Search Results (40)

During the coronavirus 2019 pandemic, sports activities were restricted, raising concerns about their impact on the physical condition of adolescent athletes, which remained largely unquantified. This study was designed with two primary objectives: first, to precisely quantify and elucidate the differences in the physical condition of adolescent athletes before and after activity restrictions due to the pandemic; and second, to innovatively develop and validate a non-contact medical checkup application. Medical checks were conducted on 563 athletes designated for sports enhancement. Participants were junior high school students aged 13 to 15, and the sample consisted of 315 boys and 248 girls. Furthermore, we developed a smartphone application and compared self-checks using the application with in-person checks by orthopedic surgeons to determine the challenges associated with self-checks. Statistical tests were conducted to determine whether there were statistically significant differences in range of motion and flexibility parameters before and after the pandemic. Additionally, items with discrepancies between values self-entered by athletes using the smartphone application and values measured by specialists were detected, and application updates were performed. Student’s t-test was used for continuous variables, whereas the chi-square test was used for other variables. Following the coronavirus 2019 pandemic, athletes were stiffer than during the pre-pandemic period in terms of hip and shoulder joint rotation range of motion and heel–buttock distance. The dominant hip external rotation decreased from 53.8° to 46.8° (p = 0.0062); the non-dominant hip external rotation decreased from 53.5° to 48.0° (p = 0.0252); the dominant shoulder internal rotation decreased from 62.5° to 54.7° (p = 0.0042); external rotation decreased from 97.6° to 93.5° (p = 0.0282), and the heel–buttock distance increased from 4.0 cm to 10.4 cm (p < 0.0001). The heel–buttock distance and straight leg raising angle measurements differed between the self-check and face-to-face check. Although there are items that cannot be accurately evaluated by self-check, physical condition can be improved with less contact by first conducting a face-to-face evaluation under appropriate guidance and then conducting a self-check. These findings successfully address our primary objectives. Specifically, we demonstrated a significant decline in the physical condition of adolescent athletes following pandemic-related activity restrictions, thereby quantifying their impact. Furthermore, our developed non-contact medical checkup application proved to be a viable tool for monitoring physical condition with reduced contact, although careful consideration of measurable parameters is crucial. This study provides critical insights into the long-term effects of activity restrictions on young athletes and offers a practical solution for health monitoring during infectious disease outbreaks, highlighting the potential for hybrid checkup approaches. Full article

Objectives: Shoulder injury prevalence appears to be the highest among all injuries in CrossFit (CF) athletes. Nevertheless, there is no evidence deriving from prospective studies to explain this phenomenon. The purpose of this study was to document shoulder injury incidence in CF participants over a 12-month period and prospectively investigate the risk factors associated with their demographic, epidemiological, and functional characteristics. Methods: The sample comprised 109 CF athletes in various levels. Participants’ data were collected during the baseline assessment, using a specially designed questionnaire, as well as active range of motion, muscle strength, muscle endurance, and sport-specific tests. Non-parametric statistical tests and inferential statistics were employed, and in addition, linear and regression models were created. Logistic regression models incorporating the study’s continuous predictors to classify injury occurrence in CF athletes were developed and evaluated using the Area Under the ROC Curve (AUC) as the performance metric. Results: A shoulder injury incidence rate of 0.79 per 1000 training hours was recorded. Olympic weightlifting (45%) and gymnastics (35%) exercises were associated with shoulder injury occurrence. The most frequent injury concerned rotator cuff tendons (45%), including lesions and tendinopathies, exhibiting various severity levels. None of the examined variables individually showed a statistically significant correlation with shoulder injuries. Conclusions: This is the first study that has investigated prospectively shoulder injuries in CrossFit, creating a realistic profile of these athletes. Despite the broad spectrum of collected data, the traditional statistical approach failed to identify shoulder injury predictors. This indicates the necessity to explore this topic using more sophisticated techniques, such as advanced machine learning approaches. Full article

