A Study of Right Shoulder Injury in Collegiate and Professional Orchestral Cellists: An Investigation Using Questionnaires and Physical Assessment

2012 ◽  
Vol 27 (2) ◽  
pp. 65-73 ◽  
Author(s):  
Dale Rickert ◽  
Margaret Barrett ◽  
Mark Halaki ◽  
Tim Driscoll ◽  
Bronwen Ackermann
Keyword(s):  
Rotator Cuff ◽  
Future Research ◽  
College Level ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Injury Rates ◽  
Targeted Interventions ◽  
Physical Testing ◽  
Shoulder Strength ◽  
Two Populations

PURPOSE: Cellists sustain high levels of playing-related injury and are particularly susceptible to right shoulder pain, yet no studies have attempted to propose a mechanism for disease or establish possible causal factors. The aim of this study was to investigate shoulder injury levels and causes in two populations: professional orchestral cellists and college-level student cellists. METHODS: A questionnaire and physical testing protocol was applied to both groups of participants, eliciting information on lifestyle, playing habits, and self-reported injury rates as well as physical data on shoulder strength, range of motion, and signs of injury. RESULTS: Right shoulder injuries are common among both student (20%) and professional (42%) cellists and seem to be associated with measures indicating potential lack of strength in the scapular stabilisers as well as potential degenerative changes in the rotator cuff. Significant differences were found in the lifestyle and playing habits of the two groups. There were increased signs of pain and stiffness in the professionals and evidence of decreased muscular support in the students. Male cellists showed less scapular stability; female cellists, however, generally had higher levels of pain. CONCLUSIONS: These results indicate that injuries at the shoulder, potentially involving impingement-type pathologies, are a common cause of pain in cellists. Based on this study, future research for cello players could focus on targeted interventions, such as exercises for the scapular stabilisers and muscles of the rotator cuff.

scholarly journals Shoulder Injuries in Cricketers

2015 ◽  
Vol 49 (4) ◽  
pp. 194-196
Author(s):  
Sharad Prabhakar ◽  
Radhakant Pandey
Keyword(s):  
Rotator Cuff ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Internal Impingement ◽  
Scapular Kinematics ◽  
Glenohumeral Internal Rotation Deficit ◽  
Repetitive Nature ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
Very High

ABSTRACT Shoulder injuries are very common in cricketers. Throwing athletes in cricket (both bowlers and fielders) are prone to shoulder injuries secondary to the large amount of forces generated, the resultant very high velocities and the repetitive nature of the throwing action. The shoulder joint has to balance mobility vs stability. Athletes exhibit adaptive changes that develop from the repetitive microtrauma following overhead throwing. The article discusses in detail how altered scapular kinematics, rotator cuff dysfunction with altered muscle strength patterns, internal impingement combined with anatomical adaptive bony and soft tissue changes causing a glenohumeral internal rotation deficit, predispose the cricketer to shoulder injury. How to cite this article Prabhakar S, Pandey R. Shoulder Injuries in Cricketers. J Postgrad Med Edu Res 2015;49(4): 194-196.

scholarly journals Risk Factors of Overuse Shoulder Injuries in Overhead Athletes: A Systematic Review

2020 ◽  
Vol 12 (5) ◽  
pp. 478-487 ◽  
Author(s):  
Camille Tooth ◽  
Amandine Gofflot ◽  
Cédric Schwartz ◽  
Jean-Louis Croisier ◽  
Charlotte Beaudart ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Rotator Cuff ◽  
Range Of Motion ◽  
Training Load ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Overhead Athletes ◽  
Modifiable Factors ◽  
And Training

Context: Shoulder injuries are highly prevalent in sports involving the upper extremity. Some risk factors have been identified in the literature, but consensus is still lacking. Objectives: To identify risk factors of overuse shoulder injury in overhead athletes, as described in the literature. Data Sources: A systematic review of the literature from the years 1970 to 2018 was performed using 2 electronic databases: PubMed and Scopus. Study Selection: Prospective studies, written in English, that described at least 1 risk factor associated with overuse shoulder injuries in overhead sports (volleyball, handball, basketball, swimming, water polo, badminton, baseball, and tennis) were considered for analysis. Study Design: Systematic review. Level of Evidence: Level 3. Data Extraction: Data were extracted from 25 studies. Study methodology quality was evaluated using the Modified Coleman Methodology Score. Results: Intrinsic factors, previous injury, range of motion (lack or excess), and rotator cuff weakness (isometric and isokinetic) highly increase the risk of future injuries. Additionally, years of athletic practice, body mass index, sex, age, and level of play seem to have modest influence. As for the effect of scapular dysfunction on shoulder injuries, it is still controversial, though these are typically linked. Extrinsic factors, field position, condition of practice (match/training), time of season, and training load also have influence on the occurrence of shoulder injuries. Conclusion: Range of motion, rotator cuff muscle weakness, and training load are important modifiable factors associated with shoulder injuries. Scapular dysfunction may also have influence. The preventive approach for shoulder injury should focus on these factors.

