INTODUCTION:The aim of this study was to describe the significance of monitoring and evaluating different organic, muscular and neuromuscular parameters of athletic training in the prevention of shoulder injuries in competitive volleyball players.

METHODS:The literature on shoulder injuries of volleyball players was reviewed and the shoulder isokinetic tests of members of the Spanish national volleyball team were evaluated.

RESULTS:Shoulder injuries account for 8-20% of injuries affecting competitive volleyball players, with females suffering more severe problems. In contrast to other diarthrodial joints, there is little inherent bony stability at the glenohumeral joint. Instead, surrounding soft tissues such as ligaments and muscles are critical in enabling a full range of motion and protecting from injury. The most frequent mechanism of shoulder injury is via repeated movements of abduction and external rotation, followed by extension and internal rotation of the upper extremity during rigorous training. As such, approximately 50% of shoulder injuries in competitive volleyball players are caused by strenuous overload during training.

In order to effectively prevent such injuries, it is crucial to devise preventive programs that closely monitor the training load sustained by each athlete. The majority of such preventive training programs rely on close monitoring of a set of different organic, muscular and neuromuscular parameters to avoid shoulder injuries. Examples of such parameters include monitoring the joint mobility (organic parameter), the development and balance of muscular strength and strength resistance (muscular parameters), and achieving and maintaining neuromotor qualities such as perception and coordination abilities (neuromuscular parameters).

CONCLUSIONS:In an effort to prevent shoulder injuries in competitive volleyball athletes close monitoring and measurement of individual physical and technical abilities via a set of organic, muscular and neuromuscular parameters, should identify the limits of competitive athletic training (i.e., frequency, intensity, methodology) and assist in minimizing the risk of shoulder injuries.


Resident, Sports Medicine, Barcelona, Spain

Member of the medical team of The Spanish National Volleyball Team

Recent Announcements

Monday, 20 Feb 2017

5th Congress of ECOSEP & 2nd UAE FA Football Medicine Update 25th-27th November 2017 Dubai

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Recent Articles

Platelet Rich Plasma (PRP)

An innovative treatment, for  Musculoskeletal Pathologies , PRP uses your own blood for healing muscle, tendon and ligament injuries. 

A common form of healing is scarring which affects function . Most of the Current therapies  treating sports Injuries  do not change the intrinsically poor healing properties. Given this situation, biologically based strategies involving the stimulation of cell activities through the delivery of Growth Factors have attracted considerable interest. 

Platelet Rich Plasma is derived by placing a small amount of your blood in a filtration system which separates red blood cells from platelets. The high concentration of platelets (containing a high level of Growth Factor) is then injected into the injured tissue which initiates the body’s natural healing response.

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Extra Shockwave Therapy & Treatment

At European SportsCare, Extracorporeal Shockwave Therapy (ECSWT) is available for the treatment of musculoskeletal softtissue pathology such as Tendon, Ligament, Muscle and bone. Shockwave Therapy is a non-invasive treatment provided by fully trained Consultants providing this treatment for more than 15 years. It is available as an out-patient treatment in one of our comfortable consultation rooms at 68 Harley Street.

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Acute Lateral Ankle Sprains In Track & Field Athletes: A Proposal Of An Expanded Classification

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Ten year follow-up study comparing conservative versus operative treatment of anterior cruciate ligament ruptures. A matched-pair analysis of high level athletes

Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.

Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.

Results: We found no statistical difference between the patients treated conservatively or operatively with respect to osteoarthritis or meniscal lesions of the knee, as well as activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.

Conclusion: We conclude that the instability repair using

a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.

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The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.

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