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1.
Currently, there is no overview of the incidence and (volleyball-specific) risk factors of musculoskeletal injuries among volleyball players, nor any insight into the effect of preventive measures on the incidence of injuries in volleyball. This study aimed to review systematically the scientific evidence on the incidence, prevalence, aetiology and preventive measures of volleyball injuries. To this end, a highly sensitive search strategy was built based on two groups of keywords (and their synonyms). Two electronic databases were searched, namely Medline (biomedical literature) via Pubmed, and SPORTDiscus (sports and sports medicine literature) via EBSCOhost. The results showed that ankle, knee and shoulder injuries are the most common injuries sustained while playing volleyball. Results are presented separately for acute and overuse injuries, as well as for contact and non-contact injuries. Measures to prevent musculoskeletal injuries, anterior knee injuries and ankle injuries were identified in the scientific literature. These preventive measures were found to have a significant effect on decreasing the occurrence of volleyball injuries (for instance on ankle injuries with a reduction from 0.9 to 0.5 injuries per 1000 player hours). Our systematic review showed that musculoskeletal injuries are common among volleyball players, while effective preventive measures remain scarce. Further epidemiological studies should focus on other specific injuries besides knee and ankle injuries, and should also report their prevalence and not only the incidence. Additionally, high-quality studies on the aetiology and prevention of shoulder injuries are lacking and should be a focus of future studies.  相似文献   

2.
Repetitive stresses and movements on the shoulder in the volleyball spike expose this joint to overuse injuries, bringing athletes to a career threatening injury. Assuming that specific spike techniques play an important role in injury risk, we compared the kinematic of the traditional (TT) and the alternative (AT) techniques in 21 elite athletes, evaluating their safety with respect to performance. Glenohumeral joint was set as the centre of an imaginary sphere, intersected by the distal end of the humerus at different angles. Shoulder range of motion and angular velocities were calculated and compared to the joint limits. Ball speed and jump height were also assessed. Results indicated the trajectory of the humerus to be different for the TT, with maximal flexion of the shoulder reduced by 10 degrees, and horizontal abduction 15 degrees higher. No difference was found for external rotation angles, while axial rotation velocities were significantly higher in AT, with a 5% higher ball speed. Results suggest AT as a potential preventive solution to shoulder chronic pathologies, reducing shoulder flexion during spiking. The proposed method allows visualisation of risks associated with different overhead manoeuvres, by depicting humerus angles and velocities with respect to joint limits in the same 3D space.  相似文献   

3.
In volleyball, the dominant shoulder of the athlete undergoes biomechanical and morphological adaptations; however, definitive conclusions about their exact nature, aetiology, purpose and associations with shoulder injury have not been reached. We present a systematic review of the existing literature describing biomechanical adaptations in the dominant shoulders of volleyball players and factors that may predispose to shoulder pain/injury. A thorough literature search via Medline, EMBASE and SCOPUS was conducted for original studies of volleyball players and 15 eligible articles were identified. Assessment of study quality was performed using the STROBE statement. The reviewed literature supports the existence of a glenohumeral internal rotation deficit (GIRD) and a possible (and less pronounced) external rotation gain in the dominant vs. the non-dominant shoulder of volleyball athletes. Unlike other overhead sports, the GIRD in volleyball athletes appears to be anatomical as a response to the repetitive overhead movements and not to be associated with shoulder pain/injury. Additionally, the dominant shoulder exhibits muscular imbalance, which appears to be a significant risk factor for shoulder pain. Strengthening of the external rotators should be used alongside shoulder stretching and joint mobilisations, core strengthening and optimisation of spike technique as part of injury management and prevention programmes.  相似文献   

4.
采用问卷调查法对浙沪两省市194名游泳运动员进行运动性伤病调查,主要从运动性伤病的类型、部位、性质方面对比分析不同竞技水平游泳运动员的伤病表型特征。结果显示：优秀运动员运动性损伤较常见,多以慢性劳损为主,损伤部位依次为肩关节、腰背部和膝关节;一般运动员常发生急性损伤,损伤部位依次为膝关节、肩关节和腰背部。两组运动员鼻炎和中耳炎均常见。因此,依据运动性伤病的可能原因与机制,需要制定有针对性的预防措施,以减少运动性伤病的发生。  相似文献   