Background/Objectives: Overhead athletes, including swimmers, are prone to shoulder adaptations and pathologies, such as scapular dyskinesis (SD) and glenohumeral internal rotation deficit (GIRD). While SD has been extensively studied in various overhead sports, its prevalence and clinical implications in swimmers remain unclear. This study aims to evaluate static scapular asymmetries (SAs), defined as differences in the observed position of the scapulae at rest or in a fixed position, in young elite swimmers and compare these findings with functional scapular dyskinesis (SD) tests, which assess alterations in scapular motion patterns during arm movement. It also assesses potential relationships between SA and SD. Methods: A cohort of 661 young elite swimmers (344 males, 317 females) was assessed during the National Young Swimming Championships. Scapular asymmetries were measured in two positions: at rest and at 90° abduction with internal rotation. The measurements included the following: (1) dHeight: Difference in superomedial scapular angle height from the C7 spinal process; (2) dDistance: Difference in the distance of the superomedial scapular angle from the body midline; (3) dAngle: Angular deviation of the medial scapular border from the plumb line, assessed using a goniometer. The presence of scapular dyskinesis (SD) was determined using a functional test, and SA findings were compared with SD results. Statistical analyses included ANOVA and chi-square tests, with significance set at p < 0.05. Results: Scapular asymmetries were observed in 3.63% to 15.43% of swimmers, with no significant associations with age, gender, BMI, training years, or swimming characteristics (p > 0.05). A significant difference was observed between dominant limb and scapular height in abduction (p < 0.05). In position 1 (resting position), SA was significantly more prevalent in swimmers without SD (p < 0.001 for dHeight, p = 0.016 for dDistance). In position 2 (abduction), SA was significantly associated with SD-negative subjects in dAngle (p = 0.014) and dDistance (p = 0.02), while dHeight was not significant (p > 0.05). These findings suggest that static scapular asymmetries do not necessarily correlate with dynamic scapular dysfunction (SD), and, indeed, a negative correlation was observed where SA was significantly more prevalent in swimmers without SD in several measures (position 1, p < 0.001 for dHeight and p = 0.016 for dDistance; position 2, p = 0.014 for dAngle and p = 0.02 for dDistance). Conclusions: Young elite swimmers exhibit a relatively symmetrical scapular positioning, with scapular asymmetries potentially representing normal adaptations rather than pathological findings. The lack of positive correlation between SA and SD, and the higher prevalence of SA in SD-negative subjects, suggests the need for caution when interpreting static scapular assessments in swimmers as SA may reflect sport-specific adaptations rather than pathology. Full article

Background/Objectives: The objective of this study was to compare muscular strength and neuromuscular activation characteristics between male gymnasts and physical education (PE) students during isometric shoulder extension and flexion tasks. Methods: Thirteen competitive male gymnasts (age: 19.59 ± 1.90 years; body mass: 66.54 ± 6.10 kg; height: 169.38 ± 6.28 cm; mean ± SD) and thirteen male physical education (PE) students (age: 20.96 ± 2.30 years; body mass: 74.00 ± 8.69 kg; height: 174.96 ± 4.93 cm) voluntarily participated in the study. Peak torque (PT), rate of torque development (RTD), RTD normalized to body mass (RTD/BM), and muscle activation assessed via surface electromyography (EMG), normalized to maximal EMG activity (EMG/EMGmax), were evaluated during bilateral isometric shoulder extension and flexion at a joint angle of 45°. Measurements were analyzed across the following time intervals: −50 to 0 ms (pre-tension), 0–30 ms, 0–50 ms, 0–100 ms, and 0–200 ms relative to contraction onset. Custom MATLAB R2024b scripts were used for data processing and visualization. One-way and two-way multivariate analyses of variance (MANOVAs) were conducted to test for group differences. Results: Gymnasts exhibit higher values of PT, PT/BM, RTD, and RTD/BM particularly within the early contraction phases (i.e., 0–50 ms and 0–100 ms) compared to PE students (p < 0.05 to <0.001; η² = 0.04–0.66). Additionally, EMG activity normalized to maximal activation (EMG/EMGmax) was significantly greater in gymnasts during both early and mid-to-late contraction phases (0–100 ms and 0–200 ms), (p < 0.05 to <0.001; η² = 0.04–0.48). Conclusions: These findings highlight gymnasts’ superior explosive neuromuscular capacity. Metrics like RTD, RTD/BM, and EMG offer valuable insights into rapid force production and neural activation, supporting performance monitoring, training optimization, and injury prevention across both athletic and general populations. Full article

