Kamkar A, Irrgang J J, Whitney S L
Orthopedic Manipulative Therapy, Laurel Rehabilitation and Sports Therapy, Uniontown, PA 15401.
J Orthop Sports Phys Ther. 1993 May;17(5):212-24. doi: 10.2519/jospt.1993.17.5.212.
Shoulder pain secondary to impingement of the rotator cuff tendons underneath the coracoacromial arch is a common problem seen in athletes who perform repetitive overhead activities. Shoulder impingement has been classified into primary and secondary types. Several factors contribute to impingement, including rotator cuff weakness, posterior capsule tightness, and subacromial crowding. Recently, it has been proposed that scapulothoracic muscle weakness could be a factor that contributes to impingement. Traditional rehabilitation protocols for shoulder impingement syndrome stress individualized rotator cuff strengthening. The authors propose that individualized scapulothoracic muscle strengthening should be a part of any protocol for nonoperative treatment of secondary shoulder impingement syndrome.
肩峰下弓下方的肩袖肌腱撞击继发的肩部疼痛是从事重复性过头活动的运动员中常见的问题。肩部撞击已被分为原发性和继发性类型。有几个因素会导致撞击，包括肩袖无力、后关节囊紧张和肩峰下拥挤。最近，有人提出肩胛胸壁肌无力可能是导致撞击的一个因素。传统的肩部撞击综合征康复方案强调个体化的肩袖强化训练。作者建议，个体化的肩胛胸壁肌强化训练应成为继发性肩部撞击综合征非手术治疗方案的一部分。