5.
This study’s objective was to collect items from experienced sports physicians, relating to the presence and severity of overuse wrist injuries in young athletes, for developing a measurement instrument for signals of overuse wrist injury. Seven Dutch elite sports physicians involved in guidance and treatment of young athletes in wrist-loading sports (gymnastics, tennis, judo, field hockey, volleyball and rowing) participated in a focus group. They discussed signals and limitations related to overuse wrist injuries in young athletes. Data were coded and categorised into signals and limitations with subcategories, using an inductive approach. Of the resulting 61 signals and limitations in nineteen (sub)categories, 20 were considered important, forming a comprehensive item set for identifying overuse wrist injury in young athletes. Signals such as pain, “click”, crepitations, swelling and limited range of motion were marked useful for early identification of overuse wrist injury. Limitations in movement and performance were considered indicative of severe overuse injury but less relevant for initial injury identification. The focus group provided 17 important signals and 3 important limitations indicative of overuse wrist injury. These provide the basis for a valid measurement instrument for identifying overuse wrist injury in young athletes, with equal emphasis on pain and on other symptoms.  相似文献   

6.
对2007-2012年间广东省集体小球类项目(手球、曲棍球、垒球)运动损伤后等速肌力康复效果进行归纳总结。应用等速肌力测试系统为广东集体小球项目运动员提供了419人次5 872关节次等速康复训练,康复前后进行角速度为60°/s的膝、肩关节等速肌力测试,以及角速度为30°/s的踝关节等速肌力测试,结果发现:(1)膝关节损伤发生率最高,达到60.88%,踝、肩也是损伤多发部位,整体看来,下肢损伤发生率高于上肢。(2)各项目运动员经过一段时间的等速康复训练后,关节等速肌力得到显著提高。结论:(1)在集体小球项目中,运动损伤发生部位与运动专项特点密切相关,损伤发生率从高到低依次为膝、踝、肩、腰背、髋。(2)等速肌力康复作为一种康复手段,在集体小球项目运动员运动损伤过程中效果明显,提供了客观可靠的量化指标。  相似文献   

7.
Abstract

Muscle strength asymmetries have been investigated in athletes under the assumption of their connection to functional discrepancies and injuries. In volleyball, which is a highly asymmetric sport, this assumption becomes a well established research hypothesis. Given the almost complete lack of scientific evidence on this hypothesis, the present study focused on the detailed multivariate quantification of muscle asymmetries in offensive volleyball players. Twenty-four elite athletes (age 24.71±4.44 years, weight 84.62±6.24, height 190.08±5.58) were tested for concentric isokinetic muscle strength (a) of the internal and external rotators of the shoulder and (b) of the quadriceps and hamstrings of the knee at 60o/s. Significant multivariate results were found for absolute (Max-Min) asymmetry in the upper (Hotteling's T 2=8.801, F=7.447, P=0.001) and the lower limbs (Hotteling's T 2=16.382, F=13.862, P=0.000), for fluctuating asymmetry (Dominant-Non Dominant) in the upper limbs (Hotteling's T 2=5.584, F=4.296, P=0.013) and for directional asymmetry (Left-Right) in the lower limbs (Hotteling's T 2=3.593, F=3.041, P=0.036). It appears that the upper and lower limbs of offensive volleyball players present significant composite muscle strength asymmetries, which should be taken into consideration in training and rehabilitation.  相似文献   

8.
Abstract

It has been suggested that a greater number of injuries during the last third of practice sessions or matches could be related to alteration of lower limb neuromuscular control due to neuromuscular fatigue. This fatigue-related effect can be mediated by changes in joint proprioception. In athletes, the use of functional fatigue protocols could have the advantage of mimicking the demands of sporting activity, thus reflecting more specifically the changes in neuromuscular control and proprioception observed in sport settings. The purpose of the present study was to assess the effect of fatigue induced by a volleyball match on knee joint position sense in elite volleyball players. Seventeen female volleyball players aged 18.9±4.2 years from the Portuguese national team volunteered for the study. Knee joint position sense was evaluated by an open kinetic chain technique and active knee positioning, and was reported using absolute, relative, and variable angular errors. Joint position sense measures were obtained before and immediately after a simulated volleyball match of five sets. To ensure that the match was sufficiently intense to induce fatigue, the perceived exertion or exercise intensity was assessed at the end of the match using Borg’ s rating of perceived exertion (RPE) scale. All participants completed the volleyball match (90min duration), reaching or exceeding 15 on the RPE scale (15.59±0.71; range 15–17), equivalent to “hard/heavy work”. After the volleyball match, a significant increase in absolute (2.11°) and relative (1.71°) angular errors was detected. Match-induced fatigue significantly exacerbated the overestimation of the test position. Moreover, the reliability and accuracy in estimating knee angles decreased from rest to the fatigued state, as shown by the increase (264%) in variable error. Our results show that fatigue induced by a volleyball match has a marked effect on knee joint position sense in elite female volleyball players. Knee joint position sense was less accurate and less consistent after the volleyball match. Fatigue induced by a simulated competitive volleyball match resulted in proprioceptive deficits, decreasing sensorimotor system acuity in female volleyball players.  相似文献   

