Keshavarz Roshanak, Bashardoust Tajali Siamak, Mir Seyed Mohsen, Ashrafi H
Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2017 Apr;21(2):386-400. doi: 10.1016/j.jbmt.2016.09.002. Epub 2016 Sep 12.
This study aimed to identify the role of the scapula in shoulder musculoskeletal disorders (SMDs) and provided a systematic review of available studies in the field of scapular three-dimensional kinematics. We systematically searched 5 international databases, including Scopus, EMBASE, PubMed, CINAHL, PEDro, and Cochrane Library from June to September 2015. Twenty studies met the inclusion criteria and were retrieved in full paper. The selected studies were critically appraised independently by two researchers. The patients with shoulder impingement syndrome (SIS) and shoulder instability had an increased protraction, lesser upward rotation (UR), and increased internal rotation (IR) during scapular plane elevation, whereas the patients with frozen shoulders had lesser protraction. Moreover, the patients with SIS had a greater scapular posterior tilt (PT) and external rotation during shoulder abduction. Increased scapular UR and PT with decreased scapular IR was seen in patients with stiffness of Latissimus Dorsi and fibromyalgia without any changes in the scapular IR. The results of this systematic review help the clinicians to have an insight about scapular kinematics as a predictive index for SMDs.
本研究旨在确定肩胛骨在肩部肌肉骨骼疾病（SMDs）中的作用，并对肩胛骨三维运动学领域的现有研究进行系统综述。我们于2015年6月至9月系统检索了5个国际数据库，包括Scopus、EMBASE、PubMed、CINAHL、PEDro和Cochrane图书馆。20项研究符合纳入标准并全文检索。所选研究由两名研究人员独立进行严格评估。肩峰撞击综合征（SIS）和肩部不稳定患者在肩胛骨平面抬高过程中前伸增加、上旋（UR）减少、内旋（IR）增加，而冻结肩患者前伸较少。此外，SIS患者在肩关节外展时肩胛骨后倾（PT）和外旋更大。背阔肌僵硬和纤维肌痛患者肩胛骨UR增加、PT增加、IR减少，而肩胛骨IR无任何变化。该系统综述的结果有助于临床医生深入了解肩胛骨运动学，将其作为SMDs的预测指标。
