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Comparison of shoulder resultant net moment between three different exercises and load conditions

机译:三种不同运动和负荷条件下肩部合力净力矩的比较

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摘要

Different exercises are prescribed by physiotherapists and despite the popular use of elastic resistance, few studies have investigated the effect of such rehabilitation tools on shoulder resultant net moment (RNM). The aim of the present study was to compare shoulder RNM peak values and the respective angle of occurrence during three shoulder rehabilitation exercises: 1) elevation in the scapular plane; 2) flexion; and 3) abduction when performed in three different load situations: 1) without external load; 2) with dumbbells (DB); and 3) with elastic resistance. Twenty-one healthy subjects participated in the study. Kinematic data were obtained by means of an inverse dynamic model. A two-way ANOVA was used for data analysis (α < 0.05). The highest RNM peak for abductor and external rotator muscles was during shoulder abduction exercise and for flexor muscles was during flexion and elevation in the scapular plane. The DB load condition was associated with highest RNM peak values for all muscle groups. This study presents differences among three exercises and load situations for RNM peak values and angle of occurrence. Furthermore, it also presents theoretical rationale for load progress and selection of exercises for shoulder rehabilitation management. Clinicians should consider it, when prescribing strengthening exercises for shoulder rehabilitation.
机译:理疗师规定了不同的锻炼方法,尽管弹性阻力得到了广泛使用,但很少有研究调查这种康复工具对肩部最终净力矩(RNM)的影响。本研究的目的是比较三种肩部康复锻炼过程中肩部RNM峰值和各自的出现角度:1)肩cap骨平面抬高; 2)屈曲; 3)在三种不同的负载情况下进行绑架:1)没有外部负载; 2)带哑铃(DB); 3)具有弹性。 21名健康受试者参加了该研究。运动数据是通过逆动力学模型获得的。使用双向ANOVA进行数据分析(α<0.05)。外展肌和外转子肌的最高RNM峰值是在肩关节外展锻炼期间,而屈肌的最高RNM峰值是在肩s平面内的屈曲和抬高期间。 DB负荷状况与所有肌肉组的最高RNM峰值相关。这项研究提出了三个练习和RNM峰值和出现角度的负载情况之间的差异。此外,它还提供了负荷进展的理论基础以及肩部康复管理的锻炼选择。在规定加强锻炼以恢复肩膀时,临床医生应考虑这一点。

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