Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Department of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
Br J Sports Med. 2017 May;51(10):775-780. doi: 10.1136/bjsports-2016-096847. Epub 2017 Feb 11.
Shoulder pain is the most reported area of orthopaedic injury in swimmers. The so-called 'swimmers' shoulder' has been applied to a variety of complaints involving shoulder pain in swimmers without specific reference to contributing mechanisms or structures. Knowledge of dysfunctions associated with swimmers' shoulder can assist clinicians in developing rehabilitation strategies. This literature review aims at providing clinicians insight into the musculoskeletal mechanisms and impairments associated with swimmers' shoulder that could aid them in developing rehabilitation strategies. The following musculoskeletal dysfunctions will be discussed: muscle activity, strength, endurance, muscle control, range of motion, glenohumeral laxity, glenohumeral instability, shoulder posture and scapular dyskinesis. The findings in this review may have implications for swimmers, their coaches, and rehabilitation specialists working with swimmers.
肩部疼痛是游泳运动员中最常见的骨科损伤部位。所谓的“游泳者的肩膀”已经被应用于各种涉及游泳运动员肩部疼痛的抱怨，但没有具体提及促成机制或结构。了解与游泳者的肩膀相关的功能障碍可以帮助临床医生制定康复策略。本文献综述旨在为临床医生提供有关与游泳者的肩膀相关的肌肉骨骼机制和损伤的见解，这可能有助于他们制定康复策略。以下肌肉骨骼功能障碍将被讨论：肌肉活动、力量、耐力、肌肉控制、运动范围、盂肱关节松弛、盂肱关节不稳定、肩部姿势和肩胛骨运动障碍。本综述中的发现可能对游泳运动员、他们的教练和与游泳运动员一起工作的康复专家有影响。
