主办单位:成都体育学院
ISSN 1001-9154 CN 51-1097/G8

成都体育学院学报 ›› 2017, Vol. 43 ›› Issue (3): 102-108.doi: 10.15942/j.jcsu.2017.03.016

• 运动人体科学 • 上一篇    下一篇

肩峰下撞击综合征运动员肩周肌群 肌力的研究

罗 平1,2,林鸿生3,方健辉4,肖才坤1   

  1. 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
  • 收稿日期:2016-07-11 出版日期:2017-05-25 发布日期:2017-05-25
  • 作者简介:罗平,硕士,副教授,医师,研究方向:运动医学;E-mail:cptlp@163.com
  • 基金资助:
    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 )。

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

LUO Ping1,2,LIN Hongsheng3,FANG Jianhui4,XIAO Caikun1   

  1. 1.Guangdong Vocational Institute of Sport ,Guangzhou Guangdong 510663;
    2.The Hong Kong Polytechnic University,Kowloon Hong Kong 999077;
    3. People's Liberation Army of China Special Operation Academy,Guangzhou Guangdong 510500;4.Guangdong Sports Hospital,Guangzhou Guangdong 510100
  • Received:2016-07-11 Online:2017-05-25 Published:2017-05-25

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。

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

Abstract: 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 MicroFet 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° and 90°(P<0.05),especially at the 60° internal rotation and the 90° external rotation very apparently(P<0.01);drop clearly on the strength of internal rotation and external rotation of rotator cuff at the scapula plane of 60°,90° and 120°(P<0.05),especially very apparently external rotation at these three kinds of degree(P<0.01).Conclusion:Compared with players with nomal functional shoulder respectively,It was all decreased the strength of muscle group around shoulder in FVPSIS and MWPSIS, but the level of the decline and the compensation due to decline were analyzed targtedly according to different sports.

Key words: The Female Volleyball Players, The Male Weightlifting Players, The Strenghof Muscle Group Around Shoulder, Subacromial Impingeme

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