Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20220046-en
Brazilian Journal of Pain
Original Article

Upper extremities functional disability and pain intensity in female volleyball athletes: cross-sectional study

Incapacidade funcional de membro superior e intensidade de dor em atletas de voleibol do sexo feminino: estudo transversal

Érika Camila Oliveira Miranda; Isabela Almeida Ramos; Geórgia Danila Fernandes D’; Oliveira; Erika Baptista Gomes; Claudia Dias Leite

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Abstract

BACKGROUND AND OBJECTIVES: In volleyball, the high demand for shoulder sports makes it susceptible to injuries due to the repetition of sporting gestures. The presence of pain in the shoulder can lead to the disability to perform movements correctly, resulting in reduced sports performance. The study aimed to evaluate and correlate the presence of pain and functional disability of the upper extremity in volleyball athletes.

METHODS: Cross-sectional descriptive study, developed with 30 female volleyball athletes. Functional disability was assessed using the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and pain intensity using the Visual Numeric Scale (VNS). The study was conducted in an online format. The IBM SPSS 21.0 statistical package for Windows was used, where descriptive measures, Wilcoxon, and Spearman correlation tests were performed, adopting p≤0.05.

RESULTS: Nineteen athletes reported mild to moderate pain to perform daily activities, and 21 athletes reported pain to perform sporting gestures, with pain being significantly more intense in the dominant shoulder in the spike movement (p<0.001), serve (p<0.001), and blocking (p=0.03). Athletes did not present functional limitations in the DASH, but the opposite, outside hitter, and middle blocker, presented mild limitations in the DASH sport. There was a strong correlation between DASH and day-to-day pain (rs=0.79; p<0.001) and a moderate correlation between sports DASH and pain in the dominant shoulder in the spike (rs=0.67; p<0.001) and in the serve (rs=0.60; p<0.001) movements.

CONCLUSION: Evaluated athletes presented shoulder pain, higher functional disability to performer the sports activity, and pain and functional disability were positively correlated

HIGHLIGHTS

  • Overhead movements such as serve and spike contribute to shoulder pain in volleyball players;
  • The functional disability of the upper limbs is positively correlated with the intensity of pain to perform daily activities and sports;
  • The kinetic-functional diagnosis is important to minimize the risk of injury, rehabilitate injured athletes and provide an adequate return of the athlete to sports practice.
     

Keywords

Athletes, Physical functional performance, Shoulder pain, Volleyball

Resumo

JUSTIFICATIVA E OBJETIVOS: No voleibol, a alta exigência da articulação do ombro torna-o suscetível a lesões devido à repetição dos gestos esportivos. A presença de dor no ombro pode gerar incapacidade para executar os movimentos corretamente, ocasionando redução do desempenho esportivo. O estudo teve como objetivo avaliar e correlacionar a presença de dor e incapacidade funcional de membro superior em atletas de voleibol.

METODOS: Estudo transversal, descritivo, desenvolvido com 30 mulheres atletas de voleibol de quadra. A incapacidade funcional foi avaliada por meio do Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) e a intensidade de dor pela Escala Visual Numérica (EVN) de 10 pontos. A pesquisa foi conduzida no formato on-line. Utilizou-se o programa estatístico IBM SPSS 21.0 para Windows, pelo qual foram realizadas as medidas descritivas, o teste de Wilcoxon e a correlação de Spearman adotando p≤0,05.

RESULTADOS: Dezenove atletas relataram dor leve a moderada para realizar as atividades diárias, e 21 atletas para realizar os gestos esportivos, sendo a dor significativamente mais intensa no ombro dominante em movimentos para ataque (p<0,001), saque (p<0,001) e bloqueio (p=0,03). As atletas não apresentaram limitação funcional no DASH geral, mas no DASH esporte as opostas, ponteiras e centrais foram classificadas com limitação leve. Houve correlação forte entre DASH e dor no dia a dia (rs=0,79; p<0,001) e correlação moderada entre DASH esporte e dor no ombro dominante no ataque (rs=0,67; p<0,001) e no saque (rs=0,60; p<0,001).

