Abstract

Pain is common in athletes which should be well managed. To identify risk factors for shoulder pain, and the association between shoulder pain, lower back pain and knee pain among elementary school-aged badminton players, we conducted a cross-sectional study to collect data of the past year among 611 elementary school age (7–12 years old) badminton players belonging to the Japan Schoolchildren Badminton Federation using a questionnaire. Odds ratio (OR) and 95% confidence interval (CI) were estimated by multivariate logistic regression analysis. The overall incidence rate of shoulder injuries, lower back injuries and knee injuries was 0.38 injuries per 1000 h of badminton training. Players with training time per day > 2.5 h were 2.64 times (95% CI 1.03–6.78, p = 0.043) more likely to sustain shoulder pain than those with training time per day ≤ 2.5 h. A significant association was revealed between shoulder pain and knee pain as well as between lower back pain and knee pain as training hours per day > 2.5 h. Moreover, lower back pain was significantly associated with shoulder pain independent of training hours per day (≤ 2.5 h: p = 0.001; > 2.5 h: p < 0.001). These findings indicate that training time per day is risk factor, and shoulder pain, lower back pain and knee pain were associated with each other in elementary school-aged badminton players.

Highlights

  • The forehand overhead stroke motion of badminton, referred to as a kinetic chain allows energy generated by ground reaction, and activity of lower limbs and trunk muscles to be transferred to the upper l­imbs[15,16]

  • Based on the previous literatures, we hypothesized that lower height and training hours per week are risk factors for shoulder pain, and there is an association of shoulder pain, lower back pain and knee pain

  • The presence of knee pain was significantly associated with lower back pain, and the presence of lower back pain was significantly associated with shoulder pain

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Summary

Introduction

The forehand overhead stroke motion of badminton, referred to as a kinetic chain allows energy generated by ground reaction, and activity of lower limbs and trunk muscles to be transferred to the upper l­imbs[15,16]. Included badminton players stated a significant association between shoulder pain and back or lower limb pain, it was unspecific, and the number of badminton players was ­small[18]. Risk factors for shoulder pain associated with badminton, and association between shoulder pain, lower back pain and knee pain among badminton players are not well understood. The purpose of this study was to identify risk factors for shoulder pain, and the association between shoulder pain, lower back pain and knee pain among elementary school-aged badminton players so that injury prevention and intervention can be implemented as early as possible. Based on the previous literatures, we hypothesized that lower height and training hours per week are risk factors for shoulder pain, and there is an association of shoulder pain, lower back pain and knee pain

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