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투구집단과 저항운동집단의 어깨관절 손상유형에 관한 고찰

Different types of shoulder injuries of throwing and resistance training groups

김용권|조영진
대한운동학회 (Korean Acadaemy of Kinesiology)|2016.08|아시아 운동학 학술지 (The Asian Journal of Kinesiology)|제18권 제3호|pp. 73-83|DOI 10.15758/jkak.2016.18.3.73

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키워드

shoulder injury투구손상오버헤드손상저항성손상어깨손상어깨불안정throwing injuryoverhead injuryresistance injuryshoulder instability

초록

[PURPOSE] The purpose of this review was to review different types of shoulder injuries of throwing group (TG) and resistance training group (RTG). [METHODS] A literature review was conducted via web based search engines such as the PUBMED and OVID to collect information about physical characteristics of the overhead sports activity. [RESULTS] The overhead athlete including TG and RTG has unique physical traits and adaptive changes as a result of the repetitive nature of overhead motion. Especially, they have a higher range of motion of external rotation of glenohumeral joint and low range of motion in the internal rotation. In overhead athlete, glenohumeral internal rotation deficiency (GIRD) is a normal phenomenon that can be easily expected. However, this change leads to contracture of the posterior shoulder, increases humerus retroversion, and results in imbalance of rotator cuff. Therefore, overhead throwing and resistance training induce soft tissue damage, anterior instability or subluxation, subacromial impingement, nerve compression, and acromialclavicular injury. Throwing was well reported on rotator cuff injury while overhead resistance training induces injuries on biceps brachii long tendon and supraspinatus. There are similarities between high five position in RTG and 90° abduction and external rotation of the shoulder in TG groups. [CONCLUSIONS] We know that TG and RTG have a similar to the shoulder injuries from this review. However, Because the types of shoulder injuries are different by the motion of resistance training, we recommend the adaptation of resistance training for shoulder injury prevention.

Abstract

[PURPOSE] The purpose of this review was to review different types of shoulder injuries of throwing group (TG) and resistance training group (RTG). [METHODS] A literature review was conducted via web based search engines such as the PUBMED and OVID to collect information about physical characteristics of the overhead sports activity. [RESULTS] The overhead athlete including TG and RTG has unique physical traits and adaptive changes as a result of the repetitive nature of overhead motion. Especially, they have a higher range of motion of external rotation of glenohumeral joint and low range of motion in the internal rotation. In overhead athlete, glenohumeral internal rotation deficiency (GIRD) is a normal phenomenon that can be easily expected. However, this change leads to contracture of the posterior shoulder, increases humerus retroversion, and results in imbalance of rotator cuff. Therefore, overhead throwing and resistance training induce soft tissue damage, anterior instability or subluxation, subacromial impingement, nerve compression, and acromialclavicular injury. Throwing was well reported on rotator cuff injury while overhead resistance training induces injuries on biceps brachii long tendon and supraspinatus. There are similarities between high five position in RTG and 90° abduction and external rotation of the shoulder in TG groups. [CONCLUSIONS] We know that TG and RTG have a similar to the shoulder injuries from this review. However, Because the types of shoulder injuries are different by the motion of resistance training, we recommend the adaptation of resistance training for shoulder injury prevention.

참고문헌 (65)

