竞技游泳运动员的肩部疼痛和受伤风险因素:系统审查
Alec McKenzie1,2,3, Sophie-Alexandra Larequi1, Andrea Hams1,3
1School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.
Scandinavian journal of medicine & science in sports
|July 29, 2023
概括
对于许多游泳者肩部疼痛风险因素的证据有限. 肩部强度-耐力和工作负载比率显示出潜在的联系,但对竞争性游泳者需要更多高质量的研究.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 康复科学科学 康复科学
背景情况:
- 在竞技游泳者中,肩部疼痛和受伤很常见.
- 识别风险因素对于预防伤害和优化绩效至关重要.
研究的目的:
- 系统地审查和综合现有关于与竞技游泳者肩部疼痛和受伤相关的风险因素的文献.
- 评估各种潜在风险因素的证据的强度.
主要方法:
- 从1966年到2022年4月发表的研究的系统审查和最佳证据综合.
- 包括队列,横截面和病例控制研究.
- 使用修改后的纽卡斯尔-太华尺度进行质量评估.
主要成果:
- 没有强有力的证据将80个评估变量中的大多数与肩膀损伤或疼痛联系起来.
- 适度的证据支持了竞争水平和肩膀肌肉招募模式的关联.
- 适度的证据反对运动范围,训练频率和人口统计学方面的关联.
- 在最高质量的研究中,高急性-慢性工作负荷比率和后肩强度耐力降低被认为是受伤相关的.
结论:
- 缺乏高质量的研究需要未来的前性研究.
- 竞争水平与疼痛有非定向的关联;球队的变化可能会影响伤害.
- 在疼痛期间,肩膀稳定剂活性可能会增加.
- 肩部强度-耐力是潜在的临床相关可修改的内在风险因素.
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