排球运动员肩部疼痛,受伤和功能障碍的危险因素:一项前性队列研究
Daniel Carvalho de Toledo1, Pedro Henrique Crema Duarte2, Nayanne de Lima Malta3
1Hospital de Base do Distrito Federal, Brasília, DF, Brazil.
Orthopaedic journal of sports medicine
|November 17, 2025
概括
骨动力障碍和先前的肩部损伤显著增加了排球运动员肩部疼痛和受伤的风险. 相反,下降的部逆转似乎有助于防止肩膀受伤.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 投运动员肩部受伤的病因是复杂的和有争议的.
- 了解特定的风险因素对于伤害预防策略至关重要.
研究的目的:
- 在精英排球运动员中前性地确定与肩膀疼痛,受伤和功能障碍相关的风险因素.
- 分析各种生物机械和临床因素与肩部不良结果之间的关系.
主要方法:
- 一项前性队列研究,涉及95名职业和士级排球运动员在8个月内.
- 对于受伤的运动员,利用体检,测,动力测量,超声波和MRI.
- 根据定义的标准,评估了15种肩部疼痛,损伤和功能障碍的潜在风险因素.
主要成果:
- 观察到高发病率:疼痛为52.6%,受伤为38.9%,功能障碍为47.3%.
- 骨功能障碍增加了疼痛 (4.2倍) 和受伤 (3.5倍) 的几率.
- 肩部受伤史显著增加了疼痛 (25.3倍) 和重伤 (606倍) 的几率.
- 力量不平衡和成为一个启动器与增加受伤风险有关.
- 部逆转率的降低显示出对伤害的保护作用.
结论:
- 骨动力障碍和肩部受伤史是排球运动员肩部问题的重要危险因素.
- 玩起始位置并经历力量失衡会增加受伤的可能性.
- 保持足够的部逆转可能有助于预防这一群体的肩膀损伤.
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