Lau Rachel, Mukherjee Swarup
Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore.
Orthop J Sports Med. 2023 Mar 21;11(3):23259671231156199. doi: 10.1177/23259671231156199. eCollection 2023 Mar.
There is a dearth of information related to shoulder and elbow overuse injuries in Asian overhead youth athletes.
To determine the prevalence and severity of shoulder and elbow overuse injuries, as well as their associated factors, among competitive overhead youth athletes in Singapore.
Descriptive epidemiology study.
Participants completed a survey consisting of 4 multiple-choice questions and 1 open-ended question. Data on sex, age, playing experience, and weekly training hours were also collected. Separate injury severity scores (range, 0-100, with higher scores indicating greater severity) for the shoulder and elbow were tabulated from the responses to the multiple-choice questions. The association between participant characteristics and presence of shoulder and elbow overuse injuries was determined using the chi-square test. Crude odds ratios (ORs) and 95% CIs were also calculated.
532 overhead youth athletes (age, 12-18 years) responded, of which 434 responses were included for analysis. Badminton, cricket, softball, swimming, and volleyball were some of the sports studied. The prevalence of shoulder and elbow overuse injuries was 31.3% and 9.2%, respectively. The respective severity scores were 30.4 ± 14.4 and 38.4 ± 22.4. Age was associated with the presence of both shoulder ( = .016) and elbow ( = .037) overuse injuries. Years of experience was associated with the presence of substantial elbow injuries ( = .049). Weekly training hours was associated with the presence of shoulder ( = .016) and substantial shoulder ( = .020) injuries. Being older (15-18 years) increased the odds of shoulder (OR, 1.65; 95% CI, 1.10-2.49) and elbow (OR, 2.04; 95% CI, 1.03-4.01) overuse injuries. Having >8 years of experience increased the odds of substantial shoulder (OR, 2.71; 95% CI, 1.01-7.29) and substantial elbow (OR, 3.92; 95% CI, 1.01-15.24) overuse injuries. Training >11 hours per week increased the odds of shoulder overuse injuries (OR, 2.64; 95% CI, 1.31-5.30).
Shoulder overuse injuries were more prevalent, but elbow injuries tended to be of greater severity among competitive overhead youth athletes in Singapore. Coaches working with older and experienced youth athletes, especially those training >11 hours per week, should be cognizant of the risk of shoulder and elbow overuse injuries.
在亚洲从事过顶运动的青少年运动员中，有关肩部和肘部过度使用损伤的信息匮乏。
确定新加坡从事竞争性过顶运动的青少年运动员中肩部和肘部过度使用损伤的患病率、严重程度及其相关因素。
描述性流行病学研究。
参与者完成了一项包含4个多项选择题和1个开放式问题的调查。还收集了有关性别、年龄、比赛经验和每周训练时长的数据。根据对多项选择题的回答，分别列出肩部和肘部的损伤严重程度评分（范围为0至100，分数越高表明损伤越严重）。使用卡方检验确定参与者特征与肩部和肘部过度使用损伤之间的关联。还计算了粗比值比（OR）和95%置信区间（CI）。
532名从事过顶运动的青少年运动员（年龄在12至18岁之间）做出了回应，其中434份回应纳入分析。所研究的运动包括羽毛球、板球、垒球、游泳和排球。肩部和肘部过度使用损伤的患病率分别为31.3%和9.2%。各自的严重程度评分分别为30.4±14.4和38.4±22.4。年龄与肩部（P = 0.016）和肘部（P = 0.037）过度使用损伤均有关联。比赛年限与肘部严重损伤有关（P = 0.049）。每周训练时长与肩部（P = 0.016）和肩部严重损伤（P = 0.020）有关。年龄较大（15至18岁）会增加肩部（OR，1.65；95%CI，1.10至2.49）和肘部（OR，2.04；95%CI，1.03至4.01）过度使用损伤的几率。有超过8年比赛经验会增加肩部严重（OR，2.71；95%CI，1.01至7.29）和肘部严重（OR，3.92；95%CI，1.01至15.24）过度使用损伤的几率。每周训练超过11小时会增加肩部过度使用损伤的几率（OR，2.64；95%CI，1.31至5.30）。
在新加坡从事竞争性过顶运动的青少年运动员中，肩部过度使用损伤更为普遍，但肘部损伤往往更为严重。与年龄较大且经验丰富的青少年运动员合作的教练，尤其是那些每周训练超过11小时的教练，应意识到肩部和肘部过度使用损伤的风险。
