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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Repositioning the scapula with taping following distal radius fracture: Kinematic analysis using 3-dimensional motion system
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Repositioning the scapula with taping following distal radius fracture: Kinematic analysis using 3-dimensional motion system

机译：重新定位肩胛骨跟随远端半径骨折：使用三维运动系统的运动学分析

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Abstract Study Design Cross-sectional and controlled laboratory study using pretest-posttest design. Introduction Patients with distal radius fracture (DRfx) report proximal segment problems. Taping is commonly recommended because it provides improved posture and function. Purpose of the Study This study aimed to investigate the 3-dimensional scapular kinematics and the effect of taping on the kinematics in participants with DRfx. Methods Twenty participants with a unilateral history of DRfx and 20 healthy controls participated. Scapular kinematics was assessed using an electromagnetic system. Three separate strips of elastic taping were applied for participants with DRfx over the arm, scapula, and middle and lower trapezius muscles through the paravertebral muscles. Afterward, the scapular kinematics was reassessed in taped condition. Results When participants with DRfx and healthy controls compared, the scapula was more downwardly rotated at 120° of humerothoracic elevation (mean difference [MD], 9.06°) and at 120° (MD, 9.04°), 90° (MD, 5.6°) of humerothoracic lowering, more upwardly rotated at 30° of humerothoracic lowering (MD,?5.1°). Taping showed a significant effect on kinematics; specifically, the scapula was more externally rotated (38.9° untaped vs 31.1° taped) and posteriorly tilted (?9.2° untaped vs??4.8° taped) during humerothoracic elevation and lowering for participants with DRfx. Discussion Participants with DRfx showed different scapular kinematics and taping resulted in changes on tested kinematic parameters during humeral movements. Differences in scapular motion during elevation with taping showed a specific pattern. Conclusions Overall, taping maintained a position likely to produce optimal rotator cuff function during early rehabilitation of patients with DRfx. Level of Evidence N/A.
机译：摘要研究设计横断面和受控实验室研究，采用预防水性设计。引言远端半径骨折患者（DRFX）报告近端段问题。常规推荐录音，因为它提供了改进的姿势和功能。该研究的目的这项研究旨在调查三维肩胛上运动学以及DRFX参与者中的运动学中的焦点效果。方法有二十名参与者DRFX和20个健康控制的单边历史。使用电磁系统评估脚踝运动学。通过椎旁肌肉，将参与者施加三个单独的弹性胶带条带DRFX的参与者，通过椎旁肌肉。之后，以胶带条件重新评估肩胛上的运动学。结果当参与者进行DRFX和健康对照时，肩胛骨更向下旋转在120°的Humerothoracic excation（平均差异[MD]，9.06°）和120°（MD，9.04°），90°（MD，5.6°） Humerothoracic降低，在30°的Humerothoracic降低（MD，？5.1°）下更向上旋转。录音显示对运动学显着影响;具体而言，肩胛骨更旋转（38.9°，不相关的VS 31.1°焦点），在撤后的升降期间和后倾斜（？9.2°下不相关的VS ?? 4.8°4.8°折叠）。 DRFX的讨论参与者显示出不同的肩胛上运动学和胶带导致肱骨运动期间测试运动参数的变化。带胶带升降期间肩胛运动的差异显示了特定的图案。结论总体而言，在患有DRFX患者的早期康复期间，录音机保持了可能产生最佳旋转器袖带功能的位置。证据级别n / a。

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