2022年医学专题-肩胛骨稳定训练

肩胛骨稳定(wěndìng)训练ScapularStabilizationExerciseScapularstrengthening

2008-11-27第一页，共二十一页。肩胛(jiānjiǎ)胸壁连接

ScapulothoracicJoint不是(bùshi)真正的关节肩胛骨在胸廓上的运动对肩关节的运动非常重要肩胛骨周围肌肉的收缩，使得肩胛骨稳定为关节活动打下了很好的基础第二页，共二十一页。肩胛骨稳定(wěndìng)的意义Weaknessofthescapularmuscleswillleadtodysfunctionofthescapulohumeralrhythm,whichmaycauseorleadtoshoulderinjury.WithweaknessandinstabilityofthescapulamayleadtopossibleSLAPtear,rotatorcufftear,labraltearandorshoulderimpingement.Scapulardysfunctionisfoundinasmanyas68%ofrotatorcuffproblemsand100%ofglenohumeralinstabilitydiagnoses•的弱点肩胛肌肉会导致(dǎozhì)肩关节节奏的功能障碍,这可能会引起或导致肩伤。

•的弱点和不稳定肩胛骨可能导致可能的耳光撕裂,肩袖撕裂,上唇的眼泪或肩膀撞击。

•肩胛骨的障碍在多达68%的和100%的因不稳定的诊断肩袖撕裂的问题第三页，共二十一页。肩胛骨的运动(yùndòng)第四页，共二十一页。肩胛肌肉(jīròu)的功能解剖

FunctionalAnatomyoftheScapularMuscles斜方肌Trapezius大、小菱形(línɡxínɡ)肌Rhomboidmajor/minor前锯肌Serratusanterior胸小肌Pecminor肩胛提肌Levatorscapulae起于躯干(qūgàn)止于肩胛骨的肌群scapulastabilizers第五页，共二十一页。TrapeziusUpper

trapeziusstrongelevator,upwardrotatorandretractorofthescapulaMiddletrapeziusmainlyresponsibleforscapularetractionLowertrapeziusassistsinretractionandupwardrotatinDepression•上斜方肌

(电梯,向上旋转和肩胛骨的牵开器

•中间斜方肌

——主要负责肩胛(jiānjiǎ)收缩

•低斜方肌

协助在收缩和向上rotatin

抑郁第六页，共二十一页。RhomboidmajorandminorActionScapularetractionRotationofthescapuladownwardsChinsanddipsareexcellentactivitiesfordevelopingthesemuscles.第七页，共二十一页。LevatorscapulaeShruggingtheshoulders(scapulaelevation)requirestheuseoflevatorscapulaeandTrapezius.第八页，共二十一页。SerratusanteriorActionScapulaprotractionRotationofthescapulaupwardsThemuscleisusedmainlyforpushingandpunchingactionsandisnicknamed'TheBoxersMuscle'.Itisusedstronglyinpush-upsandbenchpresses第九页，共二十一页。PecMinorActionScapulaprotractionRotationofthescapuladownwardsscapulaDepressionItworkstogetherwithSerratusanterior.Whenthetwoworktogether,pureprotraction(withoutrotation)isproduced.第十页，共二十一页。MovementMusclesAbduction/ProtractionPectoralisminorSerratusanteriorAdduction/RetractionTrapeziuslowerfibersTrapeziusmiddlefibersRhomboidsElevationTrapeziusupperfibersTrapeziusmiddlefibersRhomboidsLevatorscapulaeDepressionPectoralisminorLowerTrapeziusUpwardrotationSerratusanteriorTrapeziusmiddlefibersTrapeziuslowerfibersDownwardrotationPectoralisminorRhomboidsMovementsandMusclesfortheShoulderGirdle第十一页，共二十一页。肩胛肌肉(jīròu)离心收缩Eccentriccontractionforscapularmuscle第十二页，共二十一页。离心(líxīn)动作设计靶肌肉在抗重力体位下的向心动作(dòngzuò)靶肌肉抗重力离心收缩向心动作的终止位置即为离心动作的起始位置不要设计成靶肌肉拮抗肌的向心收缩第十三页，共二十一页。Levatorscapulae第十四页，共二十一页。UppertrapeziusProneRow/BentoverRow、Unilateralshouldershrug起始(qǐshǐ)位置，如图再慢慢垂下手臂，即为UT之eccentriccontraction第十五页，共二十一页。MiddletrapeziusHorizontalabduction(neutral)Shoulderhorizontalextensionwithexternalrotationandoverheadarmraiseinlinewithlowertrapezius(proneposition)第十六页，共二十一页。LowertrapeziusOverheadarmraiseinlinewithlowertrapezius起始(qǐshǐ)位置，如图第十七页，共二十一页。RhomboidsProneHorizontalabduction(neutral)Scapularadductionanddownwardrotation肩胛骨内收和向下(xiànɡxià)旋转第十八页，共二十一页。Serratusanterior/PecMinor前锯肌SerratusPunchesPushupwithaplusShoulderabductionplaneofscapulaabove120°(onlyforSA)第十九页，共二十一页。Thankyouforcoming!第二十页，共二十一页。内容(nèiróng)总结肩胛骨稳定训练。