双体和三体的异常模式 肘部手术后共收缩可能导致肘部硬
Pedro K Beredjiklian1, Amir R Kachooei2,3, Greg Gallant1
1Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.
The archives of bone and joint surgery
|July 5, 2023
概括
肘部手术患者表现出双和三肌肉收缩强度和共同收缩模式的增加. 这可能会导致手术后肘部关节硬.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 康复医学 康复医学 康复医学
背景情况:
- 肘部硬是手术后的一个常见并发症.
- 了解手术后肘部功能障碍的潜在机制对于改善患者的治疗结果至关重要.
研究的目的:
- 为了研究双肩和三脚手肘后手术中的肌肉收缩模式和强度.
- 探索肘部关节手术后肌肉活动和运动范围之间的关系.
主要方法:
- 在16名患者 (19项手术) 上进行了前性电肌图 (EMG) 研究.
- 两和三的休息和峰值EMG信号强度在被动范围的运动中被测量.
- 在手术和正常肘部之间进行了比较.
主要成果:
- 89%的手术肘部在曲和伸展结束时表现出两和三共同收缩.
- 手术治疗的肘部显示出较高的双肩和三肌收缩强度.
- 在双肩收缩强度和运动弧之间发现了反向相关性.
结论:
- 手术后的共同收缩和肌肉强度增加可能会导致内部 splinting.
- 这些肌肉变化可能会导致肘部关节硬的发展.
- 对肌肉动力学的进一步研究是有必要的,以解决手术后的硬.
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