Please use this identifier to cite or link to this item:
Full metadata record
|dc.identifier.citation||1. Challoumas D, Stavrou A, Dimitrakakis G. The volleyball athlete's shoulder: biomechanical adaptations and injury associations. Sports Biomech. 2017;16:220-37.
2. Wilk KE, Macrina LC. Nonoperative and postoperative rehabilitation for injuries of the throwing shoulder. Sports Med Arthrosc Rev. 2014;22:137-50.
3. Escamilla RF, Andrews JR. Shoulder muscle recruitment patterns and related biomechanics during upper extremity sports. Sports Med. 2009;39:569-90.
4. Reeser JC, Fleisig GS, Bolt B, Ruan M. Upper limb biomechanics during the volleyball serve and spike. Sports Health. 2010;2:368-74.
5. Kilic O, Maas M, Verhagen E, Zwerver J, Gouttebarge V. Incidence, aetiology and prevention of musculoskeletal injuries in volleyball: A systematic review of the literature. Eur J Sport Sci. 2017;17:765-93.
6. van der Horst N, Backx F, Goedhart EA, Huisstede BM, Group HI-D. Return to play after hamstring injuries in football (soccer): a worldwide Delphi procedure regarding definition, medical criteria and decision-making. Br J Sports Med. 2017;51:1583-91.
7. Shultz R, Bido J, Shrier I, Meeuwisse WH, Garza D, Matheson GO. Team clinician variability in return-to-play decisions. Clin J Sport Med. 2013;23:456-61.
8. Alberta FG, ElAttrache NS, Bissell S, Mohr K, Browdy J, Yocum L, et al. The development and validation of a functional assessment tool for the upper extremity in the overhead athlete. Am J Sports Med. 2010;38:903-11.
9. Jayakumar P, Williams M, Ring D, Lamb S, Gwilym S. A Systematic Review of Outcome Measures Assessing Disability Following Upper Extremity Trauma. J Am Acad Orthop Surg. 2017;1.
10. Wilk KE, Arrigo CA, Hooks TR, Andrews JR. Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening. PM&R. 2016;8:S78-90.
11. Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med. 2016;50:853-64.
12. Chmielewski TL, Martin C, Lentz TA, Tillman SM, Moser MW, Farmer KW, et al. Normalization considerations for using the unilateral seated shot put test in rehabilitation. J Orthop Sports Phys Ther. 2014;44:518-24.
13. Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO. Return-to-play in sport: a decision-based model. Clin J Sport Med. 2010;20:379-85.
14. Shrier I. Strategic Assessment of Risk and Risk Tolerance (StARRT) framework for return-to-play decision-making. Br J Sports Med. 2015;49:1311-5.
15. Ardern CL, Kvist J, Webster KE. Psychological aspects of anterior cruciate ligament injuries. Oper Tech Sports Med. 2016;24:77-83.
16. Andersson SH, Bahr R, Clarsen B, Myklebust G. Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players. Br J Sports Med. 2017;51:1073-80.
17. Camp CL, Zajac JM, Pearson DB, Sinatro AM, Spiker AM, Werner BC, et al. Decreased Shoulder External Rotation and Flexion Are Greater Predictors of Injury Than Internal Rotation Deficits: Analysis of 132 Pitcher-Seasons in Professional Baseball. Arthroscopy. 2017;33:1629-36.
18. Cools AM, Johansson FR, Borms D, Maenhout A. Prevention of shoulder injuries in overhead athletes: a science-based approach. Braz J Phys Ther. 2015;19:331-9.
19. Borsa PA, Laudner KG, Sauers EL. Mobility and stability adaptations in the shoulder of the overhead athlete: a theoretical and evidence-based perspective. Sports Med. 2008;38:17-36.
20. Cools AM, Vanderstukken F, Vereecken F, Duprez M, Heyman K, Goethals N, et al. Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: reference values for overhead athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24:3838-47.
21. Wang HK, Cochrane T. Mobility impairment, muscle imbalance, muscle weakness, scapular asymmetry and shoulder injury in elite volleyball athletes. J Sports Med Phys Fitness. 2001;41:403-10.
