Srijessadarak Thanaporn, Arayawichanon Preeda, Kanpittaya Jaturat, Boonprakob Yodchai
Faculty of Associated Medical Sciences, School of Physical Therapy, Khon Kaen University, Khon Kaen 40002, Thailand.
Faculty of Medicine, Research Institute for Human High Performance and Health Promotion, Khon Kaen University, Khon Kaen 40002, Thailand.
Healthcare (Basel). 2022 May 20;10(5):950. doi: 10.3390/healthcare10050950.
Scapulocostal syndrome (SCS) is a subset of myofascial pain syndrome affecting the posterior shoulder and upper back area. Some of the affected muscles are attached to the rib cage, which may affect diaphragmatic mobility and chest expansion. The purpose of this study was to investigate the characteristics of diaphragmatic mobility and chest expansion in patients with SCS. Twenty-nine patients with SCS and twenty-nine healthy participants of a similar age, gender, weight, and height were included in the study. All participants were evaluated for diaphragmatic mobility (DM) by real-time ultrasound (RTUS) and for chest expansion (CE) using a cloth tape measure. An independent t-test was used to compare the outcome variables between groups. The DM value in the SCS group was 46.24 ± 7.26 mm, whereas in the healthy group it was 54.18 ± 9.74 mm. The DM value was lower in the SCS group compared to in healthy participants (p < 0.05). Chest expansion at the axilla, the fourth intercostal space (4th ICS), and the xiphoid level in the SCS group was 7.26 ± 1.13, 6.83 ± 0.94, and 6.86 ± 1.25, respectively, while chest expansion at the axilla, 4th ICS, and xiphoid level in the healthy group was 7.92 ± 1.39, 7.54 ± 1.43, and 8.13 ± 1.32, respectively. Chest expansion at the 4th ICS and the xiphoid level in the SCS group was significantly lower than in the healthy group (p < 0.05). Patients with SCS presented a decrease in diaphragmatic mobility and chest expansion. Therefore, SCS treatment programs ought to add breathing exercises to improve lung expansion.
肩胛胸壁综合征（SCS）是肌筋膜疼痛综合征的一个子集，影响后肩部和上背部区域。一些受影响的肌肉附着于胸廓，这可能会影响膈肌活动度和胸廓扩张。本研究的目的是调查SCS患者的膈肌活动度和胸廓扩张的特征。本研究纳入了29例SCS患者以及29名年龄、性别、体重和身高相似的健康参与者。所有参与者均通过实时超声（RTUS）评估膈肌活动度（DM），并使用布卷尺评估胸廓扩张（CE）。采用独立t检验比较两组间的结果变量。SCS组的DM值为46.24±7.26mm，而健康组为54.18±9.74mm。与健康参与者相比，SCS组的DM值较低（p<0.05）。SCS组腋窝、第四肋间间隙（第4肋间）和剑突水平的胸廓扩张分别为7.26±1.13、6.83±0.94和6.86±1.25，而健康组腋窝、第4肋间和剑突水平的胸廓扩张分别为7.92±1.39、7.54±1.43和8.13±1.32。SCS组第4肋间和剑突水平的胸廓扩张明显低于健康组（p<0.05）。SCS患者表现出膈肌活动度和胸廓扩张降低。因此，SCS治疗方案应增加呼吸锻炼以改善肺扩张。
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