  1. Amin N. H., "The relationship between glenohumeral internal rotational deficits, total range of motion, and shoulder strength in professional baseball pitchers", Journal of American Academy of Orthopaedic Surgeons, 23(12), pp.789~796 (2015)
  2. Andrea S., "Shoulder strength and range of motion in female amateur-league tennis players", Journal of Orthopedic and Sports Physical Therapy, 34, pp.402~409 (2004)
  3. Astolfi M. M., "Adaptations of the shoulder to overhead throwing in youth athletes", Journal of Athletic Training, 50(7), pp.726~732 (2015)
  4. Augustus D. M., "Evaluation and Treatment of Acromioclavicular Joint Injuries", The American Journal of Sports Medicine, 35(2), pp.316~329 (2007)
  5. Baltopoulos P., "Exercise-Induced Scalenus Syndrome", The American Journal of Sports Medicine, 36(2), pp.369~374 (2008)
  6. Barlow J. C., "Shoulder strength and range-of-motion characteristics in bodybuilders", Journal of Strength Conditioning Research, 16(3), pp.367~372 (2002)
  7. Burkhart S. S., "The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation", Arthroscopy, 19(6), pp.641~661 (2003)
  8. Clarsen B., "Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study", British Journal of Sports Medicine, 48(17), pp.1327~1333 (2014)
  9. Cools A. M., "Age-related, sport specific adaptions of the shoulder girdle in elite adolescent tennis players", Journal of Athletic Training, 49(5), pp.6476~6453 (2014)
  10. Economopoulos K. J., "Rotator cuff tears in overhead athletes", Clinics in Sports Medicine, 31(4), pp.675~692 (2012)
  11. Escamilla R. F., "Optimal management of shoulder impingement syndrome", Open Access J Sports Med, 5, pp.13~24 (2014)
  12. Esenkaya I., "Bilateral anterior shoulder dislocation in a weight lifter", Physician & Sports Medicine, 28(3), pp.93~100 (2000)
  13. Fleisig G. S, "Biomechanical comparison of baseball pitching and long-toss: implications for training and rehabilitation", Journal of Orthopaedic & Sports Physical Therapy, 41(5), pp.296~303 (2011)
  14. Field L. D., "Humeral and glenoid detachment of the anterior inferior glenohumeral ligament: A cause of anterior shoulder instability", Journal of Shoulder and Elbow Surgery, 6(1), pp.6~10 (1997)
  15. Geoffrey D. A., "Epidemiology of musculoskeletal injury in the tennis player", British Journal of Sports Medicine, 46, pp.492~498 (2012)
  16. Gloria M. B., "Acromioclavicular Joint Injuries", Journal of Athletic Training, 35(3), pp.261~267 (2000)
  17. Gregory D. M., "Youth Versus Adult "Weight lifting" Injuries Presenting to United States Emergency Rooms: Accidental Versus Nonaccidental Injury Mechanisms", Journal Strength and Conditioning Research, 23(7), pp.2054~2060 (2009)
  18. Gross M. L., "Anterior Shoulder Instability in Weight Lifters", The American Journal of Sports Medicine, 21(4), pp.599~ (1993)
  19. Haley C. A., "Pectoralis major injuries: evaluation and treatment", Clin Sports Med, 33(4), pp.739~756 (2014)
  20. Harshbarger N. D., "The effectiveness of shoulder stretching and joint mobilization on posterior shoulder tightness", Journal of Sport Rehabilitation, 22(4), pp.313~319 (2013)
  21. Hibberd E. E., "Dominant-limb range-of-motion and humeral-retrotorsion adaptation in collegiate baseball and softball position players", Journal of Athletic Training, 49(4), pp.507~513 (2014)
  22. Hinterwimmer S, "Influence of adducting and abducting muscle forces on the subacromial space width", Medicine and Science in Sports and Exercise, 35(12), pp.2055~2059 (2003)
  23. Kibler W. B., "Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'", British Journal of Sports Medicine, 47(14), pp.877~885 (2013)
  24. Kibler W. B., "Current concepts: scapular dyskinesis", British Journal of Sports Medicine, 44(5), pp.300~305 (2010)
  25. Kibler W. B., "The role of the scapula in preventing and treating shoulder instability", Knee Surg Sports Traumatol Arthrosc, 24(2), pp.390~397 (2016)
  26. 김용권, "야구선수 경력에 따른 어깨관절 운동범위와 후굴(retroversion)의 변화", 운동학 학술지, 12(3), pp.89~96 (2010), 대한운동사협회
  27. 김용권, "야구 선수의 연령별 관절운동범위 변화 연구", 대한스포츠의학회지, 25(1), pp.45~52 (2007), 대한스포츠의학회
  28. 구정회, "쇄골 원위단에 발생한 골용해증 -2예보고-", 대한정형외과학회지, 40(6), pp.782~786 (2005), 대한정형외과학회
  29. Kolber M. J., "Characteristics of shoulder impingement in the recreational weight -training population", Journal of Strength Conditioning research, 28(4), pp.1081~1089 (2014)
  30. Kolber M. J., "Shoulder joint and muscle characteristics among healthy female recreational weight training participants", Journal of Strength Conditioning Research, 25(1), pp.231~241 (2011)
  31. Kolber M. J., "Shoulder joint and muscle characteristics in the recreational weight training population", Journal of Strength Conditioning Research, 23(1), pp.148~157 (2009)
  32. Kolber M. J., "Characteristis of Anterior Shoulder Instability and Hyperlaxity in the Weight-Training Population", Journal of Strength Conditioning Research, 27(5), pp.1333~1339 (2013)
  33. Konig M, "Sport-specific injuries in weight lifting", Schweiz Z Sportmed, 38(1), pp.25~30 (1990)
  34. Lane B. B., "Mechanisms of Shoulder Range of Motion Deficits in Asymptomatic Baseball Players", The American Journal of Sports Medicine, 43(11), pp.2783~2793 (2015)
