Shoulder pain and disability predict clinical outcomes better than biomechanical and functional measures in young swimmers: a prospective cohort study.
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| Title: | Shoulder pain and disability predict clinical outcomes better than biomechanical and functional measures in young swimmers: a prospective cohort study. |
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| Alternate Title: | El dolor y la discapacidad del hombro predicen mejor los resultados clínicos que las medidas biomecánicas y funcionales en nadadores jóvenes: estudio de cohorte prospectivo. A dor e a incapacidade do ombro predizem melhor os resultados clínicos do que as medidas biomecânicas e funcionais em nadadores jovens: estudo de coorte prospetivo. |
| Authors: | Albuquerque, Flávia1, Sá Ferreira, Arthur1, Lemos, Thiago1,2 mail:prof.thiagolemos@pm.me |
| Source: | Revista Andaluza de Medicina del Deporte. Dec2025, Vol. 18 Issue 4, p123-129. 7p. |
| Subjects: | Shoulder pain, Disabilities, Cohort analysis, Swimmers, Health outcome assessment, Functional assessment, Biomechanics |
| Abstract (English): | Objective: This study investigated the association between shoulder pain, disability and functional measures in young competitive swimmers to identify risk factors for pain occurrence. Methods: In this prospective study, 32 swimmers (13--16 years) underwent clinical and functional assessments, including the Western Ontario Shoulder Instability Index (WOSI) and Upper Quarter Y Balance Test (UQ-YBT) performed on a force platform, with postural displacements quantified as resultant distance path length. Shoulder pain was self-reported after six months via telephone follow-up. Results: After six months, 9 (28%) swimmers reported shoulder pain within 6 months. Swimmers with shoulder pain showed higher WOSI scores (physical symptoms, sports/recreation, emotional domains, and total score), indicating greater dysfunction. UQ-YBT performance and balance measures showed no significant group differences. Logistic regression identified WOSI subscales as significant predictors of shoulder pain, with higher scores increasing the odds of pain occurrence. Age was also a predictor, with younger athletes at slightly higher risk. Conclusion: Clinical assessments like WOSI are better than functional tests in predicting shoulder pain risk in young swimmers, underscoring the importance of monitoring symptom-related disability for early prevention. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Este estudio investigó la asociación entre dolor de hombro, discapacidad y medidas funcionales en jóvenes nadadores competitivos para identificar factores de riesgo para la aparición del dolor. Métodos: En este estudio prospectivo, 32 nadadores (13--16 años) se sometieron a evaluaciones clínicas y funcionales, incluidos el Índice de Inestabilidad del Hombro de Western Ontario (WOSI) y la Prueba de Equilibrio Y de Cuadrante Superior (UQ-YBT), realizada en una plataforma de fuerza, con los desplazamientos posturales cuantificados como longitud de la trayectoria resultante. El dolor de hombro fue autoinformado después de seis meses mediante seguimiento telefónico. Resultados: A los seis meses, 9 (28%) nadadores reportaron dolor de hombro. Los nadadores con dolor de hombro mostraron puntuaciones más altas en el WOSI (síntomas físicos, deporte/recreación, dominios emocionales y puntuación total), lo que indica una mayor disfunción. El rendimiento en el UQ-YBT y las medidas de equilibrio no mostraron diferencias significativas entre los grupos. La regresión logística identificó las subescalas del WOSI como predictoras significativas del dolor de hombro, con puntuaciones más altas que aumentaban las probabilidades de aparición del dolor. La edad también fue un predictor, con los atletas más jóvenes presentando un riesgo ligeramente mayor. Conclusión: Las evaluaciones clínicas como el WOSI son mejores que las pruebas funcionales para predecir el riesgo de dolor de hombro en jóvenes nadadores, lo que subraya la importancia del monitoreo de la discapacidad relacionada con los síntomas para la prevención temprana. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo: Este estudo investigou a associação entre dor no ombro, incapacidade e medidas funcionais em jovens nadadores competitivos, a fim de identificar fatores de risco para a ocorrência de dor. Métodos: Neste estudo prospectivo, 32 nadadores (13--16 anos) foram submetidos a avaliações clínicas e funcionais, incluindo o Índice de Instabilidade do Ombro de Western Ontario (WOSI) e o Teste de Equilíbrio Y de Quadrante Superior (UQ-YBT), realizado em uma plataforma de força, com os deslocamentos posturais quantificados como comprimento da trajetória resultante. A dor no ombro autorrelatada foi registrada após seis meses, por meio de acompanhamento telefônico. Resultados: Após seis meses, 9 (28%) nadadores relataram dor no ombro. Nadadores com dor no ombro apresentaram escores mais altos no WOSI (sintomas físicos, esporte/lazer, domínios emocionais e escore total), indicando maior disfunção. O desempenho no UQ-YBT e as medidas de equilíbrio não apresentaram diferenças significativas entre os grupos. A regressão logística identificou as subescalas do WOSI como preditoras significativas da dor no ombro, com escores mais elevados aumentando as chances de ocorrência de dor. A idade também foi um preditor, com atletas mais jovens apresentando risco ligeiramente maior. Conclusão: Avaliações clínicas como o WOSI são mais eficazes do que testes funcionais para predizer o risco de dor no ombro em jovens nadadores, destacando a importância do monitoramento da incapacidade relacionada aos sintomas para a prevenção precoce. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective: This study investigated the association between shoulder pain, disability and functional measures in young competitive swimmers to identify risk factors for pain occurrence. Methods: In this prospective study, 32 swimmers (13--16 years) underwent clinical and functional assessments, including the Western Ontario Shoulder Instability Index (WOSI) and Upper Quarter Y Balance Test (UQ-YBT) performed on a force platform, with postural displacements quantified as resultant distance path length. Shoulder pain was self-reported after six months via telephone follow-up. Results: After six months, 9 (28%) swimmers reported shoulder pain within 6 months. Swimmers with shoulder pain showed higher WOSI scores (physical symptoms, sports/recreation, emotional domains, and total score), indicating greater dysfunction. UQ-YBT performance and balance measures showed no significant group differences. Logistic regression identified WOSI subscales as significant predictors of shoulder pain, with higher scores increasing the odds of pain occurrence. Age was also a predictor, with younger athletes at slightly higher risk. Conclusion: Clinical assessments like WOSI are better than functional tests in predicting shoulder pain risk in young swimmers, underscoring the importance of monitoring symptom-related disability for early prevention. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 18887546 |
| DOI: | 10.33155/ramd.v18i4.1246 |
