{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T16:42:12Z","timestamp":1793637732044,"version":"4.5.1"},"reference-count":36,"publisher":"National Athletic Trainers' Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n          <jats:title>Context<\/jats:title>\n          <jats:p>Nontraumatic shoulder pain (NSP) is common in volleyball, affecting performance and well-being. It is more prevalent in female players. Previous studies lack comprehensive assessments of shoulder pain that consider multiple factors, including range of motion, muscle strength, joint position sense, dynamic stability, and volleyball-specific mechanics.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objective<\/jats:title>\n          <jats:p>To investigate NSP prevalence in female high school volleyball players, considering shoulder joint functional parameters and volleyball-specific factors.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design<\/jats:title>\n          <jats:p>Cross-sectional study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting<\/jats:title>\n          <jats:p>High school gymnasiums.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants<\/jats:title>\n          <jats:p>Fifty-nine female high school volleyball players (15\u201317 years).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s)<\/jats:title>\n          <jats:p>Demographic data, environmental factors (years of experience, spiking technique, and serve type), shoulder joint function (passive glenohumeral joint\u2019s range of motion, muscle strength, joint position sense, and dynamic stability), and NSP prevalence during spiking and serving. Logistic regression analysis was conducted to identify significant factors associated with NSP.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>Nontraumatic shoulder pain prevalence was 54.2%, with 68.8% not informing coaches. Significant associations were found between NSP and factors such as Upper Quarter Y-Balance Test-Medial (<jats:italic>P<\/jats:italic> = .008; odds = 0.892; 95% confidence interval = 0.82, 0.97) and joint position sense of internal rotation (<jats:italic>P<\/jats:italic> = .031; odds = 1.411; 95% confidence interval = 1.03, 1.93).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion<\/jats:title>\n          <jats:p>Shoulder pain leads to impaired proprioception and dynamic stability. Effective communication between players and coaches is crucial for managing and preventing pain. Targeted training programs to enhance proprioception and dynamic stability may reduce shoulder pain and injuries. Educating players on the importance of reporting pain and encouraging early intervention is essential.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-0413.24","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T09:17:16Z","timestamp":1735291036000},"page":"161-169","source":"Crossref","is-referenced-by-count":5,"title":["Nontraumatic Shoulder Pain Affects Proprioception and Dynamic Stability in Female High School Volleyball Players"],"prefix":"10.4085","volume":"60","author":[{"given":"Yasuaki","family":"Mizoguchi","sequence":"first","affiliation":[{"name":"Graduate School of Medicine, Saitama Medical University, Japan"},{"name":"Department of Rehabilitation, Kimura Orthopaedic Clinic, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kimura Orthopaedic Clinic, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seita","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kimura Orthopaedic Clinic, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Shimada","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Minamikoshigaya Hospital, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumihiko","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kimura Orthopaedic Clinic, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Hall","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health, Curtin University, Perth, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyokazu","family":"Akasaka","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Saitama Medical University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"6","key":"i1938-162X-60-2-161-b01","series-title":"Orthop J Sports Med","first-page":"2325967117712236","article-title":"High prevalence of nontraumatic shoulder pain in a regional sample of female high school volleyball athletes","volume":"5","author":"Frisch","year":"2017","unstructured":"Frisch\n              KE,\n            \n            \n              Clark\n              J,\n            \n            \n              Hanson\n              C,\n            \n            \n              Fagerness\n              C,\n            \n            \n              Conway\n              A,\n            \n            \n              Hoogendoorn\n              L.\n            \n          \n          High prevalence of nontraumatic shoulder pain in a regional sample of female high school volleyball athletes. 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Sports Health. 