Primary and Secondary Consequences of Rotator Cuff Injury on Joint Stabilizing Tissues in the Shoulder

2017 ◽  
Vol 139 (11) ◽  
Author(s):  
Hafizur Rahman ◽  
Eric Currier ◽  
Marshall Johnson ◽  
Rick Goding ◽  
Amy Wagoner Johnson ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Joint ◽  
Treatment Algorithm ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Shoulder Injuries ◽  
Joint Stability ◽  
Shoulder Injury ◽  
Physician Visits ◽  
Variable Success Rate

Rotator cuff tears (RCTs) are one of the primary causes of shoulder pain and dysfunction in the upper extremity accounting over 4.5 million physician visits per year with 250,000 rotator cuff repairs being performed annually in the U.S. While the tear is often considered an injury to a specific tendon/tendons and consequently treated as such, there are secondary effects of RCTs that may have significant consequences for shoulder function. Specifically, RCTs have been shown to affect the joint cartilage, bone, the ligaments, as well as the remaining intact tendons of the shoulder joint. Injuries associated with the upper extremities account for the largest percent of workplace injuries. Unfortunately, the variable success rate related to RCTs motivates the need for a better understanding of the biomechanical consequences associated with the shoulder injuries. Understanding the timing of the injury and the secondary anatomic consequences that are likely to have occurred are also of great importance in treatment planning because the approach to the treatment algorithm is influenced by the functional and anatomic state of the rotator cuff and the shoulder complex in general. In this review, we summarized the contribution of RCTs to joint stability in terms of both primary (injured tendon) and secondary (remaining tissues) consequences including anatomic changes in the tissues surrounding the affected tendon/tendons. The mechanical basis of normal shoulder joint function depends on the balance between active muscle forces and passive stabilization from the joint surfaces, capsular ligaments, and labrum. Evaluating the role of all tissues working together as a system for maintaining joint stability during function is important to understand the effects of RCT, specifically in the working population, and may provide insight into root causes of shoulder injury.

scholarly journals Incidence of Shoulder Injury in Elite Wheelchair Athletes Differ Between Sports: A Critically Appraised Topic

2019 ◽  
Vol 28 (3) ◽  
pp. 294-298 ◽  
Author(s):  
Jessica R. Fairbairn ◽  
Kellie C. Huxel Bliven
Keyword(s):  
Injury Risk ◽  
Sport Participation ◽  
Current Data ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Bottom Line ◽  
Injury Rates ◽  
Wheelchair Athletes ◽  
Epidemiology Data ◽  
Shoulder Complex

Clinical Scenario: Until recently, injury epidemiology data on elite Paralympic athletes were limited. Current data suggest high rates of shoulder injury in wheelchair athletes. Differences in shoulder injury rates between sports have not been reported in this population. Clinical Question: Is the incidence of shoulder injury in elite wheelchair athletes different between sports? Summary of Key Findings: Shoulder injury rates are high in elite wheelchair athletes, particularly in sports such as field events and fencing that require a stable base (eg, trunk, core control) from which to perform. Wheelchair racing requires repetitive motions that contribute to shoulder injuries, but rates are lower than field sports and fencing. Wheelchair curling and sledge hockey have low shoulder injury risk. Clinical Bottom Line: Shoulder injury rates vary based on sport in elite wheelchair athletes. In addition to incorporating shoulder complex specific rehabilitation for overuse shoulder injuries, clinicians should focus on core and trunk stabilization in elite wheelchair athletes competing in sports, such as field events and fencing. Strength of Recommendation: Grade C evidence exists that reports shoulder injury rates among elite wheelchair athletes differ based on sport participation.

scholarly journals Shoulder Injuries in National Collegiate Athletic Association Quarterbacks: 10-Year Epidemiology of Incidence, Risk Factors, and Trends

