한국 엘리트 양궁선수들의 성별과 부상, 통증 경험에 따른 상지의 관절위치 감각과 힘감각, 경기력 수준의 차이

Differences In Joint Position Sense, Force Sense, and Performance Level of the Upper Extremities According to the Sex, Injury and Pain Experiences of Korean Elite Archers

  • 김문교 (대한체육회 진천선수촌 양궁대표팀) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Kim, Mun-kyo (Dept. of National Archery Team, Jincheon National Training Center) ;
  • Kim, Suhn-yeop (Dept. of Physical Therapy, College of Health Medical and Science, Daejeon University)
  • 투고 : 2021.11.08
  • 심사 : 2021.11.29
  • 발행 : 2021.12.31

초록

Objective: The purpose of this study was to examine the differences in joint position sense (JPS), force sense (FS), and performance level of the upper extremities according to the injury and pain experiences of Korean elite archers. Methods: A total of 15 subjects were briefed about the purpose of this study and agreed to participate voluntarily. JPS was evaluated using the laser-point attached to the wrist while aiming at the target. The difference when relocating while aiming was used as JPS factor. FS was evaluated using load cell through reproduces same muscle strength. Fear-Avoidance Beliefs Questionnaire (FABQ) was used to evaluate psychosocial factors, Kerlan-Jobe Orthopedic Clinic overhead athlete scores (KJOC) and numerical rating scale (NRS) was used to evaluate pain. and performance was evaluated by tournament match score. Results: There is a strong correlation between the current pain and KJOC. Moreover, moderate correlation between KJOC and FABQ also current pain and both upper trapezius and lower trapezius in elite archers. The mean (SD) between groups based on current pain display relatively large margin in force sense than without pain group. The result presents that there is a significant difference in performance and pain. There is a significant difference in the force sense of the upper and lower trapezius and pain. Conclusions: Result present there is a significant difference in functional level in the average comparison between groups according to the presence of absence of current pain. There is a significant difference in the force sense of the upper trapezius as well as lower trapezius and without pain group present a relatively low joint position sense error compared to the groups.

