上肢功能与肩和躯干活动度及力量的临床测量在肩部疼痛的过顶运动员中的相关性。

Correlation between upper limb function and clinical measures of shoulder and trunk mobility and strength in overhead athletes with shoulder pain.

机构信息

Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.

出版信息

Phys Ther Sport. 2022 May;55:12-20. doi: 10.1016/j.ptsp.2022.02.001. Epub 2022 Feb 3.

DOI:10.1016/j.ptsp.2022.02.001

PMID:35134602

Abstract

OBJECTIVE

To investigate the correlation between functional performance and self-reported upper limb function and between these two functional measures and clinical measures of shoulder and trunk in overhead athletes with shoulder pain.

DESIGN

Cross-sectional study.

SETTINGS

Laboratory.

PARTICIPANTS

Twenty-one volleyball and handball athletes (23.6 ± 3.7 years) with shoulder pain in the dominant limb.

MAIN OUTCOME MEASURES

Self-reported dominant upper limb function using Penn Shoulder Score and Disabilities of the Arm, Shoulder, and Hand; shoulder and trunk range of motion; isometric strength of shoulder, periscapular, and trunk muscles; endurance time of trunk muscles; and functional upper limb performance using the Upper Quarter Y-Balance Test (UQYBT).

RESULTS

A moderate correlation was observed (r = 0.45-0.58; p < 0.05) between UQYBT performance and strength of serratus anterior, lower trapezius, trunk rotators, and trunk flexors. No significant correlation was observed between UQYBT performance and the other clinical measures of shoulder and trunk (r = 0.01-0.39, p > 0.05). Self-reported upper limb function was neither significantly correlated with clinical measures (r = 0.01-0.40, p > 0.05) nor with UQYBT performance (r = 0.02-0.19, p > 0.05).

CONCLUSION

We observed a correlation between UQYBT performance and strength of periscapular and trunk muscles.

摘要

目的

探讨功能性表现与自我报告的上肢功能之间的相关性，以及这两种功能测量方法与肩部和躯干的临床测量指标在肩部疼痛的上肢运动员中的相关性。

设计

横断面研究。

地点

实验室。

参与者

21 名排球和手球运动员（23.6±3.7 岁），其惯用侧上肢有肩部疼痛。

主要观察指标

采用Penn 肩部评分和上肢、肩和手残疾问卷（Disabilities of the Arm, Shoulder, and Hand，DASH）自我报告优势上肢功能；肩和躯干活动范围；肩部、肩胛间和躯干肌肉的等长力量；躯干肌肉耐力时间；使用上四分肢 Y 平衡测试（Upper Quarter Y-Balance Test，UQYBT）的上肢功能表现。

结果

UQYBT 表现与前锯肌、下斜方肌、躯干旋转肌和躯干屈肌的力量之间存在中度相关性（r=0.45-0.58；p<0.05）。UQYBT 表现与肩部和躯干的其他临床测量指标之间无显著相关性（r=0.01-0.39，p>0.05）。自我报告的上肢功能与临床测量指标（r=0.01-0.40，p>0.05）和 UQYBT 表现（r=0.02-0.19，p>0.05）均无显著相关性。