Prevalencia del dolor de hombro en nadadores de competición: estudio piloto / Shoulder Pain Prevalence in Competitive Swimmers: A Pilot Study

Background and objectives: The long head of the biceps (LHB) and rotator cuff tendinopathy is the major cause of shoulder pain in competitive swimmers. The risk of tendinopathy increases with aging; however, the structural changes of LHB and rotator cuff in populations of masters swimmers have not been well examined. The purpose of this study was to investigate the prevalence of ultrasonographic abnormalities of the shoulders in masters swimmers, and the association of pain, age, and swim training with structural changes in this population. Materials and Methods: A total of 60 subjects participated in this study, with 20 masters swimmers with shoulder pain, 20 asymptomatic masters swimmers, and 20 sex- and age-matched controls. All swimmers completed a self-reported questionnaire for shoulder pain, their history of competition, and training volume. Each subject underwent ultrasonographic examination of both shoulders for pathologic findings in the LHB tendon, rotator cuff (supraspinatus (SSP) and subscapularis (SSC)) tendons, and subacromial bursa (SAB) of both shoulders and had thickness measured. Results: The prevalence of tendinosis (LHB, 48.8%; SSP, 17.5%; SSC, 15.9%), partial tear (SSP, 35.0%), and calcification (SSC, 10.0%) were higher in swimmers than in controls. LHB and SSP tendinosis were associated with shoulder pain. Older age and later start of competition were associated with an increased risk of LHB tendinosis and SSC calcification. Earlier initiation of swimming and longer history of competition were associated with an increased risk of SSP and SSC tendinosis. The thicker SSP tendon significantly increased the risk of tendinosis and partial tear. Conclusions: A high prevalence of structural changes in the rotator cuff and biceps tendons in masters swimmers reflects the effect of shoulder symptoms, aging, and swim training.

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Subluxed Shoulders Need TLC: Pilot Study of the T-L-C Taping Method to Address Hemiplegic Shoulder Pain, Passive Range of Motion, and Subluxation

American Journal of Occupational Therapy ◽

10.5014/ajot.2021.75s2-rp390 ◽

2021 ◽

Vol 75 (Supplement_2) ◽

pp. 7512520390p1-7512520390p1

Author(s):

Steven Frey ◽

Mark Stumpf ◽

Jacob Wright ◽

Sara Stephenson ◽

John Wong ◽

...

Keyword(s):

Pilot Study ◽

Range Of Motion ◽

Shoulder Pain ◽

Intervention Studies ◽

Muscle Tone ◽

Neurological Rehabilitation ◽

Assessment Approach ◽

Uniform Assessment ◽

Common Intervention ◽

Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Hemiplegic shoulder pain and subluxation are prevalent sequelae following stroke. A gap in the literature exists for shoulder assessments specifically for taping, a common intervention. Studies and tape methods primarily focus on mechanical corrections. However, muscle tone and management, which are prevalent topics in neurological rehabilitation, are rarely addressed. The T-L-C taping method consists of a uniform assessment approach of the shoulder specifically to guide Kinesio® Tape application Primary Author and Speaker: Steven Frey Additional Authors and Speakers: Mark Stumpf, Jacob Wright, and Sara Stephenson Contributing Authors: John Wong, Lauren Loges

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Association between Working in Awkward Postures, in Particular Overhead Work, and Pain in the Shoulder Region in the Context of the 2018 BIBB/BAuA Employment Survey

10.21203/rs.3.rs-257602/v1 ◽

2021 ◽

Author(s):

Julia Barthelme ◽

Martha Sauter ◽

Charlotte Mueller ◽

Falk Liebers

Keyword(s):