키워드

참고문헌

  1. Ager AL, Roy JS, Roos M, et al. Shoulder proprioception: How is it measured and is it reliable? A systematic review. J Hand Ther. 2017;30(2):221-231. http://dx.doi.org/10.1016/j.jht.2017.05.003
  2. Alberta FG, Elattrache NS, Bissell S, et al. The development and validation of a functional assessment tool for the upper extremity in the overhead athlete. Am J Sports Med. 2010;38(5):903-911. https://doi.org/10.1177/0363546509355642
  3. Balke M, Liem D, Dedy N, et al. The laser-pointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Arch Orthop Trauma Surg. 2011;131(8):1077-1084. https://doi.org/10.1007/s00402-011-1285-6.
  4. Blasier RB, Carpenter JE, Huston LJ. Shoulder proprioception: Effect of joint laxity, joint position, direction of motion. Orthop Rev. 1994;23(1):45-50.
  5. Boarati E de L, Hotta GH, McQuade KJ, et al. Acute effect of flexible bar exercise on scapulothoracic muscles activation, on isometric shoulder abduction force and proprioception of the shoulder of individuals with and without subacromial pain syndrome. Clin Biomech. 2020;72:77-83. https://doi.org/10.1016/j.clinbiomech.2019.12.001.
  6. Chimera NJ, Smith CA, Warren M. Injury history, sex, and performance on the functional movement screen and Y balance test. J Athl Train. 2015;50(5):475-485. https://doi.org/10.4085/1062-6050-49.6.02.
  7. Christian M. Range of motion changes in female elite swimmers throughout a competitive season. Clin Pract Athl Train. 2018;2(1):11-18. https://doi.org/10.31622/ 2019/0001.3
  8. Chu JC, Kane EJ, Arnold BL, et al. The effect of a neoprene shoulder stabilizer on active joint-reposition sense in subjects with stable and unstable shoulders. J Athl Train. 2002;37(2):141-145.
  9. Dover GC, Kaminski TW, Meister K, et al. Assessment of shoulder proprioception in the female softball athlete. Am J Sports Med. 2003;31(3):431-437. https://doi.org/10.1177/03635465030310031801
  10. Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin Biomech. 2005;20(7):700-709. https://doi.org/10.1016/j.clinbiomech.2005.03.008
  11. Emin E, Karol H, Carlos H, et al. Sports Medicine and Science in Archery. Fita Medical Committee. 2004.
  12. Erickson BJ, Chalmers PN, Newgren J, et al. Can the Kerlan-Jobe orthopaedic clinic shoulder and elbow score be reliably administered over the phone? A randomized study. Orthop J Sport Med. 2018;6(8):1-6. https://doi.org/10.1177/2325967118791510.
  13. Fyhr C, Gustavsson L, Wassinger C, et al. The effects of shoulder injury on kinaesthesia: A systematic review and meta-analysis. Man Ther. 2015;20(1):28-37. https://doi.org/10.1016/ j.math.2014.08.006.
  14. Han J, Anson J, Waddington G, et al. Proprioceptive performance of bilateral up- per and lower limb joints: Side-general and site-specific effects. Exp Brain Res. 2013;226(3):313-323. https://doi.org/10.1007/s00221-013-3437-0
  15. Hardin JA. The effects of muscle fatigue on shoulder joint position sense. Am J Sports Med. 1998;26(4):605. https://doi.org/10.1177/03635465980260021701.
  16. Hawker GA, Mian S, Kendzerska T, et al. Measures of adult pain: Visual analog scale for pain (VAS Pain), numeric rating scale for pain (NRS Pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 Bodily pain scale (SF. Arthritis Care Res. 2011;63(11):240 -252. https://doi.org/10.1002/acr.20543.
  17. Hislop HJ, Avers D, Brown M. Muscle Testing Techniques of Manual Examination and Performance Testing. 9th ed. Elsevier Inc. 2013.
  18. Hsu JE, Nacke E, Park MJ, et al. The Disabilities of the Arm, Shoulder, and Hand questionnaire in intercollegiate athletes: Validity limited by ceiling effect. J Shoulder Elb Surg. 2010;19(3):349-354. https://doi.org/10.1016/j.jse.2009.11.006
  19. Hung YJ. Neuromuscular control and re- habilitation of the unstable ankle. World J Orthop. 2015;6(5):434-438. https://doi.org/10.5312/wjo.v6.i5.434.
  20. Inrig T, Amey B, Borthwick C, et al. Validity and reliability of the Fear-Avoidance Beliefs questionnaire (FABQ) in workers with Upper Extremity injuries. J Occup Rehabil. 2012;22(1):59-70. https://doi.org/10.1007/s10926-011-9323-3.
  21. Jones LA, Hunter IW. Force sensation in isometric contractions: A relative force effect. Brain Res. 1982;244(1):186-189. https://doi.org/10.1016/0006-8993(82)90919-2.
  22. Joo MK, Kim TY, Kim JT, et al. Reliability and validity of the Korean version of the fear-avoidance beliefs questionnaire. Physical Therapy Korea. 2009;16(2):24-30.
  23. Kendall FP, McCreary EK, Provance PG, et al. Muscles, Testing and Functions. 5th ed. Lippincott. Williams & Wilkins. 2005.
  24. Kim JT, Kim SY, Oh DW. An 8-week scapular stabilization exercise program in an elite archer with scapular dyskinesis presenting joint noise: A case report with one-year follow-up. Physiother Theory Pract. 2019;35(2):183-189. https://doi.org/10.1080/09593985.2018.1442538.
  25. Kraeutler MJ, Ciccotti MG, Dodson CC, et al. Kerlan-Jobe Orthopaedic Clinic overhead athlete scores in asymptomatic professional baseball pitchers. J Shoulder Elb Surg. 2013;22(3):329-332. https://doi.org/10.1016/j.jse.2012.02.010.