CONCLUSAO: Atletas avaliadas apresentaram dor no ombro, maior incapacidade funcional na atividade esportiva, e dor e incapacidade funcional estavam positivamente correlacionadas.

DESTAQUES

  • Movimentos aéreos como saque e ataque contribuem para a dor no ombro em jogadores de voleibol;
  • A incapacidade funcional dos membros superiores correlaciona-se positivamente com a intensidade da dor para a realização de atividades cotidianas e esportivas;
  • O diagnóstico cinético-funcional é importante para minimizar o risco de lesão, reabilitar atletas lesionados e proporcionar um retorno adequado do atleta à prática esportiva.

Palavras-chave

Atletas, Desempenho físico funcional, Dor de ombro, Voleibol

References

Kilic O, Maas M, Verhagen E, Zwerver J, Gouttebarge V. Incidence, aetiology and prevention of musculoskeletal injuries in volleyball: A systematic review of the literature. Eur J Sport Sci. 2017;17(6):765-93.

Tavares F, Simões M, Matos B, Smith TB, Driller M. Wellness, muscle soreness and neuromuscular performance during a training week in volleyball athletes. J Sports Med Phys Fitness. 2018;58(12):1852-8.

Kamonseki DH, Cedin L, Costa VS, Peixoto BO. Avaliação da rotação de ombro e a relação com o tempo de prática do voleibol. J Health Sci Inst. 2017;35(4):272-5.

Shih YF, Wang YC. Spiking kinematics in volleyball players with shoulder pain. J Athl Train. 2019;54(1):90-8.

Mendonça LM, Bittencourt NFN, Anjos MTS, Silva AA, Fonseca ST. Avaliação muscular isocinética da articulação do ombro em atletas da Seleção Brasileira de voleibol sub-19 e sub-21 masculino. Rev Bras Med Esporte. 2010;16(2):107-11.

Challoumas D, Stavrou A, Dimitrakakis G. The volleyball athlete’s shoulder: biome-chanical adaptations and injury associations. Sports Biomech. 2017;16(2):220-37.

Nascimento WM, Costa RM, Santos JOLS, Rossato M, Gheller RG. Isokinetic peak torque at the shoulder joint in young volleyball athletes with and without injury history. J Phys Educ. 2018;29(e2925):1-6.

Mazza D, Iorio R, Drogo P, Gaj E, Viglietta E, Rossi G, Monaco E, Ferretti A. Did the prevalence of suprascapular neuropathy in professional volleyball players decrease with the changes occurred in serving technique?. Phys Sportsmed. 2021;49(1):57-63.

Seminati E, Marzari A, Vacondio O, Minetti AE. Shoulder 3D range of motion and humerus rotation in two volleyball spike techniques: injury prevention and performance. Sports Biomech. 2015;14(2):216-31.

Saccol MF, Almeida GP, de Souza VL. Anatomical glenohumeral internal rotation deficit and symmetric rotational strength in male and female young beach volleyball players. J Electromyogr Kinesiol. 2016;29:121-5.

Gouttebarge V, Zwerver J, Verhagen E. Preventing musculoskeletal injuries among recreational adult volleyball players: design of a randomised prospective controlled trial. BMC Musculoskelet Disord. 2017;18(1):333.

Cohen M, Abdalla RJ. Lesões nos esportes: diagnóstico, prevenção e tratamento. 2003:714-8.

Cools AMJ, Reeser JC. Shoulder injuries in volleyball. Handbook Sports Med Science. 2017:93-108.

Frisch KE, Clark J, Hanson C, Fagerness C, Conway A, Hoogendoorn L. High Prevalence of nontraumatic shoulder pain in a regional sample of female high school volleyball athletes. Orthop J Sports Med. 2017;5(6):2325967117712236.

Challoumas D, Artemiou A, Dimitrakakis G. Dominant vs. non-dominant shoulder morphology in volleyball players and associations with shoulder pain and spike speed. J Sports Sci. 2017;35(1):65-73.

