Disability Associated with Shoulder Pain during Life Span of Competitive Swimmers; A Cross-sectional study

Ayma Hashmi, Asna Waseem, F. Jabeen, Sana Manzoor, A. Batool, Fasiha Kamal
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Abstract

Background: The occurrence of shoulder pain among competitive swimmers is bizarre, but no strategy exists to diminish shoulder injuries in swimmers. Objective: To assess the disability associated with shoulder pain across the lifespan of competitive swimmers. Methods: A cross-sectional study including 58 swimmers who were selected based on inclusion criteria for this study from different swimming centers in Lahore, Pakistan. The questionnaire consisted of a total of 28 questions, 24 questions on Penn shoulder score and 4 questions on disability of arm, shoulder and hand questionnaire score and a diagnostic side bridge test was assessed 2 times by each participant to check endurance. Manual muscle testing was performed bilaterally on the serratus anterior, middle trapezius and lower trapezius muscles. Means and standard deviations were calculated for quantitative variables while frequency and percentages were used for qualitative variables. Chi-square was estimated to find the association between disability and shoulder pain. Results: There were 21 (36.2%) males and 37 (63.2%) females participated in the study. This showed that hand dominance affects the ability of competitive swimmers. For the side bridge average time, left and right hand, the p-value was <0.001 which was statistically significant. Conclusion: This study concludes that disabilities are associated with shoulder pain across the lifespan of competitive swimmers. Pain and discomfort in the shoulder is the main risk factor among competitive swimmers that can ultimately lead to the disability of the extremity.  As only a few participants were fully satisfied with the current level of their shoulder functioning.
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竞技游泳运动员一生中肩痛与残疾的关系横断面研究
背景:竞技游泳运动员肩部疼痛的发生是奇怪的,但没有策略来减少游泳运动员的肩部损伤。目的:评估竞技游泳运动员一生中与肩痛相关的残疾。方法:一项横断面研究,包括58名游泳者,他们是根据本研究的纳入标准从巴基斯坦拉合尔不同的游泳中心选择的。问卷共28个问题,其中24个问题为Penn肩部评分,4个问题为臂、肩、手残疾问卷评分,每位参与者进行2次诊断性侧桥测试以检查耐力。双侧对前锯肌、中斜方肌和下斜方肌进行手动肌肉测试。定量变量采用均值和标准差计算,定性变量采用频率和百分比计算。估计卡方发现残疾和肩痛之间的关联。结果:男性21例(36.2%),女性37例(63.2%)。这表明,手优势会影响竞技游泳运动员的能力。左右侧桥平均时间p值均<0.001,差异有统计学意义。结论:本研究得出的结论是,在竞技游泳运动员的一生中,残疾与肩痛有关。肩部疼痛和不适是竞技游泳运动员的主要危险因素,最终可能导致肢体残疾。因为只有少数参与者对他们目前的肩部功能水平完全满意。
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