无症状头顶运动员肩痛的发生：一项为期6个月随访的前瞻性队列研究

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2025-04-17 DOI:10.1016/j.ptsp.2025.04.003

Leonardo Luiz Barretti Secchi , Paula Rezende Camargo , Laís Emanuelle Meira Alves , Luciana De Michelis Mendonça

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引用次数: 0

摘要

目的探讨无症状头顶运动员肩关节疼痛发生的相关上肢、躯干和髋关节变量之间的相互作用。设计前瞻性队列研究。体育俱乐部设施。参与者：95名来自国家一线队的成年无症状头顶运动员，男女不限。主要观察指标：肩ER肌、前锯肌、下斜方肌、髋外展肌、HipSIT、肩部内旋（IR）活动范围（ROM）、低屈曲试验、闭合动力链上肢稳定性试验（CKCUEST）、座位药球试验（SMB-T）、上座铅球试验（USSP-T）、上肢Y平衡试验（UQYBT）和腿外侧伸展试验（LLRT）。在6个月的随访中记录了肩痛的发生情况。结果该模型对77.4%未发生肩痛的运动员和100.0%发生肩痛的运动员进行了正确分类。准确率为89% （95% CI: 83%, 96%）。UQYBT评分低于88.5%、肩内质肌等长强度高于0.780 N/kg的运动员没有出现肩痛（RR:0.02, 95% CI:0.001,0.44）。UQYBT评分在88.5%以上，USSP-T成绩在3.175m以上的运动员发生肩痛（RR:14.09, 95% CI: 3.27,60.56）。结论肩顶运动员肩痛的发生与UQYBT、肩ER肌等长强度和USSP-T的相互作用有关。

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Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up

Purpose

To identify interactions among variables of the upper limbs, trunk, and hip joint associated with shoulder pain occurrence in asymptomatic overhead athletes.

Design

prospective cohort study.

Setting

Sports club facilities.

Participants

Ninety-five adult asymptomatic overhead athletes from national first division teams, both sexes.

Main outcomes measures

Isometric strength of the shoulder ER muscles, serratus anterior, lower trapezius and hip abductors, HipSIT, shoulder internal rotation (IR) range of motion (ROM), low flexion test, closed kinetic chain upper extremity stability test (CKCUEST), seat medicine ball test (SMB-T), upper seat shot put test (USSP-T), upper quarter Y balance test [UQYBT] and leg lateral reach test (LLRT). Shoulder pain occurrence was registered during a 6-month follow-up.

Results

The model correctly classified 77.4 % of the athletes who did not develop shoulder pain and 100.0 % of those who developed shoulder pain. The accuracy was 89 % (95 %CI:83 %,96 %). Athletes with UQYBT score under 88.5 %, and isometric strength of the shoulder ER muscles above 0.780 N/kg did not develop shoulder pain (RR:0.02, 95 %CI:0.001,0.44). Athletes with UQYBT score above 88.5 % and USSP-T performance above 3.175m developed shoulder pain (RR:14.09, 95 %CI: 3.27,60.56).

Conclusion

Shoulder pain occurrence in overhead athletes was associated with interactions among UQYBT, isometric strength of the shoulder ER muscles, and USSP-T.

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.