22. Edouard P, Degache F, Oullion R, Plessis J-Y, Gleizes-Cervera S, Calmels P. Shoulder strength imbalances as injury risk in handball. Int J Sports Med. 2013;34:654-60.
23. Astolfi MM, Struminger AH, Royer TD, Kaminski TW, Swanik CB. Adaptations of the Shoulder to Overhead Throwing in Youth Athletes. J Athl Train. 2015;50:726-32.
24. Shanley E, Rauh MJ, Michener LA, Ellenbecker TS, Garrison JC, Thigpen CA. Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. Am J Sports Med. 2011;39:1997-2006.
25. Kibler BW, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003;11:142-51.
26. Tsuruike M, Ellenbecker TS, Hirose N. Kerlan-Jobe Orthopaedic Clinic (KJOC) score and scapular dyskinesis test in collegiate baseball players. J Shoulder Elbow Surg. 2018;27:1830-6.
27. Clarsen B, Bahr R, Andersson SH, Munk R, Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med. 2014;48:1327-33.
28. Hickey D, Solvig V, Cavalheri V, Harrold M, McKenna L. Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis. Br J Sports Med. 2018;52:102-10.
29. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). Am J Ind Med. 1996;29:602-8.
30. Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C. Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. J Hand Ther. 2001;14:128-46.
31. Hsu JE, Nacke E, Park MJ, Sennett BJ, Huffman GR. The Disabilities of the Arm, Shoulder, and Hand questionnaire in intercollegiate athletes: validity limited by ceiling effect. J Shoulder Elbow Surg. 2010;19:349-54.
32. Franz JO, McCulloch PC, Kneip CJ, Noble PC, Lintner DM. The utility of the KJOC score in professional baseball in the United States. Am J Sports Med. 2013;41:2167-73.
33. Fronek J, Yang JG, Osbahr DC, Pollack KM, ElAttrache NS, Noonan TJ, et al. Shoulder functional performance status of Minor League professional baseball pitchers. J Shoulder Elbow Surg. 2015;24:17-23.
34. Kraeutler MJ, Ciccotti MG, Dodson CC, Frederick RW, Cammarota B, Cohen SB. Kerlan-Jobe Orthopaedic Clinic overhead athlete scores in asymptomatic professional baseball pitchers. J Shoulder Elbow Surg. 2013;22:329-32.
35. Wymore L, Fronek J. Shoulder functional performance status of National Collegiate Athletic Association swimmers: baseline Kerlan-Jobe Orthopedic Clinic scores. Am J Sports Med. 2015;43:1513-7.
36. Beyzadeoglu T, Circi E. Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes. Orthop J Sports Med. 2015;3:2325967115577359.
37. Domb BG, Davis JT, Alberta FG, Mohr KJ, Brooks AG, Elattrache NS, et al. Clinical follow-up of professional baseball players undergoing ulnar collateral ligament reconstruction using the new Kerlan-Jobe Orthopaedic Clinic overhead athlete shoulder and elbow score (KJOC Score). Am J Sports Med. 2010;38:1558-63.
38. Erickson BJ, Chalmers PN, Waterman BR, Griffin JW, Romeo AA. Performance and return to sport in elite baseball players and recreational athletes following repair of the latissimus dorsi and teres major. J Shoulder Elbow Surg. 2017;26:1948-54.
39. Erickson BJ, Cvetanovich GL, Frank RM, Bach BR, Jr., Cohen MS, Bush-Joseph CA, et al. Do Clinical Results and Return-to-Sport Rates After Ulnar Collateral Ligament Reconstruction Differ Based on Graft Choice and Surgical Technique? Orthop J Sports Med. 2016;4:2325967116670142.
40. Fourman MS, Arner JW, Bayer S, Vyas D, Bradley JP. Type VIII SLAP Repair at Midterm Follow-Up: Throwers Have Greater Pain, Decreased Function, and Poorer Return to Play. Arthroscopy. 2018;34:3159-64.
