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:摘要研究设计采用前测后测设计的横断面和对照实验室研究。导言桡骨远端骨折(DRfx)患者报告近端节段问题。通常建议使用胶带,因为它可以改善姿势和功能。本研究的目的是研究DRfx参与者的三维肩胛骨运动学以及贴扎对运动学的影响。方法20名有单侧DRfx病史的参与者和20名健康对照者参与。使用电磁系统评估肩胛骨运动学。在手臂、肩胛骨、中斜方肌和下斜方肌(通过椎旁肌)上使用三条单独的弹性胶带。之后,肩胛骨运动学在录音条件下重新评估。结果当DRfx受试者与健康对照者进行比较时,肩胛骨在肱胸廓抬高120°(平均差[MD],9.06°)和肱胸廓降低120°(MD,9.04°)、90°(MD,5.6°)时更向下旋转,在肱胸廓降低30°(MD,5.1°)时更向上旋转。编带对运动学有显著影响;具体而言,在DRfx患者的肩胸抬高和降低过程中,肩胛骨更容易向外旋转(38.9°未固定对31.1°固定)和向后倾斜(9.2°未固定对4.8°固定)。使用DRfx的讨论参与者表现出不同的肩胛骨运动学,在肱骨运动期间,贴扎导致测试运动学参数的变化。肩胛骨运动的差异在用胶带固定的抬高过程中表现出一种特殊的模式。结论总体而言,在DRfx患者的早期康复过程中,贴扎保持了一个可能产生最佳肩袖功能的位置。证据级别不适用。

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