肩膀肌肉活动的幅度和时间在具有特定的头皮骨运动模式的个体
Gaura Saini1, Madeline Goodson1, Paula M Ludewig1
1University of Minnesota, Division of Physical Therapy and Rehabilitation Science, Department of Family Medicine and Community Health, USA.
概括
肩部疼痛患者过度的头巾前侧倾斜或侧向显示出不同的肌肉激活模式. 特定的肌肉,如前 (SA) 和下 (LT) 呈现出改变的时间和大小,告知有针对性的康复.
科学领域:
- 生物力学 生物力学
- 肌肉骨健康 肌肉骨健康
- 临床电生理学 临床电生理学
背景情况:
- 建立肌肉激活和肩膀动力学之间的清晰联系对于理解肩膀功能障碍至关重要.
- 之前的研究还没有完全阐明与明显的头骨错位相关的特定肌肉活动模式.
研究的目的:
- 在表现出过度的头骨头前倾斜与头骨头侧倾斜的个体中,识别肌肉激活幅度和时间的差异.
- 为了研究特定的肩膀运动模式和关键肩部肌肉的电肌图 (EMG) 活动之间的关系.
主要方法:
- 在45名肩部疼痛的成年人中使用了表面电肌图 (EMG) 和双平面视频放射图/光学运动捕捉.
- 肌肉激活 (下形,前形,上形,前形,中形) 和时间被评估在肩膀曲,绑架和上方达到任务.
- 分析包括个体肌肉激活,肌肉比率 (例如,LT/SA) 和相对于胸部运动范围的时间.
主要成果:
- 对于前骨 (AD) 大小,LT/SA和LT/AD比率,观察到显著的群体相互作用.
- 与自选动作相比,在两个头骨头部运动组中,在受约束的运动中观察到前脊椎 (SA) 激活的相对减少.
- 在早期运动期间的横向化组中观察到下形 (LT) 激活的减少,在两组中都建议延迟SA和LT激活.
结论:
- 具有不同脚运动模式的个体表现出不同的肌肉激活配置文件.
- 研究结果表明,改变的肌肉激活幅度和时间,特别是涉及SA和LT,与特定的头骨偏差有关.
- 这些见解可以指导为肩部疼痛制定患者特定的康复策略.
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