DiVeta J, Walker M L, Skibinski B
Sports Medicine and Physical Therapy Clinic, Raleigh Community Hospital, NC 27609.
Phys Ther. 1990 Aug;70(8):470-6; discussion 476-9. doi: 10.1093/ptj/70.8.470.
The purpose of this study was to examine the relationship between muscular forces generated by the middle trapezius and pectoralis minor muscles and the position of the scapula in relaxed standing. The muscular forces of 60 subjects were measured in standard manual muscle testing positions with a hand-held dynamometer. Scapular abduction in standing was measured with a tape measure. Each measurement was taken twice, and the measurements were shown to be reliable. The correlation between scapular abduction and middle trapezius muscle force was .20. The correlation between scapular abduction and pectoralis minor muscle force was .14. The correlation between scapular abduction and a ratio of middle trapezius muscle force to pectoralis minor muscle force was .01. The results indicate that no relationship exists between the position of the scapula in standing subjects and the muscular force produced by the middle trapezius and pectoralis minor muscles. Clinical practices based on an assumed relationship between these variables (eg, the practice of using middle trapezius muscle strengthening exercises to correct a forward shoulder position) should be reexamined in light of these findings.
本研究的目的是探讨在放松站立状态下,斜方肌中部和胸小肌产生的肌肉力量与肩胛骨位置之间的关系。使用手持测力计在标准手法肌力测试位置测量了60名受试者的肌肉力量。使用卷尺测量站立位时肩胛骨的外展情况。每项测量均进行两次,结果显示测量结果具有可靠性。肩胛骨外展与斜方肌中部肌肉力量之间的相关性为0.20。肩胛骨外展与胸小肌肌肉力量之间的相关性为0.14。肩胛骨外展与斜方肌中部肌肉力量与胸小肌肌肉力量之比之间的相关性为0.01。结果表明,站立受试者的肩胛骨位置与斜方肌中部和胸小肌产生的肌肉力量之间不存在关系。鉴于这些发现,基于这些变量之间假定关系的临床实践(例如,使用斜方肌中部肌肉强化练习来纠正肩部前伸位置的做法)应重新审视。