Morais Nuno, Cruz Joana
Polytechnic Institute of Leiria, School of Health Sciences (ESSLei - IPL), Department of Health Technologies, Campus 2 - Morro do Lena - Alto do Vieiro, 2411-901 Leiria, Portugal.
Polytechnic Institute of Leiria, School of Health Sciences (ESSLei - IPL), Department of Health Technologies, Campus 2 - Morro do Lena - Alto do Vieiro, 2411-901 Leiria, Portugal; School of Health Sciences of the University of Aveiro (ESSUA), Campus Universitário de Santiago, Agras do Crasto, Edifício 30, 3810-193 Aveiro, Portugal.
Phys Ther Sport. 2016 Jan;17:1-13. doi: 10.1016/j.ptsp.2015.10.003. Epub 2015 Oct 22.
The adaptive shortening or tightness of the pectoralis minor muscle (PMm) is one of the potential biomechanical mechanisms associated with altered scapular alignment at rest and scapular motion during arm elevation (scapular dyskinesis) in patients with shoulder complaints. This masterclass briefly reviews the role of the PMm in shoulder movement-related impairments and provides a critical overview of the assessment of PMm tightness and the conventional approaches to increase its resting length and extensibility. A rehabilitation approach focused on PMm stretching and simultaneous optimization of the kinematic chain of arm elevation is also discussed, hoping to improve the management of shoulder movement-related impairments and pain.
胸小肌（PMm）的适应性缩短或紧张是肩部不适患者在静息时肩胛骨排列改变以及手臂抬高过程中肩胛骨运动（肩胛骨运动障碍）相关的潜在生物力学机制之一。本大师课简要回顾了胸小肌在与肩部运动相关的功能障碍中的作用，并对胸小肌紧张度的评估以及增加其静息长度和伸展性的传统方法进行了批判性概述。还讨论了一种专注于胸小肌拉伸以及同时优化手臂抬高运动链的康复方法，希望改善对与肩部运动相关的功能障碍和疼痛的管理。
