Chang Bi-Fon, Liu Chia-Che, Chang Hsiao-Yun
Department of Physical Education, National Taichung University of Education, Taichung, Taiwan.
Office of Physical Education and Sport Affairs, Feng Chia University, Taichung, Taiwan.
J Sports Med Phys Fitness. 2018 Apr;58(4):450-456. doi: 10.23736/S0022-4707.16.06714-1. Epub 2016 Nov 24.
Adolescent tennis players require sufficient hip and shoulder flexibility to achieve the kinetic chain of a tennis stroke or serve. Hence, the objective of this study is to measure the glenohumeral joint internal and external rotation (IR and ER, respectively) and hip ER range of motion (ROM) and to compare these parameters between experienced and beginner-level adolescent tennis players.
Twenty-three adolescent tennis players were divided into experienced (N.=12) and beginner groups (N.=11) on the basis of the adolescent national ranking of the Taiwan Tennis Association. For all participants, the shoulder IR and ER at 90° of abduction were measured, and hip ER which used Partick's Test was also evaluated on the dominant and nondominant sides. The total rotation ROM of the shoulder and the difference in shoulder ER, IR, and total rotation and hip ER between the dominant and nondominant sides were also calculated after measurements. An independent-samples t-test was applied to test the homogeneity of the participants' demographic data and the difference in shoulder IR, ER, and total rotation and hip ER values between the dominant and nondominant sides. Subsequently, a repeated-measured two-way analysis of variance (2 × 2) was used to compare the dominant and nondominant shoulder and hip ROM of the participants between the experienced and beginner groups.
The experienced group exhibited a significantly less total rotation ROM than the beginner group. In addition, both groups showed less dominant shoulder IR ROM and more dominant shoulder ER ROM compared with the nondominant side. Compared with the experienced group, the beginner group showed an obvious difference in total shoulder rotation between dominant and nondominant sides. More tightness for the hip ER was observed in the experienced group than in the beginner group, but no difference was observed between the dominant and nondominant sides in both groups.
Beginner adolescent tennis players differ more in the degree of total shoulder ROM between the dominant and nondominant sides than experienced players. Beginner and experienced adolescent tennis players also have more shoulder ER and less IR on the dominant side. The results suggest that beginner-level adolescent tennis players should undergo a stretching and strengthening program to reduce the potential risk of injury and possibly enhance performance.
青少年网球运动员需要足够的髋部和肩部灵活性来完成网球击球或发球的动力链。因此,本研究的目的是测量盂肱关节内旋和外旋(分别为IR和ER)以及髋部外旋活动范围(ROM),并比较有经验的和初学者水平的青少年网球运动员之间的这些参数。
根据台湾网球协会的青少年全国排名,将23名青少年网球运动员分为有经验组(N = 12)和初学者组(N = 11)。对所有参与者,测量外展90°时的肩部IR和ER,并使用帕特里克试验评估优势侧和非优势侧的髋部ER。测量后还计算了肩部的总旋转ROM以及优势侧和非优势侧之间肩部ER、IR、总旋转和髋部ER的差异。应用独立样本t检验来检验参与者人口统计学数据的同质性以及优势侧和非优势侧之间肩部IR、ER、总旋转和髋部ER值的差异。随后,使用重复测量的双向方差分析(2×2)来比较有经验组和初学者组参与者的优势侧和非优势侧肩部及髋部ROM。
有经验组的总旋转ROM明显低于初学者组。此外,与非优势侧相比,两组的优势侧肩部IR ROM均较小,优势侧肩部ER ROM均较大。与有经验组相比,初学者组在优势侧和非优势侧之间的总肩部旋转存在明显差异。有经验组比初学者组观察到更多的髋部ER紧张,但两组的优势侧和非优势侧之间均未观察到差异。
初学者水平的青少年网球运动员在优势侧和非优势侧之间的总肩部ROM程度上比有经验的运动员差异更大。初学者和有经验的青少年网球运动员在优势侧也有更多的肩部ER和更少的IR。结果表明,初学者水平的青少年网球运动员应进行伸展和强化训练,以降低受伤的潜在风险并可能提高表现。