The aim of the study was to verify the relationship between musculoskeletal pain of elite Polish goalball players and selected physique and posture characteristics. We examined 12 players. The mean age was 21.8 ± 6.0 years, and a mean training experience of 6.3 ± 3.4 years. Physique (body mass, body height, waist circumference, fat tissue, fat-free soft tissue) and posture (thoracic kyphosis and lumbar lordosis) and range of motion (in the thoracic and lumbar regions) were assessed. The incidences and locations of musculoskeletal pain were identified using the Nordic Musculoskeletal Questionnaire, covering the period from the last seven days (NMQ-7) and six months (NMQ-6). Due to the small group size, non-parametric tests (Spearman’s rank correlation) were used. The significance level was set at p < 0.05. Players were more likely to report musculoskeletal pain in the last six months than in the previous week. Pain reported in both NMQ6 and NMQ7 was most common in the wrists/hands and lower back, and, in NMQ6, also in the shoulders and ankles/feet. There were significant negative correlations of total NMQ7 with lumbar lordosis angle in the habitual standing position (R = −0.6; p = 0.04), trunk flexion (R = −0.8, p = 0.002), and trunk extension (R = −0.6; p = 0.03), and a positive correlation with thoracic kyphosis angle in trunk flexion (R = 0.8, p = 0.005). There was a statistically significant, inversely proportional relationship of thoracic kyphosis angle values in the habitual position (R = −0.58; p = 0.049) and thoracic kyphosis angle THA in trunk flexion (R = −0.6; p = 0.038) with time of disability. Relationships between some body posture parameters and musculoskeletal pain in the studied athletes were also noted. Full article

Background/Objectives: Mixed martial arts (MMA) is a combat sport which heavily involves upper limb strength, mobility, and stability. Shoulder injuries, given their impact on striking and grappling, may significantly hinder performance and career longevity. However, their specific effects on competitive outcomes remain poorly defined. This study evaluates return-to-sport rates, fight performance, and long-term success in professional MMA athletes following shoulder injuries. Methods: A retrospective cohort study was conducted using publicly available databases to identify professional MMA fighters from the UFC, Bellator, and Strikeforce who sustained shoulder injuries requiring withdrawal from scheduled bouts. Fighter demographics, injury characteristics, and treatment approaches were recorded. Performance metrics—including winning percentage, takedown (TD), knockdown (KD), and significant strike (SS) rates—were compared before and after injury. Independent t-tests were used, and significance was set at p < 0.05. Results: A total of 27 fighters with 34 documented shoulder injuries were included. The most common injury was a torn labrum (41.2%), with 76.5% requiring surgical intervention. Aggregate winning rates significantly declined from 81.96% pre-injury to 54.7% post-injury (p < 0.001). Aggregate KD rates also dropped significantly (p < 0.001), while TD rates trended downward without reaching statistical significance. SS rates remained stable, suggesting potential compensatory mechanisms. Injury recurrence was observed in 22.2% of cases. Conclusions: Shoulder injuries in MMA are associated with a substantial decline in competitive success, particularly in knockout capability, emphasizing the critical role of shoulder integrity in fight performance. The high recurrence rate suggests the need for optimized rehabilitation protocols and stricter return-to-sport guidelines to enhance fighter longevity. Full article

Non-contact injuries are common in collegiate throwing athletes. Identifying musculoskeletal issues that predispose athletes to injuries would be valuable for reducing the associated risk. The purpose of this pilot study was to use binomial logistic regression to identify injury-prone athletes with multiple pre-season functional measures and demographic information. Eighteen Division II baseball and softball athletes underwent pre-season functional testing including measures of manual muscle testing of the dominant shoulder muscles (MMT), the functional movement screen (FMS), and closed kinetic chain upper extremity stability (CKCUES). A certified athletic trainer at the university diagnosed and documented the injuries that these athletes sustained over the course of the season. Binomial logistic regression models were used to assess the effects of FMS composite score, CKCUES normative score, MMT scores, and demographic information on the likelihood that participants would sustain (a) any type of injury and (b) a shoulder injury during the competitive season. The model for injury was not significant (p = 0.822), correctly classifying 72.2% of cases. The model for shoulder injury was significant (p = 0.039) and correctly classified 100% of cases. These results suggest that shoulder injury incidence may potentially be predicted using sport-specific movement tests in baseball and softball athletes. A larger sample size is needed to verify these results in the future. Full article

