Yabata Kazuyuki, Fukui Tsutomu
Department of Rehabilitation, Abe Orthopedic Clinic: 3-3-14 Nozaki, Mitaka-shi, Tokyo 181-0014, Japan.
Department of Health Care Science, Graduate School of Bunkyo Gakuin University, Japan.
J Phys Ther Sci. 2022 Jul;34(7):478-484. doi: 10.1589/jpts.34.478. Epub 2022 Jul 1.
[Purpose] This study aimed to clarify the differences in scapular movement during flexion and abduction of the shoulder joint with different postures. [Participants and Methods] This study included 15 male participants. Their shoulder flexion and abduction and angles of the scapular upward rotation, scapular anterior tilt, scapular external rotation, and thoracic spine flexion were measured. Measurements were taken in three positions: the control, thoracic spine flexion, and thoracic spine extension positions using a three-dimensional motion capture system. [Results] In the shoulder flexion, the amount of change in the scapular external rotation was significantly greater in the thoracic flexion than in the thoracic extension. In shoulder abduction, the amount of change in the scapular anterior tilt and external rotation was significantly greater in the thoracic flexion than in the thoracic extension. A comparison of the scapular angles in shoulder flexion and abduction showed that the upward rotation, posterior tilt, and external rotation were significantly greater in abduction than flexion. [Conclusion] To avoid posture-induced incoordination of the scapula and thorax movement during shoulder elevation, postural adjustment of the thoracic spine based on the movements is necessary for the shoulder joint exercises.
[目的] 本研究旨在阐明不同姿势下肩关节屈曲和外展时肩胛骨运动的差异。[参与者与方法] 本研究纳入了15名男性参与者。测量了他们的肩关节屈曲和外展以及肩胛骨向上旋转、肩胛骨前倾、肩胛骨外旋和胸椎屈曲的角度。使用三维运动捕捉系统在三个位置进行测量:对照位、胸椎屈曲位和胸椎伸展位。[结果] 在肩关节屈曲时,胸椎屈曲位的肩胛骨外旋变化量显著大于胸椎伸展位。在肩关节外展时,胸椎屈曲位的肩胛骨前倾和外旋变化量显著大于胸椎伸展位。肩关节屈曲和外展时肩胛骨角度的比较表明,外展时的向上旋转、后倾和外旋显著大于屈曲时。[结论] 为避免肩部抬高时姿势引起的肩胛骨和胸廓运动不协调,在进行肩关节运动时,基于这些运动对胸椎进行姿势调整是必要的。