The Changing Landscape in Upper Limb Sports Rehabilitation and Injury Prevention

Paraskevopoulos, Eleftherios; Pamboris, George M.; Παπανδρέου, Μαρία

doi:10.3390/sports11040080

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…Our study underscores the importance of controlled and guided physical training to mitigate these risks. Notably, participants in our research predominantly focused on upper body strengthening, neglecting core and lower limb conditioning, which are vital for proper alignment and stability during shooting sessions [ 45 , 46 ]. Proper alignment not only enhances performance but also reduces the risk of shoulder injuries [ 46 , 47 , 48 , 49 ], a commonly affected area in archery.…”

Section: Discussionmentioning

confidence: 99%

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study

Vasilis,

Kyriakides,

Vasilopoulos

et al. 2024

Sports

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This cross-sectional epidemiological study aimed to evaluate the prevalence of injuries among young archers engaged in high-intensity training during the European Youth Championship. A total of 200 participants (104 males/96 females) from 34 countries were included, with a mean age of 16.9 years and average competitive experience of 6.5 years. Structured questionnaires, administered by four physiotherapist interviewers, gathered comprehensive data. Results revealed that 43.5% of participants experienced shoulder pain during training, highlighting the vulnerability of upper limbs in archers. Additionally, 30% required medications to facilitate training, underscoring the impact of injuries on continued participation. Physiotherapy was utilized by 52.3% of participants, emphasizing the need for therapeutic intervention. Furthermore, 31.8% had to cease training due to injuries, indicating a substantial hindrance to athletic progression. The mean pain duration was 3.9 months, with an average intensity of 5.94, and 8% exhibited symptoms of central sensitization. In conclusion, this study demonstrates a noteworthy prevalence of injuries, particularly in the upper limbs, among young archers undergoing intensive training. The findings underscore the importance of targeted injury prevention strategies and comprehensive rehabilitation approaches to ensure the well-being and sustained participation of young athletes in competitive archery.

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Section: Discussionmentioning

confidence: 99%

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study

Vasilis,

Kyriakides,

Vasilopoulos

et al. 2024

Sports

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“…It is widely recognised that athletes who engage in overhead activities often execute quick and forceful throwing overhead movements while serving a ball. These actions typically occur in positions that push the limits of their range of motion, thereby elevating the likelihood of shoulder or other upper limb injuries [ 1 , 2 , 3 ]. Nevertheless, the increased physical demands placed at the shoulder and elbow in overhead athletes may also affect physical performance during play [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Experts in the field assert that prevention is key in managing overhead athletes, including evaluating and monitoring upper limb health and performance [ 6 , 7 ]. Patient-reported outcome measures (PROMs) are highly encouraged in this clinical population for assessing functional performance [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several questionnaires have been developed in the past for the assessment of upper limb function, such as the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire, the Upper Extremity Functional Index (UEFI), the Western Ontario Rotator Cuff (WORC) Index and many more [ 1 ]. However, the frequently employed patient-reported outcome measures designed for the general population are inadequate in capturing the functional status and performance changes specific to overhead athletes [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Translation, Adaptation and Validation of the Greek Version of the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score in Greek Overhead Athletes

Paraskevopoulos,

Christakou,

Karanasios

et al. 2024

JFMK

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Athletes engaging in overhead activities often face injury risks, emphasising the need for reliable assessment tools. This study focused on the translation and psychometric evaluation of the Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow Score into Greek (Gr-KJOC) for assessing upper limb function in Greek-speaking overhead athletes. The Gr-KJOC underwent meticulous translation and adaptation processes, ensuring linguistic equivalence and cultural relevance. A sample of 60 athletes participated in the psychometric evaluation, including assessments of internal consistency, test–retest reliability, construct validity, and structural validity. The Gr-KJOC demonstrated excellent internal consistency (Cronbach’s alpha = 0.95), indicating consistent measurement of the underlying construct. Test–retest reliability was excellent (ICC = 0.95), with low measurement errors. Construct validity was confirmed through correlations with the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Structural validity revealed a unidimensional structure with high explained variance (75%). No floor or ceiling effects were observed, and the questionnaire proved feasible, with an average completion time of 6 min. The Gr-KJOC emerges as a reliable, valid, and feasible tool for evaluating upper limb function in Greek-speaking overhead athletes. Its psychometric properties support its utility in clinical and research contexts, contributing to the effective assessment and management of shoulder and elbow conditions in the realm of overhead sports in Greece.

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“…Previous research has observed a 40% prevalence of shoulder pain related to overuse pathology [2]. Maintaining optimal shoulder and arm function is not only essential for peak athletic performance but also critical for injury prevention and career longevity [3]. Although guidelines have been established, a significant portion of arm injuries in overhead sports result from non-traumatic musculoskeletal issues caused by overuse [4].…”

Section: Introductionmentioning

confidence: 99%

Preliminary Insights into the Diagnostic Accuracy of the Modified Arm Care Screen Test for Overhead Athletes: An On-Field Tool for Injury Prevention

Paraskevopoulos,

Kottaridis,

Moutzouri

et al. 2023

Healthcare

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Background: The Arm Care Screen was developed to detect musculoskeletal limitations that could affect performance or even increase the risk for shoulder injuries in overhead athletes. This study aimed to assess the discriminant validity of the modified Arm Care Screen in overhead athletes. Methods: Sixty-two overhead athletes (mean age: 24.5 ± 4.2 years) were recruited. The athletes underwent a comprehensive Arm Care Screen evaluation, including reciprocal shoulder mobility, total body rotation, lower body diagonal reach, and rotary stability assessments. Ten different musculoskeletal measurements were independently measured by two physical therapists. Results: The modified Arm Care Screen showed moderate to strong associations (phi values ranged from 0.273 to 0.905) with the respective musculoskeletal range of motion and balance measurements. Sensitivity ranged from 81.25% to 88.57%, indicating a high true positive rate, and specificity ranged from 43.75% to 94.44%, indicating a moderate to strong positive rate. Positive and negative likelihood ratios ranged from 1.48 to 15.92 and 0.12 to 0.38, respectively. The positive and negative predictive value ranged from 58.14% to 92% and from 73.68% to 93.18%, respectively. The accuracy of the modified ACS ranged from 62.90% to 91.94%. Conclusion: The modified Arm Care Screen demonstrated promising diagnostic accuracy in identifying significant movement restrictions.

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The Changing Landscape in Upper Limb Sports Rehabilitation and Injury Prevention

Abstract: This editorial aims to feature authors who intend to submit their research to this Special Issue of Sports entitled “Clinical Advances in Upper Limb Sports Rehabilitation and Injury Prevention” in areas that need special consideration [...]

Cited by 7 publications

References 27 publications

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study

Translation, Adaptation and Validation of the Greek Version of the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score in Greek Overhead Athletes

Preliminary Insights into the Diagnostic Accuracy of the Modified Arm Care Screen Test for Overhead Athletes: An On-Field Tool for Injury Prevention

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