Champion Sports Medicine, Birmingham, AL.
J Orthop Sports Phys Ther. 2013 Dec;43(12):891-4. doi: 10.2519/jospt.2013.4990. Epub 2013 Oct 30.
Stretching techniques that focus on increasing posterior shoulder soft tissue flexibility are commonly incorporated into prevention and treatment programs for the overhead athlete. The cross-body and sleeper stretch exercises have been described as stretching techniques to improve posterior shoulder soft tissue flexibility and to increase glenohumeral joint internal rotation and horizontal adduction range of motion in the overhead athlete. But, based on the inability to stabilize the scapula and control glenohumeral joint rotation with the cross-body stretch and the potential for subacromial impingement with the sleeper stretch, the authors recommend modifications to both of these commonly performed stretches. This clinical commentary reviews the literature on posterior shoulder stretches, describes modifications to both of these commonly performed stretches, and outlines a strategy to maintain or improve posterior shoulder soft tissue flexibility and glenohumeral joint internal rotation range of motion in the overhead athlete.
Therapy, level 5.
侧重于增加肩部后软组织柔韧性的伸展技术通常被纳入过顶运动员的预防和治疗计划中。体侧伸展和睡眠者伸展被描述为可改善肩部后软组织柔韧性、增加过顶运动员盂肱关节内旋和水平内收运动范围的伸展技术。但是，由于体侧伸展无法稳定肩胛骨和控制盂肱关节旋转，以及睡眠者伸展可能导致肩峰下撞击，作者建议对这两种常用的伸展技术进行修改。本临床评论回顾了关于肩部后伸展的文献，描述了对这两种常用伸展技术的修改，并概述了一种在过顶运动员中保持或改善肩部后软组织柔韧性和盂肱关节内旋运动范围的策略。
治疗，5 级。
