与旋转手套相关的肩部疼痛和不相关的个体的肩膀动力学变异性:多级元回归的系统性审查
Rubén Fernández-Matías1, Jorge Ballesteros-Frutos2, Pablo Gallardo-Zamora3
1Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain; Department of Physical Therapy, Universitat de València, Valencia, Spain.
Brazilian journal of physical therapy
|August 22, 2025
概括
在轮手套疼痛和没有轮手套疼痛的个体中,脚动力学显示出很高的变异性. 这项研究挑战了关于定位阶段和皮节奏的传统信仰,
科学领域:
- 整形医学
- 生物力学
- 运动医学
背景情况:
- 在治疗旋转手套相关的肩膀疼痛 (RCRSP) 中,异常的肩膀运动通常被认为是重要的.
- 对于有效的RCRSP管理来说,了解头巾运动至关重要.
研究的目的:
- 系统地检查和分析脚位置和运动的变化.
- 为了比较健康个体与RCRSP患者的头皮运动.
主要方法:
- 在2024年4月18日对9个数据库进行系统的文献搜索.
- 包括使用3D非表面追踪系统进行手臂升高过程中的脚动力学研究.
- 专注于无症状患者和患有RCRSP的人.
主要成果:
- 无症状的肩膀休息位置:向上旋转1.00°-11.58°,前侧倾斜4.82°-11.24°,内侧旋转26.84°-39.05°.
- 在手臂升高时,肩膀表现出连续的UR和后侧倾斜,倾向于外部旋转;设置阶段不存在.
- 在休息位置的RCRSP差异的证据确定性非常低.
结论:
- 一个独特的"设置阶段"和一个固定的3:1皮节奏的概念受到质疑.
- 护甲动力学存在显著的变异性,使RCRSP中异常模式的识别变得复杂.
- 临床评估头功能需要考虑这种固有的变异性.
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