Risk factors for shoulder and elbow pain in youth baseball players

Matsuura, Tetsuya; Iwame, Toshiyuki; Suzue, Naoto; Arisawa, Kokichi; Sairyo, Koichi

doi:10.1080/00913847.2017.1300505

Cited by 43 publications

(76 citation statements)

References 16 publications

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“…Risk of shoulder injury was compared between males and females in four studies 2 40 42 48. The modifiable risk factors examined were biomechanical measures,45 47 competition and training load,49 50 player position49 and history of shoulder or elbow pain 49. One study presented a prevention programme for shoulder injuries 36…”

Section: Resultsmentioning

confidence: 99%

“…There was limited evidence that a high number of training hours per week (>16 hours/week) was associated with a higher injury risk among youth baseball pitchers and catchers 49. There was limited evidence that a large increase in training and/or match load (>60% increase compared with the average of the previous 4 weeks) was associated with higher risk of injury in youth handball players 50…”

Section: Resultsmentioning

confidence: 99%

“…There was limited evidence that junior baseball pitchers and catchers with a history of shoulder pain or elbow pain were at higher risk of injury than those without history of pain49 (see online supplementary material 4). …”

Section: Resultsmentioning

confidence: 99%

“…There was limited evidence of greater humeral torsion among baseball players who developed a shoulder injury 47. Furthermore, there was limited evidence for an increased risk of shoulder injury when training and match load in youth handball players increased >60% in the week before injury compared with the average load of the preceding 4 weeks,50 or if youth baseball players participated in a high volume of training each week 49. Since change in training load is under the control of coaches, and the athletes themselves to some extent, training load may be an effective target for interventions that aiming at shoulder injury prevention in overhead sports.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis

Asker

Brooke

Waldén³

et al. 2018

Br J Sports Med

126

110

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis

Asker

Brooke

Waldén³

et al. 2018

Br J Sports Med

126

110

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show abstract

“…Several factors, such as decreased or increased shoulder mobility, shoulder weakness, rapid increase in training load, and scapula dyskinesia, have been suggested to be associated with shoulder injuries in studies of overhead athletes (36,40,44,75,(101)(102)(103). However, strong scientific evidence is lacking for the causal effect of most of the suggested modifiable risk factors including the results of common clinical screening methods (52,104,105).…”

Section: Injury Pattern and Risk Factors For Shoulder Injurymentioning

confidence: 99%

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Asker¹,

Waldén²,

Källberg³

et al. 2020

Journal of Orthopaedic & Sports Physical Therapy

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Objective To investigate whether adolescent elite female and male handball players with shoulder muscle weakness, deficits in shoulder rotation range of motion (ROM) or in joint position sense (JPS), or scapular dyskinesis in the preseason had a higher rate of new shoulder injuries compared to players without these characteristics. Design Prospective cohort study. Methods We studied 344 uninjured players (452 player-seasons, 50% female). We measured their shoulder strength in isometric external rotation (IER), isometric internal rotation (IIR), isometric abduction, and eccentric external rotation, as well as their shoulder ROM, JPS, and scapular dyskinesis, during the preseason. Players were monitored weekly regarding match and training hours and shoulder injuries during 1 or 2 seasons. We used multivariable Cox proportional hazard models to calculate hazard rate ratios related to the first injury and 95% confidence intervals (CIs). Results During 2 seasons, the participants reported 48 new shoulder injuries. In female players, the hazard rate ratio was 2.37 (95% CI: 1.03, 5.44) for IER weakness and 2.44 (95% CI: 1.06, 5.61) for IIR weakness. The hazard rate ratio was 0.85 (95% CI: 0.39, 1.83) for an IER/IIR ratio of less than 0.75 and 1.53 (95% CI: 0.36, 6.52) for scapular dyskinesis. In male players, the hazard rate ratio was 1.02 (95% CI: 0.44, 2.36) for IER weakness, 0.74 (95% CI: 0.31, 1.75) for IIR weakness, 2.0 (95% CI: 0.68, 5.92) for an IER/IIR ratio of less than 0.75, and 3.43 (95% CI: 1.49, 7.92) for scapular dyskinesis. There were no associations between new shoulder injuries and deficits in ROM or JPS. Conclusion In adolescent elite handball, male players with preseason scapular dyskinesis and female players with preseason IIR or IER shoulder weakness had an increased shoulder injury rate. J Orthop Sports Phys Ther 2020;50(2):67–74. Epub 27 Nov 2019. doi:10.2519/jospt.2020.9044

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Incidence, prevalence, and risk factors for elbow and shoulder overuse injuries in youth athletes: A systematic review

et al. 2019

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Background:In order to create sport-specific preventive measures to enhance healthy sport participation in youth athletes, valid data on incidence, prevalence, and etiology of overuse injuries have to be identified. This systematic review aims to provide an update on incidence, prevalence, and risk factors for overuse injuries of the elbow and shoulder in youth athletes participating in overhead sports. Materials and Methods: MEDLINE and EMBASE were searched from inception until January 19, 2018, for studies that reported incidence, prevalence, or risk factors for overuse injuries or pain of the elbow and shoulder in youth overhead athletes. Results: In total, 36 studies were included. Incidence rates of overuse injuries of the elbow and shoulder were highest in tennis, baseball, and softball. Incidence and prevalence of elbow pain in baseball were 12%-58% and 17%-35%, respectively. Incidence of shoulder pain was 8%-32% for baseball, 47% for basketball, 63% for handball, and 52% for volleyball. Prevalence of shoulder pain was 9%-16% for baseball, 41% for basketball, 32%-49% for handball, and 40% for volleyball. Risk factors for pain were almost exclusively described for youth baseball players and included playing position, throwing technique, and intensity and duration of training. Conclusions: Incidence and prevalence of overuse injuries and pain of the elbow and shoulder are high in youth overhead athletes. Interpretation is challenging as different definitions are used to report overuse injuries and pain. Risk factors in youth baseball are largely covered by preventive pitch-count restrictions; knowledge on risk factors in other overhead sports is currently lacking. K E Y W O R D Sathletic injuries, elbow, overhead sports, overuse injuries, risk factors, shoulder

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Risk factors for shoulder and elbow pain in youth baseball players

Abstract: History of elbow pain, pitcher position, catcher position, and longer training hours per week were associated with both types of pain. History of shoulder pain was associated with shoulder pain but not elbow pain. Age was associated with elbow pain but not shoulder pain.

Cited by 43 publications

References 16 publications

Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis

Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Incidence, prevalence, and risk factors for elbow and shoulder overuse injuries in youth athletes: A systematic review

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