DOI QR코드

DOI QR Code

Analysis shoulder pain of tennis players and the movement of the scapula in flat serve

테니스 선수의 어깨 통증과 플랫서브 동작의 견갑골 움직임 분석

  • Park, Jong-Chul (Dept. of Sport Science, Korea Institute of Sport Science) ;
  • Cha, Jung-Hoon (Dept. of Community Sport, Korea National Sport University)
  • 박종철 (한국스포츠정책과학원 스포츠과학연구실) ;
  • 차정훈 (한국체육대학교 사회체육학과)
  • Received : 2020.05.01
  • Accepted : 2020.06.20
  • Published : 2020.06.28

Abstract

This study used a three-dimensional motion analysis system for 15 elite tennis players (male 8, female7) to identify the relevance of scapula movement to shoulder pain. During the flat serve, the angular velocity and joint moment of scapula anterior/posterior tilt, downward/upward rotation, internal/external rotation were calculated and this was compared between groups. As a result, the maximum angular velocity for the anterior and posterior tilt tended to be higher in control group(CG) than in the shoulder pain group(SPG), and the maximum angular velocity for internal and external rotation in all phases except the follow-through phase was higher than that of CG. The maximum moment for the anterior and posterior tilt in the late coking phase was statistically significantly higher than that of SPG, the joint moment for the downward and upward rotation of the coking phase was statistically significantly lower than that of CG, and the moment for the internal and external rotation, the SPG was found to be lower than that of CG in the whole phases.

본 연구는 테니스 1st 플랫서브 동작에서 어깨 통증 유무에 따른 견갑골의 움직임 차이를 확인하기 위해 테니스 선수 15명(남8, 여7)을 대상으로 3차원 영상분석시스템을 활용하여 견갑골의 앞쪽/뒤쪽 기울임, 아래쪽/위쪽 회전 및 안쪽/바깥쪽 회전에 대한 각속도와 모멘트를 산출하여 이를 집단 간 비교 분석을 하였다. 그 결과, 앞쪽/뒤쪽 기울임에 대한 최대 각속도는 실험군인 어깨통증집단(SPG)보다 대조군 집단(CG)이 빠른 경향을 보였으며, 팔로우 스로우 구간을 제외하고 모든 국면에서 안쪽/바깥쪽 회전 최대 각속도가 SPG가 CG보다 빠른 것으로 나타났다. 후기 코킹 구간에서의 앞쪽/뒤쪽 기울임 최대 모멘트가 SPG보다 CG가 더 크게 나타났고 통계적으로 유의한 차이를 보였다. 코킹 구간의 위쪽/아래쪽 회전 최대 모멘트 또한 SPG가 CG보다 작게 나타나면서 통계적으로 유의한 차이를 보였다. 안쪽/바깥쪽 회전 모멘트는 모든 국면에서 CG가 SPG보다 큰 것으로 나타났다.

Keywords

References

  1. N. Hjelm, S. Werner & P. Renstrom. (2010). Injury profile in junior tennis players: a prospective two year study. Knee surgery, sports traumatology, arthroscopy, 18(6), 845-850. DOI : 10.1007/s00167-010-1094-4
  2. A. M. Cools, F. Struyf, K. De Mey, A. Maenhout, B. Castelein & B. Cagnie. (2013). Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br J Sports Med, bjsports-2013. DOI : 10.1136/bjsports-2013-092148
  3. M. M. Reinold, T. J. Gill, K. E. Wilk & J. R. Andrews. (2010). Current concepts in the evaluation and treatment of the shoulder in overhead throwing athletes, part 2: injury prevention and treatment. Sports Health, 2(2), 101-115. DOI : 10.1177/1941738110362518
  4. H. R. Lee, J. S. Kim & S. M. Cho. (2018). Effects of Shoulder Rehabilitation Exercise Convergence Programon Pain, Range of Motion and Exercise Self-efficacyAfter Shoulder Surgery. Journal of the Korea Convergence Society, 9(4), 409-421. DOI : 10.15207/JKCS.2018.9.4.409
  5. A. M. Cools, F. R. Johansson, D. Borms & A. Maenhout. (2015). Prevention of shoulder injuries in overhead athletes: a science-based approach. Brazilian journal of physical therapy, 19(5), 331-339. DOI : 10.1590/bjpt-rbf.2014.0109
  6. F. Struyf, J. Nijs, M. Meeus, N. A. Roussel, S. Mottram, S. Truijen & R. Meeusen. (2014). Does scapular positioning predict shoulder pain in recreational overhead athletes? International journal of sports medicine, 35(01), 75-82. DOI : 10.1055/s-0033-1343409
  7. C. A. Thigpen, D. A. Padua, L. A. Michener, K. Guskiewicz, C. Giuliani, J. D. Keener & N. Stergiou. (2010). Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and kinesiology, 20(4) , 701-709. DOI : 10.1016/j.jelekin.2009.12.003
  8. G. Wu et al. (2005). ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion-Part II: shoulder, elbow, wrist and hand. Journal of biomechanics, 38(5), 981-992. DOI : 10.1016/j.jbiomech.2004.05.042
  9. I. Rogowski, T. Creveaux, V. Sevrez, L. Cheze & R. Dumas. (2015). How does the scapula move during the tennis serve? Medicine and science in sports and exercise, 47(7), 1444-1449. DOI: 10.1249/mss.0000000000000543
  10. M. Senk & L. Cheze. (2010). A new method for motion capture of the scapula using an optoelectronic tracking device: a feasibility study. Computer methods in biomechanics and biomedical engineering, 13(3), 397-401. DOI : 10.1080/10255840903263945
  11. Y. Bet-Or, W. van den Hoorn, V. Johnston & S. P. O'Leary. (2017). Reliability and Validity of an Acromion Marker Cluster for Recording Scapula Posture at End Range Clavicle Protraction, Retraction, Elevation and Depression. Journal of Applied Biomechanics, 1-19. DOI : 10.1123/jab.2017-0058
  12. T. Creveaux, R. Dumas, C. Hautier, P. Mace, L. Cheze & I. Rogowski. (2013). Joint kinetics to assess the influence of the racket on a tennis player's shoulder. Journal of sports science & medicine, 12(2), 259-266. PMCID: PMC3761829
  13. N. T. Tsai, P. W. McClure & A. R. Karduna. (2003). Effects of muscle fatigue on 3-dimensional scapular kinematics. Archives of physical medicine and rehabilitation, 84(7), 1000-1005. DOI : 10.1016/S0003-9993(03)00127-8
  14. G. G. Zanca, B, Grüninger & S. M. Mattiello. (2016). Effects of Kinesio taping on scapular kinematics of overhead athletes following muscle fatigue. Journal of Electromyography and Kinesiology, 29, 113-120. DOI : 10.1016/j.jelekin.2015.06.005
  15. E. K. Kim & T. K. Kim. (2014). Analysis of sports injuries among Korean nationalplayers during official training. Journal of the Korean Data & Information Science Society, 25(3), 555-565. DOI : 10.7465/jkdi.2014.25.3.555