腹部控制反馈和肩胛骨稳定练习对存在头前伸、圆肩姿势和颈部运动障碍的参与者的疗效。
Efficacy of Abdominal Control Feedback and Scapula Stabilization Exercises in Participants With Forward Head, Round Shoulder Postures and Neck Movement Impairment.
机构信息
Department of Biomechanics and Sport Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Republic of Iran.
Department of Physiotherapy, University of Bologna, Bologna, Italy.
出版信息
Sports Health. 2019 May/Jun;11(3):272-279. doi: 10.1177/1941738119835223. Epub 2019 Apr 23.
BACKGROUND
Signs and symptoms of impaired function of the musculoskeletal system may be targeted by treating dysfunction located elsewhere.
HYPOTHESIS
Abdominal control feedback and scapular stabilization exercise interventions would result in positive changes in pain intensity, strength, electromyography, and flexion-relaxation phenomena in women with forward head and round shoulder postures and neck movement impairment.
STUDY DESIGN
Pretest-posttest intervention.
LEVEL OF EVIDENCE
Level 1.
METHODS
A total of 135 women (aged 27.23 ± 1.9 years) with forward head and round shoulder postures were randomized to 3 groups. Group 1 received 6-week scapular stabilization exercises with abdominal control feedback (n = 45), group 2 received 6-week scapular stabilization exercises without abdominal control feedback (n = 45), and group 3 received active self-exercise as a control group (n = 45). Posture, pain, proprioception, strength, and electromyography were assessed before and after the interventions.
RESULTS
There were significant between-group differences in pain, proprioception, strength, and electromyography favoring group 1. There were significant within-group changes in posture, pain, proprioception, strength, and electromyography in both groups 1 and 2. No significant change was observed for muscle strength.
CONCLUSION
The addition of abdominal control feedback to the scapular stabilization exercises was shown to be superior to the scapular stabilization exercises alone for decreasing neck pain and restoring proper proprioception, strength, and electromyography in females with forward head and round shoulder postures and neck movement impairment.
CLINICAL RELEVANCE
The addition of abdominal control feedback to scapular stabilization exercises is superior to scapular stabilization exercises alone on the neck for improving electromyography, strength, and function in females with forward head and round shoulder postures and neck movement impairment.
背景
骨骼肌肉系统功能障碍的体征和症状可能通过治疗其他部位的功能障碍来靶向治疗。
假设
腹部控制反馈和肩胛稳定练习干预将导致有前伸头和圆肩姿势以及颈部运动障碍的女性的疼痛强度、力量、肌电图和屈伸现象发生积极变化。
研究设计
前测后测干预。
证据水平
1 级。
方法
共有 135 名（年龄 27.23±1.9 岁）前伸头和圆肩姿势的女性被随机分为 3 组。第 1 组接受 6 周肩胛稳定练习加腹部控制反馈（n=45），第 2 组接受 6 周肩胛稳定练习无腹部控制反馈（n=45），第 3 组接受主动自我锻炼作为对照组（n=45）。干预前后评估姿势、疼痛、本体感觉、力量和肌电图。
结果
疼痛、本体感觉、力量和肌电图在组 1 中具有显著的组间差异，有利于组 1。组 1 和 2 中的姿势、疼痛、本体感觉、力量和肌电图均有显著的组内变化。肌肉力量没有明显变化。
结论
与单独进行肩胛稳定练习相比，在肩胛稳定练习中加入腹部控制反馈显示出对降低颈部疼痛和恢复前伸头和圆肩姿势以及颈部运动障碍女性的适当本体感觉、力量和肌电图更有效。
临床相关性
与单独进行肩胛稳定练习相比，在肩胛稳定练习中加入腹部控制反馈可改善有前伸头和圆肩姿势以及颈部运动障碍的女性的颈部肌电图、力量和功能。
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