Secchi Leonardo Luiz Barretti, Camargo Paula Rezende, Alves Laís Emanuelle Meira, Mendonça Luciana De Michelis
Universidade Federal de São Carlos (UFSCar) - Post-Graduate Program in Physical Therapy - São Carlos - São Paulo, Brazil.
Universidade Federal de São Carlos (UFSCar) - Post-Graduate Program in Physical Therapy - São Carlos - São Paulo, Brazil; Physical Therapy Department, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
Phys Ther Sport. 2025 May;73:156-164. doi: 10.1016/j.ptsp.2025.04.003. Epub 2025 Apr 17.
To identify interactions among variables of the upper limbs, trunk, and hip joint associated with shoulder pain occurrence in asymptomatic overhead athletes.
prospective cohort study.
Sports club facilities.
Ninety-five adult asymptomatic overhead athletes from national first division teams, both sexes.
Isometric strength of the shoulder ER muscles, serratus anterior, lower trapezius and hip abductors, HipSIT, shoulder internal rotation (IR) range of motion (ROM), low flexion test, closed kinetic chain upper extremity stability test (CKCUEST), seat medicine ball test (SMB-T), upper seat shot put test (USSP-T), upper quarter Y balance test [UQYBT] and leg lateral reach test (LLRT). Shoulder pain occurrence was registered during a 6-month follow-up.
The model correctly classified 77.4 % of the athletes who did not develop shoulder pain and 100.0 % of those who developed shoulder pain. The accuracy was 89 % (95 %CI:83 %,96 %). Athletes with UQYBT score under 88.5 %, and isometric strength of the shoulder ER muscles above 0.780 N/kg did not develop shoulder pain (RR:0.02, 95 %CI:0.001,0.44). Athletes with UQYBT score above 88.5 % and USSP-T performance above 3.175m developed shoulder pain (RR:14.09, 95 %CI: 3.27,60.56).
Shoulder pain occurrence in overhead athletes was associated with interactions among UQYBT, isometric strength of the shoulder ER muscles, and USSP-T.
确定无症状过头运动运动员上肢、躯干和髋关节变量之间与肩部疼痛发生相关的相互作用。
前瞻性队列研究。
体育俱乐部设施。
来自国家一级球队的95名成年无症状过头运动运动员，男女皆有。
肩部外旋肌、前锯肌、下斜方肌和髋外展肌的等长力量、髋部单腿站立试验（HipSIT）、肩部内旋（IR）活动范围（ROM）、低位屈曲试验、闭链上肢稳定性试验（CKCUEST）、坐式药球试验（SMB-T）、上座位推铅球试验（USSP-T）、上肢Y平衡试验[UQYBT]和腿部侧伸试验（LLRT）。在6个月的随访期间记录肩部疼痛的发生情况。
该模型正确分类了77.4%未发生肩部疼痛的运动员和100.0%发生肩部疼痛的运动员。准确率为89%（95%CI：83%，96%）。UQYBT评分低于88.5%且肩部外旋肌等长力量高于0.780N/kg的运动员未发生肩部疼痛（RR：0.02，95%CI：0.001，0.44）。UQYBT评分高于88.5%且USSP-T成绩高于3.175m的运动员发生肩部疼痛（RR：14.09，95%CI：3.27，60.56）。
过头运动运动员肩部疼痛的发生与UQYBT、肩部外旋肌等长力量和USSP-T之间的相互作用有关。
