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Musculoskeletal screening to detect asymmetry in swimming
Journal article   Peer reviewed

Musculoskeletal screening to detect asymmetry in swimming

Jo-Ann Evershed, Brendan J Burkett and Rebecca Mellifont
Physical Therapy in Sport, Vol.15(1), pp.33-38
2014
url
https://doi.org/10.1016/j.ptsp.2013.02.002View
Published Version

Abstract

asymmetry clinical strength screening swimming
Objectives: To investigate the influence of asymmetry of clinical strength musculoskeletal screening measures and 3D kinematic movements on bilateral hand-force performance measures in swimmers. Design: Cross-sectional. Setting: Institutional. Participants: 32 national-ranked junior swimmers, 100 m freestyle time (mean (SD), 60.68 s (4.81)). Main outcome measurements: Screened clinical strength, kinematic movements, and bilateral hand-force were measured. Asymmetry was defined as a percentage difference greater than 10 percent, either left (negative) or right (positive) for all variables. Results: Asymmetry of the clinical strength measures was found in ∼85% of swimmers. Athletes with symmetry of all clinical strength measures displayed symmetrical bilateral hand force production. Approximately 50% of clinically asymmetrical swimmers were able to compensate, due to summated muscle symmetry and/or an altered kinematic movement pattern, and generate symmetrical hand force. Conclusions: Symmetry of clinical strength was directly related to symmetrical force output. It is important to connect the clinical screening results to the sport-specific performance measures to ensure functional and valid screening is undertaken. Clinicians should aim for symmetry of strength in order to minimise the requirement for compensatory strategies.

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Rehabilitation
Sport Sciences
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