Cooperstein Robert, Haneline Michael T, Young Morgan D
J Can Chiropr Assoc. 2009;53(2):121-8.
In two previous studies we established the mean location of the upright inferior angle of the scapula (IAS) to be near the spinous process of T8. The current study investigates the common belief that the prone IAS lines up with the T6 SP.
The location of the IAS in relation to the spine of 20 mostly asymptomatic subjects was assessed on a Hi-Lo table in 7 different postures, 2 upright and 5 prone.
THE SCAPULA MOVED CEPHALAD IN TWO OF THE TEST POSITIONS: prone, arms at side and prone, chicken-wing. It moved caudad in the other 4 test positions, including prone, using armrest (18.4 mm).
With the prone patient's arms on the arm pieces, the most likely patient posture, the average caudad IAS movement is about one vertebral level, notwithstanding the common belief that the IAS is one level cephalad to the upright level.
在之前的两项研究中,我们确定站立位时肩胛下角(IAS)的平均位置靠近T8棘突。当前研究调查了一种普遍观点,即俯卧位时IAS与T6棘突对齐。
在高低床上对20名大多无症状的受试者在7种不同姿势(2种站立位和5种俯卧位)下,评估IAS相对于脊柱的位置。
在两个测试体位中肩胛骨向上移动:俯卧位、手臂放于身体两侧和俯卧位、鸡翅样姿势。在其他4个测试体位中肩胛骨向下移动,包括使用扶手的俯卧位(18.4毫米)。
在最常见的患者姿势即俯卧位患者手臂放在扶手上时,尽管普遍认为俯卧位时IAS比站立位时高一个椎体水平,但IAS平均向下移动约一个椎体水平。