Shoulder Disease Patterns of the Wheelchair Athletes of Table-Tennis and Archery: A Pilot Study

Abstract

ObjectiveTo investigate the shoulder disease patterns for the table-tennis (TT) and archery (AR) wheelchair athletes via ultrasonographic evaluations.MethodsA total of 35 wheelchair athletes were enrolled, made up of groups of TT (n=19) and AR (n=16) athletes. They were all paraplegic patients and were investigated for their wheelchair usage duration, careers as sports players, weekly training times, the Wheelchair User's Shoulder Pain Index (WUSPI) scores and ultrasonographic evaluation. Shoulders were divided into playing arm of TT, non-playing arm of TT, bow-arm of AR, and draw arm of AR athletes. Shoulder diseases were classified into five entities of subscapularis tendinopathy, supraspinatus tendinopathy, infraspinatus tendinopathy, biceps long head tendinopathy, and subacromial-subdeltoid bursitis. The pattern of shoulder diseases were compared between the two groups using the Mann-Whitney and the chi-square testsResultsWSUPI did not significantly correlate with age, wheelchair usage duration, career as players or weekly training times for all the wheelchair athletes. For the non-playing arm of TT athletes, there was a high percentage of subscapularis (45.5%) and supraspinatus (40.9%) tendinopathy. The percentage of subacromial-subdeltoid bursitis showed a tendency to be present in the playing arm of TT athletes (20.0%) compared with their non-playing arm (4.5%), even though this was not statistically significant. Biceps long head tendinopathy was the most common disease of the shoulder in the draw arm of AR athletes, and the difference was significant when compared to the non-playing arm of TT athletes (p<0.05).ConclusionThere was a high percentage of subscapularis and supraspinatus tendinopathy cases for the non-playing arm of TT wheelchair athletes, and a high percentage of biceps long head tendinopathy for the draw arm for the AR wheelchair athletes. Consideration of the biomechanical properties of each sport may be needed to tailor specific training for wheelchair athletes.

Risk Factors for the Development of Shoulder Pain in Elite Sled Hockey Players

“…PC‐WUSPI has been utilized in other adaptive sport populations to characterize shoulder pain, and this is shown in Appendix S2. Of note, table tennis and archery participants had higher scores on the WUSPI, although this elevation in score could be related to their older age and longer duration of MWU in general compared to our study 17 . The prior studies in wheelchair basketball players had participants with an age group and WUSPI scores similar to ours 16,18,19 .…”

“…Of note, table tennis and archery participants had higher scores on the WUSPI, although this elevation in score could be related to their older age and longer duration of MWU in general compared to our study. 17 The prior studies in wheelchair basketball players had participants with an age group and WUSPI scores similar to ours. 16,18,19 Although there are WUSPI scores for different adaptive sports, we are unable to differentiate if the presence of shoulder pain is from sportsspecific activity versus an individual's activities of daily living.…”

“…This has already been accomplished in studies focusing on different wheelchair sports including archery, table tennis, and tennis. 17,22 Future studies could also assess shoulder muscle imbalance as well as truncal control and the relationship to the presence and severity of shoulder pain.…”

10. századi fegyveresek aktivitás okozta szkeletális elváltozásainak összehasonlító vizsgálata

“…A 10. századi leletanyaggal kapcsolatos finomdatálási problémák (Révész, 2014;Gáll et al, 2019;Révész, 2020) Az íjászat népszerűsége az elmúlt években ugrásszerűen nőtt, tekintve, hogy minden korcsoport számára ideális szabadidős és rekreációs tevékenység (Gianikellis et al, 2000), másrészről, a modern gyalogos íjászat az olimpiai és paralimpiai sportágak közé tartozik (Singh és Lee, 2016;You et al, 2016). Ez egyúttal azt eredményezte, hogy a vonatkozó sportorvosi, sporttraumatológiai és biomechanikai kutatások is a modern gyalogos sportíjászatra koncentráltak, és a különböző tradicionális formák vizsgálata háttérben maradt (pl.…”

Effects of a therapeutic exercise program for injuries prevention in wheelchair basketball (WB) players = Efectividad de un programa de ejercicios terapéutico para la prevención de lesiones de jugadores de baloncesto en silla de ruedas (BSR)

“…In some wheelchair sports such as table tennis and archery, a high percentage of subscapularis and supraspinatus tendinopathy cases for the non-playing arm of tabletennis wheelchair athletes had been reported, and also a high percentage of biceps long head tendinopathy for the draw arm arch wheelchair athletes (You et al, 2016). On the other hand, wheelchair sports such as wheelchair rugby may reduce risk of SP and overuse injury due to intermittent activity rather than continuous pushing (Barfield et al, 2016).…”