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排球运动员季前肩部筛查:赛季期间有变化吗?

Preseason shoulder screening in volleyball players: is there any change during season?

作者信息

Tooth Camille, Schwartz Cédric, Gofflot Amandine, Bornheim Stephen, Croisier Jean-Louis, Forthomme Bénédicte

机构信息

Laboratory of Human Motion Analysis, University of Liège, Liège, Belgium.

Department of Physical Medicine and Rehabilitation, University of Liège, Liège, Belgium.

出版信息

JSES Int. 2023 May 10;7(4):662-667. doi: 10.1016/j.jseint.2023.03.022. eCollection 2023 Jul.

Abstract

BACKGROUND

Volleyball players sollicit their shoulder with high velocity and high ranges of motion. Musculoskeletal adaptations have been described after some years of practice but have not been explored after some months of practice. The objective of this study was to analyze the short-term evolution of shoulder clinical measures and functional performance in youth competitive volleyball players.

METHODS

Sixty-one volleyball players were assessed twice, at preseason and at midseason. Shoulder internal and external rotation range of motion as well as forward shoulder posture and scapular upward rotation were measured in all players. Two functional tests were also performed: the upper quarter Y-balance test and the Single-arm medicine ball throw. The results obtained at midseason were compared to those measured at preseason.

RESULTS

Compared to preseason, an increase in absolute value of shoulder external rotation, total rotation range of motion and forward shoulder posture were observed at midseason ( < .001). An increase in side-to-side difference for shoulder internal rotation range of motion was also observed during the season. As for scapular kinematics, scapular upward rotation was significantly decreased at 45° and increased at 120° of abduction at midseason. Concerning functional tests, an increase in throwing distance in the single-arm medicine ball throw was observed at midseason while no change was noted for the upper quarter Y-balance test.

CONCLUSION

Significant changes in clinical measures and functional performance were observed after some months of practice. Since some variables have been suggested to be correlated to a higher risk of shoulder injuries, the current study emphasizes the importance of regular screening in order to highlight injury risk profiles throughout the season.

摘要

背景

排球运动员的肩部会承受高速且大幅度的运动。经过数年训练后,肌肉骨骼适应性已有相关描述,但数月训练后的情况尚未得到探究。本研究的目的是分析青少年竞技排球运动员肩部临床指标和功能表现的短期变化。

方法

61名排球运动员在季前赛和赛季中期接受了两次评估。测量了所有运动员的肩部内旋和外旋活动范围以及肩部前伸姿势和肩胛骨上旋情况。还进行了两项功能测试:上肢Y平衡测试和单臂药球投掷测试。将赛季中期获得的结果与季前赛测量的结果进行比较。

结果

与季前赛相比,赛季中期观察到肩部外旋绝对值、总活动范围和肩部前伸姿势增加(<0.001)。在赛季中,肩部内旋活动范围的左右差异也有所增加。至于肩胛骨运动学,赛季中期在45°外展时肩胛骨上旋显著减少,在120°外展时增加。关于功能测试,赛季中期单臂药球投掷的投掷距离增加,而上肢Y平衡测试没有变化。

结论

经过数月训练后,临床指标和功能表现出现了显著变化。由于一些变量被认为与肩部受伤风险较高相关,本研究强调了定期筛查的重要性,以便在整个赛季突出受伤风险特征。

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