41. Gilliam BD, Douglas L, Fleisig GS, Aune KT, Mason KA, Dugas JR, et al. Return to Play and Outcomes in Baseball Players After Superior Labral Anterior-Posterior Repairs. Am J Sports Med. 2018;46:109-15.
42. Jones KJ, Dines JS, Rebolledo BJ, Weeks KD, Williams RJ, Dines DM, et al. Operative management of ulnar collateral ligament insufficiency in adolescent athletes. Am J Sports Med. 2014;42:117-21.
43. Jones KJ, Kahlenberg CA, Dodson CC, Nam D, Williams RJ, Altchek DW. Arthroscopic capsular plication for microtraumatic anterior shoulder instability in overhead athletes. Am J Sports Med. 2012;40:2009-14.
44. Merolla G, Paladini P, Porcellini G. Assessment of return to play in professional overhead athletes subjected to arthroscopic repair of rotator cuff tears and associated labral injuries using the Italian version of the Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow score. Musculoskelet Surg. 2018;102:29-34.
45. Neri BR, ElAttrache NS, Owsley KC, Mohr K, Yocum LA. Outcome of type II superior labral anterior posterior repairs in elite overhead athletes: Effect of concomitant partial-thickness rotator cuff tears. Am J Sports Med. 2011;39:114-20.
46. Neuman BJ, Boisvert CB, Reiter B, Lawson K, Ciccotti MG, Cohen SB. Results of arthroscopic repair of type II superior labral anterior posterior lesions in overhead athletes: assessment of return to preinjury playing level and satisfaction. Am J Sports Med. 2011;39:1883-8.
47. O'Brien DF, O'Hagan T, Stewart R, Atanda AW, Jr., Hammoud S, Cohen SB, et al. Outcomes for ulnar collateral ligament reconstruction: a retrospective review using the KJOC assessment score with two-year follow-up in an overhead throwing population. J Shoulder Elbow Surg. 2015;24:934-40.
48. Podesta L, Crow SA, Volkmer D, Bert T, Yocum LA. Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med. 2013;41:1689-94.
49. Saper M, Shung J, Pearce S, Bompadre V, Andrews JR. Outcomes and Return to Sport After Ulnar Collateral Ligament Reconstruction in Adolescent Baseball Players. Orthop J Sports Med. 2018;6:2325967118769328.
50. Merolla G, Corona K, Zanoli G, Cerciello S, Giannotti S, Porcellini G. Cross-cultural adaptation and validation of the Italian version of the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow score. J Orthop Traumatol. 2017;18:415-21.
51. Turgut E, Tunay VB. Cross-cultural adaptation of Kerlan-Jobe Orthopaedic Clinic shoulder and elbow score: Reliability and validity in Turkish-speaking overhead athletes. Acta Orthop Traumatol Turc. 2018;52:206-10.
52. Holtz KA, O'Connor RJ. Upper Extremity Functional Status of Female Youth Softball Pitchers Using the Kerlan-Jobe Orthopaedic Clinic Questionnaire. Orthop J Sports Med. 2018;6:2325967117748599.
53. Maruyama M, Satake H, Takahara M, Harada M, Uno T, Mura N, et al. Treatment for Ulnar Neuritis Around the Elbow in Adolescent Baseball Players: Factors Associated With Poor Outcome. Am J Sports Med. 2017;45:803-9.
54. Tarara DT, Fogaca LK, Taylor JB, Hegedus EJ. Clinician-friendly physical performance tests in athletes part 3: a systematic review of measurement properties and correlations to injury for tests in the upper extremity. Br J Sports Med. 2016;50:545-51.
55. Cook G, Burton L, Kiesel K, Bryant M, Torine J. Movement: functional movement systems: screening, assessment, and corrective strategies: On Target Publications 2010.
56. Moran RW, Schneiders AG, Major KM, Sullivan SJ. How reliable are Functional Movement Screening scores? A systematic review of rater reliability. Br J Sports Med. 2016;50:527-36.
