European Journal of Adapted Physical Activity 18, 11 (2025) | DOI: 10.5507/euj.2025.005


Assessing shoulder strength in elite sitting volleyball athletes: An isokinetic analysis of rotator cuff muscles

Mohamad Fashi1, Mohammad Reza Mahmoudkhani2, Arezoo Eskandari3, Shirko Ahmadi4,5*
1 Department of Biological Sciences in Sports, Faculty of Sports Sciences and Health, Shahid Beheshti University, Tehran, Iran
2 Sport Medicine and Health Department, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
3 Department of Exercise Physiology, Faculty of Physical Education and Sports Science, Tehran University, Tehran, Iran
4 Vitalité Health Network, Dr. Georges-L.-Dumont University Hospital Centre, Moncton, Canada
5 Maritime SPOR SUPPORT Unit, Halifax, Nova Scotia, Canada

The nature of sitting volleyball (SV) involves repeated overhead activities and rapid movement across the court using the upper limbs. Consequently, these technical demands necessitate optimal glenohumeral muscle performance, especially among professional athletes. This study aimed to investigate the shoulder rotators' isokinetic strength profile of elite SV players. Sixteen male SV national team players participated in this study. They were preparing for the Tokyo 2022 Paralympic Games, with an average age of Mean = 27.1, SD = 6.5 years, height of Mean = 188.2, SD = 17.1 cm, weight of Mean = 88.1, SD = 21.7 kg, and a BMI of Mean = 24.9, SD = 7.6 kg/m2. We used an isokinetic dynamometer to measure the peak torque, angle of peak torque, total work, and average power of the external rotator (ER) and internal rotator (IR) muscles in the dominant limb. Measurements were taken at a velocity of 60º/s in a concentric/concentric mode. The upper body Wingate anaerobic test was conducted on a modified electro-magnetically braked cycle ergometer. The IR muscles showed significantly higher values for peak torque (p = .04), total work (p = .01), and average power (p = .05) compared to the ER muscles. There was no difference in angle of peak torque (p = .31) between IR and ER muscles. This study's results may serve as a reference standard for assessing the performance of SV players, with a focus on the rotator cuff muscles in their dominant limb, aiming to enhance their quality and efficiency.

Keywords: Paralympic, isokinetic strength, glenohumeral muscles, professional athlete

Received: March 27, 2024; Revised: December 6, 2024; Accepted: March 21, 2025; Published online: May 30, 2026  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Fashi, M., Mahmoudkhani, M.R., Eskandari, A., & Ahmadi, S. (2025).
Assessing shoulder strength in elite sitting volleyball athletes: An isokinetic analysis of rotator cuff muscles. European Journal of Adapted Physical Activity18, Article 11. https://doi.org/10.5507/euj.2025.005
Download citation

