Age and Gender Differences in Injuries and Risk Factors in Elite Junior and Professional Tennis Players

被引:12
作者
Rice, Robyn Porter [1 ]
Roach, Kathryn [1 ]
Kirk-Sanchez, Neva [1 ]
Waltz, Bret [2 ,3 ]
Ellenbecker, Todd S. [4 ,5 ]
Jayanthi, Neeru [6 ]
Raya, Michele [1 ]
机构
[1] Univ Miami, Miller Sch Med, Dept Phys Therapy, 5915 Ponce de Leon Blvd, Miami, FL 33146 USA
[2] DocWaltz LLC, Scottsdale, AZ USA
[3] USTA Player Dev, Orlando, FL USA
[4] ATP Tour, Med Serv, Ponte Vedra Beach, FL USA
[5] Rehab Plus Sports Therapy Scottsdale, Scottsdale, AZ USA
[6] Emory Univ, Sch Med, Dept Orthoped Surg & Family Med, Emory Sports Med Ctr, Atlanta, GA USA
来源
SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH | 2022年 / 14卷 / 04期
关键词
tennis athlete; adolescent athlete; risk factors; sport-specific adaptations; trunk strength; LOW-BACK-PAIN; ANTERIOR CRUCIATE LIGAMENT; HIP MUSCLE IMBALANCE; CORE STABILITY; SPORTS SPECIALIZATION; ROTATION RANGE; ELECTROMYOGRAPHIC ANALYSIS; MUSCULOSKELETAL INJURY; NEUROMUSCULAR CONTROL; COLLATERAL LIGAMENT;
D O I
10.1177/19417381211062834
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background: Elite tennis athletes experience injuries throughout the entire body. impairments in trunk stability, lower limb flexibility, and hip range of motion (ROM) are modifiable risk factors that can impact injuries and performance. Information on nonmodifiable risk factors such as age and gender is limited. The purpose of this investigation was to provide information on risk factors to direct clinical decision-making and injury prevention and rehab programming in this population. Hypothesis: Prevalence and location of injuries will differ by age group and gender. Trunk stability, lower limb flexibility, and hip ROM will differ by age group and gender. Study Design: Cross-sectional study. Level of Evidence: Level 3. Methods: A de-identified database (n = 237; females = 126) from the United States Tennis Association High Performance Profile (HPP) 201.4-2015 was used for the analysis. Subjects were elite junior and professional tennis players (mean age 14.6 [range, 9-27] years). The HPP is a tennis-specific assessment and questionnaire that includes retrospective information on injury history. Subjects were categorized by injury, gender, and age. Injury locations were dassified by region. Trunk stability measures included drop vertical jump (DVJ), single-leg squat, and prone and side planks. Lower limb measures included hamstring, quadriceps and hip flexor flexibility, and hip rotation ROM. Results: A total of 46% of athletes reported an injury. Significant differences were found for injury prevalence and location by age group. Adolescent athletes (age 13-17 years) had more trunk injuries, while adult athletes (age >= 18 years) had more lower limb injuries. Adolescent athletes performed worse on DVJ, dominant side plank, and hamstring flexibility compared with young (age <= 12 years) and adult athletes. Significant gender differences in hip ROM included internal rotation on both the dominant and nondominant sides. Conclusion: impairments in trunk stability, lower limb flexibility, and hip rotation ROM may affect both health and performance outcomes in this population. Elite tennis athletes may benefit from additional off court programming to address trunk and lower limb impairments.
引用
收藏
页码:466 / 477
页数:12
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