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运动专项化与青少年投掷运动员过度使用损伤:一项叙述性综述。

Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.

机构信息

Department of Orthopaedics and Rehabilitation, Divisions of Physical Medicine and Rehabilitation, Sports Medicine, & Research, College of Health and Human Performance, University of Florida, Gainesville.

Orthopaedics and Sports Medicine Institute, Physical Therapy, College of Health and Human Performance, University of Florida, Gainesville.

出版信息

J Athl Train. 2019 Oct;54(10):1030-1039. doi: 10.4085/1062-6050-333-18.

DOI:10.4085/1062-6050-333-18
PMID:31633409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6805054/
Abstract

A significant number of adolescent athletes throughout the world participate in various throwing-dominant sports, including but not limited to baseball, cricket, handball, softball, track and field throwing events, and water polo. Due to the unique stresses placed on the throwing arm and entire body in these sports, a robust volume of literature has highlighted concerns about sport specialization in these athletes and an associated increased risk of injury, particularly to the dominant shoulder and elbow, with sport specialization. This review will highlight the evidence-based literature for this athletic niche, focusing on risk factors for injury, national and international organizations' recommendations for limiting overuse injuries, principles of conditioning and rehabilitative programs, and potential future areas of research to curb the growing incidence of throwing-related injuries among adolescent throwing athletes.

摘要

全世界有大量的青少年运动员参与各种投掷主导型运动,包括但不限于棒球、板球、手球、垒球、田径投掷项目和水球。由于这些运动对投掷臂和整个身体的独特压力,大量文献强调了对这些运动员的运动专业化的关注以及与之相关的受伤风险增加,特别是在主导肩部和肘部,运动专业化。本综述将重点介绍这一运动领域的循证文献,关注受伤的危险因素、国家和国际组织限制过度使用损伤的建议、训练和康复计划的原则,以及遏制青少年投掷运动员投掷相关损伤发病率不断上升的潜在未来研究领域。

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本文引用的文献

1
Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis.运动专项化与过度使用损伤风险:系统综述与荟萃分析。
Pediatrics. 2018 Sep;142(3). doi: 10.1542/peds.2018-0657. Epub 2018 Aug 22.
2
Youth Baseball Coach Awareness of Pitch Count Guidelines and Overuse Throwing Injuries Remains Deficient.青少年棒球教练对投球次数指导方针和过度投球损伤的认知仍然不足。
J Pediatr Orthop. 2018 Nov/Dec;38(10):e623-e628. doi: 10.1097/BPO.0000000000001244.
3
Prevalence and burden of overuse injuries in elite junior handball.精英青少年手球运动中过度使用损伤的患病率及负担
BMJ Open Sport Exerc Med. 2018 Jun 26;4(1):e000391. doi: 10.1136/bmjsem-2018-000391. eCollection 2018.
4
Effect of Fatigue on Medial Elbow Torque in Baseball Pitchers: A Simulated Game Analysis.疲劳对棒球投手内肘扭矩的影响:模拟比赛分析。
Am J Sports Med. 2018 Aug;46(10):2509-2513. doi: 10.1177/0363546518782451. Epub 2018 Jun 28.
5
Rate of Upper Extremity Injury in High School Baseball Pitchers Who Played Catcher as a Secondary Position.担任过捕手次要位置的高中棒球投手中上肢损伤的发生率。
J Athl Train. 2018 May;53(5):510-513. doi: 10.4085/1062-6050-322-16. Epub 2018 May 17.
6
Unaccounted Workload Factor: Game-Day Pitch Counts in High School Baseball Pitchers-An Observational Study.未计算的工作量因素:高中棒球投手比赛日投球数——一项观察性研究。
Orthop J Sports Med. 2018 Apr 6;6(4):2325967118765255. doi: 10.1177/2325967118765255. eCollection 2018 Apr.
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Risk Factors for Elbow and Shoulder Injuries in Adolescent Baseball Players: A Systematic Review.青少年棒球运动员肘部和肩部损伤的危险因素:系统评价。
Am J Sports Med. 2019 Mar;47(4):982-990. doi: 10.1177/0363546518760573. Epub 2018 Apr 9.
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Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis.肩伤的危险因素和预防:系统评价与最佳证据综合。
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9
The associations between training load and baseline characteristics on musculoskeletal injury and pain in endurance sport populations: A systematic review.耐力运动人群中,训练负荷与肌肉骨骼损伤和疼痛的基线特征之间的关联:系统评价。
J Sci Med Sport. 2018 Sep;21(9):910-918. doi: 10.1016/j.jsams.2018.03.001. Epub 2018 Mar 14.
10
Female adolescent elite handball players are more susceptible to shoulder problems than their male counterparts.女性青少年精英手球运动员比男性更容易出现肩部问题。
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