肩峰下夾擠症候群之業餘棒球運動員以運動訓練介入之成效：個案報告

The Effect of Exercise Training for an Amateur Baseball Athlete With Subacromial Impingement Syndrome: A Case Report

鄭之姸(Chih-Yen Cheng) ； 賴芝錦(Chih-Chin Lai)

《物理治療》 44卷4期 (2019/12) Pp. 261-267

https://doi.org/10.6215/FJPT.201912_44(4).0005

摘要

肩峰下夾擠症候群是肩夾擠症候群中最常見的一類，尤其常見於重複過肩運動者，患者常見在肩外展與外轉角度產生限制。本病例所記錄之個案為一名32歲男性業餘棒球運動員，2016年進行棒球訓練時，在未暖身的狀況下丟擲棒球，隨即感到右側肩膀前側一陣劇痛。休息過後疼痛雖漸緩，卻持續存在並伴隨不穩定的感覺。使用個案處理模式後發現個案右肩肌力不足、肩胛骨節律異常以及胸大肌、胸小肌及闊背肌過緊。針對個案問題以肌力訓練、自我牽拉運動及儀器介入四週後，個案在疼痛、肌力以及功能性問卷的結果都和介入前相比有顯著的改善。

關鍵字

肩峰下夾擠症候群 ； 國際健康功能與身心障礙分類系統 ； 肌力訓練 ； 牽拉運動

並列摘要

Subacromial impingement syndrome (SAIS) is the most common subtype among shoulder impingement syndrome, which is especially often seen in repeated over-head athletes. Patients with SAIS are usually combined with range of motion limitation in shoulder abduction and external rotation. Our reported case is a 32-year-old male amateur baseball player, who had a sharp pain around the anterior side of the right shoulder, after pitching a baseball without warming up in 2016. Even though the pain became better after resting, the pain did not disappear and was combined with instability. We found this patient had insufficient shoulder muscle strength accompanied with abnormal scapulohumeral rhythm and muscle tightness in pectoralis major, minor, and latissimus dorsi. After one-month physical therapy, our patient has significant improvement in pain, right shoulder muscle strength, and result of functional questionnaire.

並列關鍵字

Subacromial impingement syndrome ； ICF model ； Strengthening exercise ； Stretching exercise