2018 ◽  
Vol 6 (2) ◽  
pp. 232596711875682 ◽  
Author(s):  
Sailesh V. Tummala ◽  
David E. Hartigan ◽  
Karan A. Patel ◽  
Justin L. Makovicka ◽  
Anikar Chhabra
Keyword(s):  
National Collegiate Athletic Association ◽  
Surveillance Program ◽  
Football Players ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Data Set ◽  
Injury Rates ◽  
High Prevalence ◽  
Incidence Risk ◽  
History Of

Background: Up to 50% of National Collegiate Athletic Association (NCAA) football players have a history of shoulder injuries. The quarterback position has been shown to have a high prevalence of these injuries because of its unique exposures. There is little information regarding the shoulder injury type and mechanism in NCAA quarterbacks. Purpose: To understand the 10-year epidemiology of specific shoulder injury rates in NCAA quarterbacks. Study Design: Descriptive epidemiology study. Methods: Shoulder injury data for collegiate football quarterbacks from the 2004 through 2014 academic years were analyzed using the NCAA Injury Surveillance Program (ISP) data set. Results: Over the 10-year study period, a total of 133 shoulder injuries to collegiate quarterbacks were reported, with 157,288 quarterback exposures. There was approximately 1 shoulder injury per 1221 exposures. The most common injuries noted were acromioclavicular sprains (45.1%, n = 60), followed by shoulder contusions (9.0%, n = 12), clavicular fractures (7.5%, n = 10), and anterior instability (5.3%, n = 7). The majority of injuries were caused by contact with a player (60.2%, n = 80) or contact with a playing surface (28.6%, n = 38), and 88% (n = 117) were deemed nonsurgical in nature. Conclusion: NCAA ISP data analysis suggests that collegiate quarterbacks sustain acute contact injuries 89% of the time and that they typically occur while being tackled, resulting in a time loss of less than 2 weeks. These injuries are commonly treated nonsurgically.

scholarly journals Shoulder Injuries in Boxing. A systematic Review.

2021 ◽  
Author(s):  
Zeitler Cornelia ◽  
Irene Steiner ◽  
Breuer Robert ◽  
Rainer Fiala ◽  
Rolf Michael Krifter
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Specific Information ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Long Term Effects ◽  
Cross Sectional ◽  
Injury Rates ◽  
Amateur Athletes ◽  
Shoulder Pathologies

Abstract Background: High injury rates are to be expected in combat sports. Although case reports and epidemiological studies have documented shoulder injuries in boxers, numbers differ and there is currently no systematic review reporting injury prevalence. Purpose: The aim of this study was to offer an analysis of existing studies documenting shoulder injuries in boxing. Additionally, we wanted to evaluate, if chronic shoulder pathologies seen in former boxers, originate from acute injuries or result from chronic overuse syndromes.Study Design: Systematic ReviewMethods: We performed a systematic database research according to the PRISMA guidelines on PubMed, Scopus and Google Scholar for the keywords “boxing”, “injury” and “shoulder” or their respective synonyms. Any epidemiological cohort- and cross-sectional studies on boxing, that documented shoulder injuries and were published in German or English language up to January 2020, were included. Statistical analysis including individual and overall proportion with 95% Clopper-Pearson confidence intervals was performed to determine shoulder injury rates for amateur and professional cohorts separately.Results: Methodological quality was assessed using the STROBE statement and a modified Downs&Black's checklist. 13 studies were included, 10 of which met the criteria for statistical analyses. The heterogeneity in study design and cohort characteristics did not allow for detailed quantitative analysis. Overall, shoulder injuries occurred almost twice as often in amateur athletes than in professionals (overall proportion [95% CI]: amateur athletes: 9% [6%; 12%], professionals: 4% [2%; 8%]).Conclusion: No study investigating the long-term effects of boxing on shoulder pathologies was identified. Although specific information on injury type is mostly missing, the few studies addressing it report shoulder dislocations, strains, tendonitis, or chronic impingement syndromes. Unlike head trauma, shoulder injuries do not necessarily lead to cessation of fight, therefore at the ringside gross underreporting of shoulder pathologies must be taken into consideration.

scholarly journals Association Between Years of Competition and Shoulder Function in Collegiate Swimmers

