首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献，搜索用时 31 毫秒
1.
肩袖损伤后的康复对策   总被引：3，自引：0，他引：3  
肩袖损伤在肩关节损伤中发病率最高,这是和肩袖本身的解剖弱点和运动特点有关。肩袖损伤康复的目的是恢复其关节的功能。要根据肩带关节的生理和生物力学的特性,进行损伤后的康复。首先,必须迅速做出完整的诊断,减轻早期疼痛,然后,训练肩胛骨的稳定性,尽早使肩关节外展至90(。采用闭合链训练方式在损伤的康复方案中非常重要。这些康复方法在临床应用中很有效。  相似文献   

2.
In volleyball, the dominant shoulder of the athlete undergoes biomechanical and morphological adaptations; however, definitive conclusions about their exact nature, aetiology, purpose and associations with shoulder injury have not been reached. We present a systematic review of the existing literature describing biomechanical adaptations in the dominant shoulders of volleyball players and factors that may predispose to shoulder pain/injury. A thorough literature search via Medline, EMBASE and SCOPUS was conducted for original studies of volleyball players and 15 eligible articles were identified. Assessment of study quality was performed using the STROBE statement. The reviewed literature supports the existence of a glenohumeral internal rotation deficit (GIRD) and a possible (and less pronounced) external rotation gain in the dominant vs. the non-dominant shoulder of volleyball athletes. Unlike other overhead sports, the GIRD in volleyball athletes appears to be anatomical as a response to the repetitive overhead movements and not to be associated with shoulder pain/injury. Additionally, the dominant shoulder exhibits muscular imbalance, which appears to be a significant risk factor for shoulder pain. Strengthening of the external rotators should be used alongside shoulder stretching and joint mobilisations, core strengthening and optimisation of spike technique as part of injury management and prevention programmes.  相似文献   

3.
Few studies have investigated the incidence of injuries in kayakers. The aim was to study the prevalence of shoulder pain in competitive flatwater kayakers and to evaluate any differences in range of motion or scapula stability of the shoulder joint among kayakers with or without the history of shoulder pain. Thirty-one kayakers were participated in the study, and a questionnaire including background data was used. Shoulder range of motion was measured with a goniometer, and the participants were observed for scapula dyskinesis in flexion and abduction. Of the participating kayakers, 54.8% (n = 17) had experienced shoulder pain. Kayakers who had experienced shoulder pain showed a significantly lower degree of internal rotational range of motion versus kayakers with no reported shoulder pain, with a mean degree of internal rotation in the right shoulder 49.3 vs 60.0 (P = 0.017) and the left shoulder 51.9 vs 66.0 (P = 0.000). Kayakers who had experienced shoulder pain were also observed with a scapular dyskinesis (n = 15 of 17 kayakers) to a significantly higher degree (P = 0.001) than kayakers with no reported shoulder pain. Findings suggest that screening for scapular dyskinesis and testing for rotational range of motion in the shoulder joint is essential in order to treat and maybe prevent shoulder pain in kayakers.  相似文献   

4.
高原 《湖北体育科技》2016,(11):1032-1034
肩伤是专业排球运动员常见的伤病之一,而主攻的肩伤在排球运动的损伤中是最多的。以江苏女排主攻手许若亚为对象,对其在2014年9月17日—2014年10月10日期间,肩关节损伤后的系统性康复训练要素与效果进行研究,总结经验,探索肩关节损伤的有效防治方法,为提高女子排球科医保障水平,指导科学训练提供参考和指导。  相似文献   

5.
Repetitive stresses and movements on the shoulder in the volleyball spike expose this joint to overuse injuries, bringing athletes to a career threatening injury. Assuming that specific spike techniques play an important role in injury risk, we compared the kinematic of the traditional (TT) and the alternative (AT) techniques in 21 elite athletes, evaluating their safety with respect to performance. Glenohumeral joint was set as the centre of an imaginary sphere, intersected by the distal end of the humerus at different angles. Shoulder range of motion and angular velocities were calculated and compared to the joint limits. Ball speed and jump height were also assessed. Results indicated the trajectory of the humerus to be different for the TT, with maximal flexion of the shoulder reduced by 10 degrees, and horizontal abduction 15 degrees higher. No difference was found for external rotation angles, while axial rotation velocities were significantly higher in AT, with a 5% higher ball speed. Results suggest AT as a potential preventive solution to shoulder chronic pathologies, reducing shoulder flexion during spiking. The proposed method allows visualisation of risks associated with different overhead manoeuvres, by depicting humerus angles and velocities with respect to joint limits in the same 3D space.  相似文献   

