肩关节疾病患者中盂肱关节抬高及三维肩胛运动学与功能障碍的关系。
Relationship of glenohumeral elevation and 3-dimensional scapular kinematics with disability in patients with shoulder disorders.
作者信息
Fayad Fouad, Roby-Brami Agnès, Gautheron Vincent, Lefevre-Colau Marie-Martine, Hanneton Sylvain, Fermanian Jacques, Poiraudeau Serge, Revel Michel
机构信息
Department of Physical Medicine and Rehabilitation, Cochin Hospital, 27 Rue du Faubourg Saint Jacques, Paris Cedex 14, France.
出版信息
J Rehabil Med. 2008 Jun;40(6):456-60. doi: 10.2340/16501977-0199.
OBJECTIVE
To determine variables among glenohumeral elevation and 3-dimensional scapular rotations that are related to shoulder function as assessed by the Disability of the Arm, Shoulder and Hand-Disability/Symptom (DASH-D/S) scale.
DESIGN
Prospective, cross-sectional study.
PATIENTS
Eighty-eight patients with shoulder pain and limited range of motion were included.
METHODS
Each patient performed 2 full active range of motion activities, forward flexion and abduction, and 2 activities of daily living, combing hair and simulating washing the back. Glenohumeral elevation and scapular rotations were measured by the Polhemus Fastrak electromagnetic system.
RESULTS
On multiple regression analysis, glenohumeral elevation in combing hair and scapular lateral rotation in both abduction and simulating washing the back were the best predictors of shoulder function and explained 39.7% of the variance of the DASH-D/S score.
CONCLUSION
These findings support the classical rehabilitation of the shoulder based on glenohumeral elevation and suggest the importance of attention paid to scapular lateral rotation.
目的
确定在通过手臂、肩部和手部功能障碍-残疾/症状（DASH-D/S）量表评估的肩关节抬高和三维肩胛旋转中，与肩部功能相关的变量。
设计
前瞻性横断面研究。
患者
纳入88例肩部疼痛且活动范围受限的患者。
方法
每位患者进行2项全主动活动范围的动作，即前屈和外展，以及2项日常生活活动，即梳头和模拟洗背。通过Polhemus Fastrak电磁系统测量肩关节抬高和肩胛旋转。
结果
在多元回归分析中，梳头时的肩关节抬高以及外展和模拟洗背时的肩胛外侧旋转是肩部功能的最佳预测指标，解释了DASH-D/S评分方差的39.7%。
结论
这些发现支持基于肩关节抬高的经典肩部康复，并表明关注肩胛外侧旋转的重要性。
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