探索轮椅推进,肩部损伤和肩部疼痛之间的生物力学联系:一个范围审查
Inge P Salzmann1, Thomas Rietveld2, Reto Togni3
1Department of Medical BioSciences, Radboud University Medical Center Reinier Postlaan 4, 6525 GC Nijmegen, the Netherlands.
Journal of biomechanics
|April 18, 2025
概括
手动轮椅使用者 (MWU) 肩部疼痛表现出不同的推进模式. 需要进一步的研究来确定这些模式是否会导致或保护MWU的肩部受伤.
科学领域:
- 生物力学 生物力学
- 康复医学 康复医学 康复医学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 手动轮椅使用者 (MWU) 经常经历肩部疼痛和受伤.
- 轮椅推进和MWU的肩膀问题之间的关系尚未完全理解.
研究的目的:
- 调查轮椅推进的生物力学差异,在不同的肩部疼痛水平的MWU之间.
- 评估轮椅推进和MWU中肩部疼痛/损伤的发展之间存在因果关系的证据.
主要方法:
- 进行了系统的文献搜索.
- 根据预先定义的叙事审查标准,选出了18篇文章.
主要成果:
- 与没有疼痛的个体相比,经历肩部疼痛或受伤的MWU表现出明显的推进生物力学.
- 特定的推进特性,如较长的推进角度和较低的冲动频率,可能与肩部疼痛的减少有关.
结论:
- 虽然在推进方面存在差异,但尚不清楚这些差异是否在MWU的肩膀疼痛/伤害之前或之后发生.
- 用现实世界生物力学数据进行纵向研究是必要的,以阐明轮椅推进和MWU的肩膀健康之间的复杂关系.
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