J Sport Rehabil. 2021 Nov 1;30(8):1129-1137. doi: 10.1123/jsr.2021-0038. Epub 2021 Jul 24.
Repetitive and asymmetric movements in tennis can result in biomechanical adaptation in shoulder joint. The aim of this study was to investigate the differences in shoulder range of motion (ROM), strength, and functional performance tests between the dominant and nondominant shoulders, as well as to identify gender differences in junior tennis players.
Forty-two junior tennis players (age mean: 11.3 [1.2] y, body mass index 18.3 [2.4] kg/m2) were included in the study. Shoulder internal rotation (IR), external rotation (ER) ROM, and total ROM, IR and ER isokinetic strength and closed kinetic chain upper-extremity stability, seated medicine ball throw used, grip hold tests were applied bilaterally. Paired sample t test and Student t test were used to compare the differences.
ER ROM was greater, while IR ROM and total ROM were lower on the dominant shoulder (all P values < .05). Nineteen players had glenohumeral IR deficit (IR ROM difference >13°). The players had a greater ER strength on the dominant side and similar IR strength between shoulders. There was significant difference in seated medicine ball throw results between the dominant and nondominant sides (P < .001). The mean distance for bilateral seated medicine ball throw was 377.02 (85.70) m, and closed kinetic chain upper-extremity stability results were calculated as a mean of 15.85 (1.72) touches. Differences between the genders: total ROM of the dominant shoulder was higher in female players (P = .045), the IR PT/BW at 60°/s angular speed was higher in male players' dominant shoulder (P = .030), and closed kinetic chain upper-extremity stability performance was higher in male players (P = .019).
Adolescent tennis players demonstrated differences in strength, ROM, and functional performance results between the dominant and nondominant shoulders. Gender differences were also seen in the aforementioned parameters in junior tennis players. Determining these differences may improve our understanding of sport-specific shoulder joint adaptations in tennis.
网球中的重复和不对称运动可能导致肩关节的生物力学适应。本研究旨在探讨青少年网球运动员的优势肩和非优势肩之间在肩关节活动范围(ROM)、力量和功能表现测试方面的差异,并确定性别差异。
本研究纳入了 42 名青少年网球运动员(年龄均值:11.3[1.2]岁,体重指数 18.3[2.4]kg/m2)。对双侧肩关节内旋(IR)、外旋(ER)ROM、总 ROM、IR 和 ER 等速力量以及闭链上肢体稳定性、坐姿投球测试、握力测试进行了检测。采用配对样本 t 检验和学生 t 检验进行比较。
优势肩的 ER ROM 较大,而 IR ROM 和总 ROM 较小(所有 P 值均<.05)。19 名运动员存在盂肱关节 IR 不足(IR ROM 差值>13°)。优势侧的 ER 力量较大,而双侧的 IR 力量相似。优势侧和非优势侧的坐姿投球测试结果有显著差异(P<.001)。双侧坐姿投球的平均距离为 377.02(85.70)m,闭链上肢体稳定性测试结果的平均值为 15.85(1.72)次。性别差异:女性运动员的优势肩总 ROM 较高(P=.045),男性运动员优势肩的 60°/s 角速度下的 IR PT/BW 较高(P=.030),男性运动员的闭链上肢体稳定性表现较高(P=.019)。
青少年网球运动员的优势肩和非优势肩之间在力量、ROM 和功能表现测试方面存在差异。在青少年网球运动员中,也存在上述参数的性别差异。确定这些差异可能有助于我们更好地理解网球运动中特定于肩部关节的适应。