  26. Lee HM, Liau JJ, Cheng CK, et al. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech. 2003;18(9):843-847. https://doi.org/10.1016/S0268-0033(03)00151-7
  27. Leroyer P, Van Hoecke J, Helal JN. Biomechanical study of the final push-pull in archery. J Sports Sci. 1993;11(1):63-69. https://doi.org/10.1080/02640419308729965.
  28. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996;24(2):57-65. https://doi.org/10.2519/jospt.1996.24.2.57
  29. Michener LA, Boardman ND, Pidcoe PE, et al. Scapular muscle tests in subjects with shoulder pain and functional loss: Reliability and construct validity. Phys Ther. 2005;85(11):1128-1138. https://doi.org/10.1093/ptj/85.11.1128.
  30. Mintken PE, Cleland JA, Whitman JM, et al. Psychometric properties of the fear-avoidance beliefs questionnaire and Tampa scale of kinesiophobia in patients with shoulder pain. Arch Phys Med Rehabil. 2010;91(7):1128-1136. https://doi.org/10.1016/j.apmr.2010.04.009.
  31. Myers JB, Lephart SM. The role of the sensorimotor system in the athletic shoulder. J Athl Train. 2000;35(3):351-363.
  32. Niestroj CK, Schoffl V, Kupper T. Acute and overuse injuries in elite archers. J Sports Med Phys Fitness. 2018;58(7-8):1063-1070. https://doi.org/10.23736/s0022-4707.17.07828-8.
  33. O'Sullivan K, Verschueren S, Van Hoof W, et al. Lumbar repositioning error in sitting: Healthy controls versus people with sitting-related non-specific chronic low back pain (flexion pattern). Man Ther. 2013;18(6):526-532. https://doi.org/10.1016/j.math.2013.05.005.
  34. Oh JH, Kim JY, Limpisvasti O, et al. Cross-cultural adaptation, validity and reliability of the Korean version of the Kerlan-Jobe orthopedic clinic shoulder and elbow score. JSES Open Access. 2017;1(1):39-44. https://doi.org/10.1016/j.jses.2017.03.001.
  35. Ramos MM, Carnaz L, Mattiello SM, et al. Shoulder and elbow joint position sense assessment using a mobile app in subjects with and without shoulder pain- between-days reliability. Phys Ther Sport. 2019;37:157-163. https://doi.org/10.1016/j.ptsp.2019.03.016.
  36. Safran MR, Borsa PA, Lephart SM, Fu FH, Warner JJP. Shoulder proprioception in baseball pitchers. J Shoulder Elb Surg. 2001;10(5):438 -444. https://doi:10.1067/mse.2001.118004
  37. Salaffi F, Stancati A, Silvestri CA, et al. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004;8(4):283-291. https://doi.org/10.1016/j.ejpain.2003.09.004
  38. Smith BI, Docherty CL, Simon J, et al. Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability. J Athl Train. 2012;47(3):282-288. https://doi.org/10.4085/1062-6050-47.3.06.
  39. Trousset K, Phillips D, Karduna A. An investigation into force sense at the shoulder. Motor Control. 2018;22(4):462-471. https://doi.org/10.1123/mc.2017-0067
  40. Tsuruike M, Ellenbecker TS, Hirose N. Kerlan-Jobe orthopaedic clinic (KJOC) score and scapular dyskinesis test in collegiate baseball players. J Shoulder Elb Surg. 2018;27(10):1830-1836. Available https://doi.org/10.1016/j.jse.2018.06.033
  41. Voight ML, Hardin JA, Blackburn TA, et al. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther. 1996;23(6):348-352. https://www.jospt.org/doi/10.2519/jospt.1996.23.6.348
  42. Waddell G, Newton M, Henderson I, et al. Fear avoiance beliefs questinnaire (FABQ). Pain. 1993;52(2):157-168. https://doi.org/10.1016/0304-3959(93)90127-B
  43. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996;24(2):57-65. https://www.jospt.org/doi/10.2519/jospt.1996.24.2.57
  44. King J, Harding E, Karduna A. The shoulder and elbow joints and right and left sides demonstrate similar joint position sense. J Mot Behav. 2013;45(6):479-486. https://doi.org/10.1080/00222895.2013.832136
  45. Gomes BSQ, Coelho VK, Terra BS, et al. Patients with subacromial pain syndrome present no reduction of shoulder proprioception: A matched case-control study. PM R. 2019;11(9):972-978. https://doi.org/10.1002/pmrj.12055
  46. McCabe RA, Orishimo KF, McHugh MP, et al. Surface electromygraphic analysis of the lower trapezius muscle during exercises performed below ninety degrees of shoulder elevation in healthy subjects. N Am J Sports Phys Ther. 2007;2(1):34-43.
  47. Butler DS, Moseley GL. Explain Pain. Revised and Updated, 2nd Edition. 2013;8:133.
  48. Kaynaroglu V, Kilic YA. Archery-related sports injuries. Sports Injuries. Springer. 2012;22:1081-1086. https://doi.org/10.1007/978-3-642-15630-4_143
  49. Cote JN. A critical review on physical factors and functional characteristics that may explain a sex/gender difference in work-related neck/shoulder disorders. Ergonomics. 2012;55(2):173-182. https://doi.org/10.1080/00140139.2011.586061
  50. Vafadar AK, Cote JN, Archambault PS. Sex differences in the shoulder joint position sense acuity: A cross-sectional study Rehabilitation, physical therapy and occupational health. BMC Musculoskelet Disord. 2015;16(1):1-7. http://dx.doi.org/10.1186/s12891-015-0731-y