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肩部内部旋转肌肉的硬度变化及其对半肩部疼痛的影响
Fan Jia1, Xin-Rui Zhu1, Ling-Yu Kong2
1Faculty of Rehabilitation Medicine, Weifang Medical University, Weifang, Shandong, China.
Frontiers in neurology
|June 19, 2023
概括
肩部旋转肌肉的硬度增加在中风后的半性肩部疼痛 (HSP) 中很常见. 这项研究发现,Teres主要度与疼痛相关,并减少了HSP患者的肩部移动性.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 半性肩部疼痛 (HSP) 是中风后的常见并发症.
- 肌肉高血压,特别是肩部内部旋转器,是HSP的可疑贡献者.
- 肌肉和HSP之间的直接关系仍未得到充分研究.
研究的目的:
- 为了研究内部旋转肌肉硬度与患有HSP的患者临床症状之间的相关性.
- 量化HSP患者的肌肉度,并将其与健康对照进行比较.
主要方法:
- 使用剪切波弹性学测量内部旋转肌肉的模量 (YM) (大胸部,前腹肌,大胸部,大背部).
- 用修改的阿什沃思量表 (MAS) 评估肌肉高血压,用视觉模拟量表 (VAS) 评估疼痛强度.
- 使用Neer分数评估肩部运动能力,并分析肌肉硬与临床结果之间的相关性.
主要成果:
- 与休息和被动伸展期间的对照人群相比,HSP患者在内部旋转肌肉中表现出更高的YM.
- 肌肉硬性在被动拉伸时增加,而不是在肢休息时.
- 在伸展过程中,大胸部,大胸部和大背部的硬度与MAS分数相关.
- 在拉伸过程中Teres主要硬度与VAS (疼痛) 有正相关性,与Neer分数 (移动性) 有负相关性.
结论:
- 胸部大肌肉,大肌肉和背脊大肌肉的硬度升高是HSP的特征.
- 在HSP患者中,特雷斯主要肌肉硬与肩膀疼痛强度和肩膀运动能力受损显著相关.
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