• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Scapulothoracic Muscle Strengthening for the Management of Medial Epicondylitis
【24h】

Scapulothoracic Muscle Strengthening for the Management of Medial Epicondylitis

机译：肩or动脉肌强化治疗上Epi上肌炎

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Medial epicondylitis has become increasingly more prevalent in adolescent baseball pitchers due to the repetitive forces placed on the elbow joint during overhead throwing motions and the growing intensity of youth sports (M.C. Ciccotti et al., 2004). Dysfunction in the wrist, elbow, shoulder, or scapula can disrupt the transmission of force, putting greater stress on the remaining links of the kinetic chain (Lucado et al., 2010). Regional interdependence is a model that suggests examining areas remote from the patient's primary problem area to identify seemingly unrelated contributing factors (Sueki et al., 2013). Strengthening of the scapulothoracic muscles is proposed as an innovative approach for treating individuals with medial epicondylitis. Limited research is available that connects regional interdependence to the management of medial epicondylitis. Purpose: The purpose of this case report and literature review was to document the effectiveness of scapular muscle strengthening in the management of pain and function in an adolescent baseball pitcher with medial epicondylitis as compared to a traditional treatment protocol. Methods: For the case report, a rehabilitation program to target middle trapezius (MT), lower trapezius (LT), and serratus anterior (SA) muscle imbalances was implemented. The patient was seen for treatment once a week for a total of six visits over the course of six weeks. For the literature review, a search was performed using the following databases: PubMed, PEDro, Cochrane Library, and Google Scholar. Articles were screened based on exclusion criteria and reviewed for relevance to the search terms. Outcomes: The patient was able to complete 20 pitches with an Numeric Pain Rating Scale score of 0/10 to be able to play in a game. His scapular muscle strength increased from 4--/5 for the MT, LT, and SA, to 4/5 for the LT and SA and 4+/5 for the MT. Analysis of overhead throwing motion revealed decreased upper trapezius compensation and decreased scapular winging throughout the motion. His elbow extension range of motion was restored to normal by sixth (final) treatment session. Eleven articles were eligible for appraisal and were included in the review. Discussion: The intervention used in this case study offers an advanced approach to the management of medial epicondylitis. Scapular muscle strengthening may assist in optimizing the entire kinetic chain during overhead throwing motions, therefore decreasing repetitive stress and subsequent pain in the elbow joint. This systematic review provides updated evidence regarding the effectiveness of scapular strengthening for the management of medial epicondylitis. Further research is necessary to directly link the benefits of a strengthening protocol targeting the scapular muscles to improve pain and function in medial epicondylitis.
机译：背景：由于投掷动作期间肘部关节上的重复力和青少年运动的强度不断提高，内侧上con炎已在青少年棒球投手中越来越普遍（M.C. Ciccotti等，2004）。腕部，肘部，肩部或肩骨的功能障碍会破坏力的传递，给动力学链的其余环节施加更大的压力（Lucado等，2010）。区域相互依赖性是一个模型，建议检查远离患者主要问题区域的区域，以识别看似无关的影响因素（Sueki等，2013）。肩cap动脉肌肉的增强被提出作为一种治疗内侧上con炎患者的创新方法。将区域相互依存性与内侧上connects炎的治疗联系起来的研究有限。目的：本病例报告和文献综述的目的是证明与传统的治疗方案相比，肩cap肌强化在青少年内侧内侧上con炎棒球投手的疼痛和功能管理中的有效性。方法：对于病例报告，针对中斜方肌（MT），下斜方肌（LT）和前锯肌（SA）肌肉失衡的康复计划得以实施。该患者每周接受一次治疗，为期六周，共进行了六次探视。对于文献综述，使用以下数据库进行了搜索：PubMed，PEDro，Cochrane图书馆和Google Scholar。根据排除标准筛选文章，并检查其与搜索词的相关性。结果：患者能够完成20个音高，数字疼痛等级量表得分为0/10，才能进行游戏。他的肩cap肌力量从MT，LT和SA的4-/ 5增加到LT和SA和MT的4 + / 5的4/5。对头顶投掷运动的分析表明，在整个运动过程中上斜方肌补偿减小，肩cap骨翼减小。在第六次（最后一次）治疗后，他的肘部活动范围恢复到正常。有11篇文章符合评估条件，并被纳入评论。讨论：本案例研究中使用的干预措施为内侧上epi炎的治疗提供了一种先进的方法。肩cap肌的加强可能有助于在头顶举起动作期间优化整个运动链，因此减少了重复应力和肘关节的后续疼痛。该系统评价提供了有关肩cap骨加强术治疗内侧上con炎的最新证据。有必要进行进一步的研究以直接联系针对肩cap肌的强化方案的好处，以改善内侧上con炎的疼痛和功能。

著录项

  • 作者

    Hause, Cassandra J.;

  • 作者单位

    Azusa Pacific University.;

  • 授予单位 Azusa Pacific University.;
  • 学科 Physical therapy.;Kinesiology.;Therapy.
  • 学位 D.P.T.
  • 年度 2017
  • 页码 63 p.
  • 总页数 63
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号