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首页> 外文期刊>Journal of athletic training >Range of Motion as a Predictor of Clinical Shoulder Pain During Recovery From Delayed-Onset Muscle Soreness
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Range of Motion as a Predictor of Clinical Shoulder Pain During Recovery From Delayed-Onset Muscle Soreness

机译：从延迟发作的肌肉酸痛恢复过程中，运动范围可作为临床肩痛的预测指标

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Context: Athletic trainers use clinical pain and range of motion (ROM) to gauge recovery after musculoskeletal injury. Limited evidence to date suggests which shoulder ROM measures can predict symptomatic relief and functional recovery after delayed-onset muscle soreness (DOMS). Objective: To determine whether shoulder passive internal rotation, passive external rotation, active abduction, and active flexion and evoked pain with abduction are associated with resting pain experienced after exercise-induced DOMS. Design: Descriptive laboratory study. Setting: Controlled research laboratory. Patients or Other Participants: A total of 110 healthy, right-hand–dominant participants (44 men: age = 25.39 ± 7.00 years, height = 178.93 ± 7.01 cm, weight = 78.59 ± 14.04 kg; 66 women: age = 22.98 ± 6.11 years, height = 164.64 ± 6.94 cm, weight = 61.86 ± 11.67 kg). Intervention(s): Participants completed an exercise-induced DOMS protocol for the external rotators of the dominant shoulder to replicate muscle injury. Main Outcome Measure(s): Current resting pain was assessed daily for 96 hours using the Brief Pain Inventory. We evaluated functional recovery with measures of ROM in abduction, internal rotation, external rotation, and flexion. Evoked pain with active abduction was reported, and the pain rating served as the dependent variable in the regression model. Results: Impairment measures explained resting pain at 48 (R2 = 0.392) and 96 hours (R2 = 0.164). Abduction and internal-rotation ROM and evoked pain with abduction predicted resting pain at 48 hours (P < .001). At 96 hours, evoked pain with abduction of the injured arm (P < .001) was the significant contributor to resting pain. Conclusions: These models suggest that resting pain after experimentally induced DOMS occurs at 48 hours and is associated with specific ranges of motion and evoked pain with abduction.
机译：背景：运动训练员使用临床疼痛和运动范围（ROM）来评估肌肉骨骼损伤后的恢复情况。迄今为止有限的证据表明，延迟性肌肉酸痛（DOMS）后，哪些肩部ROM措施可以预测症状缓解和功能恢复。目的：确定肩膀被动内旋，被动外旋，主动外展，主动屈曲和诱发外展疼痛与运动诱发的DOMS后的静息疼痛是否相关。设计：描述性实验室研究。地点：受控研究实验室。患者或其他参与者：共有110位健康的右手主导参与者（44名男性：年龄= 25.39±7.00岁，身高= 178.93±7.01 cm，体重= 78.59±14.04 kg; 66名女性：年龄= 22.98±6.11年，身高= 164.64±6.94厘米，体重= 61.86±11.67公斤）。干预措施：参与者完成了运动诱发的DOMS规程，该规程用于显性肩关节的外部旋转肌以复制肌肉损伤。主要指标：使用简短疼痛清单每天评估当前的静息疼痛持续96小时。我们通过外展，内旋，外旋和屈曲方面的ROM评估了功能恢复。据报道诱发了主动外展的疼痛，并且疼痛等级是回归模型中的因变量。结果：减损措施解释了在48小时（R2 = 0.392）和96小时（R2 = 0.164）时的静息疼痛。外展和内转ROM以及诱发外展疼痛和外展可预测48小时的静息疼痛（P <.001）。在96小时时，诱发的疼痛以及受伤的手臂的外展（P <.001）是静息疼痛的重要原因。结论：这些模型表明，实验诱导的DOMS后静息疼痛发生在48小时，并且与特定的运动范围和外展诱发的疼痛有关。

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