两种排球扣球技术中的肩部三维活动范围及肱骨旋转:预防损伤与提高表现

Shoulder 3D range of motion and humerus rotation in two volleyball spike techniques: injury prevention and performance.

作者信息

Seminati Elena, Marzari Alessandra, Vacondio Oreste, Minetti Alberto E

机构信息

a Division of Physiology, Department of Pathophysiology and Transplantation , Università degli Studi di Milano , Milano , Italy.

出版信息

Sports Biomech. 2015 Jun;14(2):216-31. doi: 10.1080/14763141.2015.1052747. Epub 2015 Jul 7.

Abstract

Repetitive stresses and movements on the shoulder in the volleyball spike expose this joint to overuse injuries, bringing athletes to a career threatening injury. Assuming that specific spike techniques play an important role in injury risk, we compared the kinematic of the traditional (TT) and the alternative (AT) techniques in 21 elite athletes, evaluating their safety with respect to performance. Glenohumeral joint was set as the centre of an imaginary sphere, intersected by the distal end of the humerus at different angles. Shoulder range of motion and angular velocities were calculated and compared to the joint limits. Ball speed and jump height were also assessed. Results indicated the trajectory of the humerus to be different for the TT, with maximal flexion of the shoulder reduced by 10 degrees, and horizontal abduction 15 degrees higher. No difference was found for external rotation angles, while axial rotation velocities were significantly higher in AT, with a 5% higher ball speed. Results suggest AT as a potential preventive solution to shoulder chronic pathologies, reducing shoulder flexion during spiking. The proposed method allows visualisation of risks associated with different overhead manoeuvres, by depicting humerus angles and velocities with respect to joint limits in the same 3D space.

摘要

排球扣球动作中肩部反复承受的压力和运动,使该关节易遭受过度使用损伤,这会给运动员带来危及职业生涯的伤病。假设特定的扣球技术在受伤风险中起重要作用,我们比较了21名精英运动员传统技术(TT)和替代技术(AT)的运动学特征,评估了它们在性能方面的安全性。将盂肱关节设为一个假想球体的中心,肱骨远端以不同角度与之相交。计算了肩部的运动范围和角速度,并与关节极限进行比较。还评估了球速和跳跃高度。结果表明,TT技术中肱骨的轨迹不同,肩部最大屈曲度减少了10度,水平外展增加了15度。外旋角度未发现差异,而AT技术中的轴向旋转速度显著更高,球速快5%。结果表明,AT技术可作为预防肩部慢性疾病的潜在解决方案,减少扣球时的肩部屈曲。通过在同一三维空间中描绘肱骨相对于关节极限的角度和速度,所提出的方法可以直观呈现与不同头顶动作相关的风险。

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