Lexington Sports Medicine Center, Lexington, KY.
J Athl Train. 2000 Jul;35(3):329-37.
To introduce an approach to shoulder rehabilitation that integrates the kinetic chain throughout the rehabilitation program while providing the theoretical rationale for this program.
The focus of a typical rehabilitation program is to identify and treat the involved structures. However, in activities of sport and daily life, the body does not operate in isolated segments but rather works as a dynamic unit. Recently, rehabilitation programs have emphasized closed kinetic chain exercises, core-stabilization exercises, and functional programs. These components are implemented as distinct entities and are used toward the end of the rehabilitation program.
Kinetic chain shoulder rehabilitation incorporates the kinetic link biomechanical model and proximal-to-distal motor-activation patterns with proprioceptive neuromuscular facilitation and closed kinetic chain exercise techniques. This approach focuses on movement patterns rather than isolated muscle exercises. Patterns sequentially use the leg, trunk, and scapular musculature to activate weakened shoulder musculature, gain active range of motion, and increase strength. The paradigm of kinetic chain shoulder rehabilitation suggests that functional movement patterns and closed kinetic chain exercises should be incorporated throughout the rehabilitation process.
The exercises in this approach are consistent with biomechanical models, apply biomechanical and motor control theory, and work toward sport specificity. The exercises are designed to stimulate weakened tissue by motion and force production in the adjacent kinetic link segments.
介绍一种将运动链整合到整个康复计划中的肩部康复方法，同时为该计划提供理论依据。
典型的康复计划侧重于识别和治疗相关结构。然而，在体育和日常生活活动中，身体不是以孤立的部位运作，而是作为一个动态整体。最近，康复计划强调了闭合运动链练习、核心稳定性练习和功能性练习。这些组成部分作为不同的实体实施，并在康复计划的后期使用。
运动链肩部康复将运动链生物力学模型和近端到远端的运动激活模式与本体感受神经肌肉促进和闭合运动链练习技术相结合。这种方法侧重于运动模式，而不是孤立的肌肉练习。模式依次使用腿部、躯干和肩胛带肌肉来激活虚弱的肩部肌肉，获得主动运动范围，并增加力量。运动链肩部康复的范例表明，功能性运动模式和闭合运动链练习应该贯穿整个康复过程。
该方法中的练习与生物力学模型一致，应用生物力学和运动控制理论，并朝着运动特异性发展。这些练习旨在通过相邻运动链节段的运动和力的产生来刺激虚弱的组织。
