肩峰下撞击综合征运动员肩周肌群肌力的研究  

Study of the Strength of Muscle Group Surrounding Shoulder in Players with Subacromial Impingement Syndrome

作　　者：罗平[1,2] 林鸿生[3] 方健辉 肖才坤[1] 

机构地区：[1]广东体育职业技术学院,广东广州510663 [2]香港理工大学,香港九龙999077 [3]中国人民解放军特种作战学院,广东广州510500 [4]广东省体育医院,广东广州510100

出　　处：《成都体育学院学报》2017年第3期102-108,共7页Journal of Chengdu Sport University

基　　金：广东省体育局科研项目"肩关节撞击综合征与肩胛骨位置的动态关系"(GDSS2014182)

摘　　要：目的:探讨具有肩峰下撞击综合征的女排和男举项目运动员肩周肌群肌力情况。方法:对广东省女排和男举运动员进行肩部评估,分别确诊为肩峰下撞击综合征的女排运动员13名为Ⅰ组、肩部功能正常的女排运动员8名为Ⅱ组和肩峰下撞击综合征的男举运动员9名为Ⅲ组、肩部功能正常的男举运动员10名为Ⅳ组;使用电子测角仪和Hogan Mycroft 2手持式肌力测试仪分别对Ⅰ组、Ⅱ组、Ⅲ组和Ⅳ组运动员进行肩部活动度和肩周肌群肌力测试。分别比较运动员在肩关节活动度和肩周肌群肌力的差异性。结果:与Ⅱ组相比,Ⅰ组肩关节前屈和外展受限明显(P<0.05);上斜方肌肌力下降非常明显(P<0.01),下斜方肌和前锯肌肌力上升(P<0.05),中斜方肌肌力变化不大;额状位肩袖肌群内旋和外旋肌力下降(P<0.05);肩胛位肩袖肌群内旋和外旋肌力下降(P<0.05),但120°的外旋肌力显著上升(P<0.01)。与Ⅲ组相比,Ⅳ组前屈、后伸和外展受限明显(P<0.05),尤以外展受限最为明显(P<0.01);上斜方肌肌力明显下降(P<0.05),中、下斜方肌肌力下降,前锯肌肌力上升,但都不显著;在额状位60°和90°内旋和外旋时,肩袖肌群肌力下降明显(P<0.05),尤以60°外旋和90°的内旋下降最为显著(P<0.01);在肩胛位60°、90°和120°内旋和外旋时,肩袖肌群肌力下降显著(P<0.05);尤而内旋时肩袖肌群肌力下降最为显著(P<0.01)。结论:与肩部功能正常的运动员相比,肩峰下撞击综合征女排和男举项目运动员的肩周肌群肌力下降,但下降的程度和因下降而出现的代偿应区别项目有针对性地分析。Purpose: The aim of this paper studied the strength of muscle group around shoulder in the female volleyball players with Subacromial Impingement Syndrome( FVPSIS) and the male weightlifting players with Subacromial Impingement Syndrome( MWPSIS). Methods: Evaluated the dominant shoulder function of the female volleyball players and the male weightlifting players in Guangdong,then made a definite diagnosis that Group Ⅰ were thirteen FVPSIS and Group Ⅱ were eight female volleyball players with nomal shoulder,and Group Ⅲ were nine MWPSIS and Group Ⅳ were ten male weightlifting players with nomal shoulder. Measured the dominant shoulder range of motion and the strengh muscle group around shoulder by a electronic tacheometer and a Hoggan Micro Fet 2 handheld myodynamia tester respectively. Results were compared the difference of the shoulder range of motion and the strength of muscle group around shoulder between two group players separately. Results: Compared with Group Ⅱ,there were obviously restricted in shoulder flexion and abduction of Group Ⅰ( P < 0. 05),declined clearly on the strength of upper trapezius( P < 0. 01) but rised on the strength of lower trapezius and serratus anterior muscle( P < 0. 05),changed no apparently on the strength of middle trapezius,fell on the strength of internal rotation and external rotation of rotator cuff at the frontal plane( P < 0. 05),the same to the scapula position( P < 0. 05) bur rised evidently on one hundred and twenty degree external rotation( P < 0. 01).Compared with Group Ⅳ,there were obviously restricted in the shoulder flexion,extention and abduction of Group Ⅲ( P < 0. 05),particularly in the shoulder flexion very clearly( P < 0. 01); declined apparently on the strength of upper trapezius( P < 0. 05),the same to the strength of middle and low trapezius but not clearly,rised on the strength of serratus anterior muscle but not obviously; fell evidently on the strength of internal rotation and external rotation of rotator cuff at the frontal plane of 60°

关 键 词：女排运动员 男举运动员 肩周肌群肌力 肩峰下撞击综合征 

分 类 号：G804.2[文化科学—运动人体科学]