Willmore Elaine G, Smith Michael J
Gloucestershire Hospitals NHS Foundation Trust, Physiotherapy Department, Cheltenham General Hospital, Cheltenham, UK.
College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Shoulder Elbow. 2016 Jan;8(1):61-70. doi: 10.1177/1758573215618857. Epub 2015 Dec 17.
Historically, scapular dyskinesia has been used to describe an isolated clinical entity whereby an abnormality in positioning, movement or function of the scapula is present. Based upon this, treatment approaches have focused on addressing local isolated muscle activity. Recently, however, there has been a progressive move towards viewing the scapula as being part of a wider system of movement that is regulated and controlled by multiple factors, including the wider kinetic chain and individual patient-centred requirements. We therefore propose a paradigm shift whereby scapular dyskinesia is seen not in isolation but is considered within the broader context of patient-centred care and an entire neuromuscular system.
从历史上看，肩胛运动障碍一直被用来描述一种孤立的临床实体，即肩胛骨在定位、运动或功能方面存在异常。基于此，治疗方法主要集中在解决局部孤立的肌肉活动问题。然而，最近人们逐渐倾向于将肩胛骨视为一个更广泛运动系统的一部分，该系统由多种因素调节和控制，包括更广泛的动力链和以患者个体为中心的需求。因此，我们提出一种范式转变，即不再孤立地看待肩胛运动障碍，而是将其置于以患者为中心的护理和整个神经肌肉系统的更广泛背景下进行考虑。
