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題名:
棒球投手肩後軟組織緊繃對盂肱關節旋轉活動度和肩胛骨姿勢之相關研究
書刊名:
醫學與健康期刊
作者:
陳百鍊
/
邱炳坤
/
賴仲亮
/
黃仁華
/
鄭世忠
作者(外文):
Chen, Pai-lien
/
Chiu, Ping-kun
/
Lai, Chung-liang
/
Huang, Ren-hua
/
Cheng, Shih-chung
出版日期:
2014
卷期:
3:2
頁次:
頁61-69
主題關鍵詞:
肩關節
;
關節活動度
;
肩胛骨
;
投手
;
Shoulder
;
Range of motion
;
Scapular
;
Pitcher
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:0
點閱:169
目的:棒球投手慣用側手臂常有肩後軟組織緊繃現象,可能影響到肩關節的運動學與肩胛骨的姿勢。然而,此機制仍然不清楚。因此,本研究旨在探討肩後軟組織緊繃對盂肱關節旋轉活動度和肩胛骨姿勢的影響。方法:共有二十位體育大學的棒球投手(17位右投手;3位左投手)參與本研究。測量項目包括兩側盂肱關節水平內收活動度與內旋及外旋和整體旋轉角度。此外肩胛骨姿勢測量有肩胛骨前突和側邊移動距離包括自然姿勢及雙手在髖關節與盂肱關節外展90度。結果:投手慣用側手臂比非慣用側有較小的水平內收與內旋及整體旋轉角度(<0.05)。此外,慣用側手臂水平內收活動度與內旋及整體旋轉角度及肩胛骨前突姿勢呈顯著負相關(r=-0.48, -0.56, -0.49, P<0.05)。結論:肩後軟組織緊繃曹限制盂肱關節內旋與整體旋轉角度且會增加肩胛骨前突姿勢,因此,早期介入肩胛骨周邊軟組織的放鬆技術與伸展運動,可以維持良好柔軟度並避免投手運動傷害產生。
以文找文
Objectives. Posterior shoulder soft tissue tightness of the dominant shoulder might affect glenohumeral rotation range of motion (ROM) and change of scapular kinematics in baseball pitchers. However, the mechanism through which it does this is still not clear. Therefore, the purpose of this study was to investigate the effects of the posterior soft tissue tightness of the dominant shoulder on glenohumeral rotation ROM and scapular position. Methods. Twenty healthy collegiate baseball pitchers were included in the study. (right-arm dominant, =17, left-arm dominant, =3). Bilateral glenohumeral internal rotation (IR), external rotation, total rotation ROM and horizontal adduction ROM were measured. Scapular positions were measured according to bilateral scapular protraction posture and lateral scapular slider performed in three different positions, including neutral, hands on hips, and abduction 90°. Results. The dominant shoulder had less glenohumeral horizontal adduction ROM, IR ROM, and total rotation ROM (P<.05). We found a significant negative correlation between glenohumeral adduction ROM, IR ROM, total rotation ROM, and scapular protraction, (all P<0.05). Conclusion. Posterior shoulder soft tissue tightness limited glenohumeral IR ROM, total rotation ROM and increased scapular protraction position. Therefore, an early program making use of release techniques and stretching exercise applied to peri-scapular soft tissue may help these patients maintain flexibility and prevent risk of further sport injury.
以文找文
期刊論文
1.
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2.
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3.
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4.
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5.
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6.
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7.
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8.
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9.
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10.
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11.
Borich, M. B.、Bright, J. M.、Lorello, D. J.、Cieminski, C. J.、Buisman, T.、Ludewig, P. M.(2006)。Scapular angular positioning at end range internal rotation in case of glenohumeralinternal rotation deficit。J O rthop Sports Phys Ther,36,926-934。
12.
Laudner, K. G.、Moline, M. T.、Meister, K.(2010)。The relationship between forward scapular posture and posterior shoulder tightness among baseball players。Am J Sports Med,38,2106-2112。
13.
Peterson, D. E.、Blankenship, K. R.、Robb, J. B.(1997)。Investigation of the validity and reliability of four objective techniques for measuring forward shoulder posture。J Ortho Sports phys Ther,25,34-42。
14.
Thomas, S. J.、Kathleen, A. S.、Charles, B. S.、John, D. K.(2010)。Internal rotation and scapular position difference: A comparison of collegiate and high school baseball players。J of Athl Train,45,44-50。
15.
Wilk, K. E.、Arrigo, C.(1993)。Current concepts in the rehabilitation of the athletes shoulder。J Ortho Sports Phys Ther,29,354-358。
16.
Laudner, K.、Meister, K.、Nobel, B.、Deter, T.(2012)。Anterior gleno-humerallaxity associated with posterior shoulder tightness among professional baseball pitchers。Am J Sports Med,40,1133-1137。
17.
Cools, A. M.、Witvrous, E. E.、Declercq, G. A.、Vanderstraeten, G. G.、Cambier, D. C.(2004)。Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement syndrome。British J of Sports Med,38,64-68。
18.
Elliott, B. C.、Marshall, R. N.、Noffal, G. J.(1995)。Contributions of upper limb segment rotations during the power serve in tennis。Journal of Applied Biomechanics,11(4),433-442。
19.
Burkhart, S. S.、Morgan, C. D.、Kibler, W. B.(2003)。The disabled throwing shoulder: Spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy。Arthroscopy,19,641-661。
20.
Pappas, A. M.、Zawacki, R. M.、Sullivan, T. J.(1985)。Biomechanics of baseball pitching: A preliminary report。The American journal of sports medicine,13(4),216-222。
21.
Tehranzadeh, A. D.、Fronek, L.、Resnick, D.(2007)。Posterior capsular fibrosis in professional baseball pitchers: case series of MR arthrographic findings in six patients with glenohumeral internal rotational deficit。Clinical Imaging,31(5),343-348。
學位論文
1.
楊賢銘(1996)。棒球(碩士論文)。國立體育學院。
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圖書論文
1.
Pink, M. M.、Perry, J.(1996)。Biomechanics。Operative techniques in upper extremity sports injuries。St Louis Mosby。
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