{"title":"参与投掷和球拍运动后肩部活动范围和肌肉力量以及上肢表现的变化：一项系统回顾和荟萃分析。","authors":"Jayne Pereira Silva, Vander Gava, Alessandra Pereira Ribeiro, Rodrigo Scattone Silva, Danilo Harudy Kamonseki, Germanna Medeiros Barbosa","doi":"10.1177/17585732251327677","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To systematically review studies investigating alterations in shoulder range of motion (ROM), muscle strength, and upper limb performance immediately following participation in throwing or racket sports.</p><p><strong>Methods: </strong>The search was conducted in MEDLINE via Ovid, EMBASE, CINAHL, SPORTDiscus, Cochrane Central Register for Controlled Trials (CENTRAL), Web of Science, and Scopus databases. Studies assessing changes in shoulder ROM, muscle strength, and upper limb performance immediately after exposure to throwing or racket sports were selected. The Quality Assessment Tool for Before-After Studies (NIH) was used to quantify the risk of bias. Meta-analyses were conducted to verify clinical changes in the selected outcomes.</p><p><strong>Results: </strong>A total of 9149 records were identified, and 27 were included in the meta-analysis. There was a decrease in internal rotation (IR) ROM of the shoulder (SMD: 0.50; 95% confidence interval [CI]: 0.22, 0.79) and throwing speed (SMD: 0.42; 95% CI: 0.15, 0.70) immediately after participation in throwing sports, while no significant changes were observed in racket sports.</p><p><strong>Conclusion: </strong>Exposure to real or simulated matches reduced IR ROM and ball speed in throwers but not in racket sports athletes. These results will assist clinicians in planning strategies to mitigate the decreases in sports performance in these athletes between matches.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251327677"},"PeriodicalIF":1.5000,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996822/pdf/","citationCount":"0","resultStr":"{\"title\":\"Changes in shoulder range of motion and muscle strength, and upper limb performance immediately after participation in throwing and racket sports: A systematic review and meta-analysis.\",\"authors\":\"Jayne Pereira Silva, Vander Gava, Alessandra Pereira Ribeiro, Rodrigo Scattone Silva, Danilo Harudy Kamonseki, Germanna Medeiros Barbosa\",\"doi\":\"10.1177/17585732251327677\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To systematically review studies investigating alterations in shoulder range of motion (ROM), muscle strength, and upper limb performance immediately following participation in throwing or racket sports.</p><p><strong>Methods: </strong>The search was conducted in MEDLINE via Ovid, EMBASE, CINAHL, SPORTDiscus, Cochrane Central Register for Controlled Trials (CENTRAL), Web of Science, and Scopus databases. Studies assessing changes in shoulder ROM, muscle strength, and upper limb performance immediately after exposure to throwing or racket sports were selected. The Quality Assessment Tool for Before-After Studies (NIH) was used to quantify the risk of bias. Meta-analyses were conducted to verify clinical changes in the selected outcomes.</p><p><strong>Results: </strong>A total of 9149 records were identified, and 27 were included in the meta-analysis. There was a decrease in internal rotation (IR) ROM of the shoulder (SMD: 0.50; 95% confidence interval [CI]: 0.22, 0.79) and throwing speed (SMD: 0.42; 95% CI: 0.15, 0.70) immediately after participation in throwing sports, while no significant changes were observed in racket sports.</p><p><strong>Conclusion: </strong>Exposure to real or simulated matches reduced IR ROM and ball speed in throwers but not in racket sports athletes. These results will assist clinicians in planning strategies to mitigate the decreases in sports performance in these athletes between matches.</p>\",\"PeriodicalId\":36705,\"journal\":{\"name\":\"Shoulder and Elbow\",\"volume\":\" \",\"pages\":\"17585732251327677\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-04-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996822/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Shoulder and Elbow\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/17585732251327677\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Shoulder and Elbow","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17585732251327677","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
目的：系统回顾研究参与投掷或球拍运动后肩活动范围（ROM）、肌肉力量和上肢表现的改变。方法：在MEDLINE中通过Ovid、EMBASE、CINAHL、SPORTDiscus、Cochrane Central Register for Controlled Trials （Central）、Web of Science和Scopus数据库进行检索。研究评估肩ROM、肌肉力量和上肢表现在暴露于投掷或球拍运动后立即发生的变化。采用前后研究质量评估工具（NIH）对偏倚风险进行量化。进行荟萃分析以验证所选结果的临床变化。结果：共识别9149条记录，其中27条被纳入meta分析。肩关节内旋（IR） ROM降低(SMD: 0.50；95%可信区间[CI]: 0.22, 0.79)和投掷速度(SMD: 0.42；95% CI: 0.15, 0.70)，而在球拍运动中未观察到显著变化。结论：暴露在真实或模拟比赛中会降低投掷运动员的IR ROM和球的速度，但对球拍运动运动员没有影响。这些结果将有助于临床医生制定策略，以减轻这些运动员在比赛之间运动表现的下降。
Changes in shoulder range of motion and muscle strength, and upper limb performance immediately after participation in throwing and racket sports: A systematic review and meta-analysis.
Objective: To systematically review studies investigating alterations in shoulder range of motion (ROM), muscle strength, and upper limb performance immediately following participation in throwing or racket sports.
Methods: The search was conducted in MEDLINE via Ovid, EMBASE, CINAHL, SPORTDiscus, Cochrane Central Register for Controlled Trials (CENTRAL), Web of Science, and Scopus databases. Studies assessing changes in shoulder ROM, muscle strength, and upper limb performance immediately after exposure to throwing or racket sports were selected. The Quality Assessment Tool for Before-After Studies (NIH) was used to quantify the risk of bias. Meta-analyses were conducted to verify clinical changes in the selected outcomes.
Results: A total of 9149 records were identified, and 27 were included in the meta-analysis. There was a decrease in internal rotation (IR) ROM of the shoulder (SMD: 0.50; 95% confidence interval [CI]: 0.22, 0.79) and throwing speed (SMD: 0.42; 95% CI: 0.15, 0.70) immediately after participation in throwing sports, while no significant changes were observed in racket sports.
Conclusion: Exposure to real or simulated matches reduced IR ROM and ball speed in throwers but not in racket sports athletes. These results will assist clinicians in planning strategies to mitigate the decreases in sports performance in these athletes between matches.
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