在旋转手套撕裂中,背部头骨动脉的血流变化和与肩关节功能的关系
Keita Kawabuchi1, Masatoshi Nakamura2
1Rehabilitation Room, Tottori Prefectural Central Hospital, Tottori, Japan.
JSES international
|November 16, 2023
概括
在旋转袖口撕裂 (RCT) 中,背脊关动脉 (DSA) 的最大抽缩速度 (PSV) 在撕裂侧较高. 这种增加的DSA PSV与减少的外部旋转 (ER) 运动范围 (ROM) 相对应.
科学领域:
- 整形外科 整形外科 整形外科
- 血管超声波是指血管超声波.
- 肌肉骨成像系统的成像
背景情况:
- 异常的头骨头部运动和提升头骨肌肉激活与旋转手套撕裂 (RCT) 疼痛有关.
- 缩速度峰值 (PSV) 是一个潜在的疼痛因素,但供给旋转手套的血管的血流仍然不清楚.
- 背侧骨动脉 (DSA) 供应了骨升起器,使其PSV与RCT相关.
研究的目的:
- 在RCT患者中,比较撕裂和非撕裂侧面之间的DSAPSV.
- 在RCT患者中调查DSAPSV与疼痛和肩部功能之间的关联.
主要方法:
- 超声波脉冲多普勒模式用于测量31名RCT患者的DSAPSV.
- 在第一个肋骨的DSA上评估PSV,靠近上角.
- 临床评估包括运动范围 (ROM),视觉模拟尺度 (VAS) 和 Shoulder36.
主要成果:
- DSA PSV 在撕裂侧 (22.6 cm/s) 与非撕裂侧 (18.9 cm/s) 相比显著更高 (P=.04).
- 在撕裂侧的DSAPSV和外部旋转 (ER) ROM之间观察到显著的负相关性 (r=-0.46,P=.0087).
结论:
- 在RCT中,撕裂侧增加的DSAPSV是一个重要的发现.
- 升高的DSA PSV与ER ROM有负相关性,这表明它在功能限制中发挥了作用.
- 在RCT中,增加的DSAPSV可能会导致腺关节外部旋转ROM限制.
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