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肩胛肌贴扎对肩袖肌腱病排球运动员肩胛肌活动起始及肩胛运动学的影响。

Effects of scapular taping on the activity onset of scapular muscles and the scapular kinematics in volleyball players with rotator cuff tendinopathy.

作者信息

Leong Hio Teng, Ng Gabriel Yin-Fat, Fu Siu Ngor

机构信息

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region.

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region.

出版信息

J Sci Med Sport. 2017 Jun;20(6):555-560. doi: 10.1016/j.jsams.2016.10.013. Epub 2016 Oct 29.

DOI:10.1016/j.jsams.2016.10.013
PMID:27839664
Abstract

OBJECTIVES

To examine the effect of scapular taping on the activity onset of scapular muscles and the scapular kinematics during arm elevation in volleyball players with rotator cuff (RC) tendinopathy.

DESIGN

Randomized placebo-controlled repeated measures METHODS: Twenty-six male volleyball players with RC tendinopathy (mean age=23.6±3.3years) participated in the study. Electromyography (EMG) activity onset of upper trapezius (UT), middle trapezius (MT), lower trapezius (LT) and serratus anterior (SA) and the three-dimensional scapular kinematics quantified by using an acromial marker cluster method were compared with three scapular taping protocols, namely, no taping, therapeutic taping, and placebo taping.

RESULTS

The MT, LT and SA activated significantly earlier in both therapeutic taping (all p<0.005) and placebo taping conditions than no taping conditions (all p<0.002). There was a small increase in the scapular upward rotation when therapeutic taping and no taping conditions were compared (p=0.007).

CONCLUSIONS

Scapular taping may enhance the neuromotor control of the scapular muscles. Whether it provides adequate support for normal scapular kinematics during arm movement in athletes with RC tendinopathy await for further studies.

摘要

目的

探讨肩胛贴扎对肩袖(RC)肌腱病排球运动员在手臂抬高过程中肩胛肌肉活动起始时间及肩胛运动学的影响。

设计

随机安慰剂对照重复测量

方法

26名患有RC肌腱病的男性排球运动员(平均年龄=23.6±3.3岁)参与了本研究。将上斜方肌(UT)、中斜方肌(MT)、下斜方肌(LT)和前锯肌(SA)的肌电图(EMG)活动起始时间以及使用肩峰标记簇方法量化的三维肩胛运动学与三种肩胛贴扎方案进行比较,即不贴扎、治疗性贴扎和安慰剂贴扎。

结果

在治疗性贴扎(所有p<0.005)和安慰剂贴扎条件下,MT、LT和SA的激活均显著早于不贴扎条件(所有p<0.002)。比较治疗性贴扎和不贴扎条件时,肩胛向上旋转略有增加(p=0.007)。

结论

肩胛贴扎可能增强肩胛肌肉的神经运动控制。对于患有RC肌腱病的运动员,在手臂运动期间它是否能为正常肩胛运动学提供足够支持有待进一步研究。

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