Jin Baoyong, Li Yan, Ma Lin, Zhou Binghua, Tang Kanglai
Department of Sports Medicine Center, the First Affiliated Hospital of the Army Military Medical University, Chongqing, 445000, P. R. China.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 Mar 15;36(3):380-385. doi: 10.7507/1002-1892.202110075.
To introduce a new theory of shoulder stability mechanism, rebalancing theory, and clinical application of this new theory for the shoulder instability and dysfunction of motion.
Through extensive review of the literature related to shoulder instability and dysfunction of the motion in recent years, combined with our clinical practice experience, the internal relation between passive stability mechanism and dynamic stability mechanism were summarized.
Rebalancing theory of shoulder stability mechanism is addressed, namely, when the shoulder stability mechanism is destructive, the stability of the shoulder can be restored by the rebalance between dynamic stability mechanism and passive stability mechanism. When dynamic stability is out of balance, dynamic stability can be restored by rebalancing the different parts of dynamic stability mechanism or to strengthen the passive stability mechanism. When passive stability mechanism is out of balance, passive stability can be restored by rebalancing the soft tissue and bone of the shoulder.
Rebalancing theory of shoulder stability mechanism could make a understanding the occurrence, development, and prognosis of shoulder instability and dysfunction from a comprehensive and dynamic view and guide the treatment effectively.
介绍一种新的肩部稳定机制理论——再平衡理论,以及该理论在肩部不稳定和运动功能障碍方面的临床应用。
通过广泛回顾近年来与肩部不稳定和运动功能障碍相关的文献,并结合我们的临床实践经验,总结被动稳定机制与动态稳定机制之间的内在关系。
提出了肩部稳定机制的再平衡理论,即当肩部稳定机制遭到破坏时,可通过动态稳定机制与被动稳定机制之间的再平衡来恢复肩部的稳定性。当动态稳定失衡时,可通过对动态稳定机制的不同部分进行再平衡或加强被动稳定机制来恢复动态稳定。当被动稳定机制失衡时,可通过对肩部的软组织和骨骼进行再平衡来恢复被动稳定。
肩部稳定机制的再平衡理论能够从全面和动态的角度理解肩部不稳定和功能障碍的发生、发展及预后,并有效指导治疗。