9.
Our knowledge of sports-related injuries in para-sport is limited and there are no data on how Paralympic athletes themselves perceive an injury. The aim of this qualitative study was to explore Paralympic athletes’ perceptions of their experiences of sports-related injuries, risk factors and preventive possibilities. Eighteen Swedish Paralympic athletes with vision impairment, intellectual impairment, spinal cord injury, cerebral palsy, myelomeningocele, dysplasia and neuromuscular disorder, representing 10 different para-sports, were interviewed. The qualitative phenomenographic method was used to interpret the data. The analysis revealed nine categories of perceptions of experiences. The athletes perceived that their impairments were involved in the cause and consequential chains associated with a sports-related injury. Other categories that denoted and described these injuries were: sport overuse, risk behaviour, functional limitations, psychological stressors, the normalised pain, health hazards, individual possibilities to prevent sports-related injuries and unequal prerequisites. This qualitative study revealed that Paralympic athletes’ perceptions of their experiences of sports-related injuries are complex and multifactorial, and in several ways differ from able-bodied athletes. This needs to be considered in the sports health and safety work within the Paralympic Movement as well as in the design of future injury surveillance systems and preventive programmes.  相似文献   

10.
ABSTRACT

The objective was to evaluate the effectiveness of an exercise-based warm-up programme (“VolleyVeilig”) on the one-season occurrence of musculoskeletal injuries among recreational adult volleyball players. A prospective randomised controlled trial was conducted over the 2017–2018 volleyball season. Recreational adult volleyball players were allocated either to an intervention or control group. The Dutch version of the Oslo Sports Trauma Research Centre questionnaire was used to register and monitor acute and overuse injuries. A total of 672 volleyball players were enrolled: 348 in the intervention group (mean age: 30) and 324 in the control group (mean age: 27). The incidence rate of acute injury was 21% lower in the intervention group, namely 8.9 versus 11.3 per 1,000 h in the control group (Cox mixed effects crude model: hazard ratio = 0.82 [95%CI: 0.69–0.98]; Cox mixed effects adjusted model: 0.85 [95%CI: 0.71–1.02]). No significant difference in mean prevalence of overuse injury was found between the intervention (4.8%) and control (4.2%) groups. The severity of injuries was not significantly different between groups, while injury burden was slightly lower in the intervention group. The exercise-based warm-up programme led to a trend in less acute injuries among recreational adult volleyball players.  相似文献   

11.
Here, I review research that has investigated the aetiology of injuries experienced by adolescent and adult fast bowlers. Mechanical factors play an important role in the aetiology of degenerative processes and injuries to the lumbar spine. This is particularly so in fast bowling, where a player must absorb vertical and horizontal components of the ground reaction force that are approximately five and two times body weight at front-foot and rear-foot impact, respectively. Attenuated forces are transmitted to the spine through the lower limb, while additional foces at the lumbo-sacral junction are caused by trunk hyperextension, lateral flexion and twisting during the delivery stride. Fast bowlers are classified as side-on, front-on or mixed. The mixed action is categorized by the lower body configuration of the front-on action and the upper body configuration of the side-on technique. This upper body configuration is produced by counter-rotation away from the batsman in the transverse plane about the longitudinal axis of the body of a line through the two shoulders. Counter-rotations of 12–40° during a delivery stride have predicted an increased incidence of lumbar spondylolysis, disc abnormality and muscle injury in fast bowlers. During the delivery stride, the mixed bowling action also shows: more lateral flexion and hyperextension of the lumbar spine at front-foot impact, and a greater range of motion of the trunk over the delivery stride when compared with the side-on and front-on techniques. The pars interarticularis of each vertebra is vulnerable to injury if repetitive flexion, rotation and hyperextension are present in the activity. Fast bowlers should reduce shoulder counter-rotation during the delivery stride to reduce the incidence of back injuries. When a player is required to bowl for extended periods irrespective of technique, overuse is also related to an increased incidence of back injuries and must be avoided.  相似文献   

