Kolber Morey J, Beekhuizen Kristina S, Cheng Ming-Shun S, Hellman Madeleine A
Department of Physical Therapy, Nova Southeastern University, Fort Lauderdale, Florida, USA.
J Strength Cond Res. 2009 Jan;23(1):148-57. doi: 10.1519/JSC.0b013e31818eafb4.
Shoulder disorders attributed to weight training are well documented in the literature; however, a paucity of evidence-based research exists to describe risk factors inherent to participation. Shoulder joint and muscle characteristics in the recreational weight training (RWT) population were investigated to determine specific risk-related adaptations that may occur from participation. Ninety participants, men between the ages of 19 and 47 (mean age 28.9), including 60 individuals who participated in upper-extremity RWT and 30 controls with no record of RWT participation, were recruited. Active range of motion (AROM), posterior shoulder tightness (PST), body weight-adjusted strength values, and agonist/antagonist strength ratios were compared between the RWT participants and the control group. Statistical analysis identified significant differences (p < 0.001) between the groups when analyzing shoulder mobility. The RWT participants had decreased mobility when compared with the control group for all AROM measurements except external rotation, which was greater. Strength ratios were significantly greater in the RWT group when compared with the control group (p <or= 0.001), implying agonist/antagonist muscle imbalances. The findings of this investigation suggest that RWT participants are predisposed to strength and mobility imbalances as a result of training. The imbalances identified have been associated with shoulder disorders in the general and athletic population; thus, these imbalances may place RWT participants at risk for injury. Common training patterns are biased toward large muscle groups such as the pectorals and deltoids but neglect muscles responsible for stabilization such as the external rotators and lower trapezius. Exercise selection that mitigates strength and mobility imbalances may serve to prevent injury in this population. Clinicians and strength and conditioning professionals should consider the biomechanical stresses and adaptations associated with RWT when prescribing upper-extremity exercises.
文献中对归因于负重训练的肩部疾病已有充分记载;然而,描述参与负重训练所固有的风险因素的循证研究却很匮乏。对休闲负重训练(RWT)人群的肩关节和肌肉特征进行了调查,以确定参与训练可能产生的与风险相关的特定适应性变化。招募了90名年龄在19至47岁之间的男性参与者(平均年龄28.9岁),其中包括60名参与上肢RWT的个体和30名无RWT参与记录的对照组。比较了RWT参与者和对照组之间的主动活动范围(AROM)、肩部后束紧张度(PST)、体重调整后的力量值以及主动肌/拮抗肌力量比值。统计分析发现,在分析肩部活动度时,两组之间存在显著差异(p < 0.001)。除了外旋角度更大外,RWT参与者在所有AROM测量中的活动度均低于对照组。与对照组相比,RWT组的力量比值显著更高(p ≤ 0.001),这意味着主动肌/拮抗肌存在失衡。这项调查结果表明,RWT参与者由于训练而易出现力量和活动度失衡。已确定的这些失衡与普通人群和运动员人群中的肩部疾病有关;因此,这些失衡可能使RWT参与者面临受伤风险。常见的训练模式偏向于胸肌和三角肌等大肌肉群,而忽视了负责稳定的肌肉,如外旋肌和下斜方肌。选择能够减轻力量和活动度失衡的运动可能有助于预防该人群受伤。临床医生以及力量与体能训练专业人员在上肢运动处方中应考虑与RWT相关的生物力学应力和适应性变化。