Musculoskeletal Disorders ◽

Shoulder Pain ◽

Secondary Data ◽

Work Related ◽

Arm Pain ◽

Current Prevalence ◽

Musculoskeletal Problems ◽

Shoulder Region ◽

Pain Prevalence ◽

Employment Survey

Abstract Background: Musculoskeletal disorders are the leading cause of work-related sick leave and incur substantial socioeconomic costs. With the aging of our society and employees, the problem is exacerbating, and prevention is becoming increasingly important. According to previous studies, exposure to awkward postures, such as overhead work, is associated with musculoskeletal problems. Objective: This study aimed to determine the current prevalence of employees who work in awkward postures, specifically overhead, stratified by age, gender and occupation in the context of the 2018 BIBB/BAuA Employment Survey and to analyze associations between awkward working postures, in particular overhead work, and pain in the shoulder region. Method: The study is based on secondary data from the German 2018 BIBB/BAuA Employment Survey . We have included 14,327 of the 20,012 employees aged between 15 and 67 who work at least 35 hours per week who took part in the survey. The classification of participants in occupational groups is based on the Blossfeld classification. The multivariate analysis was conducted by applying robust Poisson regression models adjusted block by block to obtain the relation between the self-reported frequency of working in awkward postures, in particular overhead work, and the occurrence of arm and neck/shoulder pain. Prevalence ratios (PR) are reported as effect estimates. Results: 12.6 % of participants indicated that they are often exposed to awkward postures at work; 5 % stated they often performed overhead work. The majority of these employees work in agricultural, unskilled, and skilled manual occupations. The crude prevalence is 17.4 % for arm pain and 48.4 % for neck and shoulder pain. If subjects reported that they often performed overhead work, the risk of arm pain increased by 18 % (PR 1.18, CI 1.04 – 1.34, final model). Conclusion: Working in awkward postures, especially overhead work, is a risk factor for musculoskeletal disorders in the arms. The development of prevention strategies should focus on the workforce in agricultural, unskilled and skilled manual occupations.

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Risk Factors Associated With Shoulder Pain and Disability Across the Lifespan of Competitive Swimmers

Journal of Athletic Training ◽

10.4085/1062-6050-47.2.149 ◽

2012 ◽

Vol 47 (2) ◽

pp. 149-158 ◽

Cited By ~ 81

Author(s):

Angela Tate ◽

Gregory N. Turner ◽

Sarah E. Knab ◽

Colbie Jorgensen ◽

Andrew Strittmatter ◽

...

Keyword(s):

High School ◽

Shoulder Pain ◽

Age Groups ◽

Muscle Length ◽

Scapular Dyskinesis ◽

Shoulder Injuries ◽

Shoulder Injury ◽

Cross Sectional ◽

Pectoralis Minor ◽

Competitive Swimmers

Context: The prevalence of shoulder pain among competitive swimmers is high, but no guidelines exist to reduce shoulder injuries. Elucidating differences between swimmers with and without shoulder pain can serve as a basis for the development of a program to prevent shoulder injury that might lead to pain and dysfunction. Objective: To determine whether physical characteristics, exposure, or training variables differ between swimmers with and without shoulder pain or disability. Design: Cross-sectional study. Setting: Multisite swimming centers. Patients or Other Participants: A total of 236 competitive female swimmers aged 8 to 77 years. Data Collection and Analysis: Participants completed the Penn Shoulder Score and underwent testing of core endurance, range of motion, muscle force production, and pectoralis minor muscle length and the Scapular Dyskinesis Test. Swimmers were grouped by age for analysis: ages 8 to 11 years (n = 42), 12 to 14 years (n = 43), 15 to 19 years (high school, n = 84), and 23 to 77 years (masters, n = 67). Comparisons were made between groups with and without pain and disability using independent t tests for continuous data and χ2 analyses and Fisher exact tests for categorical data. Results: Nine (21.4%) swimmers aged 8 to 11 years, 8 (18.6%) swimmers aged 12 to 14 years, 19 (22.6%) high school swimmers, and 13 (19.4%) masters swimmers had shoulder pain and disability. Differences that were found in 2 or more age groups between athletes with and without shoulder pain and disability included greater swimming exposure, a higher incidence of previous traumatic injury and patient-rated shoulder instability, and reduced participation in another sport in the symptomatic groups (P < .05). Reduced shoulder flexion motion, weakness of the middle trapezius and internal rotation, shorter pectoralis minor and latissimus, participation in water polo, and decreased core endurance were found in symptomatic females in single varying age groups (P < .05). Conclusions: Female competitive swimmers have shoulder pain and disability throughout their lives. Given that exposure and physical examination findings varied between athletes with and without substantial pain and disability, a program to prevent shoulder injury that might lead to pain and dysfunction appears warranted and might include exposure reduction, cross-training, pectoral and posterior shoulder stretching, strengthening, and core endurance training.

