- 期刊
應用旋轉肌群之動態穩定能力訓練於肩關節夾擠症候群─病例報告
Case Report: The Application of Dynamic Stability Training of Rotator Cuff Muscle in a Patient with Shoulder Impingement Syndrome
摘要
肩關節夾擠症候群發生於當肩峰下空腔過於狹窄，使得旋轉肌群肌腱受到夾擠的症候群。隨著發生成因之不同，原發性患者常可見於35歲以上，是後天的骨骼異常所造成，而次發性的外部夾擠常見在肩關節不穩定的患者當中。本病例報告的個案是一位27歲的男性，2010年7月於健身房以雙手向上推舉重量時，左肩忽然產生劇痛，由於疼痛造成生活中的不便，在2010年12月到臺大醫院就診並接受物理治療。疼痛問題解除後，使用個案處理模式檢查發現個案左肩內轉角度不足、肩關節內活動度不足、肌力不足且伴隨肩胛肱骨節律異常，因此採用肌力訓練配合徒手治療與儀器治療。病人在經過2個月的物理治療後，日常生活中的活動皆不會感到肩關節疼痛；經過4個月的物理治療後，使用肩關節功能性指數評估表的結果顯示，病人在問卷中的每項功能性活動都是沒有問題的。
並列摘要
Shoulder impingement syndrome occurs as the subacromial space becomes narrowing and the rotator cuff tendon being compressed. Primary shoulder impingement happens in patients older than 35 years as a result of bony anomaly while secondary shoulder impingement occurs frequently in patients with unstable shoulder. Our reported case is a 27-year-old male patient. He suffered from severe pain as he was pushing weight upwards with bilateral hands in the gym in July, 2010. He came to our department for physical therapy in December, 2010 due to bothering pain at the shoulder during his ADL activities. We found this patient had decreased left shoulder internal rotation range of motion, decreased joint play, insufficient shoulder muscle strength accompanied with abnormal scapulohumeral rhythm. After two months of physical therapy, patients did not feel pain during his daily activities. Four months after first visit to PT, patient was evaluated with the Flexilevel Scale of Shoulder Function (FLEX-SF) and the result indicated that patients had no problems in all the evaluated items.
延伸閱讀
- 蘇彥云、李柏穎、林珮珊、楊景翔、吳昇翰、蔡孟書（2022）。【論文摘要】肌內效貼布對肩峰下夾擠症候群疼痛之系統性回顧。物理治療，47(2)，151-151。https://doi.org/10.6215/FJPT.202206.P39
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- Lee, C. C. (2019). Computer-aided Diagnosis of Different Rotator Cuff Lesions and Quantitative Diagnosis of Rotator Cuff Tears using shoulder musculoskeletal ultrasound [doctoral dissertation, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU201901454