肩关节康复训练对优秀大学赛艇运动员关节镜Bankart修复后运动范围、肌肉活动度、肌肉张力和手工肌力的影响:病例报告

Ho-Seong Lee, Yun-hwan Lee, Ju-Eun Kim, Ho-Seong Lee
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摘要

目的探讨肩关节康复训练对优秀大学生赛艇运动员关节镜下bankart修复后关节活动度、肌肉活动度、肌肉张力和手肌力的影响。方法本研究纳入了一名22岁的优秀大学赛艇运动员,他于2019年接受了肩胛骨夹持综合征的神经减压手术,并于2021年接受了关节镜bankart修复手术。肩部康复训练方案采用负重和弹力带训练,50 min/天,3天/周,共8周。ROM(屈,伸,外展,内旋,外旋),肌肉活动,肌肉张力和手肌力量(冈下肌;IFP,小的;TM,肱二头肌;BI,外侧三角肌;LD、冈上肌;SSP,上斜方肌;分别在肩部康复运动前、后4周和8周测量UT。结果肩部康复训练后,屈、伸、外展、内旋、外旋活动度增加。在IFP、TM、LD、SSP和UT时,肌肉张力增加,但肩关节康复运动后BI下降。肩关节康复训练后,IFP、TM、BI、LD、SSP、UT的肌肉活动和手肌力均有所增加。结论肩关节康复运动对优秀大学生赛艇运动员关节镜下bankart修复后的肌肉生理指标有积极的影响。
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Effects of Shoulder Rehabilitation Exercise on Range of Motion, Muscle Activity, Muscle Tone and Manual Muscle Strength after Arthroscopic Bankart Repair in Elite Collegiate Rowing Athlete: Case Report
OBJECTIVES The purpose of this study was to evaluate the effects of shoulder rehabilitation exercise on range of motion (ROM), muscle activity, muscle tone and manual muscle strength after arthroscopic bankart repair in elite collegiate rowing athlete.METHODS A 22-year-old elite collegiate rowing athlete with nerve decompression surgery for scapular entrapment syndrome in 2019, and arthroscopic bankart repair in 2021 was enrolled in this case study. Shoulder rehabilitation exercise program was received weight bearing and elastic band exercises, and was performed for 50 min/day, and 3 day/week for 8 weeks. ROM (flexion, extension, abduction, internal rotation, external rotation), muscle activity, muscle tone and manual muscle strength (infraspinatus; IFP, teres minor; TM, biceps; BI, lateral deltoid; LD, supraspinatus; SSP, upper trapezius; UT) were measured before, after 4 and 8 weeks of shoulder rehabilitation exercise.RESULTS Shoulder ROM increased at flexion, extension, abduction, internal rotation, external rotation after shoulder rehabilitation exercise. Muscle tone increased at IFP, TM, LD, SSP, and UT, but BI decreased after shoulder rehabilitation exercise. Muscle activity and manual muscle strength increased at IFP, TM, BI, LD, SSP, UT after shoulder rehabilitation exercise.CONCLUSIONS The results of this case report confirmed that shoulder rehabilitation exercise had a positive effect on the muscular physiological indices after arthroscopic bankart repair in elite collegiate rowing athlete.
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