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贴扎对健康肩部肩胛旋转肌的肌电图肌肉活动有影响吗?

Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders?

作者信息

Cools A M, Witvrouw E E, Danneels L A, Cambier D C

机构信息

Department of Rehabilitation Sciences and Physiotherapy & Postgraduate Education in Manual Therapy, Faculty of Medicine and Health Sciences, University Hospital, Ghent, Belgium.

出版信息

Man Ther. 2002 Aug;7(3):154-62. doi: 10.1054/math.2002.0464.

Abstract

Although taping techniques are commonly used in addition to exercise programmes in the rehabilitation of shoulder instability and secondary subacromial or internal impingement, few studies exist on the effect of taping on the muscle activity of the scapular rotators. The purpose of our study was to examine the influence of one particular tape on muscular activity in scapular muscles. Twenty healthy shoulders were examined with surface EMG recordings on the three parts of trapezius and serratus anterior muscle during dynamic full range of motion abduction and forward flexion. The movement direction, and tape and no-tape conditions were randomized. The statistical analyses with ANOVA repeated Measures (GLM model) showed significant differences among the means between the four muscles (P<0.05), two movement directions (P<0.05), applied resistance (P<0.01), and movement period (P<0.01). However, no significant difference was observed based on the application of tape. The results of our investigation revealed no significant influence of tape application on EMG activity in the scapular muscles in healthy subjects. Future research will be necessary to examine other parameters of neuromuscular control in order to determine possible proprioceptive changes in muscle recruitment with tape application.

摘要

尽管在肩部不稳定以及继发性肩峰下或内部撞击的康复过程中,除了运动计划外,贴扎技术也经常被使用,但关于贴扎对肩胛旋转肌肌肉活动影响的研究却很少。我们研究的目的是检验一种特定贴扎对肩胛部肌肉活动的影响。在动态全范围外展和前屈过程中,对20个健康肩部的斜方肌和前锯肌三个部位进行表面肌电图记录检查。运动方向、贴扎和不贴扎情况均随机安排。采用重复测量方差分析(广义线性模型)进行统计分析,结果显示四块肌肉之间的均值存在显著差异(P<0.05),两个运动方向之间存在显著差异(P<0.05),施加阻力之间存在显著差异(P<0.01),运动阶段之间存在显著差异(P<0.01)。然而,基于贴扎的应用未观察到显著差异。我们的调查结果显示,在健康受试者中,贴扎应用对肩胛部肌肉的肌电图活动没有显著影响。未来有必要进行其他神经肌肉控制参数的研究,以确定贴扎应用时肌肉募集可能的本体感觉变化。

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