Roldán-Jiménez Cristina, Cuesta-Vargas Antonio I
Department of Psychiatry and Physiotherapy, University of Malaga, Faculty of Health Sciences, Spain.
Department of Psychiatry and Physiotherapy, University of Malaga, Faculty of Health Sciences, Spain; School of Clinical Science, Faculty of Health Science, Queensland University Technology, Australia.
Clin Biomech (Bristol). 2016 Aug;37:70-76. doi: 10.1016/j.clinbiomech.2016.06.004. Epub 2016 Jun 22.
Shoulder kinematics alteration has been previously proven in subjects suffering from shoulder damage, which is also related to shoulder degenerative changes as consequence of aging. Because of that, it would be interesting to investigate age-related kinematics. The main objective was to analyze age-related differences in shoulder kinematics by means of inertial sensors in asymptomatic subjects during shoulder abduction and flexion.
Twenty-five right arms were measured (11 from the young adult group and 14 from the older adult group). In the young group, age ranged between 20 and 34years old, while in the older group age ranged between 45 and 72years old. Angular mobility and linear acceleration from the scapula, humerus and sternum as well as mobility in the glenohumeral and scapulothoracic joints were calculated by three inertial sensors. Subjects performed shoulder abduction and flexion.
Significant differences in mobility were found in humerus and scapula in mobility and acceleration during both tasks. Those differences varied depending on the plane analyzed. A moderate negative correlation between age and humerus and scapula ranged from -0.624** to -0.409*. A positive correlation was found in some planes.
The results from the present study suggest that humerus elevation and scapular protraction-retraction as well as medio-lateral rotation are more likely to present kinematics age-related differences, i.e. older: age is associated with less mobility and acceleration in some planes and axes. Results provide inertial tridimensional measures from shoulder complex comparing groups of different age. Findings also concur with previous research supporting age-related shoulder changes.
先前已证实,肩部损伤患者存在肩部运动学改变,这也与衰老导致的肩部退行性变化有关。因此,研究与年龄相关的运动学变化将很有意义。主要目的是通过惯性传感器分析无症状受试者在肩部外展和屈曲过程中与年龄相关的肩部运动学差异。
测量了25条右臂(11条来自年轻成年组,14条来自老年成年组)。年轻组年龄在20至34岁之间,老年组年龄在45至72岁之间。通过三个惯性传感器计算肩胛骨、肱骨和胸骨的角位移和线性加速度,以及盂肱关节和肩胛胸壁关节的位移。受试者进行肩部外展和屈曲。
在两项任务中,肱骨和肩胛骨在位移和加速度方面存在显著差异。这些差异因分析的平面而异。年龄与肱骨和肩胛骨之间存在中度负相关,范围从-0.624*到-0.409。在某些平面上发现了正相关。
本研究结果表明,肱骨抬高、肩胛骨前伸-后缩以及中外侧旋转更有可能呈现与年龄相关的运动学差异,即年龄较大者:在某些平面和轴上,年龄与较小的位移和加速度相关。结果提供了不同年龄组肩部复合体的惯性三维测量数据。研究结果也与先前支持与年龄相关的肩部变化的研究一致。