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Abstrak :
Sports and physical activity provide multiple social and health benefits to participants, but may also increase the risk of developing musculoskeletal pain and injuries, especially in skeletally immature adolescents. This review outlines the 1) measurement and prevalence of musculoskeletal pain in adolescents, 2) dose-response relationship between the organized sports activity and musculoskeletal pain, 3) high risk population, based on our previously published epidemiological studies in Japan, and finally, 4) prevention strategy and its evaluation. In our school-based cohort study in Unnan, Shimane, a total of 2403 adolescents aged 12 to 18 years responded to two serial surveys, conducted 1 year apart. The prevalence of overall pain was 27.4% (lower limbs: 15.4%, upper limbs: 9.5%, and lower back: 8.5%). Sports activity had a clear linear association with musculoskeletal pain prevalence and risk. The more the adolescents played sports, the more likely they were to have pain or develop pain. Each 1 hour/week of additional sports activity time was associated with a 3% higher probability of having or developing pain. Some population groups were at higher risk of musculoskeletal pain, such as overweight adolescents and regular players with fewer teammates. To optimize the safety and benefits of organized sports activity for adolescents, prevention of musculoskeletal pain should be an important consideration. More observational and intervention studies with quality designs and development of a national surveillance system for (youth) acute and chronic sports injuries are needed in Japan.

Abstrak :
LATAR BELAKANG. Sindrom Impingement bahu SIB merupakan penyebab tersering dari keluhan nyeri bahu. SIB yang berkepanjangan akan menghasilkan disabilitas fungsional yang signifikan dan reduksi dari kualitas hidup. Kinesio Taping dipertimbangkan sebagai pilihan untuk mengontrol pergerakan skapula pada pasien dengan masalah bahu. Merujuk kepada terbatasnya studi dan kontroversi efektivitas dari kinesio taping pada SIB, penelitian ini bertujuan untukuntuk menilai lebih jauh pengaruh kinesio taping pada skala nyeri, lingkup gerak sendi, dan disabilitas pasien dengan SIB.METODE. Uji klinis acak terkontrol terhadap subjek SIB usia 18-75 tahun. Subjek dibagi menjadi dua kelompok, yaitu kelompok perlakuan Kinesio Taping dengan metode Kase dan Sham. Kinesio Taping diberikan selama satu minggu, dengan aplikasi ulang dalam tiga hari. Penilaian skala nyeri menggunakan Visual Analog Scale VAS , sementara penilaian kualitas hidup menggunakan Quick DASH. HASIL. Didapatkan 32 subjek SIB yang dianalisis pada akhir penelitian. Rerata usia kelompok perlakuan 58.13 tahun, sementara kelompok Sham 59 tahun. Analisis post hoc pada masing-masing kelompok menunjukkan adanya perbaikan intensitas nyeri saat pergerakan dan malam hari yang bermakna pada setiap tahap pengukuran. ......BACKGROUND. Shoulder Impingement Syndrome SIS is the most common cause of shoulder pain. Prolonged SIS will result in significant functional disability and reduction of quality of life. Kinesio Taping is considered as an option to control the movement of scapula in patients with shoulder problems. Referring to the limited study and the effectiveness cont roversy of kinesio taping on SIS, this study aims to further assess the effect of Kinesio Taping on pain intensity, range of motion, and disability scale of patients with SISMETHODS. Randomized controlled trials of subjects with SIS aged 18 75 years. Subjects were divided into two groups, intervention group KT, Kinesio Taping with Kase method and Sham group SG . The Kinesio Taping application is provided for one week, with reapplication in three days. Pain scale is measured withVisual Analog Scale VAS , while quality of life measured with Quick DASH.RESULTS. Thirty two SIB subjects enrolled in this study KT n 16, SG n 16 . Mean age of KT 58.13 years, while SG 59 years. Post hoc analysis showed a statistically significant increase in pain intensity during movement and at night at immediately, 3 and 7 days after application p