康复体育与运动康复

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
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  • 北京体育大学运动医学与康复学院,北京市 100084
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。

收稿日期: 2018-10-10

  修回日期: 2018-11-29

  网络出版日期: 2019-02-18

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

Received date: 2018-10-10

  Revised date: 2018-11-29

  Online published: 2019-02-18

Supported by

Fundamental Research Funds for the Central Universities (No. 2016YB038)

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。

本文引用格式

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 . DOI: 10.3969/j.issn.1006-9771.2019.01.015

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.

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