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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Scapular muscle dysfunction associated with subacromial pain syndrome
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Scapular muscle dysfunction associated with subacromial pain syndrome

机译：与亚脉络疼痛综合征相关的肩胛骨肌肉功能障碍

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Abstract Study Design Narrative Review. Introduction One of the shoulder pain disorders in which the function of the scapula is comprised is the subacromial pain syndrome. Several rehabilitation guidelines and exercises have been proposed to improve scapulothoracic muscle dysfunction. Consideration of muscle activation patterns may help to select the most appropriate rehabilitation exercise in these patients. To date, suggesting rehabilitation exercises is often based upon the knowledge of the superficial lying scapulothoracic muscles’ activity. In the assumption that the deeper lying scapulothoracic muscles’ activity may hinder normal scapular movement in case of tightness or hyperactivity, exercise protocols for patients with altered pattern in scapulothoracic muscles should also integrate knowledge on the deeper lying scapulothoracic muscle activity. Purpose of the Study To help clinicians choosing the most appropriate exercise in patients with subacromial pain syndrome related to scapulothoracic muscle dysfunction. Methods First, a summary of key alterations in scapulothoracic (muscle) function in patients with subacromial pain was accomplished. Second, promising practical rehabilitation strategies toward restoring scapulothoracic muscle dysfunction (with a focus on scapulothoracic exercises) were developed, integrating current new research evidence (including information about the deeper lying scapulothoracic muscles) with clinical practice. Conclusion This review details clinical exercises and their muscular activity to guide clinicians to optimize individualized scapulothoracic training and treatment programs by selecting the most appropriate exercise, based on knowledge from the clinical examination. Level of Evidence Level 5.
机译：抽象研究设计叙事审查。引言其中一种肩痛障碍，其中肩胛骨的功能包括亚脉络疼痛综合征。已经提出了几种康复指导和练习来改善脊椎胸肌功能障碍。对肌肉激活模式的考虑可能有助于选择这些患者中最适当的康复运动。迄今为止，建议康复练习往往基于浅表粘虫肌肉肌肉活动的知识。假设在较深的鳞状肌肉肌肉活动中可能在紧绷或多动症的情况下妨碍正常的肩胛运动，用于嗜酸胞菌肌肉的改变模式的患者的运动方案也应该整合关于更深的卵形肌肉肌肉活动的知识。该研究的目的是帮助临床医生选择患者患者中患者患者最合适的运动患者与脊椎胸部肌肉功能障碍有关。方法首先，完成了亚群疼痛患者孢粉菌（肌肉）功能的关键改变的概述。其次，开发了对恢复脊椎胸肌功能障碍的实际康复策略（重点是Scapulothoracic练习），将当前的新研究证据（包括有关更深的撒谎的Scapulothoracic肌肉的信息）与临床实践相结合。结论本综述详情临床练习及其肌肉活动，以指导临床医生通过从临床检查中的知识选择最合适的运动来优化个性化的嗜肺植物训练和治疗方案。证据水平5。

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