57. Smith CA, Chimera NJ, Wright NJ, Warren M. Interrater and intrarater reliability of the functional movement screen. J Strength Cond Res. 2013;27:982-7.
58. Li Y, Wang X, Chen X, Dai B. Exploratory factor analysis of the functional movement screen in elite athletes. J Sports Sci. 2015;33:1166-72.
59. Bonazza NA, Smuin D, Onks CA, Silvis ML, Dhawan A. Reliability, Validity, and Injury Predictive Value of the Functional Movement Screen: A Systematic Review and Meta-analysis. Am J Sports Med. 2017;45:725-32.
60. Dorrel BS, Long T, Shaffer S, Myer GD. Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations: A Systematic Review and Meta-analysis. Sports Health. 2015;7:532-7.
61. Schneiders AG, Davidsson A, Horman E, Sullivan SJ. Functional movement screen normative values in a young, active population. Int J Sports Phys Ther. 2011;6:75-82.
62. Cosio-Lima L, Knapik JJ, Shumway R, Reynolds K, Lee Y, Greska E, et al. Associations Between Functional Movement Screening, the Y Balance Test, and Injuries in Coast Guard Training. Mil Med. 2016;181:643-8.
63. Kiesel K, Plisky PJ, Voight ML. Can Serious Injury in Professional Football be Predicted by a Preseason Functional Movement Screen? N Am J Sports Phys Ther. 2007;2:147-58.
64. Westrick RB, Miller JM, Carow SD, Gerber JP. Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance. Int J Sports Phys Ther. 2012;7:139-47.
65. Taylor JB, Wright AA, Smoliga JM, DePew JT, Hegedus EJ. Upper-Extremity Physical-Performance Tests in College Athletes. J Sport Rehabil. 2016;25:146-54.
66. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. J Strength Cond Res. 2012;26:3043-8.
67. Roush JR, Kitamura J, Waits MC. Reference Values for the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) for Collegiate Baseball Players. N Am J Sports Phys Ther. 2007;2:159-63.
68. Tucci HT, Martins J, Sposito Gde C, Camarini PM, de Oliveira AS. Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome. BMC Musculoskelet Disord. 2014;15:1.
69. Pontillo M, Spinelli BA, Sennett BJ. Prediction of in-season shoulder injury from preseason testing in division I collegiate football players. Sports Health. 2014;6:497-503.
70. Clemons JM, Campbell B, Jeansonne C. Validity and reliability of a new test of upper body power. J Strength Cond Res. 2010;24:1559-65.
71. Harris C, Wattles AP, DeBeliso M, Sevene-Adams PG, Berning JM, Adams KJ. The seated medicine ball throw as a test of upper body power in older adults. J Strength Cond Res. 2011;25:2344-8.
72. Negrete RJ, Hanney WJ, Kolber MJ, Davies GJ, Ansley MK, McBride AB, et al. Reliability, minimal detectable change, and normative values for tests of upper extremity function and power. J Strength Cond Res. 2010;24:3318-25.
73. Negrete RJ, Hanney WJ, Kolber MJ, Davies GJ, Riemann B. Can upper extremity functional tests predict the softball throw for distance: a predictive validity investigation. Int J Sports Phys Ther. 2011;6:104-11.
74. Riemann BL, Johnson W, Murphy T, Davies GJ. A Bilateral Comparison of the Underlying Mechanics Contributing to the Seated Single-Arm Shot-Put Functional Performance Test. J Athl Train. 2018;53:976-82.
75. Teyhen DS, Rhon DI, Butler RJ, Shaffer SW, Goffar SL, McMillian DJ, et al. Association of Physical Inactivity, Weight, Smoking, and Prior Injury on Physical Performance in a Military Setting. J Athl Train. 2016;51:866-75.
76. Saint Romain B, Mahar MT. Norm-referenced and criterion-referenced reliability of the push-up and modified pull-up. Meas Phys Educ Exerc Sci. 2001;5:67-80.
