Department of Kinesiology, University of Wisconsin Oshkosh, Oshkosh, WI, USA.
J Sport Rehabil. 2024 Jul 27;33(7):515-521. doi: 10.1123/jsr.2024-0007. Print 2024 Sep 1.
Girls' high school volleyball is a popular sport with a high rate of overuse injuries and sport specialization. Health professionals perceive that high school athletes are reluctant to follow treatment plans involving sport activity reduction. This study's purpose was to describe high school girls' volleyball athletes' self-reported shoulder and knee pain, the likelihood of adhering to medical advice, and the association of factors that influence the likelihood of reporting overuse injuries and sport specialization.
Cross-sectional.
Participants completed an online survey (demographics, sport participation measures, shoulder and knee pain information, medical adherence likelihood [4-point Likert: not at all likely to extremely likely], and factors influencing overuse injury reporting intentions). A 2 × 2 chi-square analysis compared factors that influence athletes' intentions to "not report an overuse injury" (eg, I thought my coach would get mad; yes/no) and sport specialization (nonhighly specialized/highly specialized athletes).
There were 150 participants (highly specialized = 56%, grade: ninth = 33%, 10th = 28%, 11th = 22%, 12th = 17%). At least 60% reported shoulder and knee pain related to an overuse mechanism. Most reportedly did not seek rehabilitation led by a medical provider (shoulder pain = 66%, knee pain = 60%). Only 11% of athletes reported they were "extremely likely" to rest from sporting activity during the regular season if advised by a medical professional. Highly specialized athletes were more likely to report the pursuit of a college scholarship as a factor that influences their intention to report an overuse injury compared to nonhighly specialized athletes (13% vs 3%, respectively, P = .04).
Most girls' volleyball athletes did not treat their pain with guided rehabilitation, which may increase their risk of a worse overuse injury or even acute injury. Clinicians, athletes, parents, and coaches need to work together to create a sport culture that empowers athletes to discuss their pain and overuse injuries with medical professionals.
女子高中排球是一项很受欢迎的运动，其过度使用损伤和专项运动的发生率都很高。健康专业人员认为，高中运动员不愿意遵循减少运动活动的治疗计划。本研究的目的是描述高中女子排球运动员自我报告的肩部和膝关节疼痛、遵循医学建议的可能性，以及影响报告过度使用损伤和专项运动倾向的因素。
横断面研究。
参与者完成了一项在线调查（人口统计学、运动参与措施、肩部和膝关节疼痛信息、医学依从性可能性[4 分 Likert：一点也不可能到非常可能]以及影响过度使用损伤报告意图的因素）。2×2 卡方分析比较了影响运动员“不报告过度使用损伤”（例如，我认为我的教练会生气；是/否）和专项运动（非高度专项化/高度专项化运动员）意向的因素。
共有 150 名参与者（高度专项化=56%，年级：9 年级=33%，10 年级=28%，11 年级=22%，12 年级=17%）。至少 60%的人报告了与过度使用机制有关的肩部和膝关节疼痛。大多数人没有寻求由医疗提供者主导的康复治疗（肩部疼痛=66%，膝关节疼痛=60%）。只有 11%的运动员报告说，如果医学专业人员建议，他们在常规赛期间“非常可能”休息不参加体育活动。与非高度专项化运动员相比，高度专项化运动员更有可能将追求大学奖学金作为影响他们报告过度使用损伤意向的因素（分别为 13%和 3%，P=0.04）。
大多数女子排球运动员没有接受指导康复治疗他们的疼痛，这可能会增加他们遭受更严重的过度使用损伤甚至急性损伤的风险。临床医生、运动员、家长和教练需要共同努力，创造一种体育文化，使运动员能够与医疗专业人员讨论他们的疼痛和过度使用损伤。
