Qais Gasibat1,2, Borhannudin Abdullah1, Shamsulariffin Samsudin1, Abdusalam Elsharief3, Cristina Ioana Alexe4, Mihaela Anghel5, Dan Iulian Alexe5

1Department of Sports Studies, University Putra Malaysia UPM, Selangor 43400, Malaysia
2Department of Physiotherapy, College of Medical Technology, Misrata, 83XX+M8C, Misrata, Libya
3Department of Surgery, Faculty of Medicine, University of Misurata, 93FH+66F, Misrata, Libya
4Department of Physical Education and Sport Performance, “Vasile Alecsandri” University of Bacău, 600115 Bacău, Romania
5Department of Physical and Occupational Therapy, “Vasile Alecsandri” University of Bacău, 600115 Bacău, Romania

The Impact of Isometric Exercises on Correcting Upper Body Muscle Imbalances in Young Elite Badminton Players

Monten. J. Sports Sci. Med. 2025, 14(1), 87-98 | DOI: doi. org/10.26773/mjssm.250310

Abstract

Overhead athletes are at a higher risk of injury when the internal rotation strength of their dominant shoulder exceeds that of the non-dominant shoulder by 9%, and the external rotation strength is 14% greater in the dominant shoulder compared to the non-dominant shoulder.Though 15% of bilateral strength difference is recognized in the literature as an imbalance. This study examined the effect of isometric exercise on muscle imbalance in young elite badminton players. The study was conducted using an experimental design with pre-test and post-test methodologies. We included approximately 80 Malaysian elite badminton players, comprising 42 male and 38 females, with an average age of 15 years and a maturity level of 2.05 peak height velocity. Participants were randomly assigned to two groups. The experimental group followed a 12-week internal and external rotation isometric exercise regimen. Three key measurements were taken during the study: pre-test data collected before any intervention, post-test1 data after 4 weeks of isometric exercises (12 sessions), and post-test2 data after 12 weeks of isometric exercises (36 sessions). A MicroFET®2 digital handheld dynamometer was used to assess muscle imbalance, focusing on the internal and external rotations of the dominant and non-dominant shoulders. The results showed a significant improvement in the muscle imbalance of the experimental group. Post-tests 1 and 2 revealed considerable improvements in the muscle imbalance ratios (p<0.01Ƞ = 0.791, 0.807). Isometric exercises were found to significantly influence muscle imbalance (p<0.01; Ƞ = 0.769). This study established a positive and significant interaction between isometric exercise repetitions and muscle imbalance within the experimental group. Overall, the findings concluded that isometric exercises can significantly decrease muscle imbalance, with positive and significant effects observed even after just 4 weeks of the intervention in the treatment group.

Keywords

muscle imbalance; non-dominant shoulder; isometric exercises; genders; maturation



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References

Ahtiainen, J. P., Pakarinen, A., Alen, M., Kraemer, W. J., & Häkkinen, K. (2005). Short vs. long restperiod between the sets in hypertrophic resistance training: influence on muscle strength, size, and hormonal adaptations in trained men. The journal of strength & conditioning research, 19(3), 572 582

Aljandali, A. (2017). Multivariate methods and forecasting with IBM® SPSS® statistics (pp. 80-95). Berlin/Heidelberg, Germany: Springer. https://worldcat.org/title/975366107

Anastasio, A. T. (2020). Discrete isometric exercise for the individual with time and facility constraints. ACSM's health & fitness journal, 24(2), 22-30. https://doi.org/10.1249/FIT.0000000000000556

Birrer, D., & Morgan, G. (2010). Psychological skills training as a way to enhance an athlete's performance in high‐intensity sports. Scandinavian journal of medicine & science in sports, 20, 78-87. https://doi.org/10.1111/j.16000838.2010.01188.x

Blomstrand, E. L. I. A. S., & Demant, M. (2017). Simulation of a badminton racket. A parametric study of racket design parameters using finite element analysis. Master Dissertation, University of Technology.

Bolotin, A., & Bakayev, V. (2016). Efficacy of using isometric exercises to prevent basketball injuries. Journal of physical education and sport, 16(4), 1177-1185.‏ https://doi.org/10.7752/jpes.2016.04188

Brumitt, J., & Dale, R. B. (2009). Integrating shoulder and core exercises when rehabilitating athletes performing overhead activities. North American journal of sports physical therapy: NAJSPT, 4(3), 132-138. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953337/

Chua, Y. P. (2011). Kaedah dan statistik penyelidikan: kaedah penyelidikan. Mcgraw Hill Education. http://eprints.um.edu.my/id/eprint/10246

Clifford, C., Challoumas, D., Paul, L., Syme, G., & Millar, N. L. (2020). Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ open sport & exercise medicine, 6(1), 1-19. http://dx.doi.org/10.1136/bmjsem-2020-000760

Cohen, J. (1992). Statistical power analysis. Current directions in psychological science, 1(3), 98-101.