77. Vaara JP, Kyröläinen H, Niemi J, Ohrankämmen O, Häkkinen A, Kocay S, et al. Associations of maximal strength and muscular endurance test scores with cardiorespiratory fitness and body composition. J Strength Cond Res. 2012;26:2078-86.
78. McClure P, Tate AR, Kareha S, Irwin D, Zlupko E. A clinical method for identifying scapular dyskinesis, part 1: reliability. J Athl Train. 2009;44:160-4.
79. Akoglu H. User's guide to correlation coefficients. Turk J Emerg Med. 2018;18:91-3.
80. Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016;15:155-63.
81. Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014;9:549-63.
82. Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 1. Int J Sports Phys Ther. 2014;9:396-409.
83. Sayers MGL, Bishop S. Reliability of a New Medicine Ball Throw Power Test. J Appl Biomech. 2017;33:311-5.
84. Negrete RJ, Hanney WJ, Pabian P, Kolber MJ. Upper body push and pull strength ratio in recreationally active adults. Int J Sports Phys Ther. 2013;8:138-44.
85. Shanley E, Kissenberth MJ, Thigpen CA, Bailey LB, Hawkins RJ, Michener LA, et al. Preseason shoulder range of motion screening as a predictor of injury among youth and adolescent baseball pitchers. J Shoulder Elbow Surg. 2015;24:1005-13.
86. Cook G. Athletic body in balance: Human kinetics 2003.
87. Bullock GS, Schmitt AC, Chasse PM, Little BA, Diehl LH, Butler RJ. The Relationship Between Trunk Rotation, Upper Quarter Dynamic Stability, and Pitch Velocity. J Strength Cond Res. 2018;32:261-6.
88. Alfredson H, Pietilä T, Lorentzon R. Concentric and eccentric shoulder and elbow muscle strength in female volleyball players and non‐active females. Scand J Med Sci Sports. 1998;8:265-70.
89. Wang H-K, Macfarlane A, Cochrane T. Isokinetic performance and shoulder mobility in elite volleyball athletes from the United Kingdom. Br J Sports Med. 2000;34:39-43.
90. van Cingel R, Kleinrensink G, Stoeckart R, Aufdemkampe G, de Bie R, Kuipers H. Strength values of shoulder internal and external rotators in elite volleyball players. J Sport Rehabil. 2006;15:236-45.
91. Ellenbecker T, Roetert E. Age specific isokinetic glenohumeral internal and external rotation strength in elite junior tennis players. Journal of science and medicine in sport. 2003;6:63-70.
92. Rose MB, Noonan T. Glenohumeral internal rotation deficit in throwing athletes: current perspectives. Open Access J Sports Med. 2018;9:69-78.
93. Forthomme B, Wieczorek V, Frisch A, Crielaard JM, Croisier JL. Shoulder pain among high-level volleyball players and preseason features. Med Sci Sports Exerc. 2013;45:1852-60.
94. Reeser JC, Joy EA, Porucznik CA, Berg RL, Colliver EB, Willick SE. Risk factors for volleyball-related shoulder pain and dysfunction. PM&R. 2010;2:27-36.
95. Borms D, Cools A. Upper-Extremity Functional Performance Tests: Reference Values for Overhead Athletes. Int J Sports Med. 2018;39:433-41.
96. de Oliveira VM, Pitangui AC, Nascimento VY, da Silva HA, Dos Passos MH, de Araujo RC. Test-retest reliability of the closed kinetic chain upper extremity stability test (CKCUEST) in adolescents: reliability of CKCUEST in adolescents. Int J Sports Phys Ther. 2017;12:125-32.
97. Oliveira VMA, Pitangui ACR, Gomes MRA, Silva HAD, Passos M, Araujo RC. Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function. Braz J Phys Ther. 2017;21:107-13.
98. Butler RJ, Myers HS, Black D, Kiesel KB, Plisky PJ, Moorman CT, 3rd, et al. Bilateral differences in the upper quarter function of high school aged baseball and softball players. Int J Sports Phys Ther. 2014;9:518-24.
99. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. J Strength Cond Res. 2012;26:3043-8.
|dc.description.abstract||研究背景: 肩膀傷害在過肩型運動員中是常見造成運動生涯縮減的傷害類型。而就判斷回場的時機而言，目前的研究顯示，由於影響回場的因素之複雜，多數回場的決策建立於專家意見，參考不同專業、角色的判斷與評估，來做出個別化的判斷。這樣的決策機制儘管根據選手狀態做個別化的考量，但在決策上仍可能因為主觀因素造成決策的錯誤。現今在運動場上，若沒有醫療專業的協助，大部分的運動員由於缺乏標準化的回場規劃，可能在回場後仍然存有症狀，並可能導致後續的表現下降或二度傷害。因此，本篇研究希望透過功能性表現測試，分析有症狀之男性業餘排球員與健康業餘排球員在功能性表現上的差異，並提供客觀化的篩檢數據及判斷標準，協助物理治療師或相關專業從功能性表現的層面評估選手訓練或治療上需要加強的層面。研究目的: 一、檢測功能性表現測試分數、一般理學檢查和病人自填功能性問卷各項間是否有顯著的關聯性。二、檢測功能性表現測試分數、一般理學檢查和病人自填功能性問卷在有症狀之肩部受傷過肩型運動員與健康過肩運動員之間是否有顯著差異。三、檢測功能性表現測試分數、一般理學檢查和病人自填功能性問卷是否有分辨受傷過肩運動員與健康過肩運動員之效果。實驗設計: 此研究計畫預計招募有肩部傷害的男性業餘排球員與健康業餘排球員兩組，評估內容包含一般理學檢查、病人自填上肢功能性問卷及功能性表現測試，並比較以上評估項目在兩組受試者之間的差別。主要測量項目: 一般理學檢查(兩側肩部活動度差異、兩側等長收縮肌力比值)、病人自填上肢功能性問卷(KJOC、DASH、DASH sports module)及功能性表現測試(功能性動作評估(FMS)、Y字平衡測試上肢版(YBTUQ)、單手坐姿藥球推擲(USSP)、閉鎖動作鏈上肢穩定測試(CKCUEST)、伏地挺身測試(PU)。結果: 各項測驗彼此對照，發現僅有無至一般相關性(no to fair correlation, r< 0.6)在各個測驗分項之間。比較組間差異，有症狀之男性業餘排球員在內轉肌力比值、病人自填問卷(DASH、KJOC)及數項功能性表現測試(YBTUQ、CKCUEST、PU)中比起健康組受試者表現有顯著較差之結果(p<0.05)。此外，若要辨別兩組差別，使用二元羅吉斯回歸分析，若包含一般理學檢查及功能性表現測試有顯著差異的變數，則發現內轉肌力比值為最可靠之變數。結論: 在業餘男性排球運動員之中，一般理學檢查結果(肩部活動度兩側差異、肌力比值)、功能性表現與病人自覺功能之間並無顯著之關聯性。而內轉肌力、病人自填問卷及功能性表現測試則能在有症狀與無症狀之兩組排球員間看到顯著的差異，並能作為進一步分辨兩組的預測因子。重要性與預期貢獻: 本實驗之結果，可了解有症狀之排球運動員與健康排球運動員在上肢功能測驗中之表現差異。藉此，在上肢型運動員在評估上提供客觀之測量方式及判斷數值，了解選手在不同功能層面的弱點。臨床人員可參考此研究結果作為訓練及評估運動員狀態的依據。||zh_TW|
|dc.description.abstract||Background & Purpose: Overhead athletes, especially volleyball players, often suffer from shoulder injuries due to the demand of the repetitive and high-speed overhead arm movements. After injury, returning to play (RTP) on the same sport or even to the same performance become a critical issue. Nevertheless, previous studies had showed that the decision-making in RTP was too complicated to provide a standardized, objective criteria following upper extremity injuries, thus leaded to potential functional impairment afterward. Functional performance assessments (FPAs) provided objective information in differentiating symptomatic athletes from healthy ones. The main purpose of this study was to differentiate symptomatic and healthy overhead athletes via FPAs. Objective: There were 3 objectives for this study: (1) to investigate the correlations among general physical examinations, self-reported outcomes, and FPAs; (2) to investigate the differences in general physical examinations, self-reported outcomes, and FPAs between male volleyball players with and without symptoms; (3) to investigate the discriminant validity of the FPAs as diagnostic tools in differentiating male volleyball players with and without shoulder symptoms. Design: Male, amateur, volleyball players with symptoms over shoulder region were recruited in this study and assigned to the symptomatic group. Active, healthy male volleyball players without shoulder symptoms for at least 1 year were recruited as the healthy group for comparison. General physical examinations, self-reported outcomes, and FPAs were assessed in both groups. Main outcome measures: Shoulder range of motion (ROM) differences, Shoulder isometric strength ratio (dominant/non-dominant), FPAs