scholarly journals Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review

2020 ◽  
Vol 55 (1) ◽  
pp. 32-41 ◽  
Author(s):  
Stef Feijen ◽  
Angela Tate ◽  
Kevin Kuppens ◽  
Anke Claes ◽  
Filip Struyf
Keyword(s):  
Life Span ◽  
Shoulder Pain ◽  
Data Extraction ◽  
Age Groups ◽  
Supraspinatus Tendon ◽  
Training Volume ◽  
Competitive Swimming ◽  
Competitive Swimmer ◽  
The Relationship ◽  
Competitive Swimmers

Background Competitive swimmers are exposed to enormous volumes of swim training that may overload the soft tissue structures and contribute to shoulder pain. An understanding of training factors associated with the injury is needed before practice guidelines can be developed. Objectives To investigate the relationship between swim-training volume and shoulder pain and to determine swim-training volume and shoulder pain prevalence across the life span of the competitive swimmer. Data Sources Relevant studies within PubMed, Web of Science, and MEDLINE. Study Selection Studies that assessed the relationship between a defined amount of swim training and shoulder pain in competitive swimmers. Data Extraction Twelve studies (N = 1460 participants) met the criteria. Swimmers were grouped by age for analysis: young (<15 years), adolescent (15–17 years), adult (18–22 years), and masters (23–77 years). Data Synthesis Adolescent swimmers showed the highest rates of shoulder pain (91.3%) compared with other age groups (range = 19.4%–70.3%). The greatest swim-training volumes were reported in adolescent (17.27 ± 5.25 h/wk) and adult (26.8 ± 4.8 h/wk) swimmers. Differences in exposure were present between swimmers with and those without shoulder pain in both the adolescent (P = .01) and masters (P = .02) groups. In adolescent swimmers, the weekly swim-training volume (P < .005, P = .01) and years active in competitive swimming (P < .01) correlated significantly with supraspinatus tendon thickness, and all swimmers with tendon thickening experienced shoulder pain. Conclusions Evidence suggests that swim-training volume was associated with shoulder pain in adolescent competitive swimmers (level II conclusion). Year-round monitoring of the athlete's swim training is encouraged to maintain a well-balanced program. Developing athletes should be aware of and avoid a sudden and large increase in swimming volume. However, additional high-quality studies are needed to determine cutoff values in order to make data-based decisions regarding the influence of swim training.

scholarly journals Changes in Clinical Measures and Tissue Adaptations in Collegiate Swimmers Across a Competitive Season

CommonHealth ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 37-43
Author(s):  
Ryan William Paul ◽  
Angela Tate ◽  
Joseph Sarver ◽  
Laura DiPaola ◽  
Jeffery Yim ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Supraspinatus Tendon ◽  
Training Volume ◽  
Competitive Season ◽  
Posterior Shoulder ◽  
Capsule Thickness ◽  
The Relationship ◽  
Competitive Swimmers

Background: Due to high training volume, competitive swimmers incur shoulder pain and injury1, but certain physical characteristics, such as shoulder ROM and endurance, and tissue adaptations such as posterior capsule thickness (PCT) and supraspinatus tendon structure may also be risk factors. Decreased endurance and ROM have been found in competitive swimmers along with being related to pain2. However, no longitudinal studies have examined pain and disability, range of motion, training volume, shoulder endurance and tendon structure over the course of a competitive season. Purpose: The purpose of this study was to: 1) to assess shoulder pain and disability, internal rotation (IR) and external rotation (ER) and horizontal adduction (HADD) ROM, and posterior shoulder endurance longitudinally over a competitive collegiate season, and 2) determine if there is a relationship between swimming yardage, supraspinatus tendon organization and posterior capsule thickness. Methods: 17 male and 13 female Division III swimmers aged 19.6 ± 1.1 years participated. Pain and disability were assessed using the Penn Shoulder Score and the Disability of Arm Shoulder Hand sports module. Internal rotation (IR), external rotation (ER), and horizontal adduction (HA) were measured using a digital inclinometer. Shoulder endurance was measured using the Posterior Shoulder Endurance Test (PSET). Anterior, center, and posterior supraspinatus tendon images were collected by locating the anterior aspect of the tendon insertion and moving posteriorly. The ultrasound images were analyzed using custom MATlab software to quantify tissue organization. All measures were found in the beginning (T1), middle (T2), and end (T3) of the season. Repeated measure ANOVAs were used to compare longitudinal changes across time.  If p-values were found to be ≤ 0.05, follow-up paired t-tests with Bonferroni corrections were used to compare T1, T2, and T3. This protocol was IRB-approved and participants signed a written consent form. Results: An increase in swimming yardage from T1 to T2 was followed by a significant decrease in yardage to finish the swimming season (Table 1). Disability decreased and endurance increased throughout the season with no observed changes in pain. IR and HA ROM decreased significantly between all timepoint comparisons. Tendon banding frequency did not change over time (Table 2). Discussion: Large amounts of IR during the pull phase and late initiation of ER during the recovery phase have been associated with a high risk of impingement4. The relationship between pain, disability, and range of motion may suggest that a reduction of IR could protect the swimmers’ shoulder by limiting impingement through the pull and recovery phases. However, further investigation is required to confirm. The lack of statistical significance longitudinally in tendon organization is not surprising since there were no changes in pain, a decrease in disability, and an increase in endurance. Conclusion/Clinical Relevance: Further research is required to understand the relationship between training volume, tendon organization, and disability. Collegiate swimmers demonstrate increased endurance and decreased disability over the course of the season. It may suggest that the loss of ROM is a positive adaptation and may be protective.