  35. Laudner K. G., "Scapular dysfunction in throwers with pathologic internal impingement", Journal of Orthopaedic & Sports Physical Therapy, 36(7), pp.485~494 (2006)
  36. Lodhia K, "Peripheral nerve injuries in resistance training", The Physician and Sports medicine, 33, pp.1~19 (2005)
  37. Lucado A. M., "Upper extremity strength characteristics in female recreational tennis players with and without lateral epicondylalgia", Journal of Orthopaedic & Sports Physical Therapy, 42(12), pp.1025~1031 (2012)
  38. Ludewig P. M., "The association of scapular kinematics and glenohumeral joint pathologies", Journal of Orthopaedic & Sports Physical Therapy, 39(2), pp.90~104 (2009)
  39. Mazoue C. G., "Injuries to The Shoulder in Athletes", Southern medical journal, 97(8), pp.748~754 (2004)
  40. McClure P, B., "A randomized controlled comparison of stretching procedures for posterior shoulder tightness", J Orthop Sports Phys Ther, 37(3), pp.108~114 (2007)
  41. Noonan T., "Professional pitchers with glenohumeral internal rotation deficit display greater humeral retrotorsion than pitchers without GIRD", The American Journal of Sports Medicine, 43(6), pp.1448~1454 (2015)
  42. Phil P., "Shoulder Muscle Imbalance And Subacromial Impingement Syndrome In Overhead Athletes", The International Journal of Sports Physical Therapy, 6(1), pp.51~58 (2011)
  43. Preusen S. E., "Radiologic case study. Stress-induced osteolysis of the distal clavicle", Orthopedics, 26(2), pp.136~ (2003)
  44. Provencher M. T., "The Role of the Scapula in Throwing Disorders", Sports Medicine & Arthroscopy Review, 22(2), pp.80~87 (2014)
  45. Rachel M. F., "Injury to the Acromioclavicular and Sternoclavicular Joints", DeLee & Drez's Orthopaedic Sports Medicine, 60, pp.678~711 (2015)
  46. Reinold M. M., "Changes in shoulder and elbow passive range of motion after pitching in professional baseball players", The American Journal of Sports Medicine, 36(3), pp.523~527 (2008)
  47. Reeves R. V., "Weight training injuries: Part 1: Diagnosing and managing acute conditions", The Physician and Sportsmedicine, 26(2), pp.67~96 (1998)
  48. Reeves B, "Weight Training Injuries. Part 2: Diagnosing and Managing Chronic Conditions", The Physician and Sportsmedicine, 26(3), pp.54~73 (1998)
  49. Torres R. R., "Measurement of Glenohumeral Internal Rotation in Asymptomatic Tennis Players and Swimmers", The American Journal of Sports Medicine, 37(5), pp.1017~1023 (2009)
  50. Rijnberg W. J., "Rupture of the pectoralis major muscle in body-builders", Arch Orthop Trauma Surg, 112(2), pp.104~105 (1993)
  51. Robert C., "Shoulder Posterior Internal Impingement In The Overhead Athlete", The International Journal of Sports Physical Therapy, 8(2), pp.194~204 (2013)
  52. Russ P., "The role of the scapula", The International Journal of Sports Physical Therapy, 8(5), pp.617~629 (2013)
  53. Savoie F. H., "Anterior instability in the throwing shoulder", Sports Medicine & Arthroscopy Review, 22(2), pp.117~119 (2014)
  54. Schwarzkopf I. C., "Distal clavicular osteolysis: a review of the literature", Bulletin of the NYU Hospital for Joint Diseases, 66(2), pp.94~101 (2008)
  55. Shane T. S., "Shoulder Pain in the Overhead Throwing Athlete", Sports Health, 1(2), pp.108~120 (2009)
  56. Takenaga T., "Posterior Shoulder Capsules Are Thicker and Stiffer in the Throwing Shoulders of Healthy College Baseball Players: A Quantitative Assessment Using Shear-Wave Ultrasound Elastography", The American Journal of Sports Medicine, 43(12), pp.2935~2942 (2015)
  57. Wilk K. E., "The strength characteristics of internal and external rotator muscles in professional baseball pitchers", The American Journal of Sports Medicine, 21, pp.61~66 (1993)
  58. Wilk K. E., "Deficits in Glenohumeral Passive Range of Motion Increase Risk of Shoulder Injury in Professional Baseball Pitchers: A Prospective Study", The American Journal of Sports Medicine, 43(10), pp.2379~2385 (2015)
  59. Wilk K. E., "Deficits in glenohumeral passive range of motion increase risk of elbow injury in professional baseball pitchers: a prospective study", The American Journal of Sports Medicine, 42(9), pp.2075~2081 (2014)
  60. Wilk K. E., "Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers", The American Journal of Sports Medicine, 39(2), pp.329~335 (2011)
  61. Wilk K. E., "Current concepts in the rehabilitation of the overhead throwing athlete", Am J Sports Med, 30(1), pp.136~151 (2002)
  62. Wilk K. E., "Shoulder injuries in the overhead athlete", J Orthop Sports Phys Ther., 39(2), pp.38~54 (2009)
  63. Wilk K. E., "Rehabilitation following thermal-assisted capsular shrinkage of the glenohumeral joint: current concepts", J Orthop Sports Phys Ther, 32(6), pp.268~292 (2002)
  64. Yoo Y. S., "Acromioclavicular joint problems in athletes: part 1- Osteolysis of the disital clavicle. Sports Injuries to the Shoulder and Elbow", 251~263 (2015)
  65. Yu J. S., "Common injuries related to weightlifting: MR imaging perspective", Seminars in Musculoskeletal Radiology, 9(4), pp.289~301 (2005)

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