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关节盂不对称区域被认为是在冠状面推和拉过程中肩部力量的重要贡献因素。

The area of glenoid asymmetry identified as important contributor to shoulder strength during pushing and pulling in the coronal plane.

作者信息

Gielo-Perczak K, Matz S

机构信息

Liberty Mutual Research Institute for Safety, Hopkinton, MA 01748, USA.

出版信息

Ergonomics. 2007 Nov;50(11):1856-70. doi: 10.1080/00140130701675957.

Abstract

The geometrical dimensions of the bones that make up the glenohumeral joint could be a key factor in strength predictability. Understanding the mechanical influence of these dimensions (individually or in combination) on shoulder strength could help explain the mechanism of musculoskeletal disorders. The following study shows how a recently discovered geometric parameter, the area of glenoid asymmetry (AGA), is a good indicator of shoulder strength. A comprehensive study was conducted to test whether glenohumeral geometry, as measured through MRI scans, is correlated with upper arm strength. The isometric shoulder strength of 12 subjects during one-handed arm abduction and adduction in the coronal plane, in a range from 5 to 30 degrees , was correlated with the geometries of their glenoid fossae. All subjects were stronger during adduction than abduction for all arm positions. The results revealed a high correlation in the coronal plane between the AGA and mean maximum force and mean maximum moment when an arm was abducted and adducted in a range from 5 degrees to 30 degrees (0.80, p </or= 0.01 and 0.69, p <or= 0.05, respectively during abduction and 0.61, p <or= 0.04 and 0.61, p <or= 0.04, respectively during adduction). This investigation revealed the repercussion of individual glenoid geometry on the maximum acceptable load applied to the hand during arm abduction and adduction in a coronal plane.

摘要

构成盂肱关节的骨骼的几何尺寸可能是强度可预测性的关键因素。了解这些尺寸(单独或组合)对肩部力量的机械影响有助于解释肌肉骨骼疾病的发病机制。以下研究表明,最近发现的一个几何参数——肩胛盂不对称面积(AGA),是肩部力量的一个良好指标。进行了一项全面研究,以测试通过MRI扫描测量的盂肱关节几何形状是否与上臂力量相关。12名受试者在冠状面内进行单手手臂外展和内收(范围为5至30度)时的等长肩部力量,与他们肩胛盂的几何形状相关。在所有手臂位置,所有受试者内收时都比外展时更强壮。结果显示,在冠状面内,当手臂在5度至30度范围内外展和内收时,AGA与平均最大力和平均最大力矩之间存在高度相关性(外展时分别为0.80,p≤0.01和0.69,p≤0.05;内收时分别为0.61,p≤0.04和0.61,p≤0.04)。这项研究揭示了在冠状面内手臂外展和内收过程中,个体肩胛盂几何形状对施加于手部的最大可接受负荷的影响。

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