精英团队手球运动员在肩部疼痛、既往有疼痛或无疼痛情况下进行的闭链上肢稳定性测试（CKCUEST）表现
The Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) Performance in Elite Team Handball Players Playing with Shoulder Pain, Previous Pain, or No Pain.
作者信息
Torabi Tina Piil, Bencke Jesper, van den Tillaar Roland
机构信息
Department of Sports Sciences Nord University.
Department of Orthopaedic Surgery Hvidovre Hospital.
出版信息
Int J Sports Phys Ther. 2024 Feb 1;19(2):189-198. doi: 10.26603/001c.92014. eCollection 2024.
BACKGROUND
Physical therapists use tests that could determine strength and weaknesses of the shoulder for overhead throwing athletes to enhance performance, prevent injury, and safely progress rehabilitation. The Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) has been proposed to assess muscular capacity and dynamic shoulder stability in overhead athletes, which could provide information to determine a risk of injury.
PURPOSE
To investigate if the CKCUEST is an appropriate test to implement within team elite handball players to evaluate dynamic shoulder stability across sexes and in the screening of shoulder pain.
STUDY DESIGN
Cross-sectional study.
METHODS
Elite team handball players were recruited and performed the CKCUEST from which three different scores (raw, touch, and power) were calculated and compared among handball players playing with shoulder pain, previous pain, and no pain.
RESULTS
A total of 106 handball players were included: 49 females (1.74±0.03 m, 70.4±6.7 kg, and 22±4.9 years) and 57 males (1.90±0.08 m, 91.6±11.4 kg, and 22±5.4 years), A significant difference was found between the female and male handball players when comparing all three CKCUEST scores (p<0.01). No significant differences were found in the CKCUEST scores among the three different groups (F≤1.23, p≥0.30, η≤0.03). Among the female participants, no significant differences were found between performing the CKCUEST and the modified test. A significant correlation was found between height and the power score for men (r=0.661, p≤0.001) and women (r=0.434, p=0.01).
CONCLUSION
A comparison of scores across sexes appears unsuitable, due to the possible positive influence of height on the final score. But within the female group, performances of the CKCUEST and the modified CKCUEST were comparable. Additionally, the CKCUEST was not able to differentiate among elite handball players who are playing with shoulder pain, previous shoulder pain, and no pain.
LEVEL OF EVIDENCE
背景
物理治疗师使用一些测试来确定从事过顶投掷运动的运动员肩部的优势与不足，以提高运动表现、预防损伤并安全推进康复进程。闭合动力链上肢稳定性测试（CKCUEST）已被提议用于评估从事过顶运动的运动员的肌肉能力和动态肩部稳定性，这可为确定受伤风险提供信息。
目的
研究CKCUEST是否是一项适用于精英团队手球运动员的测试，以评估不同性别运动员的动态肩部稳定性以及筛查肩部疼痛情况。
研究设计
横断面研究。
方法
招募精英团队手球运动员并让他们进行CKCUEST测试，计算出三种不同分数（原始分数、触碰分数和力量分数），并在有肩部疼痛、既往有疼痛和无疼痛的手球运动员之间进行比较。
结果
共纳入106名手球运动员，其中49名女性（身高1.74±0.03米，体重70.4±6.7千克，年龄22±4.9岁）和57名男性（身高1.90±0.08米，体重91.6±11.4千克，年龄22±5.4岁）。比较所有三个CKCUEST分数时，发现男女手球运动员之间存在显著差异（p<0.01）。在三个不同组之间，CKCUEST分数没有显著差异（F≤1.23，p≥0.30，η≤0.03）。在女性参与者中，进行CKCUEST测试和改良测试之间没有发现显著差异。发现男性（r=0.661，p≤0.001）和女性（r=0.434，p=0.01）的身高与力量分数之间存在显著相关性。
结论
由于身高可能对最终分数产生积极影响，因此跨性别比较分数似乎不合适。但在女性组中，CKCUEST测试和改良CKCUEST测试的表现具有可比性。此外，CKCUEST无法区分有肩部疼痛、既往有肩部疼痛和无疼痛的精英手球运动员。
证据水平
3级
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