EnglishPREVENTION OF SHOULDER INJURIES IN COMPETITIVE VOLLEYBALL ATHLETES
PREVENTION OF SHOULDER INJURIES IN COMPETITIVE VOLLEYBALL ATHLETES
ABSTRACT
INTODUCTION:The aim of this study was to describe the significance of monitoring and evaluating different organic, muscular and neuromuscular parameters of athletic training in the prevention of shoulder injuries in competitive volleyball players.
METHODS:The literature on shoulder injuries of volleyball players was reviewed and the shoulder isokinetic tests of members of the Spanish national volleyball team were evaluated.
RESULTS:Shoulder injuries account for 8-20% of injuries affecting competitive volleyball players, with females suffering more severe problems. In contrast to other diarthrodial joints, there is little inherent bony stability at the glenohumeral joint. Instead, surrounding soft tissues such as ligaments and muscles are critical in enabling a full range of motion and protecting from injury. The most frequent mechanism of shoulder injury is via repeated movements of abduction and external rotation, followed by extension and internal rotation of the upper extremity during rigorous training. As such, approximately 50% of shoulder injuries in competitive volleyball players are caused by strenuous overload during training.
In order to effectively prevent such injuries, it is crucial to devise preventive programs that closely monitor the training load sustained by each athlete. The majority of such preventive training programs rely on close monitoring of a set of different organic, muscular and neuromuscular parameters to avoid shoulder injuries. Examples of such parameters include monitoring the joint mobility (organic parameter), the development and balance of muscular strength and strength resistance (muscular parameters), and achieving and maintaining neuromotor qualities such as perception and coordination abilities (neuromuscular parameters).
CONCLUSIONS:In an effort to prevent shoulder injuries in competitive volleyball athletes close monitoring and measurement of individual physical and technical abilities via a set of organic, muscular and neuromuscular parameters, should identify the limits of competitive athletic training (i.e., frequency, intensity, methodology) and assist in minimizing the risk of shoulder injuries.
DR. EVANGELOS PAPOUTSIDAKIS
Resident, Sports Medicine, Barcelona, Spain
Member of the medical team of The Spanish National Volleyball Team
Πρόσφατες Ανακοινώσεις
Παρασκευή, 03 Σεπ 2010
2ND Congress European College of Sport & Exercise Physicians 12TH Annual Scientific Conference in SEM QMUL CSEM
Πρόσφατα Άρθρα
Laser στην Αθλητιατρική
Η θεραπεία laser αποτελεί μια ακίνδυνη και χωρίς πόνο θεραπευτική μέθοδο με την οποία μπορούμε να αντιμετωπίσουμε όχι μόνο τον απλό καθημερινό πόνο αλλά και τα πολύ σοβαρά προβλήματα του ασθενούς σε αρθρώσεις, μύες, τένοντες κ.λ.α. παθήσεις.
Σύνδρομο Κοιλιακών Προσαγωγών
Τενοντοπάθεια των προσαγωγών, Τενοντοπάθεια του λαγονοψοίτη, Τενοντοπάθεια του ορθού κοιλιακου, Κάταγμα εκ κοπώσεως του ηβικού οστού, Κάταγμα εκ κοπώσεως του αυχένα του μηριαίου, Τραυματικη Ηβική osteitis, Βουβωνοκήλη, Κήλη των αθλητών, Παγίδευση του θυρεοειδούς νεύρου
Ten year follow-up study comparing conservative versus operative treatment
Verhaar Br. J. Sports Med. 2009;43;347-351
ABSTRACT
Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with
patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.Results: We found no statistical difference between the patients treated conservatively or operatively with respectto osteoarthritis or meniscal lesions of the knee, as wellas activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.conclusion: We conclude that the instability repair using a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.
D E Meuffels, M M Favejee, M M Vissers, M P Heijboer, M Reijman and J A N
ACL injuries. Diagnosis, treatment and rehabilitation
The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.
