Torabi Tina Piil, Bencke Jesper, van den Tillaar Roland
Department of Sport Science and Physical Education Nord University.
Department of Orthopaedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Copenhagen, Denmark Human Movement Analysis Laboratory.
Int J Sports Phys Ther. 2025 Apr 1;20(4):522-531. doi: 10.26603/001c.133546. eCollection 2025.
The prevalence of overuse shoulder injuries is unfortunately common in team handball, potentially impacting sport participation and quality of life after players' professional careers. Shoulder rotational strength and glenohumeral range of motion have been proposed to influence the development of shoulder injuries.
This study aimed to compare external and internal shoulder rotation range of motion and isometric strength among elite male and female handball players with current shoulder pain, previous shoulder pain, and no shoulder pain.
An explorative cross-sectional study.
Maximal isometric shoulder internal and external rotator strength and shoulder internal and external rotation range of motion were measured and compared between sexes and among players with current shoulder pain, previous shoulder pain, and no shoulder pain. All data distributions were tested for normality with the Shapiro-Wilk test, histograms, and qq plots. An ANOVA was used to compare the internal and external shoulder range of motion and strength.
A total of 136 elite team handball players, 57 women (1.74±0.06 m, 72.4 ± 8.3 kg, and 22.4±4.9 years) and 79 men (1.89±0.08 m, 90.8 ± 11.8 kg, and 22.3 ± 5.2 years) participated. A significant difference in maximal internal (p<0.001) and external (p=0.004) shoulder rotator strength was found between sexes, with no significant difference in range of motion. When categorized by groups, male athletes in the no-pain group had greater internal rotator strength than males in the current and previous pain groups (p<0.042). Furthermore, female athletes in the no-pain group showed significantly less internal and external rotation range of motion compared to those playing with shoulder pain and those with previous pain.
Greater maximal isometric shoulder strength was found for men than women, primarily of the internal rotators, among all three groups. However, the men in the no-pain group had greater strength of the internal rotators than the two other groups. Range of motion was comparable between sexes, but the women without shoulder pain demonstrated significantly less internal and external rotation range of motion compared to those playing with shoulder pain and those with previous pain.
不幸的是，过度使用性肩部损伤在团队手球运动中很常见，可能会影响运动员的运动参与度以及职业生涯后的生活质量。有人提出肩部旋转力量和盂肱关节活动范围会影响肩部损伤的发生。
本研究旨在比较有当前肩部疼痛、既往肩部疼痛和无肩部疼痛的精英男女手球运动员的肩部内外旋转活动范围和等长力量。
一项探索性横断面研究。
测量并比较了男女之间以及有当前肩部疼痛、既往肩部疼痛和无肩部疼痛的运动员之间的最大等长肩部内旋和外旋力量以及肩部内外旋转活动范围。所有数据分布均通过夏皮罗-威尔克检验、直方图和QQ图进行正态性检验。采用方差分析来比较肩部内外活动范围和力量。
共有136名精英团队手球运动员参与，其中57名女性（身高1.74±0.06米，体重72.4±8.3千克，年龄22.4±4.9岁）和79名男性（身高1.89±0.08米，体重90.8±11.8千克，年龄22.3±5.2岁）。发现男女之间最大内旋（p<0.001）和外旋（p=0.004）肩部旋转力量存在显著差异，而活动范围无显著差异。按组分类时，无疼痛组的男性运动员比当前疼痛组和既往疼痛组的男性具有更大的内旋力量（p<0.042）。此外，无疼痛组的女性运动员与有肩部疼痛和既往疼痛的女性相比，其内外旋转活动范围明显更小。
在所有三组中，男性的最大等长肩部力量大于女性，主要是内旋肌力量。然而，无疼痛组的男性内旋肌力量大于其他两组。男女之间的活动范围相当，但无肩部疼痛的女性与有肩部疼痛和既往疼痛的女性相比，其内外旋转活动范围明显更小。
3级。
