パッシブショルダーの外部範囲は,体姿勢やショルダー誘拐角度によって影響を受けますか?

K Leong¹, K A Ginn¹, M Halaki¹

¹Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

Shoulder & elbow

|February 13, 2026

まとめ

パッシブな肩の外部回転 (ER) 運動範囲 (ROM) は,肩の誘導角度とともに増加します. ER ROMは,脇に腕を置いて座った姿勢と横になった姿勢を区別しなかった.

科学分野:

整形外科整形外科整形外科
スポーツ医学スポーツ医学
理学療法による理学療法です.

背景:

制限された受動的肩の外部回転 (ER) 運動範囲 (ROM) は,凍った肩の診断基準です.
ER ROMは通常,座り方や仰向け姿勢で評価されます.
ER ROMの測定が身体の姿勢や肩の収縮角度によって変化するかどうかは不明です.

研究の目的:

身体の姿勢と肩の誘拐角度に基づいて,パッシブショルダーER ROMの違いを調査する.
測定位置がER ROMの評価に与える影響を判断する.

主な方法:

繰り返し施策のデザインが採用されました.
パッシブショルダーERROMは,健康な成人11人 (18~60歳) で測定されました.
測定は5つのポジションで行われました. 座っている状態 (腕を横に),横になった状態 (腕を横に),横になった状態で腕を30°,60°,90°に引いた状態です.

主要な成果:

パッシブショルダーER ROMは,ショルダーアブドクションの角度が高くなり,著しく増加した.
腕が脇に置かれた場合,座っている位置と横になった位置の間にER ROMの有意な違いは観察されなかった.

結論:

肩の誘拐角度は,受動的なER ROM測定に大きく影響します.
臨床医は,ER ROMテストの際に,凍結した肩のような状態の正確な診断と治療評価のために,誘拐角度を考慮する必要があります.

キーワード:

理学療法,理学療法などです.運動範囲の範囲は,肩の評価について

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