magnes S. Biomechanical insights into the aetiology of infraspinatus syndrome. Br J Sports Med. 2012;47:239–44.

Rodeo S. Shoulder Pain in a Female College Swimmer. Mech Pathomechanics Inj Overhead Athl. 2019;

Zarei, M., Eshghi, S. & Hosseinzadeh M. The effect of a shoulder injury prevention programme on proprioception and dynamic stability of young volleyball players; a randomized controlled trial. BMC Sport Sci Med Rehabil. 2021;13(71).

Christopher Sy Lee ∙ Nicole Hamilton Goldhaber ∙ Shane M Davis ∙ Michelle L Dilley1 ∙ Aaron Brock2 ∙ Jill Wosmek2 ∙ Emily H Lee ∙ Robert K Lee ∙ William B Stetson. Shoulder MRI in asymptomatic elite volleyball athletes shows extensive pathology. J Isakos. 2020;5(1):10–4.

Steele, M., Lavorgna, T., Ierulli, V., & Mulcahey M. Risk Factors for Shoulder Injuries in Female Athletes Playing Overhead Sports: A Systematic Review. Sports Health. 2024;17:512–22.

Vargas, V., Motta, C., Vancini, R., De Lira, C., & Andrade M. Shoulder Isokinetic Strength Balance Ratio in Overhead Athletes: A Cross-Sectional Study. Int J Sports Phys Ther. 2021;16:827–34.

Tooth, C., Gofflot, A., Schwartz, C., Croisier, J., Beaudart, C., Bruyère, O., & Forthomme B. Risk Factors of Overuse Shoulder Injuries in Overhead Athletes: A Systematic Review. Sport Heal A Multidiscip Approach. 2020;12:478–87.

Federico Pozzi , Hillary A Plummer, Shanley E, Thigpen CA, Bauer C, Wilson ML, Michener LA. Preseason shoulder range of motion screening and in-season risk of shoulder and elbow injuries in overhead athletes: systematic review and metaanalysis. Br J Sport Med. 2020;54:1019–1027.

Lau, R., & Mukherjee S. Prevalence of Shoulder and Elbow Overuse Injuries Among Competitive Overhead Youth Athletes in Singapore. Orthop J Sport Med. 2023;11.

Chepeha, J., Magee, D., Bouliane, M., Sheps, D., & Beaupre L. Effectiveness of a Posterior Shoulder Stretching Program on University-Level Overhead Athletes: Randomized Controlled Trial. Clin J Sport Med. 2017;28:146–152.

Nassiri N, Eliasberg C, Jones KJ, McAllister DR PF. Shoulder Instability in the Overhead Athlete: A Systematic Review Comparing Arthroscopic and Open Stabilization Procedures. Orthop J Sport Med. 2015;3(7).

Monteleone, G., Tramontana, A., Donald, M., Sorge, R., Tiloca, A., & Foti C. Ultrasonographic evaluation of the shoulder in elite Italian beach volleyball players. he J Sport Med Phys Fit. 2015;55(10):1193–9.