特定肩关节康复运动对肩外旋肌的激活效应

doi:10.3969/j.issn.1006-9771.2019.01.015

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (1): 107-111.doi: 10.3969/j.issn.1006-9771.2019.01.015

特定肩关节康复运动对肩外旋肌的激活效应

杨笛, 张驰, 冯鹏鹏, 王洋, 伍盈, 司翔月, 王烁, 钱菁华

北京体育大学运动医学与康复学院,北京市 100084

收稿日期:2018-10-10 修回日期:2018-11-29 出版日期:2019-01-25 发布日期:2019-02-18
通讯作者: 钱菁华(1975-),女,白族,云南昆明市人,博士,副教授,硕士研究生导师,主要研究方向：肩关节损伤及运动康复。E-mail： jh5727@163.com
作者简介:杨笛(1995-),女,汉族,内蒙古赤峰市人,硕士研究生,主要研究方向：肌肉骨骼损伤康复。
基金资助:
中央高校基本科研业务费资助项目(No. 2016YB038)

Effect of Various Movements on Shoulder External Rotators

YANG Di, ZHANG Chi, FENG Peng-peng, WANG Yang, WU Ying, SI Xiang-yue, WANG Shuo, QIAN Jing-hua

Department of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China

Received:2018-10-10 Revised:2018-11-29 Published:2019-01-25 Online:2019-02-18
Contact: QIAN Jing-hua. E-mail: jh5727@163.com
Supported by:
Fundamental Research Funds for the Central Universities (No. 2016YB038)

摘要/Abstract

摘要： 目的比较开链与闭链运动与肩关节外旋不同组合下,冈下肌和三角肌后束的激活情况。
方法 2018年4至6月,19例健康成人完成开链肩关节中立位外旋(0°开链组)、开链肩关节外展90°位外旋(90°开链组)、闭链肩关节中立位外旋(0°闭链组)、闭链肩关节外展90°位外旋(90°闭链组) 4个动作,采用无线表面肌电图(sEMG)获取冈下肌和三角肌后束的振幅均方根(RMS),计算标准化RMS (RMS%)、肌肉激活时刻和冈下肌/三角肌后束激活比率。
结果 90°闭链组三角肌后束RMS%最小,且低于0°闭链组(P < 0.05)。冈下肌/三角肌后束激活比率90°闭链组中最大,且高于90°开链组(P < 0.05),0°开链组也高于90°开链组(P < 0.05)。90°闭链组冈下肌激活最早,且早于90°开链组(P < 0.05)和0°开链组(P < 0.05);0°闭链组三角肌后束激活最迟,晚于90°开链组(P < 0.05)。
结论闭链肩关节外展90°位外旋动作能最快激活冈下肌,适合在累及冈下肌肩袖损伤的早期康复中使用。

关键词: 肩袖损伤, 冈下肌, 三角肌后束, 开链动作, 闭链动作, 表面肌电

Abstract: Objective To investigate the activities of infraspinatus (IS) and posterior deltoid (PD) under shoulder external rotation at open kinetic chain (OKC) and closed kinetic chain (CKC) exercise with shoulder abduction 0° and 90° to determine the optimal external rotation rehabilitation exercise.
Methods From April to June, 2018, 19 healthy adults finished the movement of 0° OKC, 0° CKC, 90° OKC and 90° CKC. The root mean square (RMS) of IS and PD was recorded with surface electromyography (sEMG), then the standardized RMS (RMS%), ratio of IS/PD and onset time of activation were calculated.
Results RMS% of PD was the minimal at 90° CKC, and was less than that of 0° CKC (P < 0.05). IS/PD was the most at 90° CKC, and was more than that of 90° OKC (P < 0.05). The onset time of IS was the earliest in 90° CKC, and earlier than that of 90° OKC (P < 0.05) and 0°OKC (P < 0.05). The onset time of PD was the latest in 0° CKC, and latter than that of 90° OKC (P < 0.05).
Conclusion 90°CKC activates IS mostly and earliest, which can be used in early rehabilitation for rotator cuff injury.

Key words: rotator cuff injury, infraspinatus, posterior deltoid, open kinetic chain exercises, closed kinetic chain exercises, surface electromyography

中图分类号:

R493

杨笛, 张驰, 冯鹏鹏, 王洋, 伍盈, 司翔月, 王烁, 钱菁华. 特定肩关节康复运动对肩外旋肌的激活效应[J]. 《中国康复理论与实践》, 2019, 25(1): 107-111.

YANG Di, ZHANG Chi, FENG Peng-peng, WANG Yang, WU Ying, SI Xiang-yue, WANG Shuo, QIAN Jing-hua. Effect of Various Movements on Shoulder External Rotators[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 107-111.

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特定肩关节康复运动对肩外旋肌的激活效应

Effect of Various Movements on Shoulder External Rotators

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