Background/Objectives: In overhead throwing sports such as baseball and softball, upper extremity injuries are prevalent at both collegiate and high school levels. Currently, there is no universal assessment protocol to identify athletes at risk for injury or to determine their readiness to return to sport. This study aimed to investigate the relationship between shoulder internal rotation (IR) and external rotation (ER) isometric strength in a throwing position and three upper extremity functional tests among collegiate baseball players. It was hypothesized that there would not be significant correlations between shoulder IR and ER peak isometric force and the following functional assessments: the Upper Quarter Y Balance Test (YBT-UQ), seated single-arm shot put, and Closed Kinematic Chain Upper Extremity Strength Test (CKCUEST). Methods: Forty healthy collegiate baseball players volunteered for the study. After completing a self-guided warm-up, participants performed bilateral isometric shoulder IR and ER strength tests at 90 degrees of shoulder abduction and elbow flexion, followed by the three functional tests in random order. Relationships were analyzed using Pearson’s correlation coefficients (r), with a significance level set at p < 0.05. Results: Correlations were generally low, ranging from r = 0.001 to r = 0.551. Significant correlations were observed between the CKCUEST and dominant IR strength (r = 0.345, p = 0.031), dominant ER strength (r = 0.407, p = 0.010), and non-dominant ER strength (r = 0.551, p < 0.001). Additionally, a significant correlation was found between the dominant ER/IR strength ratio and the dominant arm superolateral reach on the YBT-UQ (r = −0.352, p = 0.026). No significant correlations were identified between isometric shoulder strength and the single-arm shot put. Conclusions: Most correlations were low to moderate, and only significant correlations between shoulder rotation isometric strength and one direction of the YBT-UQ and the CKCUEST were observed. Thus, shoulder rotation strength in a position similar to the cocking phase of overhead throwing may be valuable for return-to-sport criteria and injury screening for overhead athletes. However, further research is needed to validate these findings. Full article

The aim of this research was to investigate the effects of primarily asymmetrical (soccer and volleyball) and symmetrical sport load (sprint and swimming) in the upper and lower limbs on dynamic balance and muscle strength and to compare these values in the dominant and non-dominant limbs. This study employed a cross-sectional design, included 45 adolescent female athletes from four sports, divided into asymmetric (ASYM, n = 25) and symmetric (SYM, n = 20) groups. They were assessed for maximal voluntary isometric muscle contraction (MVIC) relative muscular strength using a handheld dynamometer (HHD) for shoulder external rotation (ER) and internal rotation (IR), as well as hamstring and quadricep strength. Upper and lower limb balance were also assessed using the Upper (YBT-UQ) and Lower Quarter Y Balance Test (YBT-LQ) tests. The results showed significantly greater balance in the upper extremities of swimmers and in the lower extremities of the sprinters in both the dominant (DS) and non-dominant (NDS) sides than in other groups (p < 0.0001). However, no significant difference in internal and external shoulder rotator muscles strength between the groups (p > 0.05). Although significant differences were found in hamstring strength on the dominant side and quadricep strength on both sides (p < 0.05), a notable finding was that sprint athletes consistently demonstrated stronger quadriceps muscles as compared to other groups in both the dominant and non-dominant sides. According to the current findings, there are significant differences in upper and lower body balance, hamstring, and quadricep muscle strength among sports. This suggests that athletes of asymmetrical sports may need to improve non-dominant side knee strength and balance symmetry to prevent the risk of injury. Full article

Background/Objectives: Shoulder pain is one of the most common injuries among athletes who perform overhead movements. The Athletic Shoulder Test (ASH) has been validated to measure isometric shoulder strength in rugby and baseball players but has not yet been applied to swimmers, where the prevalence of shoulder pathologies reaches up to 91%. The present study aims to validate the ASH and Inverse Athletic Shoulder Test (iASH) in swimmers and establish general values for both tests. Methods: A total of 21 swimmers from the Galician and Asturian Swimming Federation were evaluated using the ASH and iASH tests, measuring strength in three positions (180°, 135°, and 90°). Relative reliability was analysed using the Intraclass Correlation Coefficient (ICC), absolute reliability was assessed through the Standard Error of Measurement (SEM) and Minimal Detectable Change at 90% confidence (MDC90), and variability was determined using the Coefficient of Variation (CV%), applying statistical tests such as Wilcoxon. Results: The ASH and iASH tests demonstrated excellent reliability (ICC = 0.9) across all positions, with acceptable variability (CV% < 35%). No statistically significant differences were found between the preferred and non-preferred side (p > 0.05), except in the iASH test at 180°, where a difference was observed (p = 0.007). The SEM values ranged from 4.39 to 7.39 N, while the MDC90 varied between 10.22 and 17.19 N, ensuring the tests’ sensitivity in detecting real changes in shoulder strength. Conclusions: The ASH and iASH tests are reliable tools for assessing shoulder strength in swimmers and can be used to monitor muscular imbalances and prevent injuries. The symmetry in strength between both sides supports their applicability in preventive programmes. Full article