2017 ◽  
Vol 10 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Jack D. Dischler ◽  
Timothy G. Baumer ◽  
Evan Finkelstein ◽  
Daniel S. Siegal ◽  
Michael J. Bey
Keyword(s):  
Rotator Cuff ◽  
Physical Properties ◽  
Shear Wave ◽  
Wave Velocity ◽  
Shear Wave Velocity ◽  
Shoulder Injuries ◽  
Supraspinatus Muscle ◽  
Shoulder Strength ◽  
Tendon Thickness ◽  
And Function

Background: Shoulder injuries are common among competitive swimmers, and the progression of shoulder pathology is not well understood. The objective of this study was to assess the extent to which years of competitive swim training were associated with physical properties of the supraspinatus muscle and tendon, shoulder strength, and self-reported assessments of shoulder pain and function. Hypothesis: Increasing years of competition will be associated with declining physical properties of the supraspinatus muscle/tendon and declining self-reported assessments of pain and function. Study Design: Descriptive epidemiology study. Level of Evidence: Level 4. Methods: After institutional approval, 18 collegiate female swimmers enrolled in the study. For each swimmer, supraspinatus tendon thickness was measured; tendinosis was assessed using ultrasound imaging, supraspinatus muscle shear wave velocity was assessed using shear wave elastography, isometric shoulder strength was measured using a Biodex system, and self-reported assessments of pain/function were assessed using the Western Ontario Rotator Cuff (WORC) score. All subjects were tested before the start of the collegiate swim season. Linear regression was used to assess the association between years of competition and the outcome measures. Results: Years of participation was positively associated with tendon thickness ( P = 0.01) and negatively associated with shear wave velocity ( P = 0.04) and WORC score ( P < 0.01). Shoulder strength was not associated with years of participation ( P > 0.39). Conclusion: Long-term competitive swim training is associated with declining measures of supraspinatus muscle/tendon properties and self-reported measures of pain and function. Although specific injury mechanisms are still not fully understood, these findings lend additional insight into the development of rotator cuff pathology in swimmers. Clinical Relevance: Lengthy swimming careers may lead to a chronic condition of reduced mechanical properties in the supraspinatus muscle and tendon, thereby increasing the likelihood of rotator cuff pathology.

scholarly journals Weightlifting Shoulder Injuries Presenting to U.S. Emergency Departments: 2000–2030

2019 ◽  
Vol 40 (08) ◽  
pp. 528-534
Author(s):  
Kevin Pirruccio ◽  
John D. Kelly
Keyword(s):  
Emergency Departments ◽  
Significant Risk ◽  
Cost Savings ◽  
Older Individuals ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Injury Surveillance System ◽  
Injury Rates ◽  
The Past ◽  
Muscle Tear

AbstractWeightlifting is associated with a significant risk of shoulder injury. We used the National Electronic Injury Surveillance System (NEISS) database to identify patients presenting to U.S. emergency departments between 2000 and 2017 with weightlifting-associated shoulder injuries to determine how the health burden and demographic characteristics of these patients have changed over time. Our analyses demonstrated a significant increase in the national estimate of weightlifting-associated shoulder injuries between 2000 (N=8.073; C.I. 6.309–9.836) and 2017 (N=14.612; C.I. 12.293–16.930) (p<0.001), with linear regression (R2=0.87, P<0.001) projecting 22.691 national cases by 2030. Patients were most often males (83.3%; C.I. 81.5–85.2%) between 20–29 years of age (30.5%; C.I. 28.2%–32.8%) sustaining a sprain, strain, or muscle tear (65.1%; C.I. 60.4–69.8%). Additionally, the average age of injury (34.33 years; C.I. 33.43–35.23 years) in the 2012–2017 period was significantly higher than in prior periods (p<0.001). We postulated these findings may reflect older individuals more frequently participating in resistance training than in the past, and considered that contemporary fitness trends such as CrossFit might have higher injury rates. We believe increased awareness of this burden, coupled with focus on injury prevention strategies, could yield substantial national health and cost savings.

scholarly journals Interrater reliability of physical examination tests in the acute phase of shoulder injuries

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Malte Schmidt ◽  
Martine Enger ◽  
Are Hugo Pripp ◽  
Lars Nordsletten ◽  
Stefan Moosmayer ◽  
...  
Keyword(s):  
Emergency Department ◽  
Rotator Cuff ◽  
Physical Examination ◽  
Acute Phase ◽  
Interrater Reliability ◽  
External Rotation ◽  
Ultrasound Screening ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Cohen's Kappa

