有和没有肩痛史的青少年网球运动员的运动范围和肌肉僵硬度差异。

IF 1.6 Q3 SPORT SCIENCES
Joshua Colomar, Javier Peña, Jordi Vicens-Bordas, Ernest Baiget
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引用次数: 0

摘要

背景:由于网球运动具有明显的单侧优势,随着时间的推移,网球运动可能引起功能和形态上的不对称,并可能导致不希望的形态改变。假设/目的:本研究的目的是:a)评估有或没有肩痛史的年轻网球运动员的肩关节活动度和肌肉僵硬度;b)检查两组中这些变量的肢间不对称。假设与没有肩痛的运动员相比,有肩痛病史的运动员会表现出肩关节内旋(IR)和总运动弧度(TAM)的减少和内旋肌僵硬度的增加。研究设计:横断面观察性研究。方法:25名参与者参与研究(11名有肩痛史,14名无肩痛史)。参与者在主要网球击球动作中进行肌肉刚度测量,同时对主要(D)和非主要(ND)四肢进行运动范围检查,包括IR、外肩旋转(ER)和TAM。双向混合设计方差分析分析组效应和肢体效应,效应大小分为小、中、大。采用Bonferroni事后检验进一步检验显著效应。结果:肩痛组与无肩痛组患者的D - IR差异有统计学意义(-3.1º,6.43%,p = 0.048;效应大小[ES] = 0.58)和D TAM(-6.1º,3.01%,p = 0.024;Es = 0.66)。此外,两组患者D端和ND端IR差异有统计学意义(-9.2º,14.94%,p < 0.001;ES = -1.72)和肩痛组TAM(-5.6º,2,77%,p = 0.038;Es = 0.61)。刚度测量显示各组或四肢之间没有显著差异。结论:肩关节疼痛组的D IR和TAM值显著降低,IR不对称值较高,表明这些参数的缺陷可能与初级运动员肩关节疼痛史有关。证据等级:2。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Range of Motion and Muscle Stiffness Differences in Junior Tennis Players with and without a History of Shoulder Pain.

Background: Due to its significant unilateral predominance, tennis can provoke functional and morphological asymmetries that develop over time and may result in undesired morphological alterations.

Hypothesis/purpose: The goals of this study were a) to assess glenohumeral range of motion and muscular stiffness in young tennis players with and without a history of shoulder pain and b) to examine interlimb asymmetries in these variables in both groups. It was hypothesized that players with a history of shoulder pain would show a reduced glenohumeral internal rotation (IR) and total arc of motion (TAM) and increased stiffness in internal rotator muscles compared to those without shoulder pain.

Study design: Cross-sectional observational study.

Methods: Twenty-five participants participated in the study (11 with a history of shoulder pain and 14 without pain). Participants performed stiffness measurements on muscles involved in the main tennis stroke motions alongside range of motion examinations on the dominant (D) and non-dominant (ND) extremities including IR, external shoulder rotation (ER), and TAM. A two-way mixed-design ANOVA analyzed group and limb effects, with effect sizes classified as small, medium, or large. Significant effects were further examined using Bonferroni post hoc tests.

Results: There were significant differences between the shoulder pain and no shoulder pain group in the D IR (-3.1º, 6.43%, p = 0.048; effect size [ES] = 0.58) and D TAM (-6.1º, 3.01%, p = 0.024; ES = 0.66). Moreover, significant differences were found between the D and ND extremities in IR in both groups (-9.2º, 14.94%, p < 0.001; ES = -1.72) and TAM in the shoulder pain group (-5.6º, 2,77%, p = 0.038; ES = 0.61). Stiffness measurements showed no significant differences between groups or extremities.

Conclusions: Significantly lower values of D IR and TAM and higher IR asymmetries in the shoulder pain group suggest that a deficit in these parameters could be associated with shoulder pain history in junior competitors.

Level of evidence: 2.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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