2018;10(1):60\u201369. doi:10.1177\/1941738117733685"},{"issue":"1","key":"i1938-162X-60-2-161-b08","series-title":"J Orthop Surg Res","first-page":"309","article-title":"Overuse injuries in sport: a comprehensive overview","volume":"13","author":"Aicale","year":"2018","unstructured":"Aicale\n              R,\n            \n            \n              Tarantino\n              D,\n            \n            \n              Maffulli\n              N.\n            \n          \n          Overuse injuries in sport: a comprehensive overview. 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Res Sports Med. 2024;32(2):225\u2013234. doi:10.1080\/15438627.2022.2102915"},{"issue":"2","key":"i1938-162X-60-2-161-b11","series-title":"Int J Sports Med","first-page":"133","article-title":"Shoulder internal rotator strength as risk factor for shoulder pain in volleyball players","volume":"44","author":"de Lira","year":"2023","unstructured":"de Lira\n              CAB,\n            \n            \n              Vargas\n              VZ,\n            \n            \n              Vancini\n              RL,\n            \n            et al.\n          \n          Shoulder internal rotator strength as risk factor for shoulder pain in volleyball players. Int J Sports Med. 2023;44(2):133\u2013137. doi:10.1055\/a-1806-2303"},{"issue":"1","key":"i1938-162X-60-2-161-b12","series-title":"PM R","first-page":"27","article-title":"Risk factors for volleyball-related shoulder pain and dysfunction","volume":"2","author":"Reeser","year":"2010","unstructured":"Reeser\n              JC,\n            \n            \n              Joy\n              EA,\n            \n            \n              Porucznik\n              CA,\n            \n            \n              Berg\n              RL,\n            \n            \n              Colliver\n              EB,\n            \n            \n              Willick\n              SE.\n            \n          \n          Risk factors for volleyball-related shoulder pain and dysfunction. PM R. 2010;2(1):27\u201336. doi:10.1016\/j.pmrj.2009.11.010"},{"issue":"1","key":"i1938-162X-60-2-161-b13","series-title":"J Exp Orthop","first-page":"78","article-title":"Risk factors and prevention strategies for shoulder injuries in overhead sports: an updated systematic review","volume":"9","author":"Hoppe","year":"2022","unstructured":"Hoppe\n              MW,\n            \n            \n              Brochhagen\n              J,\n            \n            \n              Tischer\n              T,\n            \n            \n              Beitzel\n              K,\n            \n            \n              Seil\n              R,\n            \n            \n              Grim\n              C.\n            \n          \n          Risk factors and prevention strategies for shoulder injuries in overhead sports: an updated systematic review. 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BMC Sports Sci Med Rehabil. 2021;13(1):71. doi:10.1186\/s13102-021-00300-5"},{"issue":"20","key":"i1938-162X-60-2-161-b15","series-title":"Br J Sports Med","first-page":"1312","article-title":"Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis","volume":"52","author":"Asker","year":"2018","unstructured":"Asker\n              M,\n            \n            \n              Brooke\n              HL,\n            \n            \n              Wald\u00e9n\n              M,\n            \n            et al.\n          \n          Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis. Br J Sports Med. 2018;52(20):1312\u20131319. doi:10.1136\/bjsports-2017-098254"},{"key":"i1938-162X-60-2-161-b16","series-title":"PeerJ","first-page":"e13564","article-title":"Role of active joint position sense on the upper extremity functional performance tests in college volleyball players","volume":"10","author":"Mendez-Rebolledo","year":"2022","unstructured":"Mendez-Rebolledo\n              G,\n            \n            \n              Ager\n              AL,\n            \n            \n              Ledezma\n              D,\n            \n            \n              Montanez\n              J,\n            \n            \n              Guerrero-Henriquez\n              J,\n            \n            \n              Cruz-Montecinos\n              C.\n            \n          \n          Role of active joint position sense on the upper extremity functional performance tests in college volleyball players. 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J Sport Rehabil. 2019;29(5):640\u2013649. doi:10.1123\/jsr.2018-0426"},{"issue":"5","key":"i1938-162X-60-2-161-b31","series-title":"Scand J Med Sci Sports","first-page":"e14644","article-title":"Overuse injury and affects in competitive sport: a prospective longitudinal study","volume":"34","author":"Martin","year":"2024","unstructured":"Martin\n              S,\n            \n            \n              Edouard\n              P,\n            \n            \n              Sanchez\n              X,\n            \n            \n              Ivarsson\n              A.\n            \n          \n          Overuse injury and affects in competitive sport: a prospective longitudinal study. 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