肩胛动力障碍及康复治疗的进展

doi:10.3969/j.issn.1006-9771.2021.11.010

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (11): 1307-1311.doi: 10.3969/j.issn.1006-9771.2021.11.010

肩胛动力障碍及康复治疗的进展

蒋倩如¹,刘克敏²()

1.上海市养志康复医院（上海市阳光康复中心）,同济大学附属养志康复医院,上海市 201619
2.中国康复研究中心北京博爱医院骨科,北京市 100068

收稿日期:2019-10-29 修回日期:2021-09-08 出版日期:2021-11-25 发布日期:2021-12-03
通讯作者: 刘克敏 E-mail:keminlqliu@sina.com
作者简介:蒋倩如(1996-),女,汉族,黑龙江密山市人,硕士,作业治疗师,主要研究方向：四肢骨关节康复、儿童康复。|刘克敏(1964-),男,汉族,山西长治市人,博士,主任医师,博士研究生导师,主要研究方向：骨关节功能重建与康复。
基金资助:
中国康复研究中心项目(2018ZX-16)

Advance in Scapular Dyskinesis and Its Rehabilitation Management (review)

JIANG Qian-ru¹,LIU Ke-min²()

1. Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Shanghai 201619, China
2. Department of Orthopedics, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2019-10-29 Revised:2021-09-08 Published:2021-11-25 Online:2021-12-03
Contact: LIU Ke-min E-mail:keminlqliu@sina.com
Supported by:
China Rehabilitation Research Center Project(2018ZX-16)

摘要/Abstract

摘要：

目的了解肩胛动力障碍的病因、临床评估和分型,以及肩胛动力障碍康复方法。方法调查近10年国内外相关文献,总结相关内容。结果和结论 总结了肩胛动力障碍的临床评估和分型。肩胛动力障碍可继发于肩袖损伤、肩峰下撞击综合征、盂肱关节不稳、肩锁关节损伤、投掷肩、冻结肩等,肩胛运动训练可进一步改善康复效果。

关键词: 肩胛骨, 肩胛动力障碍, 运动学, 康复, 综述

Abstract:

Objective To review the pathogeny, clinical assessment and classification, and rehabilitation management of scapular dyskinesis.Methods The literatures in recent ten years were reviewed and summarized. Results and Conclusion The clinical assessment and classification of scapular dyskinesis had been summarized. Scapular dyskinesis is mainly secondary to rotator cuff injury, subacromial impingement syndrome, glenohumeral instability, injury of acromioclavicular joint, throwing shoulder and adhesive capsulitis, etc. Scapular exercise may be a supplement to routine rehabilitation management.

Key words: scapula, scapular dyskinesis, kinematics, rehabilitation, review

蒋倩如,刘克敏. 肩胛动力障碍及康复治疗的进展[J]. 《中国康复理论与实践》, 2021, 27(11): 1307-1311.

JIANG Qian-ru,LIU Ke-min. Advance in Scapular Dyskinesis and Its Rehabilitation Management (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1307-1311.

图/表 1

参考文献 53

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运动形式	具体运动	运动表现
旋转(rotation)	围绕肩胛骨内缘的垂直轴	内/外旋(internal/external),内旋指肩胛骨内缘远离胸壁的运动
	围绕与肩胛面垂直的水平轴	上/下旋(upward/downward),上旋指肩胛下角远离脊柱中轴
	围绕肩胛冈的水平轴	前/后倾(anterior/posterior tilt),前倾指肩胛骨下角远离胸壁
平移(translation)	沿胸壁向上、向下滑动	上提、下降(upward/downward)
平移(translation)	沿胸壁曲度向前外、向后内滑动	外展、内收(lateral/medial)

肩胛动力障碍及康复治疗的进展

Advance in Scapular Dyskinesis and Its Rehabilitation Management (review)

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