Ultrasonographic Evaluation of the Shoulder in Elite Wheelchair Tennis Players

Kochhar, Hemanshu; Lee, Jongmin; Kyung, Hee-Soo; Min, Woo‐Kie; Cho, Hwan-Sung; Wee, Ho-Wug; Shin, Dong-Joo; Kim, Poong-Taek

doi:10.1123/jsr.19.2.161

Cited by 18 publications

(31 citation statements)

References 21 publications

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“…The initial screening process excluded 114 articles, 57 full text articles were screened and 45 articles were excluded, 1 article was included via reference list scan ( Fig 1 ). The final thirteen papers included in the review included seven epidemiological studies on shoulder pain [ 14 , 15 , 36 – 40 ], one on shoulder complaints [ 41 ], one on the relationship between shoulder strength to shoulder complaints [ 42 ], two epidemiological studies on sporting injuries in general [ 43 , 44 ], one risk analysis [ 45 ], and one study describing the development of a new index [ 46 ]. Eleven of the included articles were cross-sectional descriptive studies [ 14 , 15 , 36 – 42 , 45 , 46 ], the other one consisted of a prospective cohort study[ 43 ].…”

Section: Resultsmentioning

confidence: 99%

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Shoulder complaints in wheelchair athletes: A systematic review

et al. 2017

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BackgroundIn recent years the popularity of disabled sports and competition among disabled athletes has grown considerably. With this rise in exposure of, and participation in wheelchair sports comes an increase in related stressors, including musculoskeletal load. External mechanical loading may increase the risk of shoulder complaints. The objective of this literature review was to 1) identify and describe the prevalence and/or incidence of shoulder complaints in wheelchair athletes in the literature, to 2) examine the factors and underlying mechanisms that could be potentially involved, and 3) provide some insights into the development of preventative measures.MethodsA literature search was conducted using PubMed, Scopus and Embase databases, to identify relevant published articles. All articles in the English language that contained any type of shoulder complaint in relation with a wheelchair sports player, at any level of status (recreational to elite), of any sport, were included. Articles were excluded if they did not include any statistical analysis. Articles that included studies with wheelchair athletes in combination with athletes of other disability sports were excluded in order to be able to differentiate between the two. Narrative, exploratory and case studies were also excluded. Two reviewers independently assessed articles for inclusion. Thirteen articles matched the selection criteria. These were judged on their quality by use of an adapted version of the Webster checklist.ResultsOf the included studies the overall quality was low. A relatively high prevalence of complaints was found, ranging from 16% to 76%. Pain was found to be a common complaint in wheelchair athletes. Based on the current literature the cause of shoulder problems is difficult to identify and is likely multifactorial, nevertheless characteristics of the user (i.e. increased years of disability, age and BMI) were shown to increase risk. Preventative measures were indistinct. There may be a role for balanced strength training regimens to decrease risk.ConclusionShoulder complaints in wheelchair athletes are a common problem that must be addressed further. Future studies on shoulder overuse injuries of wheelchair athletes should be directed towards biomechanical modeling to develop knowledge of load and its effects.

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Section: Resultsmentioning

confidence: 99%

“…Eleven of the included articles were cross-sectional descriptive studies [ 14 , 15 , 36 – 42 , 45 , 46 ], the other one consisted of a prospective cohort study[ 43 ]. Six of the studies were published in the past decade [ 37 , 39 – 41 , 43 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

Shoulder complaints in wheelchair athletes: A systematic review

et al. 2017

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“…A recent study identified that subclinical effusions of the subacromial and subdeltoid bursae may serve as early signs of shoulder pathology (50). Ultrasound also has been employed to evaluate rotator cuff tears and acromioclavicular pathology in athletes (35). The later techniques in particular are relatively straight forward and will likely find increasing application as a point-of-care diagnostic by clinicians in the future.…”

Section: Resultsmentioning

confidence: 99%

Ultrasound in Athletes

Yim

Corrado

2012

Current Sports Medicine Reports

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Ultrasound offers sports medicine clinicians the potential to diagnose, treat, and manage a broad spectrum of conditions afflicting athletes. This review article highlights applications of ultrasound that hold promise as point-of-care diagnostics and therapeutic tools that can be used directly by clinicians to direct real-time management of athletes. Point-of-care ultrasound has been examined most in the context of musculoskeletal disorders in athletes, with attention given to Achilles tendinopathy, patellar tendinopathy, hip and thigh pathology, elbow tendinopathy, wrist pathology, and shoulder pain. More research has focused on therapeutic applications than diagnostic, but initial evidence has been generated in both. Preliminary evidence has been published also on abdominal ultrasound for splenic enlargement in mononucleosis, cardiopulmonary processes and hydration status, deep vein thrombosis, and bone mineral density. Further research will be required to validate these applications and to explore further applications of portable ultrasound that can be used in the care of athletes.

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“…Moreover, the use of the chair and the stroke movement generate greater use of some muscle groups than others. There is an unusual imbalance potential in upper-limb function due to the nature of the sport (Moon, Park, Kim, & Jang, 2013) with bilateral asymmetries and differences to able-bodied participants with shoulder impingement (Warner et al, 2018), so it is common for WT players to present pathology in the rotator cuff and acromioclavicular in both dominant and non-dominant shoulders (Jeon et al, 2010).…”

Section: Kinematics and Injuriesmentioning

confidence: 99%

Wheelchair tennis, from health to competitive analysis: A narrative review

Sánchez-Pay

Rivas

2020

jhse

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Objective: The purpose of this article is to analyse benefits of the playing wheelchair tennis in people with disabilities and to know some aspects that affect a player´s performance. Methods: Keyword search of Medline, SPORT Discus and Scholar Google databases was conducted to find relevant studies pertaining to: wheelchair tennis and adapted sports. The search was carried out from 1988 to February 2018. Also reference lists of articles obtained were manually searched for relevant literature. Narrative review methods were used to synthesise the data. Results: The psychology literature was limited, although wheelchair tennis seems to provide a reduction in depression and trait anxiety and an increase in vigour. Playing wheelchair tennis is sufficient to prevent the development of cardiovascular diseases, due the energy expenditure is comparable to the recommendations of the American College of Sports Medicine. Wheelchair mobility seems to be an important factor of success in WT, and the chair configuration affects the moving speed. Conclusions: Following the studies presented in this paper, we recommend that people with disabilities playing sport to improve their health condition. Also, coaches and fitness trainers can use the information provided within this study to adapt and improve the specific training programs for players.

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Ultrasonographic Evaluation of the Shoulder in Elite Wheelchair Tennis Players

Abstract: High prevalence of rotator-cuff and acromioclavicular pathology was found by ultrasonographic examination in the elite wheelchair tennis players in both dominant and nondominant shoulders. A high index of suspicion of these pathologies in wheelchair athletes is required.

Cited by 18 publications

References 21 publications

Shoulder complaints in wheelchair athletes: A systematic review

Shoulder complaints in wheelchair athletes: A systematic review

Ultrasound in Athletes

Wheelchair tennis, from health to competitive analysis: A narrative review

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