| 邓思敏,陈 康,何岚娟,马燕红.肩胛骨动力障碍在肩颈痛中发生情况调查[J].中国康复医学杂志,2016,(7):756~760 |
| 肩胛骨动力障碍在肩颈痛中发生情况调查 点此下载全文 |
| 邓思敏 陈 康 何岚娟 马燕红 |
| 上海交通大学附属第六人民医院康复医学科，200233 |
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| DOI： |
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| 摘要
目的：比较肩胛骨动力障碍（scapular dyskinesis，SD）在肩颈痛患者和正常人中的发生率及其Kibler分型的分布。
方法：研究对象共306例，年龄在20—60岁之间，分为102例肩痛组、102例颈痛组及102例正常对照组，采用3位临床医生在视诊的基础上进行触诊，判断两侧肩胛骨在静息位、前屈位、外展位、肩胛位时SD的发生率和Kibler分型。
结果：肩颈痛两组中的SD发生率明显高于对照组。在肩颈痛两组中，SD及其Kibler分型有明显差异（P<0.05），且不同检查体位之间亦有差异（P<0.05）。
结论：肩痛组和颈痛组SD发生率在静息位分别为81.37%和52.94%，在前屈位、外展位、肩胛位相似近40%，均以Ⅲ型多见。 |
| 关键词：肩胛骨动力障碍 Kibler分型 肩颈痛 |
| Investigation on the occurrence of scapular dyskinesis in shoulder-neck pain Download Fulltext |
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| Dept. of Rehabilitation Medicine, The Sixth People’s Hospital Affiliated to Shanghai Jiaotong University, 200233 |
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| Abstract: |
| Abstract
Objective: To compare the incidence of scapular dyskinesis(SD) and the distribution of its Kibler’s classification in the patients with shoulder-neck pain and the normal persons.
Method: A total of 306 subjects, aged from 20 to 60 years old were included, 102 of which were in the shoulder pain group, 102 in the neck pain group and 102 in the normal control group. Yes or No of SD and its Kibler's classification at the rest, anteflexion, abduction and scapular position of bilateral scapular were made by three clinical doctors based on visual inspection and palpation.
Result:The incidence of SD in the shoulder-neck pain groups were significantly higher than in the control group. Incidence of SD and Kibler's classification were significantly different between shoulder and neck pain groups and among different examination positions in each group (P<0.05).
Conclusion:The incidence of SD in shoulder pain group was 81.37% and in neck pain group was 52.94% at the rest position. Nearly 40% at the anteflexion, abduction and scapular position for both groups were found, and most in classification type IV. |
| Keywords:scapular dyskinesis Kibler classification shoulder-neck pain |
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