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Titre : | Reduced shoulder strength and change in range of motion are risk factors for shoulder injury in water polo players (2019) |
Auteurs : | Andrea Hams ; Kerrie Evans ; Roger Adams ; et al. |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 40, November 2019) |
Article en page(s) : | p. 231-237 |
Note générale : | https://doi.org/10.1016/j.ptsp.2019.10.003 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amplitude articulaire ; Blessure ; Epaule ; Facteurs de risque ; Water-polo |
Mots-clés: | Amplitude de mouvement |
Résumé : |
Objective
To determine whether pre-season shoulder ROM and strength can be used to identify athletes at risk of future shoulder injury. Design Prospective cohort. Setting High performance sports institute. Participants 76 sub-elite water polo players. Main outcome measures Mean pre-season shoulder internal (IR) and external rotation (ER) ROM and strength values compared by gender, dominance and prospective injury status. Results 14-dominant shoulder injuries were recorded. There was a significant difference (p = 0.05) in total ROM difference (TROM) between the prospectively injured and no injury groups (−17.2°(30.4);-0.8°(13.3)), and dominant side ER strength (11.7%(2.4) vs 14.5%(2.8), p = 0.03) and IR strength (16.5%(3.0) vs 21.6%(4.9) as a percentage body weight (PBW) were also significantly different (p ≤ 0.03). Separate significant associations were found between future episodes of shoulder injury and; dominant shoulder TROM difference of ≥7.5°(OR 3.6,95%CI 0.816.0), ER strength as a PBW≤12.5%(OR 5.2,95%CI 1.027.9), and IR strength as a PBW≤16.8%(OR 13.8,95%CI 2.288.0). Conclusion Pre-season dominant TROM difference, and reduced shoulder IR and ER strength relative to body weight were significant predictors for future shoulder injury. Although further investigation with a larger sample size is required, achieving optimal values on these measures may reduce future episodes of shoulder injury in water polo players. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/abs/pii/S1466853X19302998 |