Lin Jiu-jeng, Hanten William P, Olson Sharon L, Roddey Toni S, Soto-quijano David A, Lim Hyun K, Sherwood Arthur M
School of Physical Therapy and National Taiwan University Hospital, College of Medicine, National Taiwan University, Zhongzheng District, Taipei City 100, Taiwan, Republic of China.
Phys Ther. 2006 Aug;86(8):1065-74.
Shoulder dysfunction is common in various patient populations. This investigation was performed to assess shoulder dysfunction with self-report and performance-based functional measures.
Fifty men (25 with shoulder dysfunction and 25 without shoulder dysfunction) participated in this study.
Self-report functional disabilities were assessed with the Flexilevel Scale of Shoulder Function (FLEX-SF), and electromagnetic tracking sensors were used to monitor 3-dimensional scapular movements during 4 functional tasks.
Relative to the control group, the group with shoulder dysfunction showed significant alterations in scapular movements (averages of 6.9 degrees less posterior tipping, 5.7 degrees less upward rotation, and 2.3 cm more elevation). Scapular kinematics correlated significantly (r) with the Self-report FLEX-SF measure during functional tasks (posterior tipping = .454 to .712, upward rotation = .296 and .317, and elevation = -.310).
Functional disabilities were identified with self-report and performance-based functional measures. The inadequate scapular posterior tipping and scapular upward rotation as well as the excessive elevation may have implications in planning intervention strategies for people with shoulder dysfunction.
肩部功能障碍在各类患者群体中较为常见。本研究旨在通过自我报告和基于表现的功能测量方法来评估肩部功能障碍。
五十名男性（25名有肩部功能障碍，25名无肩部功能障碍）参与了本研究。
使用肩部功能灵活量表（FLEX - SF）评估自我报告的功能残疾情况，并使用电磁跟踪传感器在四项功能任务期间监测三维肩胛运动。
与对照组相比，肩部功能障碍组的肩胛运动有显著改变（后倾平均减少6.9度，上旋平均减少5.7度，抬高平均增加2.3厘米）。在功能任务期间，肩胛运动学与自我报告的FLEX - SF测量值显著相关（后倾r值为0.454至0.712，上旋r值为0.296和0.317，抬高r值为 - 0.310）。
通过自我报告和基于表现的功能测量方法识别出功能残疾情况。肩胛后倾不足、肩胛上旋不足以及抬高过度可能对肩部功能障碍患者的干预策略规划具有启示意义。
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