Hoops John F, Hooper Troy L, Sobczak Stéphane, Kapila Jeegisha, Dewan Birendra M, Matthijs Omer C, Brismée Jean-Michel
Northern Arizona University: 208 E Pine Knoll Drive, Flagstaff, AZ, 86001, USA.
Department of Rehabilitation Sciences, Center for Rehabilitation Research, Texas Tech University Health Sciences Center, USA.
J Phys Ther Sci. 2024 May;36(5):259-266. doi: 10.1589/jpts.36.259. Epub 2024 May 1.
[Purpose] To compare humeral head translation (HHT) during shoulder elevation between dominant and non-dominant shoulders in participants with limited dominant shoulder internal rotation range of motion (ROM). To determine if joint mobilization alters HHT, and if relationships exist between the bicipital forearm angle and HHT. [Participants and Methods] Fifteen (9 female) participants (age 25.7 ± 6.8 years) with a minimum 15-degree dominant shoulder internal rotation ROM deficit compared to the opposite shoulder participated. All participants underwent bicipital forearm angle (BFA) measurements and ultrasound imaging to measure acromiohumeral and posterior glenohumeral distances in 3 positions: Resting, 90 degrees of shoulder flexion, and 60 degrees of shoulder abduction with full external rotation. Ultrasound images were used to calculate HHT. Participants' dominant shoulders underwent posterior glide mobilization, followed immediately by repeated ultrasound images and ROM measures. [Results] There was no dominant to non-dominant shoulder, or before and after mobilization HHT differences. No correlations existed between bicipital forearm angles and HHT or ROM gains after mobilization. [Conclusion] Participants with internal rotation ROM loss demonstrated symmetrical HHT. Joint mobilization increased ROM, but HHT was unchanged. No relationships existed between BFA and HHT.
[目的] 比较优势肩内旋活动度(ROM)受限的参与者在肩部抬高过程中优势肩与非优势肩的肱骨头平移(HHT)情况。确定关节松动术是否会改变HHT,以及肱二头肌前臂角与HHT之间是否存在关联。[参与者与方法] 15名(9名女性)参与者(年龄25.7±6.8岁),其优势肩内旋ROM比另一侧肩至少少15度。所有参与者均接受肱二头肌前臂角(BFA)测量及超声成像,以测量三个位置的肩峰肱骨头距离和肱骨头后盂肱距离:休息位、肩部屈曲90度以及肩部外展60度且完全外旋位。超声图像用于计算HHT。参与者的优势肩接受后向滑动松动术,随后立即重复进行超声图像和ROM测量。[结果] 优势肩与非优势肩之间,以及松动术前与术后的HHT均无差异。肱二头肌前臂角与HHT或松动术后的ROM增加之间不存在相关性。[结论] 内旋ROM丧失的参与者表现出对称的HHT。关节松动术增加了ROM,但HHT未改变。BFA与HHT之间不存在关联。