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

2012 ◽  
Vol 47 (2) ◽  
pp. 149-158 ◽  
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.

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

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.

871 THE RELATIONSHIP BETWEEN TRAINING VOLUME AND MOOD STATES IN COMPETITIVE SWIMMERS

1993 ◽  
Vol 25 (Supplement) ◽  
pp. S156
Author(s):  
R. W. McGowan ◽  
E. F. Pierce ◽  
W. Hammer ◽  
J. Pace
Keyword(s):  
Mood States ◽  
Training Volume ◽  
The Relationship ◽  
Competitive Swimmers

Blood Lactate Concentration and Clearance in Elite Swimmers During Competition

2011 ◽  
Vol 6 (1) ◽  
pp. 106-117 ◽  
Author(s):  
Jason D. Vescovi ◽  
Olesya Falenchuk ◽  
Greg D. Wells
Keyword(s):  
Blood Lactate ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Active Recovery ◽  
Competitive Swimming ◽  
Elite Swimmers ◽  
Lactate Removal ◽  
The Relationship ◽  
Competitive Swimmers ◽  
Effect Of Age

Purpose:Blood lactate concentration, [BLa], after swimming events might be influenced by demographic features and characteristics of the swim race, whereas active recovery enhances blood lactate removal. Our aims were to (1) examine how sex, age, race distance, and swim stroke influenced [BLa] after competitive swimming events and (2) develop a practical model based on recovery swim distance to optimize blood lactate removal.Methods:We retrospectively analyzed postrace [BLa] from 100 swimmers who competed in the finals at the Canadian Swim Championships. [BLa] was also assessed repeatedly during the active recovery. Generalized estimating equations were used to evaluate the relationship between postrace [BLa] with independent variables.Results:Postrace [BLa] was highest following 100–200 m events and lowest after 50 and 1500 m races. A sex effect for postrace [BLa] was observed only for freestyle events. There was a negligible effect of age on postrace [BLa]. A model was developed to estimate an expected change in [BLa] during active recovery (male = 0; female = 1): [BLa] change after active recovery = –3.374 + (1.162 × sex) + (0.789 × postrace [BLa]) + (0.003 × active recovery distance).Conclusions:These findings indicate that swimmers competing at an elite standard display similar postrace [BLa] and that there is little effect of age on postrace [BLa] in competitive swimmers aged 14 to 29 y.

Relationship between Training Volume and Mood States in Competitive Swimmers during a 24-Week Season

2002 ◽  
Vol 94 (3) ◽  
pp. 1009-1012 ◽  
Author(s):  
Edgar F. Pierce
Keyword(s):  
Mood States ◽  
Endurance Athletes ◽  
Training Volume ◽  
Research Reporting ◽  
Competitive Season ◽  
The Mean ◽  
The Relationship ◽  
Pearson Correlations ◽  
Competitive Swimmers ◽  
And Training

Mood states have been shown to be sensitive to periods of overtraining among endurance athletes. To examine the relationship between training volume and specific mood states, the Profile of Mood States was administered biweekly to 12 male and 17 female collegiate swimmers over the course of a competitive season. Pearson correlations were estimates of the relationship between mean subscores and training volume. Mean training volume for the comparison periods ranged from 3,868 to 12,500 meters/day. Mean ratings of both Anger and Vigor were significantly negatively correlated with training volume (−.58 and −.54, respectively). In addition, Fatigue was significantly correlated with training volume ( r = .53), but the mean subscores for Tension, Depression, Confusion, and Global Mood were not significantly correlated with training volume. Results support previous research reporting mood disturbances with increased training volumes but do not support suggestions of an increased tendency towards higher scores on depression.

