■美国有280万青年游泳运动员,肩部疼痛是游泳者中最常见的抱怨。
■为了确定肩痛的患病率,残疾,以及青少年游泳运动员的不满。第二个目的是确定年龄的影响,竞技游泳经验,既往有肩痛或肩痛损伤史,残疾,和不满,最后确定性别,地理区域,参与第二项运动与肩部疼痛有关,残疾,和不满。
■多点横截面设计。
■来自美国六个州的六百七十一名9-17岁游泳者完成了包括人口统计在内的调查,宾夕法尼亚大学肩关节评分(PSS)和手臂肩手(DASH)运动的残疾。独立t检验用于比较疼痛,残疾,不满,年龄的影响,性别,参与第二运动,地理区域,和肩痛史。进行线性回归分析以确定这些变量与报告的疼痛和残疾的相互作用。
■49%的游泳者有肩部症状。据报道,与9至10岁相比,15至17岁的人肩痛和残疾更大(疼痛和残疾:p<0.001),在经验较多与较少的游泳者中(疼痛和残疾:p<0.001),以及来自东部和西部州的游泳者(疼痛:p=0.001,残疾:p=0.0014)。不参加第二项运动的游泳者肩部不满意较高(p=0.002)。既往肩痛/外伤史是疼痛加重的最佳指标,残疾,和不满意(p<0.001)。
■接受调查的游泳者中,几乎有一半患有肩痛,老年人群的患病率较高,那些有更多经验的人,以及先前有肩痛或外伤的人。进一步的研究应该调查肩痛的预防方案,建议采用监测方法来识别可能从转诊中受益的有症状的游泳者,以防止进一步的疼痛和残疾。
■III.
UNASSIGNED: There are 2.8 million youth competitive swimmers in the United States (US), and
shoulder pain is the most common complaint among swimmers.
UNASSIGNED: To determine prevalence of
shoulder pain, disability, and dissatisfaction in youth competitive swimmers. A secondary purpose was to determine influence of age, competitive swimming experience, and previous history of shoulder pain or injury on shoulder pain, disability, and dissatisfaction, and finally to determine if sex, geographic area, and participation in a second sport relate to shoulder pain, disability, and dissatisfaction.
UNASSIGNED: Multi-site cross-sectional design.
UNASSIGNED: Six-hundred and seventy-one swimmers aged 9-17 years from six states in the US completed surveys which included demographics, the Penn Shoulder Score (PSS), and the Disability of Arm
Shoulder Hand (DASH) Sports. Independent t-tests were used to compare pain, disability, dissatisfaction, the influence of age, sex, participation in second sport, geographic region, and history of shoulder pain. Linear regression analyses were performed to determine the interaction of these variables with reported pain and disability.
UNASSIGNED: Forty-nine percent of swimmers had
shoulder symptoms. Greater shoulder pain and disability were reported in 15 to 17-year-olds compared to 9 to 10-year-olds (pain and disability: p<0.001), in swimmers with greater versus less years of experience (pain and disability: p<0.001), and in swimmers from eastern versus western states (pain: p=0.001, disability: p=0.0014). Swimmers not participating in a second sport had higher
shoulder dissatisfaction (p=0.002). History of prior shoulder pain/traumatic injury was the best indicator of increased pain, disability, and dissatisfaction (p<0.001).
UNASSIGNED: Almost half of swimmers surveyed had shoulder pain, with a higher prevalence found in older age groups, those with greater experience, and in those with prior shoulder pain or traumatic injury. Further research should investigate shoulder pain prevention programs, and surveillance methods are recommended to identify symptomatic swimmers who may benefit from referral to prevent further pain and disability.
UNASSIGNED: III.