The present data do not demonstrate a clear advantage of either spike technique with respect to shoulder injuries or symptoms. Gender-specific trends towards a greater injury risk for women using bow & arrow technique warrant further investigations. Future studies should increase sample size, include a broader range of competitive levels, and also integrate objective biomechanical and medical assessments.
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Markus Tilp
Carmen Pusch
Phornpot Chainok
Frontiers in Sports and Active Living
Goethe University Frankfurt
Aristotle University of Thessaloniki
Universidade Federal do Ceará
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Tilp et al. (Tue,) studied this question.
www.synapsesocial.com/papers/69a75ffec6e9836116a2c624 — DOI: https://doi.org/10.3389/fspor.2026.1737436