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定义用于肩上空运动所需的膜部运动范围:一项观察性研究

Linda Dyer¹, Jaap Swanenburg², Hermann Schwameder³

¹Department of Physiotherapy, Balgrist University Hospital, University of Zurich, Zurich - Switzerland.

Archives of physiotherapy

|September 16, 2024

概括

在肩膀手术后实现头部移动性需要大约83°的膜部 (GH) 屈曲和绑架. 外部旋转不那么关键,只需要53%的相反侧面才能有效恢复.

科学领域:

整形外科手术整形外科手术
康复医学康复医学康复医学
运动医学运动医学

背景情况:

肩膀手术后的头部运动恢复对于患者的满意度至关重要,但往往需要很长时间.
头胸和关节 (GH) 联合动员是标准的康复技术.
具体的单独的GH关节运动范围 (ROM) 值,以实现>120°的全肩曲,还没有很好地定义.

研究的目的:

为了确定肩膀手术后成功的头部移动所需的特定的腺 (GH) 运动范围 (ROM).
建立客观的ROM截止值以指导患者康复和预测功能恢复.

主要方法:

分析了一组21名接受肩膀手术 (旋转手套修复,拉达喷气稳定,两关节切割) 的患者.
在手术后每两周测量一次被动GH flexion,abduction和外部旋转ROM,使用度和视觉评估.
接收器操作特征 (ROC) 曲线分析确定了ROM截止值,可以预测空中移动性.

主要成果:

83°的GH曲和绑架ROM截止值被确定为空中移动所必需的 (曲线下的面积 [AUC] 0.90-0.93,p < 0.001).
对逆侧肩的ROM的53%的GH外部旋转ROM截止值也很重要 (AUC0.87,p <0.001).

结论:

恢复全球肩膀曲超过120°需要几乎完全的GH曲和绑架.
适当的外部旋转ROM (超过53%的不受影响的侧面) 很重要,但似乎不如曲和绑架来实现头部功能的关键.

关键词:

这是一种光体的体.术后治疗术后治疗运动范围的范围.康复康复康复康复肩膀肩膀在肩膀上硬性这是一种硬性.

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