Para athletes across swimming, powerlifting, and throwing modalities show distinct shoulder characteristics, with swimmers demonstrating the lowest bilateral range of motion and powerlifters exhibiting greater shoulder postural alterations than swimmers bilaterally.
Key Findings
Results
Swimmers showed the lowest bilateral shoulder range of motion compared to other para athlete groups.
Differences in ROM between swimmers and other groups were statistically significant at p<0.01
The effect size for ROM differences was described as high
Total shoulder ROM was assessed bilaterally across swimming, powerlifting, and throwing para athletes
31 para athletes total participated in the study
Results
Powerlifters demonstrated higher values in shoulder posture bilaterally compared to swimmers, indicating greater postural alterations.
Differences in posture between powerlifters and swimmers were statistically significant at p<0.01
The effect size for posture differences was described as high
Postural assessments were conducted bilaterally
Powerlifting para athletes exhibited greater shoulder postural alterations than swimmers bilaterally
Results
No statistical differences in muscle function were found across sports modalities or types of impairments.
Muscle function was assessed using isometric muscle strength
Comparisons were made both across sport modalities (swimming, powerlifting, throwing) and across types of impairments
One-way ANOVA with Bonferroni post hoc tests were used for group comparisons
No significant differences in muscle function were identified in either grouping variable
Methods
The study assessed shoulder range of motion, posture, and isometric muscle strength in 31 para athletes across three sports modalities.
Sports modalities included swimming, powerlifting, and throwing
Total sample size was 31 para athletes
Data distribution was checked using the Shapiro-Wilk test
Statistical analysis used one-way ANOVA with Bonferroni post hoc tests and effect size calculations
Groups were compared both by sport modality and by type of impairment
Conclusions
The findings underscore the need for personalized assessments in para athletes, given that sport modality influences shoulder characteristics.
Pre-existing health conditions and specific demands of sports modality were identified as influencing physical functions of para athletes
Musculoskeletal alterations in the shoulder joint are commonly observed in overhead sports
Distinct shoulder profiles were identified across different para sport modalities
The authors concluded that personalized assessments are needed for para athletes
Sanchis G, Resende R, Martins P, de Mello M, Ocarino J, Mohmara Y, et al.. (2026). Shoulder characteristics in para athletes: A comparative analysis of range of motion, posture, and muscle function.. Rehabilitacion. https://doi.org/10.1016/j.rh.2026.100969