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Shoulder pain prevalence by age and within occupational groups: a systematic review

Archives of Physiotherapy ◽

10.1186/s40945-021-00119-w ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Christopher J. Hodgetts ◽

Charlotte Leboeuf-Yde ◽

Amber Beynon ◽

Bruce F. Walker

Keyword(s):

Systematic Review ◽

Shoulder Pain ◽

Occupational Groups ◽

Cross Sectional ◽

Physically Active ◽

Prevalence Estimates ◽

Study Characteristics ◽

Pain Prevalence ◽

Older Populations ◽

Working Populations

Abstract Background Shoulder pain was previously shown to diminish in older populations and it was suggested that this could be explained by reduced usage with age. Our objectives were to investigate if estimates of shoulder pain continue to increase after the age of 50 in working populations and to compare these estimates in physically demanding occupations with sedentary occupations. Methods A systematic review of retrospective, cross-sectional, prospective, or longitudinal. studies reporting prevalence or incidence of non-specific shoulder pain in occupational groups stratified by age. Searches were conducted in PubMed, Scopus, and CINAHL from inception until January 2020. Study characteristics and prevalence estimates stratified by age were extracted. Two reviewers independently performed a critical analysis of the included studies to determine their validity and risk of bias. Results Twenty studies with a total of 40,487 participants and one study of a clinical data base were included and assigned a direction of the estimates for shoulder pain as either ‘increasing’, ‘remaining stable’ or ‘decreasing’ past the age of 50. Shoulder pain generally increased past 50, with 16 of the 21 included studies reporting higher estimates/odds ratios in older participants. In the more physically active occupations over 50, the estimates increased in 14 of the 18 samples compared to only two of the four involving sedentary occupations. Conclusions Shoulder pain prevalence remains common in workers beyond the age of 50. Prevalence continues to increase in physically demanding occupations. Clinicians should consider factors of occupation when managing shoulder pain. Trial registration PROSPERO (CRD42019137831).

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Prediction of Shoulder Pain in Youth Competitive Swimmers: The Development and Internal Validation of a Prognostic Prediction Model

The American Journal of Sports Medicine ◽

10.1177/0363546520969913 ◽

2020 ◽

Vol 49 (1) ◽

pp. 154-161

Author(s):

Stef Feijen ◽

Thomas Struyf ◽

Kevin Kuppens ◽

Angela Tate ◽

Filip Struyf

Keyword(s):

Logistic Regression ◽

Shoulder Pain ◽

Muscle Endurance ◽

Internal Validation ◽

Competitive Swimming ◽

Final Model ◽

Shoulder Muscle ◽

Multivariable Logistic Regression ◽

Posterior Shoulder ◽

Competitive Swimmers

Background: Knowledge of predictors for shoulder pain in swimmers can assist professionals working with the athlete in developing optimal prevention strategies. However, study methodology and limited available data have constrained a comprehensive understanding of which factors cause shoulder pain. Purpose: To investigate risk factors and develop and internally validate a multivariable prognostic model for the prediction of shoulder pain in swimmers. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 201 pain-free club- to international-level competitive swimmers were followed for 2 consecutive seasons. The cohort consisted of 96 male (mean ± SD age, 13.9 ± 2.2 years) and 105 female (13.9 ± 2.2 years) swimmers. Demographic, sport-specific, and musculoskeletal characteristics were assessed every 6 months. Swim-training exposure was observed prospectively. Shoulder pain interfering with training was the primary outcome. Multiple imputation was used to cope with missing data. The final model was estimated using multivariable logistic regression. We applied bootstrapping to internally validate the model and correct for overoptimism. Results: A total of 42 new cases of shoulder pain were recorded during the study. Average duration of follow-up was 1.1 years. Predictors included in the final model were acute:chronic workload ratio (odds ratio [OR], 4.31; 95% CI, 1.00-18.54), competitive level (OR, 0.19; 95% CI, 0.06-0.63), shoulder flexion range of motion, posterior shoulder muscle endurance (OR, 0.96; 95% CI, 0.92-0.99), and hand entry position error (OR, 0.37; 95% CI, 0.16-0.91). After internal validation, this model maintained good calibration and discriminative power (area under the receiver operating characteristic curve, 0.71; 95% CI, 0.60-0.94). Conclusion: Our model consists of parameters that are readily measurable in a swimming setting, allowing the identification of swimmers at risk for shoulder pain. Multivariable logistic regression showed the strongest predictors for shoulder pain were regional competitive swimming level, acute:chronic workload ratio, posterior shoulder muscle endurance, and hand entry error.

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