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职业棒球投手的肩部外旋力量、水平外展与盂肱距离比值之间的关系。

The relationship between shoulder external rotation strength, horizontal abduction, and glenohumeral distance ratios in professional baseball pitchers.

作者信息

Tamura Masaki, Aso Takuya, Takahashi Tomoyuki, Furuyama Shumpei, Inoue Shunya, Maeda Takuya, Noguchi Yu, Horike Yoichi, Furuya Kanji, Sambe Takeyuki, Nishinaka Naoya

机构信息

Showa University Research Institute for Sport and Exercise Sciences: 2-1-1 Fujigaoka Aoba-ku, Yokohama-shi, Kanagawa 227-8518, Japan.

Department of Rehabilitation, Showa University Fujigaoka Rehabilitation Hospital, Japan.

出版信息

J Phys Ther Sci. 2025 Aug;37(8):384-390. doi: 10.1589/jpts.37.384. Epub 2025 Aug 1.

DOI:10.1589/jpts.37.384
PMID:40757016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12314076/
Abstract

[Purpose] This study aimed to examine the association among zero-position external rotation muscle strength, shoulder horizontal abduction angle, and humeral head alignment. We hypothesized that individuals who cannot exert zero-position external rotation strength may adopt a horizontal abduction position and have difficulty maintaining a centripetal position for humeral head alignment. [Participants and Methods] Eighteen professional baseball players were included in the study. A handheld dynamometer was used to measure zero-position external rotation muscle strength. The isometric shoulder zero-position external rotation muscle strength was measured, and the weight ratio of the average value of the three trials was calculated. The shoulder horizontal abduction angle and anterior and posterior glenohumeral distances were measured using magnetic resonance imaging in the abduction external rotation position. The glenohumeral distance ratios were also calculated. We investigated the relationship between zero-position external rotation strength and shoulder horizontal abduction angle, anterior and, posterior glenohumeral distances, and glenohumeral distance ratios. [Results] Zero-position external rotation strength, shoulder horizontal abduction angle, and glenohumeral distance ratio were significantly negatively correlated. [Conclusion] Athletes who cannot exert zero-position external rotation strength may have a large horizontal shoulder abduction and glenohumeral distance ratio on magnetic resonance imaging.

摘要

[目的] 本研究旨在探讨零位外旋肌力、肩部水平外展角度和肱骨头对线之间的关联。我们假设无法施加零位外旋力量的个体可能会采取水平外展姿势,并且在维持肱骨头对线的向心位置方面存在困难。[参与者与方法] 本研究纳入了18名职业棒球运动员。使用手持测力计测量零位外旋肌力。测量等长肩部零位外旋肌力,并计算三次试验平均值的重量比。在外展外旋位使用磁共振成像测量肩部水平外展角度以及肱骨头前后距离。还计算了肱骨头距离比。我们研究了零位外旋力量与肩部水平外展角度、肱骨头前后距离以及肱骨头距离比之间的关系。[结果] 零位外旋力量、肩部水平外展角度和肱骨头距离比之间存在显著负相关。[结论] 无法施加零位外旋力量的运动员在磁共振成像上可能会有较大的肩部水平外展和肱骨头距离比。

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本文引用的文献

1
The Effects of Body Positions and Abduction Angles on Shoulder Muscle Activity Patterns during External Rotation Exercises.外旋练习期间身体姿势和外展角度对肩部肌肉活动模式的影响。
Healthcare (Basel). 2023 Jul 8;11(14):1977. doi: 10.3390/healthcare11141977.
2
Magnetic Resonance Imaging Findings of the Asymptomatic Shoulder May Impact Performance, Not Future Injury List Placement in Major League Baseball Pitchers.无症状肩部的磁共振成像结果可能会影响大联盟棒球投手的表现,但不会影响其未来伤病名单的列入情况。
Arthrosc Sports Med Rehabil. 2022 Feb 16;4(2):e487-e493. doi: 10.1016/j.asmr.2021.10.029. eCollection 2022 Apr.
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Is early trunk rotation really hazardous for shoulder biomechanics in baseball throwing?
早期的躯干旋转对棒球投掷中的肩部生物力学真的有危害吗?
J Shoulder Elbow Surg. 2022 Jun;31(6):1282-1293. doi: 10.1016/j.jse.2021.12.042. Epub 2022 Feb 1.
4
Lower shoulder abduction during throwing motion may cause forceful internal impingement and decreased anterior stability.投掷运动中肩部外展角度较低可能导致强烈的内撞击和前向稳定性降低。
J Shoulder Elbow Surg. 2018 Jun;27(6):1125-1132. doi: 10.1016/j.jse.2017.12.029. Epub 2018 Feb 13.
5
Configuration of the Shoulder Complex During the Arm-Cocking Phase in Baseball Pitching.棒球投球手臂后摆阶段肩部复合体的构型
Am J Sports Med. 2015 Oct;43(10):2445-51. doi: 10.1177/0363546515594379. Epub 2015 Aug 11.
6
Prospective multifactorial analysis of preseason risk factors for shoulder and elbow injuries in high school baseball pitchers.前瞻性多因素分析高中棒球投手中肩肘损伤的 preseason 危险因素。
Knee Surg Sports Traumatol Arthrosc. 2017 Oct;25(10):3303-3310. doi: 10.1007/s00167-015-3731-4. Epub 2015 Aug 4.
7
Effect of Anterior Capsular Laxity on Horizontal Abduction and Forceful Internal Impingement in a Cadaveric Model of the Throwing Shoulder.在投掷肩尸体模型中,前囊松弛对水平外展和强力内撞击的影响。
Am J Sports Med. 2015 Jul;43(7):1758-63. doi: 10.1177/0363546515582025. Epub 2015 May 4.
8
Posterosuperior glenoid internal impingement of the shoulder in the overhead athlete: pathogenesis, clinical features and MR imaging findings.过头运动运动员肩部后上盂唇内撞击综合征:发病机制、临床特征及磁共振成像表现
J Med Imaging Radiat Oncol. 2015 Apr;59(2):182-7. doi: 10.1111/1754-9485.12276. Epub 2015 Jan 14.
9
Increased horizontal shoulder abduction is associated with an increase in shoulder joint load in baseball pitching.在棒球投球过程中,肩部水平外展增加与肩关节负荷增加有关。
J Shoulder Elbow Surg. 2014 Dec;23(12):1757-1762. doi: 10.1016/j.jse.2014.03.005. Epub 2014 Jun 9.
10
Effect of excessive contralateral trunk tilt on pitching biomechanics and performance in high school baseball pitchers.过度的对侧躯干倾斜对高中棒球投手投球生物力学和表现的影响。
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