Risk Factors for Throwing-Related Shoulder and Elbow Pain in Adolescent Baseball Players: A Prospective Study of Physical and Developmental Factors

被引：9

作者：

Tajika, Tsuyoshi ^{[1
]}

Oya, Noboru ^{[1
]}

Kuboi, Takuro ^{[1
]}

Endo, Fumitaka ^{[1
]}

Ichinose, Tsuyoshi ^{[1
]}

Shimoyama, Daisuke ^{[1
]}

Sasaki, Tsuyoshi ^{[1
]}

Hamano, Noritaka ^{[1
]}

Omodaka, Takuya ^{[1
]}

Kobayashi, Hiroki ^{[1
]}

Mieda, Tokue ^{[1
]}

Okamura, Koichi ^{[1
]}

Shitara, Hitoshi ^{[1
]}

Iizuka, Yoichi ^{[1
]}

Yamamoto, Atsushi ^{[1
,2
]}

Nakajima, Ichiro ^{[1
,3
]}

Kobayashi, Tsutomu ^{[1
,4
]}

Sakamoto, Masaaki ^{[1
,5
]}

Takagishi, Kenji ^{[1
,6
]}

Chikuda, Hirotaka ^{[1
]}

机构：

[1] Gunma Univ, Grad Sch Med, Dept Orthopaed Surg, 3-39-22 Showa Machi, Maebashi, Gunma 3718511, Japan

[2] Gunma Sports Orthopaed, Maebashi, Gumma, Japan

[3] Saiseikai Maebashi Hosp, Dept Orthopaed Surg, Maebashi, Gumma, Japan

[4] Takasaki Univ Hlth & Welf, Dept Phys Therapy, Takasaki, Gumma, Japan

[5] Gunma Univ, Grad Sch Hlth Sci, Maebashi, Gumma, Japan

[6] Sada Hosp, Dept Orthopaed Surg, Fukuoka, Fukuoka, Japan

来源：

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE | 2021年 / 9卷 / 09期

关键词：

adolescent; baseball; growth; risk factors; PITCHING MECHANICS; UPPER EXTREMITY; HIGH-SCHOOL; YOUTH; INJURIES; BIOMECHANICS; PITCHERS; MOTION; RANGE; ROTATION;

D O I：

10.1177/23259671211017129

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Throwing-related shoulder and elbow pain continues to be reported among adolescent baseball players. Few prospective studies have specifically examined the association between throwing-related shoulder and elbow pain and physical and developmental changes. Purpose: To evaluate the changes in physical and developmental characteristics during 1 year with respect to throwing-related shoulder and elbow pain in adolescent baseball players. Study Design: Case-control study; Level of evidence, 3. Methods: This 1-year prospective follow-up study investigated 164 baseball players aged 7 to 13 years. Player data (age, height, weight, field position, and pitch count), lower extremity muscle tightness, and range of motion (ROM) of the shoulder, elbow, and hip joints were assessed during the 2016 and 2017 preseason medical examinations. After the 2016 season, the participants completed questionnaires related to throwing-related shoulder and elbow pain, defined as an inability to play for >= 1 week because of elbow or shoulder difficulties. For study participants with and without throwing-related shoulder or elbow pain during the 2016 season, we conducted univariate and multivariate logistic regression analysis to identify risk factors for throwing-related shoulder or elbow pain. Results: Overall, 21 players (12.8%) reported a shoulder pain episode, 56 players (34.1%) had an elbow pain episode, and 70 players (42.7%) reported having experienced shoulder and/or elbow pain during the 2016 season. In multivariate logistic regression analysis, (1) shoulder pain was associated with 2016 preseason height (odds ratio [OR], 1.06; 95% CI, 1.01-1.11; P = .01) and change in dominant-side elbow extension ROM from 2016 to 2017 (OR, 1.12; 95% CI, 1.02-1.24; P = .02); (2) elbow pain was associated with change in weight from 2016 to 2017 (OR, 1.21; 95% CI, 1.04-1.41; P = .014); and (3) throwing-related shoulder and/or elbow pain was associated with greater 2016 preseason height (OR, 1.04; 95% CI, 1.003-1.68; P = .03) and an increase in height from 2016 to 2017 (OR, 1.17; 95% CI, 1.01-1.35; P = .03). Conclusion: Our results indicated that adolescent baseball players who were taller in the preseason and those with an increase in height over the 1-year study period faced significant risks for developing throwing-related shoulder and/or elbow pain.

引用

页数：13

共 34 条

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