旋转手套肌病的治疗性运动的作用机制:弹性图学添加了什么?
Irene Pérez-Porta1,2, Claudia de la Fuente-Escudero1, Ángel Luis Bueno-Horcajadas3
1Department of Physical Medicine and Rehabilitation, Hospital Universitario Fundación Alcorcón, 28922 Madrid, Spain.
治疗旋转手套疼痛的治疗性炼显示了最小的力量增长,但增加了上肌肉的性. 通过剪波弹性学测量这种刚度可能表明运动适应,尽管它的临床意义需要进一步调查.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 肌肉骨康复 肌肉骨康复
背景情况:
- 与旋转手套相关的肩部疼痛 (RCRSP) 是常见的,治疗性运动作为主要治疗方法.
- 在RCRSP中行使有效性的基本机制仍然不清楚.
- 这项研究调查了肌肉强度和上脊髓微型结构的变化.
研究的目的:
- 分析增加肌肉力量在RCRSP治疗中的作用.
- 为了评估运动后的上肌肉微观结构 (硬) 的变化.
- 为了将这些变化与RCRSP患者的临床改善相关联.
主要方法:
- 对39名接受强化计划的RCRSP患者进行前性研究.
- 通过动力计测量评估肌肉力量.
- 在基线和6个月时使用剪切波弹性学 (SWE) 测量了上肌硬度.
主要成果:
- 97.3%的患者在6个月后报告了显著的改善.
- 观察到肌肉力量的小整体增加.
- 显著的改善与更大的强度增长和显著增加的脊上肌肉硬度相关.
结论:
- 在RCRSP运动中获得的力量增加在临床上是有限的.
- 通过SWE测量的上肌硬度增加可能反映了运动诱导的适应.
- 在RCRSP中增加硬度的生物学意义需要谨慎的解释.
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