Selkowitz David M, Chaney Casey, Stuckey Sandra J, Vlad Georgeanne
Western University of Health Sciences, Pomona, CA, USA.
J Orthop Sports Phys Ther. 2007 Nov;37(11):694-702. doi: 10.2519/jospt.2007.2467.
Multifactorial, repeated-measures, within-subjects design.
To investigate the immediate effects of scapular taping on surface electromyographic (EMG) signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome.
Individuals with shoulder impingement syndrome may present with increased activity of the upper trapezius and inhibition of other shoulder muscles active during upper extremity elevation. Scapular taping is theorized to normalize shoulder girdle function during scapular upward rotation by decreasing upper trapezius activity and increasing the activity of the lower trapezius and other muscles. assessed for each muscle.
Upper trapezius activity was significantly lower with tape during shelf task elevation (P = .002), especially above 90 degrees (P<.002). Lower trapezius activity was significantly higher with tape (P = .043). No significant differences were found between the tape and no tape for other muscles for the shelf task. During shoulder abduction in the scapular plane, the main effect for upper trapezius showed a significant decrease of EMG signal amplitude (P = .047) for tape versus no tape, but no significant interactions were found among components of this activity, or for other muscles.
Scapular taping decreased upper trapezius and increased lower trapezius activity in people with suspected shoulder impingement during a functional overhead-reaching task, and decreased upper trapezius activity during shoulder abduction in the scapular plane. Taping did not affect the other muscles under the loads tested, but it is possible that the activity of these muscles was not deficient at the time of testing.
多因素、重复测量、受试者内设计。
研究肩胛贴扎对疑似肩峰撞击综合征患者上肢抬高过程中肩带肌表面肌电图(EMG)信号幅度的即时影响。
肩峰撞击综合征患者在上肢抬高时,可能出现斜方肌上束活动增加,以及其他肩肌活动受抑制的情况。理论上,肩胛贴扎可通过降低斜方肌上束活动、增加斜方肌下束及其他肌肉的活动,使肩胛上旋时肩带功能恢复正常。对每块肌肉进行评估。
在搁板任务抬高过程中,贴扎时斜方肌上束的活动显著降低(P = 0.002),尤其是在90度以上时(P < 0.002)。贴扎时斜方肌下束的活动显著增加(P = 0.043)。在搁板任务中,其他肌肉在贴扎与未贴扎之间未发现显著差异。在肩胛平面进行肩关节外展时,斜方肌上束的主要效应显示,贴扎组与未贴扎组相比,EMG信号幅度显著降低(P = 0.047),但该活动各组成部分之间或其他肌肉未发现显著交互作用。
在功能性过头伸展任务中,肩胛贴扎可降低疑似肩峰撞击患者的斜方肌上束活动,增加斜方肌下束活动,并在肩胛平面肩关节外展时降低斜方肌上束活动。贴扎对测试负荷下的其他肌肉没有影响,但这些肌肉在测试时的活动可能并不不足。