在全厚旋转手套撕裂时,心下部的冲击会加剧疼痛和头骨功能障碍
Yi-Hsuan Weng1, Yang-Ting Chien1, Chon-Kio Wong1
1School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Journal of shoulder and elbow surgery
|September 20, 2025
概括
在患有全厚旋转手套撕裂 (FT-RCT) 的患者中,心下部的冲刺与疼痛增加和部上部头部迁移有关. 这种状况还导致变化的头皮骨生物力学和减少前 (SA) 和大 (TM) 肌肉激活.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 在旋转手腕撕裂患者中,subcoracoid冲刺往往与下冲刺同时发生.
- 亚心肌刺对全厚旋转手套撕裂 (FT-RCT) 的具体影响尚不清楚.
- 调查FT-RCT患者与没有亚心肌塞之间的差异至关重要.
研究的目的:
- 为了比较FT-RCT患者的临床和生物机械特征,具有和没有亚心肌塞.
- 为了识别疼痛,肩膀功能,部头部迁移,骨动力学和肌肉活动的差异.
主要方法:
- 将22名FT-RCT患者与25名FT-RCT患者进行比较.
- 通过使用超声波 (USG) 来评估部头部通过部部距离的迁移.
- 评估了肩部的运动范围,疼痛,功能,头骨动力学和肌肉活动 (前[SA],大[TM]) 使用运动跟踪和电肌图.
主要成果:
- 下心肌撞击组在绑架期间报告了更高的疼痛水平和更大的上部头部迁移.
- 这个小组在降低手臂时,表现出脚上方旋转的减少.
- 在抬起和下降手臂时,观察到前脊 (SA) 和大脊 (TM) 肌肉激活的减少.
结论:
- FT-RCT患者患有下心肌刺经历略高的疼痛和增加的部上部头部迁移.
- 减少头皮的向上旋转和SA/TM肌肉功能受损可能会使症状恶化.
- 虽然在统计学上显著,但观察到的差异需要谨慎的临床解释,因为大小.
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