Skolimowski Jarosław, Barczyk Katarzyna, Dudek Krzysztof, Skolimowska Beata, Demczuk-Włodarczyk Ewa, Anwajler Joanna
Department of Orthopaedics & Traumatology, Regional Specialised Hospital, Legnica.
Ortop Traumatol Rehabil. 2007 Sep-Oct;9(5):484-98.
The posture of people with shoulder impingement syndrome (SIS) is a result of adaptive defensive posturing to decrease the intensity of pain in the affected joint. The aim of this work is to characterise trunk and shoulder girdle positioning in patients with SIS.
The study involved 58 patients treated for SIS in the years 2004-2006. Symptoms had been present for 40 months on average. A photogrammetric study was performed with the use of a MORA 4G system. It consisted in measuring lordosis and kyphosis, as well as the symmetry of some selected anthropometric points in the frontal plane.
Changes in posture presenting as an increased angle of trunk inclination in the sagittal plane and in the frontal plane were observed in all patients. There was asymmetry of bony points as regards the position of the scapula and the waist triangles.
The impingement syndrome is associated with displacement of all bony points analysed. Changes in posture are a result of adaptive mechanisms. Trunk asymmetry is secondary to changes in the spatial position of the scapula.
肩峰撞击综合征（SIS）患者的姿势是一种适应性防御姿势，旨在减轻患关节疼痛的强度。本研究的目的是描述SIS患者的躯干和肩胛带定位情况。
本研究纳入了2004年至2006年期间接受SIS治疗的58例患者。症状平均持续40个月。使用MORA 4G系统进行了摄影测量研究。该研究包括测量脊柱前凸和后凸，以及额平面上一些选定人体测量点的对称性。
在所有患者中均观察到姿势变化，表现为矢状面和额平面上躯干倾斜角度增加。肩胛骨和腰三角的骨点位置存在不对称。
撞击综合征与所分析的所有骨点移位有关。姿势变化是适应性机制的结果。躯干不对称是肩胛骨空间位置变化的继发表现。
