季前赛功能运动屏幕作为高中棒球投手肩部和肘部损伤的预测工具:一项前瞻性队列研究。

IF 2.4 3区 医学 Q2 ORTHOPEDICS
Orthopaedic Journal of Sports Medicine Pub Date : 2025-02-06 eCollection Date: 2025-02-01 DOI:10.1177/23259671241305607
Hitoshi Shitara, Noritaka Hamano, Tsuyoshi Tajika, Tsuyoshi Ichinose, Tsuyoshi Sasaki, Masataka Kamiyama, Ryosuke Miyamoto, Kurumi Nakase, Fukuhisa Ino, Yuhei Hatori, Koichiro Yanai, Hirotaka Chikuda
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引用次数: 0

摘要

背景:功能运动筛查(FMS)用于评估患者的基本运动模式。目前尚不清楚FMS是否可以作为棒球运动员投球损伤发生的预测工具。目的:前瞻性研究高中棒球投手季前赛中肩肘损伤与FMS单项成分之间的关系,确定FMS中哪些成分可以作为预测肩肘损伤的筛选工具。研究设计:队列研究;证据等级2。方法:符合条件的参与者包括133名年龄在15至17岁之间的高中男性棒球投手,他们在2017年接受了季前体检。研究的参与者都是右撇子投手,他们参加了赛季前的训练,没有任何棒球活动的限制。体格检查包括评估背景因素、双侧肩关节和肘关节活动范围、握力和肩部力量以及FMS。肩部或肘部损伤被定义为任何导致不能投球≥8天的情况。在季前赛体检后立即发生的伤病被记录下来。进行Logistic回归分析以确定与损伤相关的危险因素。结果:本研究共纳入90名高中棒球投手。损伤发生率为22.2%。FMS评分的比较显示,两侧肩关节活动度显著较高(优势侧:P = 0.025;非优势侧:P = 0.034),优势侧旋转稳定性值低于非损伤组(P < 0.001)。Logistic回归分析发现,优势侧旋转稳定性差是棒球损伤的重要独立危险因素(优势比5.30;P = .009)。结论:高中右撇子棒球投手季前赛优势侧旋转稳定性FMS评分较低是下一赛季受伤的重要独立危险因素。旋转稳定性FMS评分可作为高中棒球投手投球损伤发生的预测工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Preseason Functional Movement Screen as a Predictive Tool for Shoulder and Elbow Injuries in High School Baseball Pitchers: A Prospective Cohort Study.

Background: The Functional Movement Screen (FMS) is used to evaluate fundamental movement patterns in patients. It is unknown whether the FMS can be used as a predictive tool for the occurrence of pitching injuries in baseball players.

Purpose: To prospectively investigate the relationship between shoulder and elbow injuries and individual components of the FMS during the preseason in high school baseball pitchers and determine which components of the FMS can be used as screening tools to predict shoulder and elbow injuries.

Study design: Cohort study; Level of evidence, 2.

Methods: Eligible participants comprised 133 male high school baseball pitchers aged 15 to 17 years who underwent a preseason medical examination in 2017. Included participants were right-handed pitchers who had been involved in preseason practices without restrictions in baseball activities. The physical examination included assessments of background factors, bilateral shoulder and elbow range of motion, and grip and shoulder strength as well as the FMS. A shoulder or elbow injury was defined as any condition causing the inability to pitch for ≥8 days. Injuries occurring in the season immediately after the preseason medical examination were recorded. Logistic regression analysis was performed to identify risk factors associated with an injury.

Results: Overall, 90 high school baseball pitchers were enrolled in this study. The incidence of injuries was 22.2%. A comparison of FMS scores revealed significantly higher values for shoulder mobility on both sides (dominant side: P = .025; nondominant side: P = .034) and lower values for rotary stability on the dominant side (P < .001) in the injured versus noninjured group. Logistic regression analysis identified poor rotary stability on the dominant side as a significant independent risk factor for baseball injuries (odds ratio, 5.30; P = .009).

Conclusion: In right-handed high school baseball pitchers, a low FMS score for rotary stability on the dominant side during the preseason was a significant independent risk factor for injuries in the following season. The FMS score for rotary stability may be used as a predictive tool for the occurrence of pitching injuries in high school baseball pitchers.

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来源期刊
Orthopaedic Journal of Sports Medicine
Orthopaedic Journal of Sports Medicine Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
7.70%
发文量
876
审稿时长
12 weeks
期刊介绍: The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty. Topics include original research in the areas of: -Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries -Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot) -Relevant translational research -Sports traumatology/epidemiology -Knee and shoulder arthroplasty The OJSM also publishes relevant systematic reviews and meta-analyses. This journal is a member of the Committee on Publication Ethics (COPE).
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