including closed kinetic chain upper extremity stability test (CKCUEST), Y-balance test – upper quarter (YBTUQ), unilateral seated shot-put test (USSP), Functional Movement Screen (FMS), and push-up test (PU) were main outcomes of the study. Results: Comparing each variable from different category, we found no to fair correlations (r< 0.6). The symptomatic group showed significantly worse results (p< 0.05) in self-reported outcomes, internal rotation strength ratio (StrIR), and some of the results of FPAs (YBTUQ, CKCUEST, and PU). Among all the potential variables, StrIR was the strongest indicator in differentiating symptomatic and healthy male volleyball players. Conclusions: In order to thoroughly screen the profile of the athlete, different perspectives of assessments were needed. Both subjective and objective assessments were found sensitive to differentiate the symptomatic and healthy male volleyball players and were suitable to perform in the volleyball players screening. Significance and Contribution: The result of this study established potential indicators differentiating the symptomatic and healthy volleyball players, these tools can help us rule out/in potential injury factors in particular athletes and find weakness of the athletes which enables further training to be more specific to their deficiency. This information can be applied on functional impairment screening and forming training strategy.||en|
|dc.description.provenance||Made available in DSpace on 2021-06-17T09:05:54Z (GMT). No. of bitstreams: 1|
ntu-109-R06428022-1.pdf: 3872277 bytes, checksum: 82584f9bb125b14e2b2bb3bb473bf294 (MD5)
Previous issue date: 2020
List of Tables XIII
List of Figures XIV
List of Abbreviation XV
Chapter 1 Nature of the study 1
1.1 Background 1
1.2 Statement of the problems 4
1.3 Purpose of the study 5
1.4 Hypotheses 5
Chapter 2 Literature review 7
2.1 Return to play (RTP) decision making 7
2.2 Risk factors for shoulder injuries in overhead athletes 10
2.3 Self-reported questionnaires for overhead athletes 12
2.4 FPAs for overhead athletes 15
Chapter 3 Method 21
3.1 Design 21
3.2 Subject 21
3.3 Instrumentation 22
3.4 Functional performance assessments 24
3.5 Procedures 28
3.6 Statistical analysis 29
Chapter 4 Result 32
4.1 Basic Data 32
4.2 Correlation matrix 32
4.3 Group difference 34
4.4 Diagnostic value and accuracy 35
Chapter 5 Discussion 37
Chapter 6 Conclusion 47
Appendix 1: Disability of Arm, Shoulder, and Hand (DASH) questionnaire 75
Appendix 2: DASH Sports Module 78
Appendix 3: Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score 79
Appendix 4: Participant Informed Consent 81
Appendix 5: Permission of Institutional Review Board and Consent 87
|dc.title||The Differences of Functional Performance between Symptomatic and Healthy Overhead Athletes||en|
|dc.contributor.oralexamcommittee||陳譽仁(Yu-Jen Chen),蔡鏞申(Yung-Shen Tsai)|
|dc.subject.keyword||return to play,overhead athletes,volleyball players,functional performance assessment,screening,||en|
|Appears in Collections:||物理治療學系所|
Files in This Item:
|3.78 MB||Adobe PDF|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.