Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, São Carlos, SP, Brazil.
Eur J Appl Physiol. 2010 Jun;109(3):389-95. doi: 10.1007/s00421-010-1365-2. Epub 2010 Feb 4.
Peak torque (PT), total work (TW) and acceleration time (AT) were measured during isokinetic concentric and eccentric abduction of the shoulder in subjects with subacromial impingement syndrome (SIS) and healthy subjects. The SIS group consisted of 27 subjects (33.48 +/- 9.94 years) with unilateral SIS and it was divided into two groups: (1) SIS with the dominant involved side, (2) SIS with the nondominant involved side. The control group consisted of 23 healthy subjects (32.26 +/- 9.04 years). PT, TW and AT were measured bilaterally at 60 and 180 degrees /s. No significant interactions were found between group and side (P > 0.05), as well as no significant main effects of group and side (P > 0.05) for all variables during concentric abduction of the shoulder at both tested speeds. During the eccentric contractions, lower TW (P < 0.05) was demonstrated by the nondominant uninvolved side of SIS group at 60 degrees /s, and by the uninvolved sides of the SIS groups at 180 degrees /s compared to the dominant side of the controls. At 180 degrees /s, the nondominant uninvolved side of the SIS group demonstrated slower AT (P < 0.05) compared to the dominant side of the control group, as well as the nondominant involved side of the SIS group compared to the nondominant side of the controls. The results showed no alterations in the measured parameters during concentric and eccentric phases of isokinetic abduction in subjects with SIS when compared to a control group. However, alterations may be observed in the contralateral side during the eccentric phase of abduction in subjects with unilateral conditions of SIS.
在患有肩峰下撞击综合征(SIS)和健康受试者中,测量了等速向心性和离心性肩关节外展时的峰值扭矩(PT)、总功(TW)和加速时间(AT)。SIS 组由 27 名单侧 SIS 患者组成(33.48 +/- 9.94 岁),并分为两组:(1)优势侧受累的 SIS,(2)非优势侧受累的 SIS。对照组由 23 名健康受试者组成(32.26 +/- 9.04 岁)。在 60 和 180 度/秒时,双侧测量 PT、TW 和 AT。在向心性肩关节外展的所有测试速度下,组间和侧间均未发现显著的交互作用(P > 0.05),组间和侧间也未发现显著的主要作用(P > 0.05)。在 60 度/秒时,SIS 组非优势未受累侧的 TW 较低(P < 0.05),而在 180 度/秒时,SIS 组的未受累侧的 TW 较低(P < 0.05),与对照组的优势侧相比。在 180 度/秒时,SIS 组非优势未受累侧的 AT 较慢(P < 0.05),与对照组的优势侧相比,以及与对照组的非优势侧相比,SIS 组的非优势受累侧的 AT 较慢。与对照组相比,SIS 患者在等速外展向心性和离心性阶段的测量参数没有改变。然而,在单侧 SIS 患者的外展离心阶段,对侧可能会发生改变。