Background/Objectives: Repeated spiking and serving movements in volleyball can lead to alterations in shoulder range of motion among athletes, potentially increasing the risk of shoulder instability and injury. Hence, assessing and understanding the shoulder range of motion of volleyball players is a critical concern. Therefore, this study aimed to understand and evaluate the bilateral shoulder joint range of motion (ROM) in high-school male volleyball athletes and to discover the adaptation characteristics. Methods: Forty high-school male volleyball athletes participated in this study. Shoulder ROM measurements were taken via video with an iPhone 12 Pro Max, and we analyzed the ROM data using Kinovea software (Version 0.9.5) for both the dominant and non-dominant side. The shoulder ROM measurements included shoulder hyper-extension (SE), flexion (SF), internal rotation (IR), external rotation (ER), horizontal adduction (Sadd), and horizontal abduction (Sabd). After taking shoulder ROM measurements, the total rotational range of motion (TROM) was calculated based on the participants’ shoulder internal rotation and external rotation data, and we calculated the incidence of glenohumeral internal rotation deficiency (GIRD) among participants. Paired samples t-tests were used to analyze shoulder ROM differences between the dominant and non-dominant side. Results: The dominant side of the shoulder showed significantly lower internal rotation (dominant side: 42.17 ± 11.23°; non-dominant side: 52.14 ± 10.46°; p = 0.000) and total rotational ROM (dominant side: 137.11 ± 13.09°; non-dominant side: 141.96 ± 13.22°; p = 0.021) compared to the non-dominant side. Conversely, the dominant side of the shoulder exhibited significantly greater external rotation (dominant side: 94.96 ± 10.02°; non-dominant side: 89.83 ± 7.84°; p = 0.001) and shoulder horizontal adduction (dominant side: 44.87 ± 8.10°; non-dominant side: 39.60 ± 7.24°; p = 0.000) than the non-dominant side. No significant differences were found in other measured parameters. The incidence of glenohumeral internal rotation deficiency (GIRD) among all subjects was 37.5%. Conclusions: High-school male volleyball athletes in this study exhibited tightness in the posterior shoulder of their dominant side, indicating specific adaptations in shoulder ROM and a considerable prevalence of GIRD, observed in approximately one-quarter of the athletes. In conclusion, these data suggest that stretching and eccentric muscle training focusing on the posterior shoulder have potential value in mitigating these adaptations and reducing the risk of shoulder injuries. Full article

Background/Objectives: The Athletic Shoulder Test (ASH) has been described as one of the most promising upper-extremity tests to assess performance in overhead athletes. Its high reliability rates, short testing period, and applicability in any environment with portable and cheap equipment have been highlighted as some of the advantages of the test. However, it has yet to be evaluated in a non-adult athletic population. Therefore, the aim of this study was to investigate the ASH test’s psychometric properties in a sample of young tennis players. Methods: A total of 33 adolescent tennis players were evaluated among two sessions with a week interval. Intra-rater, inter-rater, and test-retest reliability were investigated. Additionally, possible correlations with measures of rotational shoulder strength and upper-extremity performance were examined. Two novice physiotherapists performed all the measurements following appropriate training. Results: The relative reliability scores, as calculated by intraclass correlation coefficient (ICC) indices, were found to be excellent (ICC = 0.924–0.988). Standard error of measurement and minimal detectable change scores have been estimated per position (SEM = 2.74–7.06 N, MDC = 7.55–19.42N). Test-retest reliability provided slightly higher SEM and MDC scores on average (SEM = 3.33–6.47, MDC = 9.32–18.04) than intra-rater and inter-rater reliability. Associations between ASH and the two tests were found to be moderate to strong (r = 0.584–0.856), with the dominant arm providing higher correlation scores (r = 0.605–0.856) than the non-dominant one (r = 0.584–0.823). Absolute values were collected and are provided for all three upper-limb tests; normalized values were calculated for ASH and rotational strength and peak torque only for the ASH measurements. Conclusions: The excellent reliability rates establish the ASH test as a highly recommended testing protocol for adolescent tennis players. Full article

