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佩戴肩部支具的创伤性前向不稳患者的盂肱关节和肩胛肱关节运动学分析:一项前瞻性实验室研究。

Glenohumeral and scapulohumeral kinematic analysis of patients with traumatic anterior instability wearing a shoulder brace: a prospective laboratory study.

作者信息

Dellabiancia F, Parel I, Filippi M V, Porcellini G, Merolla G

机构信息

"Marco Simoncelli" Biomechanics Laboratory, "D. Cervesi" Hospital, AUSL della Romagna Ambito Territoriale di Rimini, Cattolica, Italy.

Functional Recovery and Rehabilitation Service, AUSL della Romagna Ambito Territoriale di Rimini, Rimini, Italy.

出版信息

Musculoskelet Surg. 2017 Dec;101(Suppl 2):159-167. doi: 10.1007/s12306-017-0494-8. Epub 2017 Jul 29.

Abstract

PURPOSE

To assess the effectiveness of a novel glenohumeral joint immobilizer, the S2 Shoulder Stabilizer, by evaluating shoulder kinematics with a stereophotogrammetry system.

METHODS

Participants in this prospective laboratory study were recruited from patients with anterior traumatic instability awaiting arthroscopic glenohumeral stabilization. Glenohumeral and scapulohumeral kinematic data (arm abduction-adduction and internal-external rotation, and scapular pronation-retraction and mediolateral rotation) were collected twice, without and with the brace, using a VICON™ motion capture system, and processed with MATLAB software.

RESULTS

The tests showed a significantly lower joint angle during abduction-adduction (p = 0.0022) and external rotation (p = 0.0076) and a significantly lower (p = 0.0022) mediolateral scapular rotation angle in the limbs wearing the immobilizer. Humeral head translation during abduction-adduction and internal-external rotation was also lower in the patients wearing the brace.

CONCLUSIONS

The immobilizer significantly limited joint excursion in all planes of movement except internal rotation. The narrower humeral head translation with respect to the trunk, measured in the tests with the brace, demonstrates that the immobilizer achieves the goal of preserving joint stability in the movements that are at risk of dislocation.

摘要

目的

通过使用立体摄影测量系统评估肩部运动学,来评估一种新型的盂肱关节固定器S2肩部稳定器的有效性。

方法

这项前瞻性实验室研究的参与者从等待关节镜下盂肱关节稳定手术的前创伤性不稳定患者中招募。使用VICON™运动捕捉系统,在不使用和使用固定器的情况下,两次收集盂肱关节和肩胛肱关节的运动学数据(手臂外展-内收、内-外旋转,以及肩胛骨前旋-后缩和中外侧旋转),并使用MATLAB软件进行处理。

结果

测试显示,佩戴固定器的肢体在外展-内收(p = 0.0022)和外旋(p = 0.0076)过程中的关节角度显著降低,中外侧肩胛骨旋转角度也显著降低(p = 0.0022)。佩戴固定器的患者在外展-内收和内-外旋转过程中的肱骨头平移也较低。

结论

该固定器在除内旋外的所有运动平面上均显著限制了关节活动度。在使用固定器的测试中测得的相对于躯干的较窄肱骨头平移表明,该固定器实现了在有脱位风险的运动中保持关节稳定性的目标。

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