首页|PNF联合KT对大学生肩胛动力障碍患者肩周肌肉激活的效果观察

PNF联合KT对大学生肩胛动力障碍患者肩周肌肉激活的效果观察

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目的 探讨本体感觉神经肌肉促进技术(proprioceptive neuromuscular stimulation,PNF)联合肌内效贴技术(kinesio taping,KT)对大学生肩胛动力障碍(scapular dyskinesis,SD)患者肩周肌肉激活的效果.方法 选取2021年3—7月沈阳体育学院大学生SD患者30例,采用随机数字表法分为试验组(PNF联合KT干预)和对照组(仅PNF干预),两组均干预8周.比较干预前后两组上肢表面肌电变化.结果 30例患者中男14例、女16例;年龄18~26岁,平均(21.6±1.7)岁.与干预前相比,干预后两组肩关节功能性动作测试(前屈、外展、毛巾抵墙滑动)的最大自主收缩(maximal voluntary contraction,MVC)的差异均有统计学意义(P<0.05).干预前,两组功能性动作测试的差异无统计学意义(P>0.05);干预后,与对照组相比,试验组肩关节前屈的下斜方肌(lower trapezius,LT)的MVC较高[(20.83±3.11)%比(16.36±3.76)%)],肩关节外展的上斜方肌(upper trapezius,UT)的MVC较低[(34.95±8.15)%比(42.49±8.06)%]、LT的MVC较高[(27.38±4.61)%比(23.93±6.05)%)],肩关节毛巾抵墙滑动的LT的MVC较高[(7.51±1.99)%比(5.87±1.66)%)],差异有统计学意义(P<0.05).结论 PNF联合KT和PNF单独训练均有利于减少SD肩胛骨位置异常、改善UT过度激活和LT激活不足等肩周肌内异常激活现象,两者联合干预的效果更佳.
Effect of PNF combined with KT on scapular muscle activation in college students with scapular dyskinesis
Objective To explore the effect of proprioceptive neuromuscular stimulation(PNF)combined with kinesio taping(KT)on the activation of shoulder muscles in college students with scapular dyskinesis(SD).Methods A total of 30 SD college students from Shenyang Institute of Physical Education from March to July 2021 were selected,and were divided into experimental group(PNF combined with KT intervention)and control group(PNF intervention alone)according to random number table method,both groups were intervened for eight weeks.The surface electromyography(sEMG)changes of the upper limbs were compared between the two groups before and after intervention.Results Among the 30 patients,there were 14 males and 16 females,aged from 18 to 26 years,with an average age of(21.6±1.7)years.After eight weeks of intervention,there were statistically significant differences in the maximum voluntary contract(MVC)of functional movements of shoulder joint(flexion,abdunciton and towel sliding against the wall)in the two groups after the intervention compared with those before intervention(all P<0.05).Before the intervention,there were no significant differences in functional motor test between the two groups(P>0.05).After the intervention,compared with the control group,the MVC of the lower trapezius(LT)of shoulder flexion was higher[(20.83±3.11)%vs.(16.36±3.76)%],the MVC of the upper trapezius(UT)of shoulder abduction was lower[(34.95±8.15)%vs.(42.49±8.06)%],the MVC of LT of shoulder abduction was higher[(27.38±4.61)%vs.(23.93±6.05)%],and the MVC of LT of shoulder towel sliding against the wall was higher[(7.51±1.99)%vs.(5.87±1.66)%]in the experimental group,the differences were statistically significant(all P<0.05).Conclusions PNF combined with KT and PNF training alone is beneficial for reducing abnormal scapular position in SD patients,and improving the abnormal activation of periarthritis muscles such as UT over-activation and LT under-activation,and the effect of combined intervention is better.

scapular dyskinesis(SD)proprioceptive neuromuscular facilitation(PNF)kinesio taping(KT)

梁弘扬、刘淑惠、靳岚琦、樊志娇、马玉宝

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100144 首都医科大学附属北京康复医院肌骨康复中心

临沂职业学院医养健康学院

沈阳体育学院研究生工作部

100144 首都医科大学附属北京康复医院康复诊疗中心

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肩胛骨动力障碍 本体感觉神经肌肉促进技术 肌内效贴技术

2024

北京医学
中华医学会北京分会

北京医学

CSTPCD
影响因子:0.714
ISSN:0253-9713
年,卷(期):2024.46(3)
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