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结合静态姿势评估分析肩关节弹响的应用研究
黄子钰,王宏坤
0
(1.哈尔滨体育学院研究生院(国际交流中心),黑龙江 哈尔滨150008;2.哈尔滨体育学院运动人体科学学院,黑龙江 哈尔滨150008)
摘要:
长时间的异常姿势会因牵拉肌肉导致骨骼位置异常和肌肉力量失衡;同理,由各种原因导致骨骼位置异常和肌肉失衡同样会表现出异常姿势。但由于运动链和筋膜链的存在,最终产生疼痛的位置并不是最初的发生肌肉失衡和姿势异常的部位,这样就会在后续的康复治疗中出现治标不治本的情况,使得疼痛反复,因此治疗要在症状发生之前进行,也就是预防性的康复治疗。肩关节的高灵活性和不稳定性使得肩关节周围肌肉极易失衡从而使得肩关节形态出现改变,肩关节弹响是肩关节周围肌肉失衡一种程度较轻的表现。此时肩关节会被观察到异常的形态和姿势,且不伴有严重的症状。对出现肩关节弹响的运动员进行详细的姿势评估可以判断出相应部位异常的骨骼位置以及失衡的肌肉,从而针对失衡的肌肉更精确的进行康复治疗,以到达治疗肩关节弹响和预防因肩关节周围肌肉失衡所引起进一步的肩关节损伤。在对肩关节弹响评估时可以分别对肩关节的肩胛骨和肱骨的位置进行评估,再整合影响程度的大小进行康复治疗,治疗与评估结合,找到并治疗导致肩胛骨弹响的主要因素。
关键词:  肩关节弹响 姿势评估 肌肉平衡
DOI:10.19787/j.issn.1008-1879.2022.01.007
投稿时间:2021-05-27修订日期:2021-05-27
基金项目:黑龙江省自然科学基金项目资助 (编号:LH2020H010)
Application of Static Posture Assessment in the Analysis of Shoulder Clicks
HUANG ZI-yu,WANG Hong-kun
(1.Graduate School of Harbin Institute of Physical Education (International Exchange Center),Harbin Haerbin 150008;2.Harbin Institute of Physical Education, School of Sports and Human Sciences, Harbin Haerbin 150008)
Abstract:
Abnormal posture for a long time will lead to abnormal skeletal position and muscle strength imbalance due to muscle traction; similarly, abnormal skeletal position and muscle strength imbalance due to various reasons will also show abnormal posture.However, due to the existence of the sports chain and fascia chain, the final location of pain is not the initial muscle imbalance and abnormal posture, so there will be a temporary but not permanent situation in the follow-up rehabilitation treatment, making the pain repeated, so the treatment should be carried out before the symptoms, that is, preventive rehabilitation treatment.The high flexibility and instability of the shoulder clicks make the muscles around the shoulder easy to lose balance, so that the shape of the shoulder clicks changes. Shoulder rebound is a slight manifestation of muscle imbalance around the shoulder. At this time, the abnormal shape and posture of shoulder clicks will be observed, and there is no serious symptom.The detailed posture evaluation of athletes with shoulder clicks bounce can determine the abnormal bone position and unbalanced muscles in the corresponding parts, so as to carry out more accurate rehabilitation treatment for the unbalanced muscles, so as to achieve the treatment of shoulder clicks bounce and prevent further shoulder clicks injury caused by the imbalance of muscles around the shoulder clicks.In the evaluation of shoulder clicks bounce, the position of scapula and humerus of shoulder clicks can be evaluated respectively, and the degree of influence can be integrated for rehabilitation treatment. The main factors leading to shoulder clicks bounce can be found and treated by combining treatment and evaluation.
Key words:  Shoulder clicks;Postural assessment;Muscle balance

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