The effects of exercise intervention on scapular kinematics and round shoulder posture in competitive swimmer: a randomized control trial

Fu-Jie Kang, Kun-Ying Lin
Purpose:

This study aimed to investigate the effects of exercise intervention on rounded shoulder posture and scapular kinematics in competitive swimmers.

Methods:

Forty-two young competitive swimmers were randomly assigned to the exercise (n = 21) and control groups (n=21). The exercise group would undergo an eight-week exercise training program to correct rounded shoulder posture. Two testing sessions were conducted before and after the eight-week period. All participants underwent the shoulder pain and disability index (SPADI) to measure shoulder pain and function. The forward shoulder angle (FSA) was calculated to assess rounded shoulder posture. A digital inclinometer was used to assess the scapular upward rotation angle with the arm at humeral elevations of 0°, 60°, and 120°in the scapular plane.

Results:

Significant group-by-time interactions (p0.05) were found in SPADI, FSA, and scapular upward rotation angle with the arm at 120º. Post-hoc analysis revealed that the exercise group showed significant improvement in SPADI (12.69 ± 13.33 to 4.06 ± 3.5, p=0.001), FSA (53.62°± 2.27° to 44° ± 7.18°, p0.001). In the exercise group, scapular upward rotation at 120° significantly decreased (22.10° ± 7.75°to 15.31° ± 3.64°, p=0.007).

Conclusion(s):

The implementation of an eight-week exercise training program corrected rounded shoulder posture, alleviated shoulder pain intensity, and improved shoulder functional ability among competitive swimmers. Moreover, this exercise intervention decreased scapular upward rotation at 120°. 

Implications:

An eight-week exercise training program to correct the upward rotation angle of the rounded shoulder posture could be a regular training protocol for competitive swimmers.

Funding acknowledgements:
This research received financial support from the National Science and Technology Council, Taiwan (NSTC 112-2410-H-242-005).
Keywords:
competitive swimmer
round shoulder posture
scapular kinematics
Primary topic:
Sport and sports injuries
Second topic:
Musculoskeletal: upper limb
Third topic:
Musculoskeletal
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
the National Cheng Kung University Human Research Ethics Committee
Provide the ethics approval number:
NCKU HREC-E-112-082-2
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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