Prevalence and associated factors of nontraumatic shoulder pain during spike and serve movements in male high school volleyball players: a cross-sectional study

IF 2.9 2区医学 Q1 ORTHOPEDICS

Journal of Shoulder and Elbow Surgery Pub Date : 2024-10-05 DOI:10.1016/j.jse.2024.08.015

Yasuaki Mizoguchi MS, PT, CSCS , Kenta Suzuki MS, PT , Seita Hasegawa PT , Hotaka Nakagawa MS, PT , Fumihiko Kimura PhD, MD , Toby Hall PhD, PT , Kiyokazu Akasaka PhD, PT

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引用次数: 0

Abstract

Background/Hypothesis

Nontraumatic shoulder pain is a prevalent issue among male high school volleyball players, yet prior research has often limited its assessment to isolated aspects of shoulder function. This study aimed to identify contributing factors to shoulder pain in this population. We hypothesized that limited shoulder internal rotation (IR) range of motion (ROM), imbalance in rotator cuff muscle strength, intrinsic sensory disturbance, and joint stability are associated with shoulder pain in male high school volleyball players. Additionally, we anticipated that a substantial proportion of players would experience shoulder pain but refrain from reporting it to coaches.

Methods

Forty-nine male volleyball players aged 15-17 years were evaluated between February and June 2023. Questionnaires assessed the prevalence of shoulder pain during spiking and/or serving and the frequency of reporting this pain to coaches. Factors such as acromio-humeral distance, shoulder passive ROM, isometric strength, proprioception, joint stability (Upper Quarter Y-Balance Test), joint position sense, and upper extremity power (Seated Medicine Ball Throw Test) were quantified. Logistic regression analyses were conducted to explore associations between these variables and shoulder pain.

Results

Shoulder pain was reported by 39% of participants, with only 5% communicating it to coaches. Jump serves (odds ratio 1.84, P = .02) and reduced shoulder IR ROM (odds ratio 0.94, P = .03) were associated with shoulder pain.

Conclusion

This study provides critical insights into the prevalence, severity, and factors associated with shoulder pain among male high school volleyball players. The findings underscore the importance of improving athlete-coach communication for early intervention and prevention. Significant associations between jump serves, reduced shoulder IR ROM, and shoulder pain highlight the role of specific volleyball techniques in injury prevention, offering valuable guidance for coaches and trainers in developing targeted interventions to mitigate shoulder pain and enhance player performance.

查看原文本刊更多论文

高中男子排球运动员在扣球和发球动作中出现非创伤性肩痛的发生率和相关因素：一项横断面研究。

研究背景非创伤性肩痛是高中男子排球运动员中普遍存在的问题，但以往的研究缺乏对肩痛的全面评估，往往只是孤立地研究肩关节功能的某些特定方面。本研究旨在确定导致这一人群肩痛的因素：假设：假设肩关节内旋（IR）活动范围（ROM）受限、肩袖肌力不平衡、内在感觉障碍和关节稳定性与高中男子排球运动员的肩痛有关。此外，预计有相当一部分球员会感到肩部疼痛，但不会向教练报告：在 2023 年 2 月至 6 月期间，对 49 名 15-17 岁的排球男运动员进行了评估。问卷调查评估了扣球和/或发球时肩部疼痛的发生率，以及向教练报告疼痛的频率。对各种因素进行了量化，包括肩肱骨距离、肩关节活动度、等长力量、本体感觉、关节稳定性（上四分之一Y型平衡测试）、关节位置感和上肢力量（坐姿药球投掷测试；SMBT）。为探索这些变量与肩痛之间的潜在联系，我们进行了逻辑回归分析：39%的参与者报告了肩部疼痛，但很少向教练反映（95%）。跳跃发球（几率比 1.84，P=0.02）和肩部 IR ROM 减少（几率比 0.94，P=0.03）与肩部疼痛有关：这项研究为了解高中男子排球运动员肩部疼痛的发生率、严重程度和相关因素提供了重要依据。研究结果强调了加强运动员与教练之间的沟通以促进早期干预和预防措施的重要性。在使用跳发球、肩部内旋活动范围减小和肩部疼痛之间观察到了明显的关联，突出了特定排球技术在预防损伤方面的相关性。这些研究结果为教练员和训练员提供了宝贵的指导，帮助他们制定旨在降低肩痛风险和提高运动员表现的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Shoulder and Elbow Surgery 医学-外科

CiteScore

6.50

自引率

23.30%

发文量

604

审稿时长

11.2 weeks

期刊介绍： The official publication for eight leading specialty organizations, this authoritative journal is the only publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the upper extremity, including the shoulder girdle, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials. Journal of Shoulder and Elbow Surgery features vivid photos, professional illustrations, and explicit diagrams that demonstrate surgical approaches and depict implant devices. Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.