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青少年足球守门员中残疾投掷肩的患病率及其肩部功能

Prevalence of disabled throwing shoulder and its shoulder function among youth football goalkeepers.

作者信息

Nagamoto Hideaki, Takahashi Hiroyuki, Kurokawa Daisuke, Muraki Takayuki, Yaguchi Haruki, Shinagawa Kiyotsugu, Kumai Tsukasa

机构信息

Graduate School of Sport Sciences, Waseda University, Tokorozawa, Japan.

Department of Orthopaedic Surgery, Tohoku University, Sendai, Japan.

出版信息

J Orthop. 2022 Aug 12;34:74-79. doi: 10.1016/j.jor.2022.08.008. eCollection 2022 Nov-Dec.

Abstract

AIM

Although the football goalkeepers are overhead athletes, no studies have reported the prevalence of disabled throwing shoulder (DTS) and the shoulder function. Thus, this study aimed to investigate the prevalence of DTS among youth football goalkeepers and to determine the relationship among their shoulder functions.

METHODS

Youth football goalkeepers, who participated in a pre-participation medical examination were included in the study. The questionnaire was handed out before the examination to determine the players' age, dominant hand, and shoulder pain history. If the player had a history of shoulder pain during ball throwing motion in the past, they were defined as goalkeepers with DTS. Physical examination of scapular positioning, scapular retraction and rotator cuff muscle strength, and ultrasonographic evaluation were performed.

RESULTS

Six goalkeepers (16%) had a history of DTS among the 38 male youth football goalkeepers. The presence of scapular malpositioning, limitation of scapular retraction, and decrease in rotator cuff strength was significantly higher in goalkeepers with DTS than in those without DTS ( = 0.03,  < 0.001,  < 0.001, respectively). Three goalkeepers with DTS revealed ultrasonographic findings.

CONCLUSION

The prevalence of DTS among youth football goalkeepers was 16%. All these players had scapular malpositioning and limitation of scapular retraction. Scapular malpositioning and limitation of scapular retraction may be related to the DTS in youth football goalkeepers.

LEVEL OF EVIDENCE

Level IV.

摘要

目的

尽管足球守门员属于上肢运动项目运动员,但尚无研究报道过投掷肩功能障碍(DTS)的患病率及肩部功能情况。因此,本研究旨在调查青少年足球守门员中DTS的患病率,并确定其肩部功能之间的关系。

方法

本研究纳入了参加赛前体检的青少年足球守门员。在检查前发放问卷,以确定球员的年龄、惯用手和肩部疼痛史。如果球员过去在投球动作时有肩部疼痛史,则将其定义为患有DTS的守门员。进行了肩胛骨位置、肩胛骨后缩和肩袖肌力量的体格检查以及超声评估。

结果

在38名男性青少年足球守门员中,有6名(16%)有DTS病史。患有DTS的守门员肩胛骨位置异常、肩胛骨后缩受限和肩袖力量下降的情况明显高于没有DTS的守门员(分别为P = 0.03、P < 0.001、P < 0.001)。3名患有DTS的守门员有超声检查结果。

结论

青少年足球守门员中DTS的患病率为16%。所有这些球员都有肩胛骨位置异常和肩胛骨后缩受限的情况。肩胛骨位置异常和肩胛骨后缩受限可能与青少年足球守门员的DTS有关。

证据水平

四级。

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