Coinceicao, A., Parraca, J., Marinho, D., Costa, M., Louro, H., Silva, A., & Batalha, N. (2018). Assessment of isometric strength of the shoulder rotators in swimmers using a handheld dynamometer: a reliability study. Acta of bioengineering and biomechanics, 20(4), 114-119. http://dx.doi.org/10.5277/ABB-01237-2018-02

Cools, A. M., De Wilde, L., Van Tongel, A., Ceyssens, C., Ryckewaert, R., & Cambier, D. C. (2014). Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. Journal of shoulder and elbow surgery, 23(10), 1454-1461. https://doi.org/10.1016/j.jse.2014.01.006

Du, Y., & Fan, Y. (2023). The effect of fatigue on postural control and biomechanical characteristic of lunge in badminton players. Bioengineering, 10(3), 2-12. https://doi.org/10.3390/bioengineering10030301

Folland, J. P., & Williams, A. G. (2007). Morphological and neurological contributions to increased strength. Sports medicine, 37 (2), 145-168. https://doi.org/01121642/07/0002 0145/$44.95/0

Gerstner, G. R., Mota, J. A., Giuliani, H. K., Weaver, M. A., Shea, N. W., & Ryan, E. D. (2022). The impact of repeated bouts of shiftwork on rapid strength and reaction time in career firefighters. Ergonomics, 65(8), 1086-1094. https://doi.org/10.1080/00140139.2021.2016997

Hadzic, V., Sattler, T., Veselko, M., Markovic, G., & Dervisevic, E. (2014). Strength asymmetry of the shoulders in elite volleyball players. Journal of athletic training, 49(3), 338-344. https://doi.org/10.4085/1062-6050-49.2.05

Häkkinen, K., Alen, M., Kallinen, M., Newton, R. U., & Kraemer, W. J. (2000).Neuromuscular adaptation during prolonged strength training, detraining and re-strength-training in middle-aged and elderly people. European journal of applied physiology, 83 (2000), 51 62. https://doi.org/10.1007/s004210000248

Hams, A., Evans, K., Adams, R., Waddington, G., & Witchalls, J. (2019). Reduced shoulder strength and change in range of motion are risk factors for shoulder injury in water polo players. Physical therapy in sport, 40, 231-237. https://doi.org/10.1016/j.ptsp.2019.10.003

Izraelski, J. (2012). Assessment and treatment of muscle imbalance: The Janda approach. The journal of the canadian chiropractic association, 56(2), 156-159. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364069/

Kaldau, N. C., Kerr, S., McCaig, S., & Hölmich, P. (2021). Training and injuries among world elite junior badminton players–Identifying the problems. Asia Pacific journal of sports medicine, arthroscopy, rehabilitation and technology, 26, 21-26. https://doi.org/10.1016/j.asmart.2021.07.003

Kamalden, T. F. T., & Gasibat, Q. (2021). Muscle imbalance in badminton athletes: Preventive training programmes need to be designed. Sport Sciences for health, 17(1), 263 264.https://doi.org/10.1007/s11332-020-00700-z

Kinsella, R., Cowan, S. M., Watson, L., & Pizzari, T. (2017). A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Pilot and feasibility studies, 3(1), 2-12. https://doi.org/10.1186/s40814017-0190-3

Kloubec, J. A. (2010). Pilates for improvement of muscle endurance, flexibility, balance, and posture. The journal of strength & conditioning research, 24(3), 661-667. https://doi.org/10.1519/JSC.0b013e3181c277a6

Kraemer, W. J., Adams, K., Cafarelli, E., Dudley, G. A., Dooly, C., Feigenbaum, M. S., & Triplett McBride, T. (2002). American college of sports medicine position stand. Progression models in resistance training for healthy adults. Medicine and science in sports and exercise, 34(2), 364-380. 200202000-00027 https://doi.org/10.1097/00005768

Kozieł, S. M., & Malina, R. M. (2018). Modified maturity offset prediction equations: validation in independent longitudinal samples of boys and girls. Sports medicine, 48(1), 221–236. https://doi.org/10.1007/s40279-017-0750-y

Lim, H. Y., & Wong, S. H. (2018). Effects of isometric, eccentric, or heavy slow resistance exercises on pain and function in individuals with patellar tendinopathy: A systematic review. Physiotherapy research international, 23(4), 1-15. https://doi.org/10.1002/pri.1721

Lum, D., & Barbosa, T. M. (2019). Brief review: effects of isometric strength training on strength and dynamic performance. International journal of sports medicine, 40(06), 363-375. https://doi.org/10.1055/a-0863-4539

Malliaras, P., Cook, J., Purdam, C., & Rio, E. (2015). Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations. journal of orthopaedic & sports physical therapy, 45(11), 887-898. https://www.jospt.org/doi/10.2519/jospt.2015.5987

Malliou, P. C., Giannakopoulos, K., Beneka, A. G., Gioftsidou, A., & Godolias, G. (2004). Effective ways of restoring muscular imbalances of the rotator cuff muscle group: a comparative study of various training methods. British journal of sports medicine, 38(6), 766-772. http://dx.doi.org/10.1136/bjsm.2003.009548

Moore, S. A., McKay, H. A., Macdonald, H., Nettlefold, L., Baxter-Jones, A. D., Cameron, N., & Brasher, P. M. (2015). Enhancing a somatic maturity prediction model. Medicine & science in sports & exercise, 47(8), 1755-1764. https://doi.org/10.1249/MSS.0000000000000588

Nekooei, P., Tengku-Fadilah, T. K., Amri, S., Baki, R. B., Majlesi, S., & Nekouei, P. (2021). Effect of land and aquatic medicine ball training on shoulder imbalance among water polo players. Doctoral Dissertation, UPM.

