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实验性诱导的肩峰下疼痛对肩部力量和投掷准确性的作用。

The role of experimentally-induced subacromial pain on shoulder strength and throwing accuracy.

作者信息

Wassinger Craig A, Sole Gisela, Osborne Hamish

机构信息

Department of Physical Therapy, East Tennessee State University, PO Box 70624, Johnson City, TN 37604, USA.

出版信息

Man Ther. 2012 Oct;17(5):411-5. doi: 10.1016/j.math.2012.03.008. Epub 2012 Apr 13.

Abstract

Shoulder injuries often comprise two separate yet related components, structural tissue damage and pain. The role of each of these components on shoulder function is difficult to ascertain. Experimental pain models allow the assessment of consequences of localized pain when applied to healthy individuals. By understanding the role of pain on shoulder function, clinicians will be able to more efficiently assess and treat shoulder injuries. The objective of the study was to evaluate the role of experimentally-induced sub-acromial pain on shoulder isokinetic rotational strength and throwing accuracy. This was a block counterbalanced, crossover, repeated measures study design utilizing 20 individuals without self-reported shoulder or cervical pathology. Shoulder function was measured with and without experimental pain injection (2 mL of 5% hypertonic saline) in the sub-acromial space. Functional tasks consisted of shoulder rotational strength utilizing isokinetic testing and throwing accuracy via the functional throwing performance index. The hypertonic saline induced moderate pain levels in all participants (4.3-5.1/10). Normalized shoulder internal (t = 3.76, p = 0.001) and external (t = 3.12, p = 0.006) rotation strength were both diminished in the painful condition compared to the pain free condition. Throwing accuracy was also reduced while the participants experienced pain (t = 3.99, p = 0.001). Moderate levels of experimental shoulder pain were sufficient to negatively influence shoulder strength and throwing accuracy in participants without shoulder pathology.

摘要

肩部损伤通常包括两个独立但相关的部分,即结构组织损伤和疼痛。这些部分对肩部功能的作用难以确定。实验性疼痛模型能够评估将局部疼痛施加于健康个体时所产生的后果。通过了解疼痛对肩部功能的作用,临床医生将能够更有效地评估和治疗肩部损伤。本研究的目的是评估实验性诱发的肩峰下疼痛对肩部等速旋转力量和投掷准确性的作用。这是一项采用区组平衡、交叉、重复测量研究设计的实验,研究对象为20名无肩部或颈部自报病史的个体。在肩峰下间隙进行实验性疼痛注射(2毫升5%高渗盐水)前后分别测量肩部功能。功能任务包括通过等速测试测量肩部旋转力量,以及通过功能性投掷表现指数测量投掷准确性。高渗盐水在所有参与者中诱发了中度疼痛水平(4.3 - 5.1/10)。与无痛状态相比,在疼痛状态下,标准化的肩部内旋(t = 3.76,p = 0.001)和外旋力量(t = 3.12,p = 0.006)均有所下降。在参与者经历疼痛时,投掷准确性也降低了(t = 3.99,p = 0.001)。中度水平的实验性肩部疼痛足以对无肩部病变的参与者的肩部力量和投掷准确性产生负面影响。

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