scholarly journals The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Mattia Zappalá ◽  
Stephen Lightbourne ◽  
Nicola R. Heneghan
Keyword(s):  
Quality Assessment ◽  
Thoracic Kyphosis ◽  
Data Extraction ◽  
Age Groups ◽  
Included Study ◽  
Healthy Adults ◽  
Normative Values ◽  
Specific Reference ◽  
Evidence Quality ◽  
The Relationship

Abstract Background Thoracic kyphosis is reported to increase with ageing. However, this relationship has not been systematically investigated. Peoples’ kyphosis often exceeds 40°, but 40° is the widely accepted cut-off and threshold for normality. Consequently, patients may be misclassified. Accurate restoration of kyphosis is important to avoid complications following spinal surgery. Therefore, specific reference values are needed. The objective of the review is to explore the relationship between thoracic kyphosis and age, provide normative values of kyphosis for different age groups and investigate the influence of gender and ethnicity. Methods Two reviewers independently conducted a literature search, including seven databases and the Spine Journal, from inception to April 2020. Quantitative observational studies on healthy adults (18 years of age or older) with no known pathologies, and measuring kyphosis with Cobb’s method, a flexicurve, or a kyphometer, were included. Study selection, data extraction, and study quality assessment (AQUA tool) were performed independently by two reviewers. The authors were contacted if clarifications were necessary. Correlation analysis and inferential statistics were performed (Microsoft Excel). The results are presented narratively. A modified GRADE was used for evidence quality assessment. Results Thirty-four studies (24 moderate-quality, 10 high-quality) were included (n = 7633). A positive moderate correlation between kyphosis and age was found (Spearman 0.52, p < 0.05, T5-T12). Peoples’ kyphosis resulted greater than 40° in 65% of the cases, and it was significantly smaller in individuals younger than 40 years old (x < 40) than in those older than 60 years old (x > 60) 75% of the time (p < 0.05). No differences between genders were found, although a greater kyphosis angle was observed in North Americans and Europeans. Conclusion Kyphosis increases with ageing, varying significantly between x < 40 and x > 60. Furthermore, kyphosis appears to be influenced by ethnicity, but not gender. Peoples’ thoracic sagittal curvature frequently exceeds 40°. Trial registration The review protocol was devised following the PRISMA-P Guidelines, and it was registered on PROSPERO (CRD42020175058) before study commencement.

Conflict Monitoring Across the Life Span

2014 ◽  
Vol 28 (3) ◽  
pp. 124-135 ◽  
Author(s):  
Daniela Czernochowski
Keyword(s):  
Older Adults ◽  
Life Span ◽  
Age Groups ◽  
Conflict Detection ◽  
Response Conflict ◽  
Conflict Monitoring ◽  
Subsequent Performance ◽  
Additional Control ◽  
Performance Response ◽  
Conflict Detection And Resolution

Errors can play a major role for optimizing subsequent performance: Response conflict associated with (near) errors signals the need to recruit additional control resources to minimize future conflict. However, so far it remains open whether children and older adults also adjust their performance as a function of preceding response conflict. To examine the life span development of conflict detection and resolution, response conflict was elicited during a task-switching paradigm. Electrophysiological correlates of conflict detection for correct and incorrect responses and behavioral indices of post-error adjustments were assessed while participants in four age groups were asked to focus on either speed or accuracy. Despite difficulties in resolving response conflict, the ability to detect response conflict as indexed by the Ne/ERN component was expected to mature early and be preserved in older adults. As predicted, reliable Ne/ERN peaks were detected across age groups. However, only for adults Ne/ERN amplitudes associated with errors were larger compared to Nc/CRN amplitudes for correct trials under accuracy instructions, suggesting an ongoing maturation in the ability to differentiate levels of response conflict. Behavioral interference costs were considerable in both children and older adults. Performance for children and older adults deteriorated rather than improved following errors, in line with intact conflict detection, but impaired conflict resolution. Thus, participants in all age groups were able to detect response conflict, but only young adults successfully avoided subsequent conflict by up-regulating control.

