振动增强悬吊训练对肩关节半脱位后盂肱关节稳定性和力量的影响：病例系列
Vibration-Enhanced Suspension Training for Glenohumeral Stability and Strength after Shoulder Subluxation: A Case Series.
作者信息
Biel-Costa Javier, Peña Javier, Vicens-Bordas Jordi, Busca Bernat, Aguilera-Castells Joan, de Pablo-Marquez Bernat, Altarriba-Bartes Albert
机构信息
Sport and Physical Activity Studies Centre (CEEAF), University of Vic - Central University of Catalonia, Barcelona, Spain.
Sport, Exercise, and Human Movement (SEaHM), University of Vic - Central University of Catalonia, Barcelona, Spain.
出版信息
Int J Sports Phys Ther. 2025 Jun 2;20(6):832-841. doi: 10.26603/001c.138305. eCollection 2025.
BACKGROUND
While suspension and vibration training offer several benefits across various body regions, evidence for injury rehab remains limited.
HYPOTHESIS/PURPOSE: The purpose of this case series was to examine the effect of seven weeks of strength training using a novel vibration device (superimposed vibration with 40 Hz frequency) with an attached suspension strap on two subjects recovering from a shoulder subluxation.
METHODS
Two physically active men who had sustained prior non-dominant subluxation underwent seven weeks of strength training using a suspension device operating at 40 Hz. An intervention comprising six exercises was performed twice weekly for seven weeks, divided into two blocks of three exercises: Block 1) suspended chest fly, inverted row, shoulder taps; Block 2) elbow flexion, standing overhead triceps extension, and the side plank. They performed three sets of eight repetitions in each block, resting 30 seconds between exercises and three minutes between blocks. Eight touches were performed per arm during the shoulder taps exercise, and the side plank was held for 25 seconds on each side. In addition to assessments of range of motion (ROM) and strength, the Y-Balance Test-Upper Quarter (YBT-UQ) and Closed Kinetic Chain Upper Extremity Stability Test (CKUEST) tests were performed to glenohumeral stability, and strength. Results: The greatest ROM improvements (~50%) were found in the internal rotation (IR) compared to a 5% in flexion and 20% in external rotation (ER). Glenohumeral stability increased in all the positions of the YBT-UQ for the injured arm (5% to 33% depending on the position), and the CKUEST (10-20%). Additionally, significant gains were seen in the injured arm during isometric push and pull tests (around 10%), but no differences in the dynamic strength in the bench press exercise force velocity profile.
CONCLUSIONS
Using vibration-enhanced suspension training improved the joint stability and strength of the two subjects without adverse effects. Additional research is needed to confirm these findings.
LEVEL OF EVIDENCE
背景
尽管悬吊训练和振动训练对身体各个部位都有诸多益处，但在损伤康复方面的证据仍然有限。
假设/目的：本病例系列的目的是研究使用一种新型振动装置（频率为40Hz的叠加振动）并附带悬吊带进行为期七周的力量训练对两名从肩关节半脱位恢复的受试者的影响。
方法
两名既往有非优势侧半脱位的身体活跃男性，使用频率为40Hz的悬吊装置进行了为期七周的力量训练。一项包含六个练习的干预措施每周进行两次，共七周，分为两个由三个练习组成的组块：组块1）悬吊式蝴蝶机夹胸、反向划船、肩部轻拍；组块2）肘部屈曲、站立位三头肌颈后伸展和侧板支撑。每个组块中每个练习进行三组，每组八次重复动作，练习之间休息30秒，组块之间休息三分钟。在肩部轻拍练习中，每只手臂进行八次触碰动作，侧板支撑每侧保持25秒。除了评估活动范围（ROM）和力量外，还进行了Y平衡测试-上肢（YBT-UQ）和闭链上肢稳定性测试（CKUEST）以评估盂肱关节稳定性和力量。结果：与屈曲5%和外展20%相比，内旋（IR）的活动范围改善最大（约50%）。受伤手臂在YBT-UQ的所有位置上盂肱关节稳定性均有所增加（根据位置不同增加5%至33%），CKUEST测试中增加了10%-20%。此外，在等长推和拉测试中受伤手臂有显著提高（约10%），但在卧推练习的力量速度曲线中的动态力量方面没有差异。
结论
使用振动增强悬吊训练可改善两名受试者的关节稳定性和力量，且无不良影响。需要更多研究来证实这些发现。
证据水平
4级。
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