Risk and protective factors for shoulder complaints in indoor volleyball players: A comprehensive systematic review

IF 2.2 3区医学 Q1 REHABILITATION Physical Therapy in Sport Pub Date : 2024-01-01 DOI:10.1016/j.ptsp.2023.12.011

Júlia Gonzalez Fayão , Denise Martineli Rossi , Anamaria Siriani de Oliveira

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Abstract

Objective

This systematic review aimed to answer the question: “What are the risk and protective factors for shoulder complaints (pain, injury, or problem) in indoor volleyball players?”.

Methods

Searches were conducted in electronic databases: PubMed/MEDLINE, Embase, CINAHL, and SPORTDiscus, as well as reference lists of the included studies. We included studies evaluating potential intrinsic and extrinsic factors associated with shoulder complaints in indoor volleyball players of any country, age, sex, and competitive level. The Quality in Prognosis Studies (QUIPS) tool was used to assess the risk of bias.

Results

The risk factors for shoulder complaints in volleyball players were identified through four prospective studies, which exhibited a moderate to low risk of bias. These factors included previous shoulder pain or injury, playing in outside and opposite positions, subacromial bursa thickening, and having an average external rotator (ER) isokinetic eccentric torque lower than the average internal rotator (IR) concentric torque. Protective factors were enhancing shoulder IR and ER isokinetic eccentric strength, being male sex, being older, and maintaining a concentric strength ratio ER/IR within the 0.60–0.75 range.

Conclusions

This systematic review highlights risk factors that clinicians and researchers should consider when assessing and tracking indoor volleyball players.

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室内排球运动员肩部不适的风险和保护因素：全面系统回顾

目标本系统综述旨在回答以下问题："室内排球运动员肩部不适（疼痛、受伤或问题）的风险和保护因素是什么？"方法在电子数据库中进行检索：方法在以下电子数据库中进行搜索：PubMed/MEDLINE、Embase、CINAHL 和 SPORTDiscus，以及纳入研究的参考文献列表。我们纳入了评估与任何国家、年龄、性别和竞技水平的室内排球运动员肩部不适相关的潜在内在和外在因素的研究。结果通过四项前瞻性研究确定了排球运动员肩部不适的风险因素，这些研究的偏倚风险为中度至低度。这些因素包括以前的肩痛或肩伤、在外侧和对侧位置打球、肩峰下滑囊增厚、外旋肌（ER）的平均等速偏心扭矩低于内旋肌（IR）的平均同心扭矩。保护因素包括肩部 IR 和 ER 等速偏心力量增强、男性、年龄较大以及 ER/IR 同心力量比值保持在 0.60-0.75 范围内。结论：这篇系统综述强调了临床医生和研究人员在评估和跟踪室内排球运动员时应考虑的风险因素。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.