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优秀乒乓球运动员肩内旋不足与肩痛的相关性。

Correlation of Glenohumeral Internal Rotation Deficit With Shoulder Pain in Elite Table Tennis Players.

机构信息

From the Sports Medicine and Physical Therapy School, Beijing Sport University, Beijing, China (BZ, KW, EZ); and National Research Institute of Sports Medicine, Beijing, China (XS).

出版信息

Am J Phys Med Rehabil. 2023 Aug 1;102(8):687-691. doi: 10.1097/PHM.0000000000002180. Epub 2023 Jan 8.

Abstract

OBJECTIVES

The aims of the study were (1) to investigate glenohumeral internal rotation deficit (a difference in internal rotation of 15.6 degrees or more between dominant and nondominant shoulders) and its correlation with self-reported shoulder pain in table tennis players and (2) to find the optimal cutoff point for the difference in the internal rotation range of motion between dominant and nondominant shoulders of self-reported shoulder pain.

DESIGN

The internal rotation range of motion of both shoulders of 46 table tennis players was measured in the supine and side-lying positions, and the external rotation range of motion was measured in the supine position.

RESULTS

Significant differences existed in internal rotation range of motion between the two sides in the supine ( z = 6.53, P < 0.001) and side-lying positions ( z = 5.67, P < 0.001). Self-reported shoulder pain was associated with glenohumeral internal rotation deficit (odds ratio = 6.86, 95% confidence interval = 1.752-26.832, P = 0.006). The cutoff points for the difference in internal rotation range of motion between the sides of self-reported shoulder pain were 17.9 degrees in the supine position and 11.1 degrees in the side-lying position.

CONCLUSIONS

Table tennis players exhibited glenohumeral internal rotation deficit. There was a correlation between glenohumeral internal rotation deficit and self-reported shoulder pain in the past year; therefore, glenohumeral internal rotation deficit may be a risk factor for shoulder pain in table tennis players.

摘要

目的

本研究旨在(1)探讨乒乓球运动员的盂肱关节内旋不足(优势肩和非优势肩之间的内旋差异超过 15.6 度)及其与自我报告的肩部疼痛之间的关系;(2)找到自我报告的肩部疼痛的优势肩和非优势肩之间的关节内旋活动范围差异的最佳截断点。

设计

测量 46 名乒乓球运动员仰卧位和侧卧位时双肩的关节内旋活动范围,并测量仰卧位时的关节外旋活动范围。

结果

仰卧位( z = 6.53,P < 0.001)和侧卧位( z = 5.67,P < 0.001)时,双侧关节内旋活动范围存在显著差异。自我报告的肩部疼痛与盂肱关节内旋不足有关(优势比 = 6.86,95%置信区间 = 1.752-26.832,P = 0.006)。自我报告的肩部疼痛的两侧关节内旋活动范围差异的截断点分别为仰卧位 17.9 度和侧卧位 11.1 度。

结论

乒乓球运动员存在盂肱关节内旋不足。盂肱关节内旋不足与过去一年的自我报告的肩部疼痛之间存在相关性;因此,盂肱关节内旋不足可能是乒乓球运动员肩部疼痛的一个危险因素。

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