Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kırıkkale University, Kırıkkale, Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Neurol Sci. 2019 Aug;40(8):1583-1588. doi: 10.1007/s10072-019-03846-y. Epub 2019 Apr 9.
The aim of this study is to investigate the effects of scapular taping on scapular kinematics by three-dimensional electromagnetic system during shoulder elevation in facioscapulohumeral muscular dystrophy patients. A total of 11 patients with facioscapulohumeral muscular dystrophy were included in the study. Scapular anterior-posterior tilt, upward-downward rotation, and internal-external rotations were evaluated using the three-dimensional electromagnetic system during the elevation of the upper limbs in the scapular plane before and after kinesio taping. For maximum humerothoracic elevation, there were no differences between the patients before and after taping on both dominant (p = 0.72) and non-dominant sides (p = 0.64). For scapular internal rotation, upward rotation, and posterior tilt, there were no differences between patients before and after taping during humerothoracic elevation on both dominant and non-dominant sides (p > 0.05). These results showed us that the excessive and abnormal movements of the scapula observed during the humeral elevation in facioscapulohumeral muscular dystrophy patients cannot be supported with flexible methods like kinesio taping. Therefore, we recommend to evaluate the scapula position by applying flexible and rigid taping to the patients who can reach over 90 in humerothoracic elevation in future studies.
本研究旨在通过三维电磁系统研究肩胛骨贴扎对面肩肌营养不良症患者肩部抬高时肩胛骨运动学的影响。共有 11 例面肩肱型肌营养不良症患者纳入本研究。在肩胛骨平面上肢抬高过程中，使用三维电磁系统评估肩胛骨前-后倾斜、上-下旋转以及内-外旋转。在贴扎前后，对优势侧（p=0.72）和非优势侧（p=0.64），最大肩胸抬高时患者之间均无差异。在肩胸抬高过程中，对于肩胛骨内旋、上旋和后倾，患者在贴扎前后也无差异（p>0.05）。这些结果表明，在面肩肱型肌营养不良症患者的肩部抬高过程中观察到的肩胛骨过度和异常运动，不能通过肌内效贴等灵活方法来支撑。因此，我们建议在未来的研究中，对那些能够达到 90 度以上肩胸抬高的患者，通过应用灵活和刚性的贴扎来评估肩胛骨位置。