TO STUDY THE DYNAMICS OF IMMUNITY IN BLACK-AND-WHITE COWS DEPENDING ON AGE

2020 ◽  
pp. 49-52
Author(s):  
М.В. ДОВЫДЕНКОВА
Keyword(s):  
Bactericidal Activity ◽  
Phagocytic Activity ◽  
Physiological State ◽  
Age Groups ◽  
Statistical Processing ◽  
Natural Resistance ◽  
Black And White ◽  
Feeding Methods ◽  
High Degree ◽  
The Relationship

Проведена статистическая обработка сформированной базы данных показателей неспецифической резистентности MS «Excel» с целью изучения динамики иммунитета по параметрам бактерицидной, лизоцимной и фагоцитарной активности у крупного рогатого скота черно-пестрой породы разных возрастов. Было установлено, что средние значения показателей лизоцимной и бактерицидной активности у телят в 6 мес были ниже (47,89% и 49,09%, соответственно), чем у животных в 3—4 года (53,75% и 52,81%). Выведено уравнение регрессии, описывающее взаимосвязь между средними показателями фагоцитарной активности и возрастом при высокой степени достоверности (R2=0,90). Изменения лизоцимной и бактерицидной активности в зависимости от возраста были недостоверными (R2=0,58 и R2=0,49, соответственно). Установлена высокая корреляция между бактерицидной и лизоцимной активностью. Отмечена динамика изменения неспецифического иммунитета у коров различных возрастных групп. Создание баз данных и постоянный мониторинг основных показателей естественной резистентности в зависимости от различных факторов (породы, возраста, стадий лактации, кормления, способов содержания), которые влияют на данные показатели, необходимо для оценки физиологического состояния организма животных и их устойчивости к болезням. Statistical processing of the generated MS "Excel" on indicators of non-specific resistance database was carried out with the aim of studying the dynamics of the development of immunity in terms of bactericidal, lysozyme and phagocytic activity in black-and-white cattle of different ages. It was found that the average values of indicators of lysozyme and bactericidal activity in calves at 6 months were lower (47.89% and 49.09%, respectively) than in animals at the age of 3—4 years (53.75% and 52.81%). The equation of regression was derived, it describes the relationship between the average indicators of phagocytic activity and the age with a high degree of reliability (R2=0.90). The changes in lysozyme and bactericidal activity depending on age were dubious (R2=0.58 and R2=0.49, respectively). The high correlation between bactericidal and lysozyme activity was established. It was noticed that the cows of different age groups experienced the dynamics of changes in nonspecific immunity. The creation of databases and constant monitoring of the main indicators of natural resistance, depending on various factors (breed, age, stages of lactation, feeding, methods of keeping) that affect these indicators, is necessary for assessing the physiological state of the animals’ body of and their resistance to diseases.

Association between Social Media Use for Health Purpose and Depressive Symptoms: A Cross-Sectional Survey (Preprint)

2020 ◽  
Author(s):  
Hee Yun Lee ◽  
Yan Luo ◽  
Cho Rong Won ◽  
Jiyoung Lee ◽  
Jeongwon Baik
Keyword(s):  
Social Media ◽  
Depressive Symptoms ◽  
Social Networking Sites ◽  
Inverse Relationship ◽  
Age Groups ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Use Of Social Media ◽  
The Relationship ◽  
Health Purpose

BACKGROUND The use of social media or social networking sites (SNS) is increasing across all age groups, and one of the primary motives of using SNS is to seek health-related information. Although previous research examining the effect of SNS use on depression exist, studies regarding the effect of SNS use for health purpose on depression is limited. OBJECTIVE Our study aims to explore the relationship between SNS use for health purpose and depression across the four age groups (18-34 years old, 35-49 years old, 50-64 years old, and above 65 years old). METHODS A sample of 6,789 adults aged 18 and older was extracted from a 2017 and 2018 Health Information National Trends Survey (HINTS). Univariate and bivariate analyses to examine the association between each variable and four age groups were conducted. Multiple linear regression analyses to predict depression level among participants with use of SNS for health purpose were conducted. RESULTS SNS use for health purpose and depression were positively associated for three age groups but not for those 65 years or older (=0.13, P<0.05; =0.08, P<0.05; =0.09, P<0.05). Income and self-reported health status indicated an inverse relationship for all age groups. The relationship with marital status differed based on age group with 18 and 34 years old showing an inverse relationship (=-0.13, P<0.01) while 65 years or older showing a positive relationship (=0.06, P<0.05). Gender was positively associated among those in the 35-49 years old (=0.09, P<0.05) and 65 years or older (=0.07, P<0.05). Being Non-Hispanic White was positively associated with depression among 50-64 years old (=0.07, P<0.001) and 65 years or older (=0.08, P<0.05). CONCLUSIONS Age-tailored education on determining accurate and reliable information shared via SNS is needed to reduce depressive symptoms.

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