Comparative shoulder kinematics during free standing, standing depression lifts and daily functional activities in persons with paraplegia: considerations for shoulder health.
Comparative shoulder kinematics during free standing, standing depression lifts and daily functional activities in persons with paraplegia: considerations for shoulder health.
复制标题
截瘫患者独立站立、站立抑郁举重和日常功能活动期间的肩部运动学比较：肩部健康的考虑因素。
DOI：
10.1038/sj.sc.3102140
复制
发表时间：
2008
期刊：
影响因子：
2.2
通讯作者：
Nawoczenski,DA
中科院分区：
文献类型：
--
作者：
Riek,LM;Ludewig,PM;Nawoczenski,DA
研究设计:病例系列;方差的非参数重复测量分析。目的：比较和对比脊髓损伤（SCI）中常使用的上肢负重活动（支撑行走时使用的站立降压提升、负重提升、转移）和姿势（坐着休息、站在框架内）的三维肩部运动学。地点：美国纽约州罗切斯特市伊萨卡学院物理治疗系运动分析实验室。方法：女性3名，男性2名，年龄39.2±6.1岁，SCI术后至少12个月（14.6±6.7岁），SCI远端至T2， ASIA评分为a。使用Flock of Birds磁跟踪仪测量各种活动时肩胛骨、肱骨和胸部的三维位置。结果：站立在框架中导致肩胛骨前倾（AT）和肩关节外旋（GHER）明显小于站立减压提升和负重提升。结论：与坐着休息姿势、负重提升、转移和站立减压提升相比，站立框架姿势提供了最有利的肩关节位置（肩胛骨AT较少，GHER较大）。了解与每项活动相关的运动学模式是了解对肩部健康潜在影响的重要第一步。选择特定的活动或在功能性活动中修改技术，促进有利的肩部位置，可以保持长期的肩部健康。
Study design:Case series; nonparametric repeated-measures analysis of variance.Objective:To compare and contrast three-dimensional shoulder kinematics during frequently utilized upper extremity weight-bearing activities (standing depression lifts used in brace walking, weight-relief raises, transfers) and postures (sitting rest, standing in a frame) in spinal cord injury (SCI).Setting:Movement Analysis Laboratory, Department of Physical Therapy, Ithaca College, Rochester, NY, USA.Methods:Three female and two male subjects (39.2±6.1 years old) at least 12 months post-SCI (14.6±6.7 years old), SCI distal to T2 and with an ASIA score of A. The Flock of Birds magnetic tracking device was used to measure three-dimensional positions of the scapula, humerus and thorax during various activities.Results:Standing in a frame resulted in significantly less scapular anterior tilt (AT) and greater glenohumeral external rotation (GHER) than standing depression lifts and weight-relief raises.Conclusions:Standing frame posture offers the most favorable shoulder joint positions (less scapular AT and greater GHER) when compared to sitting rest posture, weight-relief raises, transfers and standing depression lifts. Knowledge of kinematic patterns associated with each activity is an essential first step to understanding the potential impact on shoulder health. Choosing specific activities or modifying techniques within functional activities that promote favorable shoulder positions may preserve long-term shoulder health.