Korean J Sports Med.  2021 Dec;39(4):146-153. 10.5763/kjsm.2021.39.4.146.

Shoulder Pain Caused by Injuries in Korean Elite Archers

Affiliations
  • 1Korea Institute of Sport Science, Seoul, Korea
  • 2Department of Orthopedics Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 3Department of Biostatistics, Center of Biomedical Data Science, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 4Department of Anatomy, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

Purpose
There has been a lack of study on the pains of Korean archers, who have been getting remarkable results in international competitions. In this study, we investigated the epidemiology of shoulder pain, which is known as the most commonly complained symptom of Korean archers.
Methods
The participants were 58 elite archers in the city of Gwangju, South Korea. The method of the study was a retrospective cohort study by questionnaire and ultrasound and physical examination. Variables of individual characteristics, training patterns, the character of pain were analyzed in different age groups. Furthermore, groups were divided into those with shoulder pain and those without pain to analyze each group’s shoulder function.
Results
The most common injury was shoulder injury (65.6%), and hand injury was the second-highest prevalent injury (29.3%). These two injuries were most prevalent in all age groups. Among 58 participants, 40 showed shoulder pain, but most were mild (n=30, 51.7%) and severe pain was observed in some participants (n=2, 3.5%). Mild pain was most common in each group and it showed the highest prevalence in college students (70.0%). Pain was most observed in the drawing arm, and it was triggered most when drawing the bow. In the shoulder function test category, Constant-Murley score and American Shoulder and Elbow Surgeons score were observed the lowest in the group with shoulder pain with statistical significance.
Conclusion
Shoulder injury had a high prevalence in Korean archers. Correspondingly, those with shoulder pain had lower shoulder function test scores.

Keyword

Athletic injuries; Shoulder pain; Epidemiology

Figure

  • Fig. 1 Ultrasonographic findings of a painful shoulder or drawing arm.


Reference

1. Ertan H, Kentel B, Tümer ST, Korkusuz F. 2003; Activation patterns in forearm muscles during archery shooting. Hum Mov Sci. 22:37–45. DOI: 10.1016/S0167-9457(02)00176-8. PMID: 12623179.
Article
2. Leroyer P, Van Hoecke J, Helal JN. 1993; Biomechanical study of the final push-pull in archery. J Sports Sci. 11:63–9. DOI: 10.1080/02640419308729965. PMID: 8450588.
Article
3. Mann DL, Littke N. 1989; Shoulder injuries in archery. Can J Sport Sci. 14:85–92. PMID: 2736447.
4. Åman M, Forssblad M, Henriksson-Larsén K. 2016; Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data. Scand J Med Sci Sports. 26:451–62. DOI: 10.1111/sms.12462. PMID: 25850826.
Article
5. Niestroj CK, Schöffl V, Küpper T. 2018; Acute and overuse injuries in elite archers. J Sports Med Phys Fitness. 58:1063–70. DOI: 10.23736/S0022-4707.17.07828-8. PMID: 28944650.
Article
6. Yoon JH, Oh J, Song KJ. 2015; A study about sport injury and management of archery players. Korean Soc Wellness. 10:243–52.
7. Vrotsou K, Ávila M, Machón M, et al. 2018; Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies. Qual Life Res. 27:2217–26. DOI: 10.1007/s11136-018-1875-7. PMID: 29748823. PMCID: PMC6132990.
Article
8. Richards RR, An KN, Bigliani LU, et al. 1994; A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg. 3:347–52. DOI: 10.1016/S1058-2746(09)80019-0. PMID: 22958838.
Article
9. Palsbo SE. 2012; Epidemiology of recreational archery injuries: implications for archery ranges and injury prevention. J Sports Med Phys Fitness. 52:293–9. PMID: 22648468.
10. Lapostolle JC, Hibner K, Ergen E. Ergen E, Hibner K, editors. FITA Medical Committee archery injuries survey (juniors). Sports medicine and science in archery. FITA Medical Committee;Lausanne, Switzerland: 2004. p. 65–9.
11. Littke N. Ergen E, Hibner K, editors. Shoulder Injuries, a rehab perspective. FITA Medical Committee;Lausanne, Switzerland: Sports Medicine and Science in Archery. 2004. p. 82–6.
12. Bahr R, Engebretsen L, Laprade R, McCrory P, Meeuwisse W. 2012. The IOC manual of sports injuries: an illustrated guide to the management of injuries in physical activity. Wiley-Blackwell;Chichester, UK: DOI: 10.1002/9781118467947.
13. Kaynaroğlu V, Kılıç YA. Doral MN, Tandoğan RN, Mann G, Verdonk R, editors. Archery-related sports injuries. Springer;Berlin, Heidelberg: Sports injuries. 2012. p. 1081–86. DOI: 10.1007/978-3-642-15630-4_143.
Article
14. Neer CS 2nd. 1983; Impingement lesions. Clin Orthop Relat Res. (173):70–7. DOI: 10.1097/00003086-198303000-00010. PMID: 6825348.
Article
15. Oliveira V, Pitangui A, Gomes M, Silva HAD, Passos M, Araújo RC. 2017; Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function. Braz J Phys Ther. 21:107–113. DOI: 10.1016/j.bjpt.2017.03.005. PMID: 28460708. PMCID: PMC5537458.
Article
16. Ertan H. 2006; Injury patterns among Turkish archers. Shield-Res J Phys Educ Sports Sci. 1:19–29.
17. Korea Archery Association. 2021. Archery match rules [Internet]. Korea Archery Association;Seoul, KR: Available from: https://www.archery.or.kr/archer/archer/instrument/bow.do. cited 2020 Nov 1.
18. Emery CA, Roy TO, Whittaker JL, Nettel-Aguirre A, van Mechelen W. 2015; Neuromuscular training injury prevention strategies in youth sport: a systematic review and meta-analysis. Br J Sports Med. 49:865–70. DOI: 10.1136/bjsports-2015-094639. PMID: 26084526.
Article
19. Woods K, Bishop P, Jones E. 2007; Warm-up and stretching in the prevention of muscular injury. Sports Med. 37:1089–99. DOI: 10.2165/00007256-200737120-00006. PMID: 18027995.
Article
20. Emery CA, Pasanen K. 2019; Current trends in sport injury prevention. Best Pract Res Clin Rheumatol. 33:3–15. DOI: 10.1016/j.berh.2019.02.009. PMID: 31431273.
Article
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