旋转手套撕裂的个体未成功地接受了运动治疗,在头皮平面绑架过程中,他们具有较少的低级定向净肌肉力量
Luke T Mattar1, Arash B Mahboobin2, Adam J Popchak3
1Orthopaedic Robotics Laboratory, University of Pittsburgh, United States; UPMC Freddie Fu Sports Medicine Center, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, United States.
Journal of biomechanics
|November 21, 2023
概括
运动治疗的成功取决于肌肉力量的方向,而不是大小. 不成功的治疗显示较少的劣质指导肌肉力量,可能增加撞击风险并导致手术.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 肌肉骨系统的建模
背景情况:
- 旋转袖口撕裂炼治疗的失败率为25%.
- 肌肉力量平衡穿过关节关节的肌肉力量平衡对于关节头部的集中至关重要.
- 肌肉力量动力学受损可能导致运动治疗失败.
研究的目的:
- 为了比较运动治疗前后的净肌肉力大小和方向.
- 区分成功和不成功的运动治疗结果.
- 为了研究肌肉力量在旋转手腕修复结果中的作用.
主要方法:
- 开发了特定的主题的计算肌肉骨模型 (OpenSim v4.0).
- 集成的个体旋转手套撕裂特征,肌肉力量,动力学和形态学.
- 在护甲平面绑架治疗前后期间分析了净肌肉力.
主要成果:
- 没有成功治疗的受试者表现出较少的劣势导向的净肌肉力量 (p=0.039和0.045).
- 两组之间没有发现净肌肉力大小的显著差异 (p>0.05).
- 模型成功地区分了治疗结果组.
结论:
- 不太低劣的净肌肉力量可能预测旋转手套撕裂的不成功的运动治疗.
- 这种力方向可能会增加上部头部迁移和撞击风险.
- 运动治疗的修改可以改善结果并减少对手术的需要.
相关概念视频
Muscles of the Shoulder
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