12.
Abstract

The aim of this study was to describe the injuries sustained by an America's Cup crew during eight preparatory competitions of the 32nd America's Cup 2007 and the Louis Vuitton Cup (from October 2004 to June 2007). The anatomical location, type of injury, and mechanism of injury were recorded. The injuries were categorized based on each sailor's position on the boat according to three intensities of physical demands. The injury rates per sailor and per 1000 h of competition were determined. In total, 90 injuries were registered. The overall incidence was 10 injuries per 1000 competition hours. Overuse injuries accounted for 76.6% of all lesions. The most common anatomical location of injuries was the upper limb (36.6%), followed by the upper dorsal and cervical spine (34.4%). Frequency of injury was related to the sailor's position on the boat, being higher in the group with more demanding activities (grinder, bowman, and mastman). Most injuries (67%) were sustained by this group of sailors. The most common injuries in this group were muscle contractures of the quadratus lumborum (11), trapezius (8), and rhomboid (7). There were eight cases of elbow epicondylitis, four cases of tendinopathy of the supraspinous tendon, and three cases of tendinopathy of the biceps brachii. An America's Cup yachting crew is exposed to a high risk of overuse injuries, especially those sailors whose boat position involves high-intensity activity.  相似文献   

13.
ABSTRACT

Fat-free mass index (FFMI) is a height-adjusted metric of fat-free mass which has been suggested as a useful method of body composition assessment in athletic populations. The purpose of this study was to determine sport-specific FFMI values and the natural upper threshold of FFMI in female athletes. 372 female collegiate athletes (Mean±SD; 20.03±1.55 years, 167.55±7.50 cm, 69.46±13.04 kg, 24.18±5.48% bodyfat) underwent body composition assessment via dual-energy x-ray absorptiometry. FFMI was adjusted to height via linear regression and sport-specific reference values were determined. Between-sport differences were identified using one-way ANOVA with Tukey post-hoc tests. Average FFMI was 18.82±2.08 kg/m2; height-adjusted values were not significantly different (p<0.05) than unadjusted values. FFMI in rugby athletes (20.09±2.23 kg/m2) was found to be significantly higher (p<0.05) than in gymnastics (18.62±1.12 kg/m2), ice hockey (17.96±1.04 kg/m2), lacrosse (18.58±1.84 kg/m2), swim & dive (18.16±1.67 kg/m2), and volleyball (18.04±1.13 kg/m2). FFMI in cross country (16.56±1.14 kg/m2) and synchronized swimming (17.27±1.47 kg/m2) was significantly lower (p<0.05) than in Olympic weightlifting (19.69±1.98 kg/m2), wrestling (19.15±2.47 kg/m2), and rugby. The upper threshold for FFMI in female athletes (97.5th percentile) was 23.90 kg/m2. These results can be used to guide personnel decisions and assist with long-term body composition, training, and nutritional goals.  相似文献   

14.
肩关节解剖生理弱点与运动损伤的预防干预   总被引：1，自引：0，他引：1  
肩关节是人体最灵活的关节,它在保证其具最大灵活性的同时,在其稳定程度上受到了受一定的损失,从而在抵抗损伤的能力方面,显露出其存在的解剖生理弱点.对肩关节及其相关结构的准确了解,无论是对医疗监控、运动训练还是对损伤的防治均有极大益处.  相似文献   

