Myers Joseph B, Wassinger Craig A, Lephart Scott M
Department of Sports Medicine and Nutrition, Neuromuscular Research Laboratory, School of Health and Rehabilitation Sciences, UPMC Center for Sports Medicine, University of Pittsburgh, 3200 South Water Street, Pittsburgh, PA 15203, USA.
Man Ther. 2006 Aug;11(3):197-201. doi: 10.1016/j.math.2006.04.002. Epub 2006 Jun 14.
Shoulder joint stability is the humeral head remaining or promptly returning to proper alignment within the glenoid fossa. This is mediated by both mechanical and dynamic restraint mechanisms. Coordination of these restraint systems is required for shoulder joint stability. The sensorimotor system is defined as all of the sensory, motor, and central integration and processing components involved in maintaining joint stability. The sensorimotor system is comprised of several components including proprioception, joint position sense, kinesthesia, sensation of force, and neuromuscular control. With joint injury, not only are the mechanical restraints disrupted (joint capsule, glenoid labrum, etc.) but also, the sensorimotor system is affected. Restoration of the sensorimotor system has been shown to occur through both surgical and conservative intervention and rehabilitation. Surgery has been shown to restore both mechanical restraints and the sensorimotor system. Specific rehabilitation techniques have also been effective at improving the sensorimotor system in healthy and pathological patients.
肩关节稳定性是指肱骨头保持在关节盂窝内或迅速恢复到正确的对线位置。这由机械性和动态约束机制介导。这些约束系统的协调对于肩关节稳定性是必需的。感觉运动系统被定义为参与维持关节稳定性的所有感觉、运动以及中枢整合与处理组件。感觉运动系统由几个组件组成，包括本体感觉、关节位置觉、运动觉、力觉和神经肌肉控制。关节损伤时，不仅机械性约束（关节囊、关节盂唇等）会受到破坏，感觉运动系统也会受到影响。已证明感觉运动系统可通过手术、保守干预及康复得以恢复。手术已被证明能恢复机械性约束和感觉运动系统。特定的康复技术在改善健康和患病患者的感觉运动系统方面也很有效。
