Kugler A, Krüger-Franke M, Reininger S, Trouillier H H, Rosemeyer B
Staatliche Orthopädische Klinik, München, Germany.
Br J Sports Med. 1996 Sep;30(3):256-9. doi: 10.1136/bjsm.30.3.256.
In overhead sports such as volleyball, baseball, or tennis shoulder problems are very common. The aim of this study was to identify features which may correlate with shoulder problems in volleyball attackers.
30 competitive volleyball attackers (mean age 25 years) were included in the study; 15 were suffering from shoulder pain and 15 had no history of shoulder pain. The results were compared with those of a control group of 15 recreational athletes without any overhead sports activities.
Volleyball attackers have a different muscular and capsular pattern at the playing shoulder compared to the opposite shoulder. Their playing shoulder is depressed, the scapula lateralised, and the dorsal muscles and the posterior and inferior part of the shoulder capsule shortened. These differences were of more significance in volleyball attackers with shoulder pain than in volleyball players without shoulder pain. In contrast to recreational athletes without any overhead sports activity, there were no significant difference in the comparison of the two shoulders. The histories, clinical and sonographic findings did not reveal further typical features for volleyball attackers with shoulder pain.
Muscular balance of the shoulder girdle is very important in this sport. It is therefore imperative to include adequate stretching and muscular training programme for the prevention, as well as for therapy, of shoulder pain in volleyball attackers.
在排球、棒球或网球等 overhead 运动中，肩部问题非常常见。本研究的目的是确定可能与排球进攻球员肩部问题相关的特征。
30 名竞技排球进攻球员（平均年龄 25 岁）被纳入研究；其中 15 人患有肩部疼痛，15 人无肩部疼痛病史。将结果与 15 名无任何 overhead 运动的休闲运动员对照组的结果进行比较。
与对侧肩部相比，排球进攻球员在运动肩部有不同的肌肉和关节囊模式。他们的运动肩部下沉，肩胛骨侧移，背部肌肉以及肩关节囊的后部和下部缩短。这些差异在有肩部疼痛的排球进攻球员中比在无肩部疼痛的排球运动员中更为显著。与无任何 overhead 运动的休闲运动员相比，两侧肩部比较无显著差异。病史、临床和超声检查结果未揭示有肩部疼痛的排球进攻球员的进一步典型特征。
在这项运动中，肩胛带的肌肉平衡非常重要。因此，对于预防和治疗排球进攻球员的肩部疼痛，必须纳入适当的伸展和肌肉训练计划。