Abstract Background The physical examination is one of the cornerstones of the diagnostic process in patients with acute shoulder injuries. The discriminative properties of a given examination test depend both on its validity and reliability. The aim of the present study was to assess the interrater reliability of 13 physical examination manoeuvres for acute rotator cuff tears in patients with acute soft tissue shoulder injuries. Methods In a large walk-in orthopaedic emergency department, 120 consecutive patients ≥40 years of age were included in a diagnostic study. Patients who had follow-up within three weeks of an acute shoulder injury without fracture on radiographs were eligible. Four emergency department physicians participated as examiners. In a subset of 48 patients, the physical examination tests were performed by two physicians, randomly chosen by their work rotation. The physicians were blinded to the findings of each other and the results of the ultrasound screening. The interrater reliability was assessed by Cohen’s kappa, intraclass correlation coefficient (ICC), standard error of measurement (SEM) and Bland-Altman plots depending on whether the examination test result was registered as a binary, ordered categorical or continuous numerical variable. Results The median age was 55.5 years, 46% were female. Twenty-seven percent had a rotator cuff full-thickness tear on ultrasound screening; all but one involved the supraspinatus tendon. Cohen’s kappa for binary tests ranged from excellent to fair. Excellent agreement (kappa > 0.8) was found for the inability to abduct above 90° and abduction strength. External rotation strength expressed substantial agreement (kappa 0.7). The lowest scores were registered for Hawkins` test and the external rotation lag sign (kappa 0.25 and 0.40, respectively). The ICCs for active range of abduction and external rotation were 0.93 (0.88–0.96) and 0.84 (0.72–0.91), whereas the SEM was 15 and 9, respectively. Conclusions The results indicate that examination manoeuvres assessing abduction and external rotation range of motion and strength are more reliable than manoeuvres assessing pain in patients in the acute phase of traumatic shoulder injury. The poor agreement observed is likely to limit the validity in the present setting of two commonly used tests. Trial registration The Norwegian Regional Ethics Committee South East (2015/195).

scholarly journals Shoulder injuries in provincial male fast bowlers - predisposing factors

2004 ◽  
Vol 16 (1) ◽  
pp. 25 ◽  
Author(s):  
KD Aginsky ◽  
L Lategan ◽  
RA Stretch
Keyword(s):  
Sports Medicine ◽  
External Rotation ◽  
Peak Torque ◽  
Predisposing Factors ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Video Footage ◽  
Shoulder Strength ◽  
Shoulder Flexibility ◽  
Torque Values

Objectives. To investigate the relationship between shoulder flexibility and isokinetic strength as possible factors that may predispose provincial fast bowlers to shoulder injuries. Design. Twenty-one players, 12 of whom had no history of shoulder injuries and 9 of whom had experienced a shoulder injury to the bowling arm, were assessed for shoulder strength using a Cybex Norm isokinetic dynamometer. Absolute and relative peak torque measures were obtained at isokinetic speeds of 90°/s and 180°/s, with both concentric and eccentric contractions performed. Shoulder flexibility was tested using a Leighton Flexometer in both internal and external shoulder rotation. The players were classified into a front-on (N = 7), semi front-on (N = 7) or side-on (N = 7) bowling action from video footage recorded after a bowling trial in the nets. Results. Shoulder injuries were more common in fast bowlers with a front-on action (N = 5) than the bowlers with a side-on (N = 2) or semi front-on (N = 2) action. Sixteen of the 21 fast bowlers showed low stability ratios compared with gravity corrected functional ratios, indicating an imbalance and the presence of possible dysfunction. The injured group of fast bowlers showed higher concentric weight-normalised torque values for internal rotation at the higher velocity (180°/s) (65.20 ± 10.03 vs. 45.91 ± 10.26 Nm.kg-1 p < 0.009: injured vs. uninjured), which would suggest greater instability when compared with the uninjured players. This imbalance could indicate the presence of a predisposition to impingement syndrome in the injured subjects. There was an increase in the external rotation ranges of movement for both groups, indicating a degree of hypermobility in both groups. The results indicate that the presence of possible dysfunction in the shoulder rotators, combined with a front-on bowling action and external rotation hypermobility, are possible predisposing factors for chronic shoulder injuries in cricket fast bowlers. South African Journal of Sports Medicine Vol.16(1) 2004: 25-28

Sign in / Sign up

Export Citation Format

Share Document