- 學位論文
藉由運動與貼紮治療增進肩胛骨功能
Therapeutic exercise and taping for improving scapular function
摘要
實驗背景與目的: 錯誤的圓肩姿勢 (round shoulder posture)會使肩峰下夾擠症候群 (subacromial impingement)的問題更加嚴重。 因此本篇研究使用肌內效貼布 (kinesiology taping)合併運動的方式期望改善圓肩姿勢合併肩峰下夾擠症候群患者的姿勢、疼痛與肩膀功能。 實驗方法: 針對34位圓肩合併肩峰下夾擠症候群患者隨機分為介入組與對照組。介入組接受一週兩次為期4週的肌內效貼布貼紮(有拉張力)及肌力訓練與伸展運動，對照組接受一週兩次為期4週的肌內效貼布貼紮(沒有拉張力)及肌力訓練與伸展運動。兩組受試者分別在介入前、介入2週與介入4週接受疼痛評估 (visual analysis scale)、圓肩量測 (shoulder angle)與肩關節功能評估 (Self-reported flexilevel scale of shoulder function)。 實驗結果: 兩組受試者在接受介入後肩關節功能皆有顯著改善 (p=0.027)。兩組受試者皆顯示: 當疼痛獲得大幅改善者，也同時具有較佳的肩關節功能表現 (r=-0.760與 r=-0.674; p<0.010)。此外實驗組顯示: 圓肩姿勢與肩關節功能呈現中度相關 (0.48)。 結論: 4週的肌力訓練合併伸展運動與肌內效貼布貼紮 (沒有拉張力或有拉張力)能夠改善尖峰下夾擠症候群合併圓肩問題患者的肩關節功能。此外，當症狀改善時也同步能夠有較佳的肩關節動作表現與姿勢。
並列摘要
Objective: Round shoulder posture (RSP) may exaggerate symptoms of subacromial impingement. The effects of kinesiology taping with exercise on posture, pain, and functional performance were investigated in subjects with impingement and RSP. Design: This study was a single-blinded randomized controlled trial. Setting: An outpatient rehabilitation clinic in a university hospital. Participants: Thirty-four subjects with subacromial impingement and RSP. Interventions: Kinesiology taping with and without tension was applied 2 times per week for 4 weeks. Both groups also performed strengthening and stretching exercises 3 times per week for 4 weeks. Main outcome measurements: The pain level, shoulder angle and self-reported score were evaluated at pre-intervention, 2-week post-intervention and 4-week post-intervention time points. Results: Functional performance improved after intervention in both groups (p = 0.027). A greater decrease in pain level was related to better functional performance of the shoulder in both groups (r= -0.760 and -0.674; p < 0.010). Moderate correlations were found for posture and functional performance of the shoulder in the intervention group (0.48). Conclusion: Four weeks of strengthening and stretching exercises with or without kinesiology taping improved functional performance in subjects with impingement and RSP. Improvement in clinical symptoms was related to better performance of posture.