Nekooei, P., Tengku-Fadilah, T. K., Amri, S., Baki, R. B., Majlesi, S., & Nekouei, P. (2019). Anatomical shoulder movement strength imbalance among water polo overhead athletes. International journal of kinesiology and sports science, 7(2), 15-20. http://dx.doi.org/10.7575/aiac.ijkss.v.7n.2p.15

Parle, P. J., Riddiford-Harland, D. L., Howitt, C. D., & Lewis, J. S. (2017). Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect?. British journal of sports medicine, 51(3), 208-209. http://dx.doi.org/10.1136/bjsports-2016-096107

Pennock, A. T., Dwek, J., Levy, E., Stearns, P., Manning, J., Dennis, M. M., & Taylor, K. S. (2018). Shoulder MRI abnormalities in asymptomatic little league baseball players. Orthopaedic journal of sports medicine, 6(2), 2-6. https://doi.org/10.1177%2F2325967118756825

Rio, E., Kidgell, D., Purdam, C., Gaida, J., Moseley, G. L., Pearce, A. J., & Cook, J. (2015). Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. British journal of sports medicine, 49(19), 1277-1283. http://dx.doi.org/10.1136/bjsports-2014-094386

Schrama, P. P., Stenneberg, M. S., Lucas, C., & van Trijffel, E. (2014). Intraexaminer reliability of hand-held dynamometry in the upper extremity: a systematic review. Archives of physical medicine and rehabilitation, 95(12), 2444-2469. https://doi.org/10.1016/j.apmr.2014.05.019

Shakudo, M., Takegami, M., Shibata, A., Kuzumaki, M., Higashi, T., Hayashino, Y., &Fukuhara, S. (2011). Effect of feedback in promoting adherence to an exercise programme: a randomized controlled trial. Journal of evaluation in clinical practice, 17(1), https://doi.org/10.1111/j.1365-2753.2009.01342.x

Siregar, A. H. (2021). The Effectiveness of using the zondaag maandag traditional sports game model to improve learning outcomes of basic motion for children aged 10-12 years. Budapest international research and critics institute-journal (BIRCI-journal), 4(1), 1226-1235. https://doi.org/10.33258/birci.v4i1.1740

Stausholm, M. B., Baun, M., Bjordal, J. M., Nielsen, D., Aagaard, H., Magnusson, S. P., & Couppé, C. (2021). Shoulder rotational strength profiles of Danish national level badminton players. International journal of sports physical therapy, 16(2), 504-510. https://doi.org/10.26603/001c.21531

Sumartiningsih, S. (2021). The Effect of Balance Training on Ankle Sprains in Badminton Players. ACPES Journal of physical education, sport, and health (AJPESH), 1(1), 57-63. https://orcid.org/0000-0002-3971-5092

Sung, D. J., Park, S. J., Kim, S., Kwon, M. S., & Lim, Y. T. (2016). Effects of core and non-dominant arm strength training on drive distance in elite golfers. Journal of sport and health science, 5(2), 219-225.‏ https://doi.org/10.1016/j.jshs.2014.12.006

Swann, C., Moran, A., & Piggott, D. (2015). Defining elite athletes: Issues in the study of expert performance in sport psychology. Psychology of sport and exercise, 16, 3-14. https://doi.org/10.1016/j.psychsport.2014.07.004

Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (Vol. 6, pp. 497 516). Boston, MA: pearson.

Tatlici, A., Unlu, G., Cakmakci, E., & Cakmakci, O. (2021). Investigation of the relationship between strength and dynamic balance performance in elite wrestlers. Ido movement for culture. Journal of martial arts anthropology, 21(3), 18-22. http://dx.doi.org/10.14589/ido.21.3.3

Tiwari, L. M., Rai, V., & Srinet, S. (2011). Relationship of selected motor fitness components with the performance of badminton player. Asian journal physics education, computer science and sports, 5(1), 88-91.

Tülin, A. T. A. N., Keskin, D. Ö. Y., Çamlidağ, İ., & Derebaşi, D. G. (2019). Analysis of dominant and non-dominant biceps and deltoid muscle volumes of badminton players. Turkish journal of sport and exercise, 21(2), 323-327. https://doi.org/10.15314/tsed.496133

Wang, I. L., Chen, Y. M., Jiang, Y. H., Wang, J., Chiu, W. C., & Chiu, Y. S. (2020). Immediate effect of acupuncture on performance in the drop jump task: a single-group pretest–posttest experimental study. European journal of integrative medicine, 36, 2-8. https://doi.org/10.1016/j.eujim.2020.101120