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Isokinetic Concentric Versus Eccentric Training of Shoulder Rotators with Functional Evaluation of Performance Enhancement in Elite Tennis Players

Department of Orthopaedic Surgery, the Johns Hopkins University School of Medicine, and the Bennett Institute for Sports Medicine & Rehabilitation at the Children's Hospital, Baltimore, Maryland

David B. Cohen, MD

Department of Orthopaedic Surgery, the Johns Hopkins University School of Medicine, and the Bennett Institute for Sports Medicine & Rehabilitation at the Children's Hospital, Baltimore, Maryland

Kevin R. Campbell, PhD

Department of Orthopaedic Surgery, the Johns Hopkins University School of Medicine, and the Bennett Institute for Sports Medicine & Rehabilitation at the Children's Hospital, Baltimore, Maryland

Karin Gravare, PT

Department of Orthopaedic Surgery, the Johns Hopkins University School of Medicine, and the Bennett Institute for Sports Medicine & Rehabilitation at the Children's Hospital, Baltimore, Maryland

Sanjog K. Mathur, MD

Department of Orthopaedic Surgery, the Johns Hopkins University School of Medicine, and the Bennett Institute for Sports Medicine & Rehabilitation at the Children's Hospital, Baltimore, Maryland

Thirty elite tennis players were randomly assigned to three groups to evaluate shoulder isokinetic internal and external rotation training: an isokinetic concentric group, an isokinetic eccentric group, and a control group with no training. Subjects were tested before and after training both concentrically and eccentrically using an isokinetic dynamometer. Functional output before and after training was assessed by the average and peak velocity of six maximal serves. The effect of training on serve velocity endurance was also assessed. Statisti cally significant concentric and eccentric strength gains (11 %) were obtained in both training groups when com pared with controls (decreased total average strain of 2%) (P < 0.0004). Serve velocity increased by greater than 11 % in both training groups, which was a signifi cant increase from the average of 1% in the control group (P < 0.0001). In the endurance study, training group subjects displayed a tendency to maintain their serve velocity (loss of approximately 2%) greater than controls (loss of 6.4%) (P< 0.05). Isokinetic training led to increases in objective and functional output in elite tennis players. This training regimen may have signifi cance in the final stages of the rehabilitation of injured shoulders as well as in improved performance and re duced injury risk.

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