Kim Haroo, Kim Boin, Shim Jemyung, Kwon Haeyeon, Jung Juhyeon
Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Health and Sciences, Kangwon National University, Republic of Korea.
J Phys Ther Sci. 2014 Jan;26(1):97-100. doi: 10.1589/jpts.26.97. Epub 2014 Feb 6.
[Purpose] The purpose of this study was to compare the potential effects of resistance exercise according to the positions of the arms and the rotation of the humerus on the subhumeral acromial space. [Subjects] The study subjects were 34 subjects without shoulder pain. [Methods] Ultrasonographic measurements of the acromiohumeral distance of the subjects were made at three shoulder positions: 90° flexion, scaption at 90° abduction, and 90° abduction in an upright sitting position. The subjects were instructed to vertically push against a table to the maximum level with the humerus in internal, neutral, and external rotation. The measurements were made three times in each position. [Results] There was a significant difference in acromiohuneral distance between neutral and internal rotation of the humerus, and between external rotation and internal rotation of the humerus. In the scaption position, there was a significant difference between neutral and internal rotation of the humerus, and between external rotation and internal rotation of the humerus. In the 90° flexion position, there was a significant difference between neutral and internal rotation, and between neutral and external rotation. There was a significant difference between the flexion position and the abduction position, and between the flexion position and the scaption position. In terms of the internal rotation of the humerus, there was a significant difference between 90° flexion and 90° abduction. [Conclusion] These findings can be applied in exercises prescribed to increase the acromiohumeral distance and to aid the treatment and evaluation of shoulder dysfunctions.
[目的] 本研究旨在比较根据手臂位置和肱骨旋转对肩峰下间隙进行抗阻训练的潜在效果。[对象] 研究对象为34名无肩部疼痛的受试者。[方法] 在三个肩部位置对受试者的肩峰肱骨头距离进行超声测量:90°屈曲、外展90°位的肩胛平面、直立坐姿下90°外展。受试者被要求在肱骨内旋、中立位和外旋时垂直推桌子至最大程度。每个位置测量三次。[结果] 肱骨中立位与内旋之间、外旋与内旋之间的肩峰肱骨头距离存在显著差异。在肩胛平面位置,肱骨中立位与内旋之间、外旋与内旋之间存在显著差异。在90°屈曲位置,中立位与内旋之间、中立位与外旋之间存在显著差异。屈曲位置与外展位置之间、屈曲位置与肩胛平面位置之间存在显著差异。就肱骨内旋而言,90°屈曲与90°外展之间存在显著差异。[结论] 这些发现可应用于为增加肩峰肱骨头距离而规定的训练中,并有助于肩部功能障碍的治疗和评估。