References

  1. Ahmadi, S., Gutierrez, G. L., & Uchida, M. C. (2020a). Correlation between handgrip and isokinetic strength of shoulder muscles in elite sitting volleyball players. Journal of Bodywork and Movement Therapies, 24. https://doi.org/10.1016/j.jbmt.2020.07.015 Go to original source... Go to PubMed...
  2. Ahmadi, S., Gutierrez, G. L., & Uchida, M. C. (2020b). Asymmetry in glenohumeral muscle strength of sitting volleyball players: An isokinetic profile of shoulder rotations strength. Journal of Sports Medicine and Physical Fitness, 60. https://doi.org/10.23736/S0022-4707.19.10144-2 Go to original source... Go to PubMed...
  3. Ahmadi, S., & Uchida, M. C. (2021). Place of the gold standard isokinetic dynamometer in Paralympic sports: A systematic review. Human Movement, 22. https://doi.org/10.5114/hm.2021.100319 Go to original source...
  4. Ahmadi, S., Uchida, M. C., & Gutierrez, G. L. (2019). Physical performance tests in male and female sitting volleyball players: Pilot study of Brazilian national team. Asian Journal of Sports Medicine, 10. https://doi.org/10.5812/asjsm.85984 Go to original source...
  5. Bar-Or, O. (1987). The Wingate Anaerobic Test. Sports Medicine, 4. https://doi.org/10.2165/00007256-198704060-00001 Go to original source... Go to PubMed...
  6. Cavedon, V., Brugnoli, C., Sandri, M., Bertinato, L., Giacobbi, L., Bolčević, F., ... (2022). Physique and performance in male sitting volleyball players: Implications for classification and training. PeerJ, 10. https://doi.org/10.7717/peerj.14013 Go to original source... Go to PubMed...
  7. Cools, A. M., Declercq, G. A., Cambier, D. C., Mahieu, N. N., & Witvrouw, E. E. (2007). Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scandinavian Journal of Medicine & Science in Sports, 17. https://doi.org/10.1111/j.1600-0838.2006.00570.x Go to original source... Go to PubMed...
  8. Fashi, M., & Ahmadizad, S. (2021). Short-term hypoxic resistance training improves muscular performance in untrained males. Science & Sports, 36. https://doi.org/10.1016/j.scispo.2020.10.003 Go to original source...
  9. Işildak, K. (2021). The relationship between anaerobic power and arm volume and service shot speed in volleyball players. Pakistan Journal of Medical and Health Sciences, 15. https://doi.org/10.53350/pjmhs2115103230. Go to original source...
  10. Jeoung, B. (2017). Relationship between sitting volleyball performance and field fitness of sitting volleyball players in Korea. Journal of Exercise Rehabilitation, 13. https://doi.org/10.12965/jer.1735170.585 Go to original source...
  11. Lucena, E. G., Ferland, P. M., Ahmadi, S., Teixeira, L. F., Comtois, A. S., & Uchida, M. C. (2022). Isokinetic strength of shoulder rotator muscles in powerlifters: Correlation between isometric and concentric muscle actions. Journal of Sports Medicine and Physical Fitness, 62. https://doi.org/10.23736/S0022-4707.21.11921-8 Go to original source... Go to PubMed...
  12. Marszalek, J., Molik, B., Gomez, M. A., Skučas, K., Lencse-Mucha, J., Rekowski, W., ... (2015). Relationships between anaerobic performance, field tests, and game performance of sitting volleyball players. Journal of Human Kinetics, 48. https://doi.org/10.1515/hukin-2015-0088 Go to original source... Go to PubMed...
  13. Mayer, F., Horstmann, T., Kranenberg, U., Rocker, K., & Dickhuth, H. H. (1994). Reproducibility of isokinetic peak torque and angle at peak torque in the shoulder joint. International Journal of Sports Medicine, 15. https://doi.org/10.1055/s-2007-1021106 Go to original source... Go to PubMed...
  14. Simpson, D., Ehrensberger, M., Nulty, C., Regan, J., Broderick, P., Blake, C., ... (2019). Peak torque, rate of torque development and average torque of isometric ankle and elbow contractions show excellent test-retest reliability. Hong Kong Physiotherapy Journal, 39. https://doi.org/10.1142/S1013702519500069 Go to original source... Go to PubMed...
  15. Van Cingel, R., Kleinrensink, G., Stoeckart, R., Aufdemkampe, G., De Bie, R., & Kuipers, H. (2006). Strength values of shoulder internal and external rotators in elite volleyball players. Journal of Sport Rehabilitation, 15. https://doi.org/10.1123/jsr.15.3.236 Go to original source...
  16. Vargas, V. Z., Motta, C., Peres, B., Vancini, R. L., Andre Barbosa De Lira, C., & Andrade, M. S. (2020). Knee isokinetic muscle strength and balance ratio in female soccer players of different age groups: A cross-sectional study. The Physician and Sportsmedicine, 48. https://doi.org/10.1080/00913847.2019.1642808 Go to original source... Go to PubMed...
  17. Walker, O. (2016). Wingate Anaerobic Test. Science for Sport. Retrieved from Science for Sport
  18. Waller, I., Johnson, S., McVean, R., Webb, A. K., & Jones, A. M. (2017). Exploring the relationship between exercise capacity and pulmonary exacerbations in a UK adult cystic fibrosis centre. Journal of Cystic Fibrosis, 16. https://doi.org/10.1016/S1569-1993(17)30592-1 Go to original source...
  19. World ParaVolley. (2024). Sitting volleyball rankings. Retrieved March 5, 2024, from https://www.worldparavolley.org/sitting-volleyball-rankings

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.