McMahon PJ, Prasad A, Francis KA. What is the prevalence of senior-athlete rotator cuf injuries and are they associated with pain and dysfunction?. Clin Orthop Relat Res. 2014;472(8):2427-32.

Silva ER, Mafulli N, Migliorini F, Santos GM, de Menezes FS, Okubo R. Function, strength, and muscle activation of the shoulder complex in Crossft practitioners with and without pain: a cross-sectional observational study. J Orthop Surg Res. 2022;17(1):24.

Harrington S, Meisel C, Tate A. A cross-sectional study examining shoulder pain and disability in Division I female swimmers. J Sport Rehabil. 2014;23(1):65-75.

Silva CG, Meneguci J, Garcia-Meneguci CA. Lesões de manguito rotador em atletas amadoras de voleibol. Arq Cien Esp. 2019;7(4):157-60.

Arabi E, Nazemzadegan GH. Comparison of upper limb disability in overhead women athletes of handball, volleyball, softball, and swimming. Phys Treat. 2021;11(2):103-10.

Cangussu DFR, Rodrigues DCM, Reis D, Venturini C. Estudo da associação entre a dor e desempenho funcional do membro superior de jogadores de volei. Rev Bras Ci Mov. 2008;15(1):15-20.

Malta M, Cardoso LO, Bastos FI, Magnanini MM, Silva CM. STROBE: initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010;44(3):559-65.

Orfale AG, Araújo PM, Ferraz MB, Natour J. Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the Disabilities of the Arm, Shoulder and Hand Questionnaire. Braz J Med Biol Res. 2005;38(2):293-302.

Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29(6):602-8.

Desai AS, Dramis A, Hearnden AJ. Critical appraisal of subjective outcome measures used in the assessment of shoulder disability. Ann R Coll Surg Engl. 2010;92(1):9-13.

Hawker GA, Mian S, Kendzerska T, French M. 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-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63(^sSuppl 11):S240-52.

Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use?. Am J Emerg Med. 2018;36(4):707-14.

Ritter PL, González VM, Laurent DD, Lorig KR. Measurement of pain using the visual numeric scale. J Rheumatol. 2006;33(3):574-80.

Cohen J. Statistical Power Analysis for the Behavioral Sciences. 1988.

Cools AM, Johansson FR, Borms D, Maenhout A. Prevention of shoulder injuries in overhead athletes: a science-based approach. Braz J Phys Ter. 2015;19(5):331-9.

Seminati E, Minetti AE. Overuse in volleyball training/ practice: a review on shoulder and spine-related injuries. Eur J Sport Sci. 2013;13(6):732-43.

Zuzgina O, Wdowski M. Asymmetry of dominant and non-dominant shoulders in university level men and women volleyball players. Human Mov. 2019;20(4):19-27.

Marques Junior NK. Biomecânica dos fundamentos do voleibol: saque e ataque. Rev Univers Educ Fís Desp. 2019;12(1):28-40.

Lippert L. Cinesiologia clínica e anatomia. 2013:115-28.

Priess FG, Gonçalves OS, Dos Santos APM. Metodologia do voleibol. 2018:79-90.

Helfenstein RP, Rother RL. Flexibilidade de rotadores do ombro, presença de dor e quantidade de golpes na bola: um estudo em atacantes do voleibol feminino de base. RIPS. 2020;3(3):105-10.

Tooth C, Gofot A, Schwartz C, Croisier JL, Beaudart C, Bruyère O, Forthomme B. Risk factors of overuse shoulder injuries in overhead athletes: a systematic review. Sports Health. 2020;12(5):478-87.

Gouttebarge V, Barboza SD, Zwerver J, Verhagen E. Preventing injuries among recreational adult volleyball players: Results of a prospective randomised controlled trial. J Sports Sci. 2020;38(6):612-8.

Ejnisman B, Lara PHS, Ribeiro LM, Belangero OS. Ombro do arremessador: artigo de atualização. Rev Bras Ortop. 2021;56(3):275-9.


Submitted date:
02/05/2022

Accepted date:
09/13/2022

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