Manual scapular stabilization: Its effect on shoulder rotational range of motion
Manual scapular stabilization: Its effect on shoulder rotational range of motion
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DOI：
10.1053/apmr.2000.5617
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发表时间：
2000-07-01
影响因子：
4.3
通讯作者：
Smith, J
中科院分区：
文献类型：
--
作者：
Boon, AJ;Smith, J
目的：为了研究最近描述的方法测量肩关节旋转的运动范围，其中肩胛骨手动稳定的效果，并确定该技术的可靠性与肩胛骨unstabilized.Design采取的测量相比：五十名高中运动员进行了肩关节旋转的运动范围的测量和没有肩胛骨手动稳定。测量由两组物理治疗师盲目的运动结果，重复测量进行5 days later.Results：旋转运动测量肩胛骨稳定显着小于当它被测量与肩胛骨不稳定。两种技术测量外旋时的可靠性是可比的，但新的技术是更可靠的测量内rotation.Conclusion：肩胛骨稳定应使用测量肩关节的内旋时，以获得更准确的测量纯盂肱旋转。所描述的技术很有前途，但在推荐广泛临床使用之前需要进一步改进。在实践中，在经验丰富的临床医生手中，这项技术可能是最可靠的方法，用于测量临床试验中的结果，并用于跟踪临床显著的旋转运动缺陷。
Objectives: To study the effect of a recently described method of measuring shoulder rotational range of motion in which the scapula is manually stabilized, and to determine the reliability of that technique compared with measurements taken with the scapula unstabilized.Design: Fifty high school athletes underwent measurement of shoulder rotational range of motion with and without the scapula manually stabilized. Measurements were performed by two groups of physical therapists blinded to the movement results, with repeat measurements performed 5 days later.Results: Rotational motion measured with the scapula stabilized was significantly less than when it was measured with the scapula unstabilized. Reliability was comparable for the two techniques when measuring external rotation, but the new technique was more reliable for measuring internal rotation.Conclusion: Scapular stabilization should be used when measuring internal rotation of the shoulder to obtain more accurate measurement of pure glenohumeral rotation. The technique described is promising, but warrants further refinement before it can be recommended for widespread clinical use. With practice, in experienced clinicians' hands, this technique may be the most reliable method for measuring outcome in clinical trials and for following clinically significant rotational motion deficits.