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As the human population continues to grow and use resources, we must be mindful of our planet’s natural limits. Sustainable development provides a pathway to maintain and improve human life now while also ensuring that future generations will have the resources that they need. The long-term success of sustainability efforts rests on understanding the interplay between human actions and ecological systems.
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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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相关实验视频

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持续的肩部升高姿势:一个未被认可的功能运动障碍表型.

Alberto Albanese1,2, Luigi M Romito3, Paolo Amami4

  • 1Department of Neurology, IRCCS C. Mondino Neurological Institute, Pavia 27100, Italy.

Brain communications
|January 29, 2026
PubMed
概括
此摘要是机器生成的。

持续的肩部升高,通常与创伤有关,被确定为功能神经系统症状障碍. 药物治疗和肉毒毒素等治疗方法对这种运动障碍的有效性有限.

关键词:
不正常的姿势 异常的姿势迪斯托尼亚 (Dystonia) 是一种精神疾病.功能性运动障碍 功能性运动障碍肩膀肩膀,肩膀肩膀,这是一个很大的问题.

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科学领域:

  • 神经学 神经学
  • 运动障碍 运动障碍
  • 功能神经症状障碍 功能神经症状障碍

背景情况:

  • 持续的肩部升高姿势有时被报告为 dystonia 或创伤后运动障碍的变体.
  • 这种特定的运动异常在医学文献中没有得到很好的描述.

研究的目的:

  • 评估持续或固定肩部升高的患者的临床记录.
  • 为了研究这种情况的现象学,治疗反应和沉物.
  • 在现有文献中识别类似的案例.

主要方法:

  • 从运动障碍登记册中对患者记录的回顾性评估.
  • 神经生理学,遗传学和神经心理学测试.
  • 在PubMed搜索类似的案例介绍.

主要成果:

  • 六名患者出现了持续的肩部升高,通常涉及相邻区域,并伴有疼痛.
  • 两名患者报告了先前的局部创伤;发作是急性或渐进的.
  • 对口服药物和肉毒神经毒素的反应不佳;对一个患者的深度大脑刺激无效.
  • 运动皮层刺激在两名患者中提供了部分/临时改善.
  • 所有被诊断为功能运动障碍和功能神经症状 (转化) 障碍的患者.
  • 在文献搜索中,发现了75个类似的病例,75%的病例先前有轻微的创伤.
  • 这种情况对口服药物,肉毒神经毒素或物理治疗等常规治疗反应不佳.

结论:

  • 持续的肩部升高代表了功能神经症状障碍中的可识别综合征.
  • 这种情况往往是创伤的先发症,对标准治疗反应不佳.
  • 这种现象学对患者护理具有重大诊断和预后影响.