APPLICATION OF THERAPEUTIC EXERCISES TO RESTORE THE AMPLITUDE OF MOVEMENTS IN VOLLEYBALL PLAYERS WITH SHOULDER JOINT INJURIES

The game of volleyball requires athletes to move quickly, jump high, and have a good arsenal of technical and tactical actions. An important role in volleyball is played by the athlete's technical training, which includes a set of techniques. Injuries in volleyball are relatively common. Damage to the shoulder joint is one of the most common pathologies of large joints. Athletes specializing in throwing sports are at risk and this is the most frequent cause of their incapacity. The use of various means of physical rehabilitation for the prevention of sports injuries, in particular, of the shoulder joint, requires further research. According to many authors, the main means of physical rehabilitation in the process of both prevention and physical therapy of sports injuries of the shoulder should be therapeutic exercises.

The aim of research. To substantiate the effectiveness of the use of therapeutic exercises to restore the amplitude of movements of volleyball players with injuries of the shoulder joint.

Material and methods. The practical part of the research was conducted on the basis of the sports training complex of the Prykarpattia National University named after Vasyl Stefanyk. The examined volleyball players divided into two groups. The main group underwent rehabilitation according to general principles, and the control group included volleyball players who underwent rehabilitation using the developed physical therapy program. Research methods: analysis of scientific and methodological literature, joint mobility assessment method, goniometry, TAM (Total Active Motion) scale, SAN method, scale (VASH), methods of mathematical statistics.

The results. On the basis of the obtained data, a physical therapy technique was developed to restore the amplitude of movements in volleyball players with shoulder joint injuries using therapeutic exercises based on active-passive stretching of the shoulder joint, the use of which should contribute to reducing risks and speedy recovery. When examining the musculoskeletal system, all types of movements in the injured limb were significantly improved in patients of the main group (p <0.001). The goniometry of the shoulder joint during the repeated examination was: flexion of the injured arm in the control group - 59.20 ± 0.80, in the main group - 78.60 ± 1.63 (p < 0.001).The same regularity was observed during repeated examination of the girth of the shoulder segment. After the practical implementation of a physical therapy program to restore the range of motion in the shoulder joint of volleyball players, an improvement in their condition was determined, which was manifested by a decrease in complaints and intensity of pain syndrome, improvement in the condition of the shoulder joint, normalization of muscle condition, improvement in physical activity, and quality of life.

Conclusions. Test results at the initial stage showed violations in the amplitude of movements of the shoulder joint in volleyball players, the evaluation of the results of which indicates the presence of a low level of recovery and the risks that arise as a result in both groups.

Based on the obtained data, a physical therapy program was developed for volleyball players with shoulder joint injuries, which included therapeutic exercises and rehabilitation massage.

The obtained parameters of the implementation of the developed program indicate that the developed method of physical therapy should be used to restore the range of motion in volleyball players with shoulder joint injuries.