Lu Yi, Chou Wen-Yi, Wu Kuan-Ting, Chen Alvin Chao-Yu, Chan Yi-Sheng, Chiu Chih-Hao
Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Orthop J Sports Med. 2022 May 23;10(5):23259671221093960. doi: 10.1177/23259671221093960. eCollection 2022 May.
Numerous studies have discussed the risk factors for shoulder and elbow injuries in high school baseball players worldwide.
To determine the risk factors for pitching-related shoulder and elbow injuries in Taiwanese high school pitchers.
Cross-sectional study; Level of evidence, 3.
Included in the study were 144 pitchers from 11 top-ranked Taiwanese high school baseball teams between 2016 and 2017 high school baseball season. The participants answered a 55-item questionnaire concerning physical characteristics, pitching activities, injury history, and off-season activities. Univariate analyses were conducted separately for participants with and those without a pitching-related injury in the 12-month study period. The chi-square test or Fisher exact test was applied to categorical variables, and the test or test was applied to continuous variables. A stepwise multivariate logistic regression analysis was used to identify factors related to pitching-related injuries, and those results were calculated as odds ratios (ORs).
Having a pitching-related injury was significantly related to the number of pitches per week in the past 12 months (OR, 1.01; = .006), pain over the shoulder and/or elbow in the past 12 months (OR, 3.56; = .008), pitching competitive baseball for more than 8 of the past 12 months (OR, 2.53; = .036), throwing sliders (OR, 2.97; = .026), and lack of participating in other over-the-shoulder activities (0.03-0.11 fewer odds; ≤ .010).
For elite high school pitchers in Taiwan, pitching-related shoulder and elbow injuries were related to the number of pitches per week, pitching competitive baseball for more than 8 of the past 12 months, pain over the shoulder and/or elbow in the past 12 months, throwing sliders, and a lack of participation in other sports with over-the-shoulder activities.
众多研究探讨了全球范围内高中棒球运动员肩部和肘部损伤的风险因素。
确定台湾高中投手与投球相关的肩部和肘部损伤的风险因素。
横断面研究；证据等级，3级。
本研究纳入了2016年至2017年高中棒球赛季台湾11支顶级高中棒球队的144名投手。参与者回答了一份包含55个条目的问卷，内容涉及身体特征、投球活动、受伤史和休赛期活动。对在12个月研究期内有和没有与投球相关损伤的参与者分别进行单因素分析。分类变量采用卡方检验或Fisher精确检验，连续变量采用t检验或u检验。采用逐步多因素逻辑回归分析来确定与投球相关损伤有关的因素，结果以比值比（OR）表示。
在过去12个月中，与投球相关的损伤与每周投球次数显著相关（OR，1.01；P = 0.006），过去12个月肩部和/或肘部疼痛（OR，3.56；P = 0.008），过去12个月中超过8个月参加竞技性棒球投球（OR，2.53；P = 0.036），投变速球（OR，2.97；P = 0.026），以及缺乏参与其他过肩活动（比值少0.03 - 0.11；P≤0.010）。
对于台湾精英高中投手，与投球相关的肩部和肘部损伤与每周投球次数、过去12个月中超过8个月参加竞技性棒球投球、过去12个月肩部和/或肘部疼痛、投变速球以及缺乏参与其他过肩运动有关。
