, volume 55 , issue 1 , pages 32-41

Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review

Stef Feijen ¹

Angela Tate ²

Kevin Kuppens ¹

Anke Claes ¹

Filip Struyf ¹

Hide authors affiliations Show authors affiliations: 2 affiliations

Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium |

Department of Physical Therapy, Arcadia University, Glenside, PA |

Publication type: Journal Article

Publication date: 2020-01-01

National Athletic Trainers Association, Inc.

Journal of Athletic Training

scimago Q1

wos Q1

SJR: 1.106

CiteScore: 4.9

Impact factor: 2.8

ISSN: 10626050, 1938162X

DOI: 10.4085/1062-6050-439-18

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PubMed ID: 31935141

General Medicine

Orthopedics and Sports Medicine

Physical Therapy, Sports Therapy and Rehabilitation

Abstract

Background

Competitive swimmers are exposed to enormous volumes of swim training that may overload the soft tissue structures and contribute to shoulder pain. An understanding of training factors associated with the injury is needed before practice guidelines can be developed.

Objectives

To investigate the relationship between swim-training volume and shoulder pain and to determine swim-training volume and shoulder pain prevalence across the life span of the competitive swimmer.

Data Sources

Relevant studies within PubMed, Web of Science, and MEDLINE.

Study Selection

Studies that assessed the relationship between a defined amount of swim training and shoulder pain in competitive swimmers.

Data Extraction

Twelve studies (N = 1460 participants) met the criteria. Swimmers were grouped by age for analysis: young (<15 years), adolescent (15–17 years), adult (18–22 years), and masters (23–77 years).

Data Synthesis

Adolescent swimmers showed the highest rates of shoulder pain (91.3%) compared with other age groups (range = 19.4%–70.3%). The greatest swim-training volumes were reported in adolescent (17.27 ± 5.25 h/wk) and adult (26.8 ± 4.8 h/wk) swimmers. Differences in exposure were present between swimmers with and those without shoulder pain in both the adolescent (P = .01) and masters (P = .02) groups. In adolescent swimmers, the weekly swim-training volume (P < .005, P = .01) and years active in competitive swimming (P < .01) correlated significantly with supraspinatus tendon thickness, and all swimmers with tendon thickening experienced shoulder pain.

Conclusions

Evidence suggests that swim-training volume was associated with shoulder pain in adolescent competitive swimmers (level II conclusion). Year-round monitoring of the athlete's swim training is encouraged to maintain a well-balanced program. Developing athletes should be aware of and avoid a sudden and large increase in swimming volume. However, additional high-quality studies are needed to determine cutoff values in order to make data-based decisions regarding the influence of swim training.

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GOST |

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Feijen S. et al. Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review // Journal of Athletic Training. 2020. Vol. 55. No. 1. pp. 32-41.

GOST all authors (up to 50) Copy

Feijen S., Tate A., Kuppens K., Claes A., Struyf F. Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review // Journal of Athletic Training. 2020. Vol. 55. No. 1. pp. 32-41.

RIS |

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RIS Copy

TY - JOUR

DO - 10.4085/1062-6050-439-18

UR - https://doi.org/10.4085/1062-6050-439-18

TI - Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review

T2 - Journal of Athletic Training

AU - Feijen, Stef

AU - Tate, Angela

AU - Kuppens, Kevin

AU - Claes, Anke

AU - Struyf, Filip

PY - 2020

DA - 2020/01/01

PB - National Athletic Trainers Association, Inc.

SP - 32-41

IS - 1

VL - 55

PMID - 31935141

SN - 1062-6050

SN - 1938-162X

ER -

BibTex |

Cite this

BibTex (up to 50 authors) Copy

@article{2020_Feijen,

author = {Stef Feijen and Angela Tate and Kevin Kuppens and Anke Claes and Filip Struyf},

title = {Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review},

journal = {Journal of Athletic Training},

year = {2020},

volume = {55},

publisher = {National Athletic Trainers Association, Inc.},

month = {jan},

url = {https://doi.org/10.4085/1062-6050-439-18},

number = {1},

pages = {32--41},

doi = {10.4085/1062-6050-439-18}

}

MLA

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MLA Copy

Feijen, Stef, et al. “Swim-Training Volume and Shoulder Pain Across the Life Span of the Competitive Swimmer: A Systematic Review.” Journal of Athletic Training, vol. 55, no. 1, Jan. 2020, pp. 32-41. https://doi.org/10.4085/1062-6050-439-18.

Publisher

National Athletic Trainers Association, Inc.

Journal

Journal of Athletic Training

scimago Q1

wos Q1

SJR

1.106

CiteScore

4.9

Impact factor

2.8

ISSN

10626050 (Print)

1938162X (Electronic)