15.
Back injuries and the fast bowler in cricket   总被引：5，自引：0，他引：5  
Here, I review research that has investigated the aetiology of injuries experienced by adolescent and adult fast bowlers. Mechanical factors play an important role in the aetiology of degenerative processes and injuries to the lumbar spine. This is particularly so in fast bowling, where a player must absorb vertical and horizontal components of the ground reaction force that are approximately five and two times body weight at front-foot and rear-foot impact, respectively. Attenuated forces are transmitted to the spine through the lower limb, while additional forces at the lumbo-sacral junction are caused by trunk hyperextension, lateral flexion and twisting during the delivery stride. Fast bowlers are classified as side-on, front-on or mixed. The mixed action is categorized by the lower body configuration of the front-on action and the upper body configuration of the side-on technique. This upper body configuration is produced by counter-rotation away from the batsman in the transverse plane about the longitudinal axis of the body of a line through the two shoulders. Counter-rotations of 12-40 degrees during a delivery stride have predicted an increased incidence of lumbar spondylolysis, disc abnormality and muscle injury in fast bowlers. During the delivery stride, the mixed bowling action also shows: more lateral flexion and hyperextension of the lumbar spine at front-foot impact, and a greater range of motion of the trunk over the delivery stride when compared with the side-on and front-on techniques. The pars interarticularis of each vertebra is vulnerable to injury if repetitive flexion, rotation and hyperextension are present in the activity. Fast bowlers should reduce shoulder counter-rotation during the delivery stride to reduce the incidence of back injuries. When a player is required to bowl for extended periods irrespective of technique, overuse is also related to an increased incidence of back injuries and must be avoided.  相似文献   

16.
目的：探讨排球运动员腰背肌肉筋膜炎的发生因素与运动疗法的康复作用。方法：30例排球运动员腰背肌肉筋膜炎患者随机分为实验组15例、对照组15例。实验组患者采用抗阻力运动康复方案、对照组采用传统推拿,在30天时统计康复结果。结果：实验组在腰背疼痛视觉模糊量尺测定、腰背功能评价两项成绩均显著优于对照组。结论：抗阻力康复方案对排球运动员的腰背肌肉筋膜炎具有良好疗效。  相似文献   

17.
寻红星 《体育科研》2022,(4):98-104
为了进一步明确国内外水球运动员肩关节损伤现状,为该项目肩关节损伤预防和康复提供理论参考,研究采用文献综述法,在文献数据库中进行检索,围绕水球运动员肩关节损伤的发生率、特点、因素、康复方法进行归纳和评述。发现水球运动员肩关节要承受投掷、游泳、对抗带来的负荷,损伤高发;水球运动员肩关节主要的损伤部位为冈上肌肌腱、冈下肌肌腱、肱二头肌长头肌腱等,盂唇的损伤主要是后上部,不同水平的运动员损伤略有不同;对水球运动员肩关节训练负荷、肩胛骨功能、内外旋肌力比、活动度等参数进行监控,采取优化肩关节活动度与肩胛骨功能、强化肌力训练等主动康复的方法,可以在一定程度上恢复运动员肩关节的运动能力,助其重返赛场。  相似文献   

18.
Abstract

Head and neck injuries are common in contact sports such as American football. Different mechanisms can produce such injuries, including compressive impact forces on the crown of the helmet with the neck in a flexed chin-down position. The aim of this paper was developing and testing a novel Cervical Spine Protection Device (CSPD) designed to keep the neck within its safe physiological range. The cervical spine range of motion (ROM) of ten participants was measured under four conditions: free; wearing a football gear; wearing the CSPD; and wearing the CSPD underneath the gear. The CSPD was tested in terms of passive and active restraint of head motion, and for its capability to improve endurance time of the neck extensor muscles. Wearing the CSPD resulted in a significant 40–60% reduction in ROM across the three anatomical planes, and in increased endurance of the neck extensor muscles (FREE: 114 ± 57 s; CSPD: 214 ± 95 s; p = 0.004). In quasi-static loading conditions the CSPD was capable of keeping the neck within its physiological range, thus it may be used to decrease the risk of severe injuries due to dangerous chin-down positions.  相似文献   

19.
通过文献资料法、问卷调查法、数理统计法等研究手段,对我国女排15支高水平后备人才队伍,共计218名运动员常见运动损伤的原因进行调查,结合排球运动项目的技术特点,以及研究对象的身心、技术与训练水平等群体特征,对其常见运动损伤的致伤因素从"直接因素和潜在因素"两方面加以分析。降低运动损伤对高水平后备人才培养带来的困扰,从规范技术动作、提高科学化训练水平和加强医务监督等角度提出建议。  相似文献   

20.
我国排球运动员的损伤研究(综述)   总被引：20，自引：0，他引：20  
排球运动是世界上流行的运动项目之一，排球运动员的损伤率估计在二到五人每一千训练比赛小时，主要的损伤部位是在肩、腰、膝、踝等部位，运动损伤方面的研究目前还不成体系，因为各研究的损伤标准不一。为了减少运动损伤的发生率，从内外两个方面综述运动损伤发生的原因及其预防措施。  相似文献   

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