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Upper Extremity Musculoskeletal Profiles in Tennis Players: A Systematic Review.
Natalie L Myers1, James L Farnsworth2, Sean M Kennedy1
1Memorial Hermann's Rockets Sports Medicine Institute, Houston, Texas.
Sports Health
|February 16, 2024
Summary
This review found that male tennis players exhibit greater external rotation gain and internal rotation loss than females. Shoulder strength in tennis players is comparable to other overhead athletes, with adaptive changes similar to theirs.
Area of Science:
- Sports Medicine
- Biomechanics
- Orthopedics
Background:
- Musculoskeletal (MSK) screening is vital for assessing range of motion (ROM) and muscular imbalances in athletes.
- Establishing normative MSK data is crucial for optimizing tennis player performance and mitigating injury risks.
Purpose of the Study:
- To systematically review upper extremity MSK data in healthy tennis players.
- To analyze this data across different age groups, sexes, and levels of play.
Main Methods:
- A systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Searches were conducted across MEDLINE, SPORTDiscus, Embase, and CINAHL databases.
- Included studies focused on shoulder, elbow, and wrist ROM, and isometric or isokinetic strength in tennis players.
Main Results:
- Data from 41 studies involving 3174 players were analyzed.
- Male tennis players showed significantly greater external rotation (ER) gain and internal rotation (IR) loss compared to females.
- Shoulder ER strength was consistently at least two-thirds of shoulder IR strength.
Conclusions:
- Tennis players generally exhibit greater shoulder strength than non-athletes, but comparable strength to other overhead athletes.
- Adaptive changes in the glenohumeral joint and rotational motion in tennis players mirror those seen in other overhead athletes.
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