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不同病理类型患者在肩部前伸和肩胛骨不对称方面的比较。

Comparison of patients with different pathologies in terms of shoulder protraction and scapular asymmetry.

作者信息

Taspinar Ferruh, Aksoy Cihan Caner, Taspinar Betul, Cimbiz Ali

机构信息

Department of Physiotherapy and Rehabilitation, School of Health Science, Dumlupinar University.

出版信息

J Phys Ther Sci. 2013 Aug;25(8):1033-8. doi: 10.1589/jpts.25.1033. Epub 2013 Sep 20.

Abstract

[Purpose] The aim of this study was to compare cases with different shoulder and cervical pathologies in terms of shoulder protraction and scapular asymmetry. [Methods] A total of 216 patients, aged between 30-70 years, were included, 108 of which were in the patient group (subacromial impingement, rotator cuff problems, adhesive capsulitis, disc herniations) and 108 of which were in the control group. The control group consisted of cases with no prior neck and shoulder problems or pain. Pain was evaluated using the visual analogue scale (VAS); the asymmetry of scapula was evaluated using the Lateral Scapular Slide Test (LSST) with two additional positions; and the protraction of the scapula was evaluated using the shoulder protraction test. [Results] According to the data obtained, the affected side scapular asymmetry and protraction in the patient group were significantly greater than in the control group. When the patient groups were compared in terms of different pathologies, there were no differences between scapular asymmetry and shoulder protraction. [Conclusion] In conclusion, the pathologies of the neck and shoulder were found to cause scapular asymmetry and shoulder protraction. However, patients with different pathologies had similar scapular asymmetry and shoulder protraction.

摘要

[目的] 本研究旨在比较不同肩部和颈部病变病例在肩部前伸和肩胛骨不对称方面的情况。[方法] 共纳入216例年龄在30至70岁之间的患者,其中108例为患者组(肩峰下撞击症、肩袖问题、粘连性关节囊炎、椎间盘突出症),108例为对照组。对照组由既往无颈部和肩部问题或疼痛的病例组成。使用视觉模拟量表(VAS)评估疼痛;使用外侧肩胛骨滑动试验(LSST)并增加两个额外位置评估肩胛骨的不对称性;使用肩部前伸试验评估肩胛骨的前伸情况。[结果] 根据获得的数据,患者组患侧肩胛骨的不对称性和前伸程度明显大于对照组。当按不同病变对患者组进行比较时,肩胛骨不对称性和肩部前伸情况并无差异。[结论] 总之,发现颈部和肩部病变会导致肩胛骨不对称和肩部前伸。然而,不同病变的患者肩胛骨不对称性和肩部前伸情况相似。

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