肩关节训练伤的解剖学特征及干预措施  

Anatomic characteristics and epidemiological investigation of shoulder injuries by training

作　　者：杜德凯 潘昭勋[1] 孙超[1] 闵小军 张洪鑫[1] DU De-kai;PAN Zhao-xun;SUN Chao;MIN Xiao-jun;ZHANG Hong-xin(Department of Joint and Orthopaedic Surgery , 8 9thHospital of PLA,Weifang Shandong 261021, China)

机构地区：[1]解放军第89医院关节外科,山东潍坊261021

出　　处：《局解手术学杂志》2017年第11期786-789,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：全军后勤科研计划项目(CJN13J002)

摘　　要：目的探讨肩关节训练伤流行病学分布特征,为制定有效的干预措施提供科学依据。方法通过整群随机抽样的方法,对1 080名训练人员进行问卷调查;统计肩关节训练伤的发病率、训练课目构成及肩训练伤解剖学分类构成,比较受伤组和正常组的心理状态、肩部存在症状、防护性措施应用情况等因素,探讨受伤的影响因素。结果 1 080名人员肩关节损伤的发病率为18.52%;受伤时所在训练课目前3位是:匍匐前进(34.96%)、俯卧撑(13.82%)和引体向上(13.41%);肩关节训练伤解剖学分类以软组织损伤为主(92.28%);受伤组和正常组在参训时的心理状态、肩部存在症状、保护措施的应用等方面比较差异具有统计学意义(P<0.01)。结论肩关节过顶运动伤以软组织损伤为主;训练时间长、休息时间短、动作要领掌握不牢、缺乏信心是主要的危险因素;训练时存在肩部症状、防护措施应用不足会提高训练伤的发病率。Objective To investigate the epidemiological characteristics of shoulder injuries by training,and provide scientific evidencefor effective intervention measures. Methods Through cluster random sampling method, a questionnaire survey was conducted on ers to analyze the occurrence of shoulder injury by training,the training courses lead to shoulder injuries andby training. The psychological status,shoulder symptoms,protective measures and other factors were compared between the the normal group to explore the influencing factors of injuries. Results Of 1 0 8 0 trainers,the incidence of shoulder injuries was 1 8 .5 2 %.The training course where injured were currently creeping forward（34. 96% ） , push-ups（ 13. 8 2% ） and pull-ups（ （ 3 .4 1 % ） . The main types of injuries were soft tissue injuries（92. 27% ）. The difference was statistically significant between two groups in the aspects of the mental state,shoulder protection measures and the presence of symptoms（P 〈0.01）. Conclusion The shoulder injuries of training personnel weremainly caused by soft tissue injuries. Long time training,short time for rest,lack of control or confidence were the symptoms during training and inadequate application of protective measures may lead to the incidence of trai

关 键 词：训练伤 地勤 过顶运动 肩关节损伤 流行病学 

分 类 号：R821.9[医药卫生—临床医学]