Cope Thane, Wechter Sarah, Stucky Michaella, Thomas Corey, Wilhelm Mark
Walsh University, North Canton, OH, USA.
Int J Sports Phys Ther. 2019 Jul;14(4):500-513.
The lumbopelvic region is utilized in almost all functional tasks and has been proposed to provide dynamic stability to distal extremities.
To systematically evaluate the current literature that examined the effect of lumbopelvic control on overhead performance and shoulder injury in overhead athletes.
Systematic Review.
A comprehensive systematic electronic search was conducted using PubMed, CINAHL, ProQuest, Scopus, and SPORTDiscus. Articles were considered for inclusion if they included a measure of lumbopelvic control and assessed shoulder pain, disability, injury, or overhead performance outcome. Cohen's effect size was calculated when necessary statistical data were available to determine the impact of lumbopelvic control.
The search revealed 3,312 total articles and 2,883 articles were screened after duplicates were removed. After titles and abstracts were screened, 45 full text articles were reviewed. Fifteen full-text articles ultimately met inclusion criteria. Effect sizes ranged from trivial (0.10) to large (0.86), indicating a varying degree of positive effects on performance and shoulder injuries. The majority of included articles concluded individuals with greater lumbopelvic control demonstrated improved performance and decreased occurrence of injury.
Results suggest that improved lumbopelvic control relates to improved athletic performance and decreased shoulder injury. Additional higher quality research is needed to further support these findings, establish a standard measure for lumbopelvic control, and determine preventative factors for injury, pain, and disability.
2a.
腰骶部区域几乎参与了所有功能性任务，并且有人提出该区域可为远端肢体提供动态稳定性。
系统评价目前有关腰骶部控制对上肢运动员上肢运动表现及肩部损伤影响的文献。
系统评价。
通过PubMed、CINAHL、ProQuest、Scopus和SPORTDiscus进行全面的系统电子检索。如果文章包含腰骶部控制的测量指标，并评估了肩部疼痛、功能障碍、损伤或上肢运动表现结果，则考虑纳入。必要时计算科恩效应量，以确定腰骶部控制的影响。
检索共得到3312篇文章，去除重复后筛选出2883篇文章。在筛选标题和摘要后，对45篇全文进行了综述。最终有15篇全文符合纳入标准。效应量范围从微小（0.10）到较大（0.86），表明对运动表现和肩部损伤有不同程度的积极影响。大多数纳入文章得出结论，腰骶部控制能力较强的个体运动表现更佳，受伤发生率更低。
结果表明，改善腰骶部控制与提高运动表现及减少肩部损伤有关。需要更多高质量的研究来进一步支持这些发现，建立腰骶部控制的标准测量方法，并确定损伤、疼痛和功能障碍的预防因素。
2a。
