Internal Rotation Deficit of the Glenohumeral Joint in Advanced-level Handball Players

Completed

• Conditions: Internal Rotation Contracture-shoulder; Athletic Injuries; Articulation Disorders

• Registration Number: NCT02011243
• Lead Sponsor: Centre Hospitalier Universitaire de Nīmes

Brief Summary

The main objective of this study is to estimate the incidence and prevalence of Internal Rotation Deficit (IRD) defined by a measure of IRD 2 (Internal Rotation Deficit in position 2) strictly greater than 20 ° in a population of advanced-level handball players over a training season.

Detailed Description

The secondary objectives of this study are :

A- To estimate and compare the prevalence of Internal Rotation Deficit within groups

B- To assess the association between the Internal Rotation Deficit and the appearance of a shoulder pain and/or discomfort when throwing

C- To assess the association between Internal Rotation Deficit and the appearance of a shoulder pathology demonstrated by clinical examination by at least one abnormality in one of the following three tests: the arming apprehension test, the relocation test or the O'Brien test

D- Assess changes in values of IRD 2, the ratio IRD 2/GRE 2, and the Total Range of Motion over the training season

E- Evaluate the association between the values of IRD 2 and the appearance of shoulder pain or discomfort when throwing

F- To evaluate the association between IRD 2 values and the appearance of a shoulder pathology (at least one anomaly in one of three tests: the arming apprehension test, the relocation test or the O'Brien test).

G- To assess the association between values of the IRD 2/GRE 2 ratio and the appearance of shoulder pain or discomfort when throwing

H- To assess the association between values of the IRD 2/GRE 2 ratio and the appearance of a shoulder pathology (at least one anomaly in one of three tests: the arming apprehension test, the relocation test or the O'Brien test).

I- To estimate the optimal threshold value of the IRD 2/GRE 2 ratio that would define an Internal Rotation Deficit in a more relevant fashion as compred to the IRD 2 alone

Study Timeline

• Study First Submitted: 2013-12-09
• Study First Submitted QC: 2013-12-10
• Study First Posted: 2013-12-13
• Study Start: 2014-01
• Primary Completion: 2014-08
• Study Completion: 2014-08
• Status Verified: 2015-03
• Last Update Submitted: 2015-03-25
• Last Update Posted: 2015-03-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 86

Inclusion Criteria

• The subject or his/her legal guardian must have given his/her informed and signed consent
• The subject must be insured or beneficiary of a health insurance plan
• The subject is a member of the professional and pre-professional handball clubs in Nîmes, France (the USAM or HBCN clubs) -- OR-- a member of the training centers associated with the same clubs whose parents or legal representatives have given informed consent

Exclusion Criteria

• The subject is under judicial protection, under tutorship or curatorship
• The subject or his/her legal respresentative refuses to sign the consent
• It is impossible to correctly inform the subject
• The subject is pregnant, parturient, or breastfeeding
• The subject has been operated for shoulder instability, regardless of the surgical technique used
• The subject has a history of fracture of the proximal end of the humerus and / or elbow
• The subject has a history of rotator cuff surgery
• The subject has neurological or spinal problems, or has received physiotherapy on the shoulder complex within 30 days prior to the study assessment

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Presence/absence of an internal rotation deficit (IRD 2 > 20°)	6 months	IRD 2 = internal rotation deficit in position 2 Position 2 = dominant arm in abduction at 90°

Secondary Outcome Measures

Name	Time	Method
Measure of the total range of motion	6 months
Presence/absence of pain when throwing (yes/no)	6 months
Presence of discomfort when throwing (visual analog scale from 0 to 100)	6 months
Presence/absence of an internal rotation deficit (IRD 2 > 20°)	3 months
Measure of the internal rotation deficit	6 months
The ratio of DRI 2 / GRE 2	6 months
Presence/absence of shoulder pathology	6 months
Shoulder clinical exam: the arming apprehension test	6 months
Shoulder clinical exam: relocation test	6 months
Shoulder clinical exam: the O'Brien test	6 months

Trial Locations

Locations (1)

CHRU de Nîmes - Hôpital Universitaire Carémeau; 🇫🇷 Nîmes Cedex 9, France