Objectives: This study aimed to examine the differences in shoulder ultrasonographic parameters between overhead aquatic athletes and their relationship with shoulder pain. Methods: Sixty-four healthy junior subjects (n = 128 shoulders) participated in the study, including 17 healthy controls, 25 elite junior swimmers, and 22 elite junior water polo players. An ultrasonographic study of the shoulder was carried out to measure the thickness of the rotator cuff structures in sex- and age-paired groups. Results: Compared to controls, female and male swimmers and water polo players had thicker values in the rotator cuff tendons, including the subscapularis (SSB) (p < 0.001), supraspinatus (p < 0.001), infraspinatus (p < 0.001) and teres minor (Tm) (p < 0.025). The female swimmers had thicker values than the water polo players in the SSB (p < 0.001) and Tm (p < 0.011). In the comparison by sexes, the female controls had a thinner LHBB, SSB and Tm (p < 0.019), the female swimmers had a thinner ISP (p = 0.001), and the female water polo players had a thinner LHBB, SSB, ISP and acromiohumeral distance than their group-paired counterparts (p < 0.018). Finally, the females had a lower incidence of positive Jobe test results compared to the males (p = 0.018), which was associated with lower pain scores at rest (p < 0.034) and during training (p < 0.036). Conclusions: The rotator cuff tendon structures were larger in the healthy overhead aquatic athletes compared to the age- and sex-paired controls. The females had smaller values in the shoulder ultrasonographic tendon parameters compared to the age- and sport-paired males, except for the supraspinatus tendon. Full article

This randomized controlled trial investigated the effects of neuro-athletic training (NAT) on flexibility, spike speed, and upper extremity stability in elite volleyball players. Thirty professional male athletes aged 18–23 years old (mean age of 19.5 ± 1.77 years old in the NAT group and 19.8 ± 1.87 years old in the control group) participated, with 26 completing this study. The participants were randomly assigned into an NAT intervention group or a control group continuing traditional training. Both groups trained three days per week for eight weeks, with the NAT program targeting neuromuscular adaptations while maintaining equal total training durations. Flexibility was assessed using the Sit and Reach Test, spike speed was evaluated using the Pocket Radar Ball Coach, and upper extremity stability was measured using the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST). The NAT group demonstrated significant improvements across all performance metrics. Flexibility increased significantly (p = 0.040; Cohen’s d = 0.845), indicating improved range of motion and musculoskeletal adaptability. Spike speed showed a highly significant improvement (p < 0.001; Cohen’s d = 1.503), reflecting enhanced neuromuscular coordination and power. Similarly, upper extremity stability exhibited substantial gains (p = 0.002; Cohen’s d = 1.152), highlighting improved shoulder stability and motor control. In contrast, the control group did not show statistically significant changes in their flexibility (p = 0.236; Cohen’s d = 0.045), spike speed (p = 0.197; Cohen’s d = 0.682), or upper extremity stability (p = 0.193; Cohen’s d = 0.184). Between-group comparisons confirmed the superiority of the NAT intervention, with significant differences across all metrics (p-values ranging from 0.040 to <0.001) and effect sizes spanning from moderate to large (Cohen’s d = 0.845–1.503). These findings demonstrate the effectiveness of NAT in enhancing volleyball-specific performance metrics, emphasizing its potential to target neuromuscular adaptations for improved flexibility, power, and stability. Future studies should explore the long-term effects of NAT and its applicability across various sports disciplines. Full article

(1) Background: Shoulder pathologies are mostly found in overhead sports. Many risk factors have been identified, in particular a deficit in the kinetic chain. The aim of this review was to find out whether prevention by strengthening the kinetic chain can have an impact on the rate of shoulder injury in overhead pitching athletes. (2) Methods: A systematic review of the literature was carried out, including studies on the role of the kinetic chain in the prevention of overhead athletes. The studies used were works published over the last 10 years searched on PubMed, Cochrane Library, PEDro and Science Direct. They were also analyzed by methodological quality scales: the PEDro scale and the Newcastle–Ottawa scale. (3) Results: Eight studies met the inclusion criteria. The studies analyzed revealed a significant correlation between the use of the kinetic chain and the prevention of shoulder injuries, associating factors such as muscle strength, physical performance in tests (CMJ, FMS), static and dynamic balance and the ability to transfer energy from the lower to the upper body. (4) Conclusions: It is important to integrate core stability work and lower limb strengthening to minimize excessive stress on the shoulder complex, while optimizing force production and performance. Full article