smjournalСпортивная медицина: наука и практикаSports medicine: research and practice2223-25242587-9014NEICON10.47529/2223-2524.2024.3.5smjournal-648Research ArticleВРАЧЕБНЫЙ КОНТРОЛЬMEDICAL CONTROLЯвляется ли отсутствие контроля нагрузки у элитных пловцов фактором риска получения перегрузочных травм?Does the lack of monitoring put elite swimmers at danger of overuse injuries?https://orcid.org/0009-0000-2017-7899КумарМ. Ш.KumarM. S.

Мутху Кумар Шридхар, аспирант последнего курса, кафедра спортивной медицины

Келамбаккам-603103, Тамилнад, Индия

Muthu Kumar Sridhar, Final year Post Graduate, Department of Sports Medicine

Kelambakkam-603103, Tamil Nadu, India

muthukumar2129@gmail.comЧандрасекарпандянР.ChandrasekarapandyanR.

Рамеш Чандрасекарпандян, профессор и заведующий кафедрой, кафедра спортивной медицины

Келамбаккам-603103, Тамилнад, Индия

Ramesh Chandrasekarapandyan, Professor and Head of Department, Department of Sports Medicine

Kelambakkam-603103, Tamil Nadu, India

drramesh_iapmr@yahoo.co.inШанмугамА.ShanmugamA.

Арвинд Шанмугам, кафедра спортивной медицины

Келамбаккам-603103, Тамилнад, Индия

Arvind Shanmugam, Assistant Professor, Department of Sports Medicine

Kelambakkam-603103, Tamil Nadu, India

arvindsportsdoc@gmail.comНараянанХ.NarayananH.

Хариш Нараянан, доцент, кафедра спортивной медицины

Келамбаккам-603103, Тамилнад, Индия

Harish Narayanan, Assistant Professor, Department of Sports Medicine

Kelambakkam-603103, Tamil Nadu, India

harishsportsdoc@gmail.comhttps://orcid.org/0000-0002-6171-1127РамД.RamD. T.

Дипак Рам Туласи Раман, старший ординатор, кафедра спортивной медицины

Келамбаккам-603103, Тамилнад, Индия

Deepak Ram Thulasi Raman, Senior Resident, Department of Sports Medicine

Kelambakkam-603103, Tamil Nadu, India

deepakram707@gmail.comБольница и научно-исследовательский институт Четтинада, Четтинадская академия исследований и образованияИндияChettinad Hospital and Research Institute, Chettinad Academy of Research and EducationIndia2024040220251436572Copyright © Кумар М.Ш., Чандрасекарпандян Р., Шанмугам А., Нараянан Х., Рам Д.T., 20252025Кумар М.Ш., Чандрасекарпандян Р., Шанмугам А., Нараянан Х., Рам Д.Kumar M.S., Chandrasekarapandyan R., Shanmugam A., Narayanan H., Ram D.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.smjournal.ru/jour/article/view/648Цель исследования

Цель исследования: Пловцы соревновательного уровня подвергаются высоким нагрузкам во время тренировок, что может привести к травмам из-за перегрузки мягкотканных структур. В связи с этим цель исследования — сравнить частоту травм, связанных с перегрузкой, во время тренировочного и соревновательного периодов.

Материалы и методы

Материалы и методы: В этом проспективном продольном исследовании приняло участие 54 пловца соревновательного уровня из плавательных клубов Индии. Сбор данных по графику тренировок и субъективным отчетам по перегрузке проводился раз в две недели в течение девяти месяцев — с марта по ноябрь 2023 года. Для сбора данных о распространенности травм, связанных с перегрузкой, использовался Oslo Sports Trauma Research Centre Overuse Injury Questionnaire.

Результаты

Результаты: Медиана (IQR) распространенности значительных проблем с плечом из-за перегрузки в тренировочный период составила 27,5 (16,0–38), в соревновательный период — 0 (0–14) (p = 0,001). Среднее (SD) количество восстановительных сессий в тренировочный период составило 4,07 (0,26), в соревновательный период — 4,46 (0,50). Среднее (SD) количество силовых тренировок в тренировочный период составило 4,70 (0,57), в соревновательный период — 2,74 (0,44).

Заключение

Заключение: Внедрение эффективной системы мониторинга спортсменов для контроля получаемой нагрузки может сыграть ключевую роль в снижении травм, вызванных перегрузкой. Также крайне важно устранять первопричины таких травм после постановки диагноза. Важно, чтобы пловец, его родители, тренеры, командный врач и физиотерапевт совместно выявляли потенциальные факторы риска и разрабатывали план профилактики травм.

Purpose of the study

Purpose of the study: Extreme volumes of swim training are endured by competitive swimmers, which can potentially cause overuse injury by overloading soft tissue structures. The aim of the study is to determine whether overuse injuries are more common during the training phase or competition phase among competitive swimmers.

Methods

Methods: This study used a prospective longitudinal design with training history and self-reported measures of overuse questionnaire once each fortnight for nine months, from March 2023 to November 2023. The study included the participation of 54 competitive swimmers ranging from various swimming clubs in India. The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire was utilised to collect data on prevalence of substantial overuse injuries.

Results

Results: The median (IQR) prevalence of shoulder substantial overuse injuries during training is 27.5 (16–38) and in competition is 0 (0–14) with a p value of 0.001. The mean (SD) of recovery session during training is 4.1 (0.3) and during competition is 4.5 (0.5). The mean (SD) of strength sessions during training period is 4.7 (0.6) and during competition is 2.7 (0.4).

Conclusion

Conclusion: Implementing an effective athlete monitoring system for load management can play a crucial role in reducing these injuries. It is critical to treat the root causes of an overuse injury after a diagnosis as it is important for the swimmer, their parents, coaches, team doctor and physiotherapist to work together to identify potential risk factors and formulate a plan to prevent injuries.

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The authors declare that there are no conflicts of interest present.