Rehabilitation strategies and magnetic resonance imaging techniques for shoulder injuries in sports

Abstract

ObjectiveShoulder sleeve injuries are high-risk in men's tennis, with rehabilitation focusing on activating shoulder muscle groups to regain strength. Specific plans use electromyography and isokinetic instruments to compare muscle activity and torque pre- and post-rehabilitation. The goal is to explore training effects on rotator cuff injuries and assess routine MRI and MRI shoulder arthrography for diagnostic value in shoulder injuries. This aims to provide a reference for restoring shoulder function in male tennis players. MethodsTwenty college students (n = 20) with rotator cuff injuries from a university tennis program were selected as experimental subjects, matched based on gender and injury severity, and divided into experimental (n = 10) and control (n = 10) groups. A paired sample T-test assessed the impact of rehabilitation training on muscle recruitment and strength around the shoulder joint in the experimental group before and after training. This evaluated the influence of rehabilitation plans on shoulder muscle mobilization and strength. Another paired sample T-test compared indicators before and after the experiment, examining mechanisms underlying the effects of functional rehabilitation training on shoulder sleeve injuries in male tennis players. Results(1) Surface electromyography (EMG) results for internal/external rotation showed a significant increase in anterior, middle, and posterior deltoid EMG values (P < 0.05). Supraspinatus and infraspinatus muscles exhibited substantial increases (P < 0.01), while no significant change occurred in the teres minor muscle. (2) Adduction/abduction EMG tests at 60°/s, 90°/s, and 120°/s revealed significant increases (P < 0.01) in deltoid bundles and supraspinatus/infraspinatus muscles for both experimental and control groups. Teres minor muscle showed no significant change. (3) Isokinetic muscle strength tests indicated a significant peak torque increase (P < 0.01) during inward/outward rotation at 60°/s, 90°/s, and 120°/s for the experimental group compared to the control group. ConclusionA 10-week functional shoulder rehabilitation training program can enhance the strength, endurance, and neuromuscular recruitment of shoulder-related muscles in male tennis players with rotator cuff injuries. This approach, combined with the diagnostic capabilities of routine MRI and MRI shoulder arthrography, enables modifications in the body's ongoing adaptation to injuries. This, in turn, contributes to improved shoulder joint stability and effectively facilitates the functional recovery of the rotator cuff muscle group.