Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function

Valéria M A de Oliveira, Ana C R Pitangui, Mayra R A Gomes, Hítalo A da Silva, Muana H P Dos Passos, Rodrigo C de Araújo, Valéria M A de Oliveira, Ana C R Pitangui, Mayra R A Gomes, Hítalo A da Silva, Muana H P Dos Passos, Rodrigo C de Araújo

Abstract

Background: Sports that require the constant use of an upper limb demand the maximum kinetic chain efficiency in this segment. Immaturity of the musculoskeletal system, followed by failure in motor skills can expose adolescents to major reports of pain complaints, particularly for the shoulder.

Objective: To evaluate the prevalence of shoulder pain in adolescent athletes and identify possible factors associated with the complaint.

Method: A total of 310 athletes, of both sexes and aged between 10 and 19 years old participated on this study. The subjects filled out a questionnaire with personal, sports and upper limb function (Quick-DASH) questions. We evaluated the height, body mass, shoulder rotation range and stability of the upper limb using the CKCUES-test. The association between pain and the variables was analyzed using multilevel modeling logistic regression. We used the Mann-Whitney test for comparing between pain and function.

Results: The prevalence of shoulder pain was 43.5%. Athletes between 15 and 19 years, handball and judo practitioners, are 1.86, 2.14 and 3.07 more likely to report shoulder pain, respectively, when compared with other sports and ages. Shoulder pain reduced function scores (p<0.001) and increased changes in the range of motion (p<0.04).

Conclusion: Shoulder pain is highly prevalent and is associated especially with older adolescent athletes of handball and judo, and affects the levels of function and the range of the shoulder.

Keywords: Movement; Physical therapy; Rehabilitation; Sports performance; Upper extremity.

Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

References

    1. Stracciolini A., Casciano R., Levey Friedman H., Meehan W.P., Micheli L.J. Pediatric sports injuries: an age comparison of children versus adolescents. Am J Sports Med. 2013;41(8):1922–1929.
    1. Merkel D.L. Youth sport: positive and negative impact on young athletes. J Sports Med. 2013;4:151–160.
    1. Adirim T.A., Cheng T.L. Injuries in the young athlete. Sport Med. 2003;33(1):75–81.
    1. Zaremski J.L., Krabak B.J. Shoulder injuries in the skeletally immature baseball pitcher and recommendations for the prevention of injury. J Inj Funct Rehabil. 2012;4(7):509–516.
    1. Kamper S.J., Henschke N., Hestbaek L., Dunn K.M., Williams C.M. Musculoskeletal pain in children and adolescents. Braz J Phys Ther. 2016;20(3):275–284.
    1. Dashe J., Roocroft J.H., Bastrom T.P., Edmonds E.W. Spectrum of shoulder injuries in skeletally immature patients. Orthop Clin North Am. 2013;44(4):541–551.
    1. Robinson T.W., Corlette J., Collins C.L., Comstock R.D. Shoulder injuries among US high school athletes, 2005/2006–2011/2012. Pediatrics. 2014;133(2):272–279.
    1. Bonza J.E., Fields S.K., Yard E.E., Mph À., Comstock R.D. Shoulder injuries among United States high school athletes during the 2005–2006 and 2006–2007 school years. J Athl Train. 2009;44(1):76–83.
    1. Tate A., Turner G.N., Knab S.E., Jorgensen C., Strittmatter A., Michener L.A. Risk factors associated with shoulder pain and disability across the lifespan of competitive swimmers. J Athl Train. 2012;47(2):149–158.
    1. Walker H., Gabbe B., Wajswelner H., Blanch P., Bennell K. Shoulder pain in swimmers: a 12-month prospective cohort study of incidence and risk factors. Phys Ther Sport. 2012;13(4):243–249.
    1. Venâncio B.O., Tacani P.M., Deliberato P.C.P. Prevalência de dor nos nadadores de São Vaetano do Sul. Rev Bras Med Esporte. 2012;18(6):394–399.
    1. Vanderlei F.M., Bastos F.N., Tsutsumi G.Y.C., Vanderlei L.C.M., Netto Júnior J., Pastre C.M. Characteristics and contributing factors related to sports injuries in young volleyball players. BMC Res Notes. 2013;6:415.
    1. Spinks A.B., McClure R.J. Quantifying the risk of sports injury: a systematic review of activity-specific rates for children under 16 years of age. Br J Sports Med. 2007;41(9):548–557.
    1. Mohseni-bandpei M.A., Keshavarz R., Minoonejhad H., Mohsenifar H., Shakeri H. Shoulder pain in Iranian elite athletes: the prevalence and risk of factors. J Manipulative Physiol Ther. 2012;35(7):541–548.
    1. Vanderlei F.M., Vanderlei L.C.M., Bastos F.N., Netto Júnior J., Pastre C.M. Characteristics and associated factors with sports injuries among children and adolescents. Braz J Phys Ther. 2014;18(6):530–537.
    1. Corlett E.N. The evaluation of posture and its effects. In: Wilson, John R., Corlett E., Nigel, editors. Evaluation of Human Work – A Practical Ergonomics Methodology. Taylor & Francis; London: 1995. pp. 663–713.
    1. Orfale A.G., Araújo P.M.P., Ferraz M.B., Natour J. Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the Disabilities of the Arm, Shoulder and Hand Questionnaire. Braz J Med Biol Res. 2005;38(2):293–302.
    1. Puga V.O., Lopes A.D., Shiwa S.R., Alouche S.R., Costa L.O. Clinimetric testing supports the use of 5 questionnaires adapted into Brazilian Portuguese for patients with shoulder disorders. J Orthop Sports Phys Ther. 2013;43(6):404–413.
    1. Puga V.O.O., Lopes A.D., Costa L.O. Assessment of cross-cultural adaptations and measurement properties of self-report outcome measures relevant to shoulder disability in Portuguese: a systematic review. Rev Bras Fisioter. 2011;16(2):85–93.
    1. Quatman-Yates C.C., Gupta R., Paterno M.V., Schmitt L.C., Quatman C.E., Ittenbach R.F. Internal consistency and validity of the QuickDASH instrument for upper extremity injuries in older children. J Pediatr Orthop. 2013;33(8):838–842.
    1. Myklebust G., Hasslan L., Bahr R., Steffen K. High prevalence of shoulder pain among elite Norwegian female handball players. Scand J Med Sci Sports. 2011;23(3):288–294.
    1. Tucci H.T., Martins J., Sposito G.D.C., Camarini P.M.F., de Oliveira A.S. Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome. BMC Musculoskelet Disord. 2014;15:1.
    1. Heinke B., Mullner J. Common issues encountered in adolescent sports medicine: guide to completing the preparticipation physical evaluation. Prim Care. 2014;41(3):539–558.
    1. Pocecco E., Ruedl G., Stankovic N. Injuries in judo: a systematic literature review including suggestions for prevention. Br J Sports Med. 2013;47(18):1139–1143.
    1. Leonard J., Hutchinson M.R. Shoulder injuries in skeletally immature throwers: review and current thoughts. Br J Sports Med. 2010;44(5):306–310.
    1. Guney H., Harput G., Colakoglu F., Baltaci G. Glenohumeral internal rotation deficit affects functional rotator strength ratio in adolescent overhead athletes. J Sport Rehabil. 2015;25(1):52.
    1. Astolfi M.M., Struminger A.H., Royer T.D., Kaminski T.W., Swanik C.B. Adaptations of the shoulder to overhead throwing in youth athletes. J Athl Train. 2015;50(7):726–732.
    1. Cools A.M., Johansson F.R., Borms D., Maenhout A. Prevention of shoulder injuries in overhead athletes: a science-based approach. Braz J Phys Ther. 2015:1–9.
    1. Clarsen B., Bahr R., Andersson S.H., Munk R., Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med. 2014;48(17):1327–1333.
    1. Wilk K.E., Macrina L.C., Fleisig G.S. Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. Am J Sports Med. 2010;39(2):329–335.
    1. Koh M.J., Park S.Y., Park E.J. The effect of education on decreasing the prevalence and severity of neck and shoulder pain: a longitudinal study in Korean male adolescents. Korean J Anesthesiol. 2014;67(3):198.

Source: PubMed

Sponsors en medewerkers

Medische omstandigheden

Geneesmiddelinterventies

3
Abonneren