Lovern B, Stroud L A, Ferran N A, Evans S L, Evans R O, Holt C A
Institute of Medical Engineering and Medical Physics, Cardiff University, Cardiff, UK.
Comput Methods Biomech Biomed Engin. 2010 Dec;13(6):803-9. doi: 10.1080/10255841003630637.
The shoulder complex has a larger range of motion (ROM) than any other joint complex in the human body, leaving it prone to numerous injuries. Objective kinematic analysis could yield useful functional insights that may assist clinical practice. Non-invasive optoelectronic motion analysis techniques have been used to assess the shoulders of five healthy subjects performing ROM tasks and 10 functional tasks of daily living. The four most demanding tasks - touching the side and back of the head, brushing the opposite side of the head, lifting an object to shoulder height and lifting an object to head height, required 78%, 60%, 61% and 71%, respectively, of the glenohumeral elevation necessary for full abduction in the scapular plane for the 10 shoulders. This has implications for clinical practice where maximum arm elevation is commonly used to determine a patient's ability to return to work and other everyday activities.
肩部复合体的活动范围（ROM）比人体其他任何关节复合体都要大，这使其容易受到多种损伤。客观运动学分析可以产生有用的功能见解，可能有助于临床实践。非侵入性光电运动分析技术已被用于评估五名健康受试者进行活动范围任务和10项日常生活功能任务时的肩部情况。四项要求最高的任务——触摸头部侧面和后部、刷另一侧头部、将物体举到肩部高度以及将物体举到头部高度，分别需要10个肩部在肩胛平面完全外展时所需肱盂抬高的78%、60%、61%和71%。这对临床实践具有启示意义，在临床实践中，通常使用最大手臂抬高来确定患者恢复工作和其他日常活动的能力。