6.
Abstract

Overuse injuries are predominant in sports involving the repetition of similar movements patterns, such as in volleyball or beach volleyball, and they may represent as much a problem as do acute injuries. This review discusses the prevalence of two of the most common overuse-related injuries in volleyball: shoulder and back/spine injuries. Risk factors and the aetiology of these injuries are illustrated in order to make possible to initiate preventive programme or post-injuries solutions. Data collected from literature showed a moderately higher injury rate for overuse shoulder injuries compared to the back/spine (19.0±11.2% and 16.8±9.7%, respectively). These data could be underestimated, and future epidemiological studies should consider overuse injuries separately from the others, with new methodological approaches. In addition to age, biomechanical and anatomical features of a volleyball technique utilised in game and the amount of hours played are considered as the main risk factors for overuse upper limb injuries, both for professional and recreational athletes. Together with post-injuries solutions, great importance has to be placed on preventive programmes, such as preventive rehabilitation, stretching, adequate warm up, strength-power exercises, etc. Furthermore, it is particularly suggested that coaches and players work together in order to develop new game/training techniques that minimise stresses and range of motion of the principal anatomical structures involved, while maintaining athletes performance.  相似文献   

7.
To this day, how shoulder muscles react to a strong fatigue stimulus during dynamic shoulder rotations remains unknown. The aims of this study were to assess the effect of repeated maximal internal-external isokinetic shoulder rotations on shoulder strength and muscle activity. Twenty-four individuals completed a 50-repetition fatiguing isokinetic protocol while electromyography was recorded on eleven muscles of the shoulder girdle. Time-frequency transformation and an ANOVA model using statistical parametric mapping methods were used to analyze shifts in instantaneous median frequency (MDF) between each 10-repetition Blocks. Peak torques decreased in both internal and external rotation (P < 0.01) by 24.8% on average which indicated the presence of fatigue. Significant decrease in MDF (P < 0.01) was observed for pectoralis, middle deltoid, upper, middle and lower trapezius, infraspinatus and subscapularis muscles. The observed fatigue to the periscapular and rotator cuff muscles suggests that shoulder stability could be compromised during repeated shoulder rotations, which could underlie the increased risk of scapular dyskinesis and shoulder impingement during fatiguing tasks. The present study provides a deeper understanding on the manifestations of fatigue within muscles of the shoulder girdle and the results could be applied toward improvements in athlete shoulder injury prevention and rehabilitation programs.  相似文献   

8.
对比分析篮、排球专项队员肩关节肌肉力量特点,结合篮球、排球专项技术特点指导专项体能训练并预防运动损伤。结论:篮球队员左侧肩关节屈肌力量较排球队员大;排球队员右侧肩关节伸肌爆发力较篮球队员要好;两专项队员屈/伸和内旋/外旋力量比率偏小,应注意肩关节肌肉力量均衡发展,尤其是肩关节内外旋肌肉。  相似文献   

9.
我国排球运动员的损伤研究(综述)   总被引：20，自引：0，他引：20  
排球运动是世界上流行的运动项目之一，排球运动员的损伤率估计在二到五人每一千训练比赛小时，主要的损伤部位是在肩、腰、膝、踝等部位，运动损伤方面的研究目前还不成体系，因为各研究的损伤标准不一。为了减少运动损伤的发生率，从内外两个方面综述运动损伤发生的原因及其预防措施。  相似文献   

10.
BackgroundShoulder flexion requires an optimal length of the latissimus dorsi muscle in order to allow full lateral rotation of the humerus and upward scapular rotation. If shoulder flexion (in an externally rotated position) is restricted, this may predispose the individual to shoulder pathology. Sports such as swimming and canoeing have increased shoulder injuries and require high levels of latissimus dorsi muscle activity, which may create muscle hypertrophy and increased stiffness, resulting in a loss of muscle length. The objective of this study was to investigate if differences are present in shoulder flexion in internally and externally rotated positions across different sports (swimming, canoeing, and rugby) and a non-sporting control group.MethodsOne hundred subjects (40 physically active controls, 25 professional Rugby Union players, 20 elite, national-level canoeists (slalom), and 15 elite, national-level swimmers) participated in this study. Shoulder flexion range of motion was measured using a standard goniometer, with the arm elevated in either full external or internal rotation.ResultsA significant difference in shoulder flexion range was observed between canoeists and swimmers, canoeists and controls, rugby players and canoeists, rugby players and swimmers, and controls and swimmers in the external rotation position (p < 0.017), but not between controls and rugby players (p = 0.12). For the internal rotation position, swimmers significantly differed from canoeists, rugby players, and controls (p < 0.017), but there were no significant differences between rugby players, canoeists, and controls (p > 0.07).ConclusionThis study found that the length of the latissimus dorsi differs between sports and controls in accordance with the specific physical demands of their sport.  相似文献   

11.
Female athletes are at least twice as likely to sustain an anterior cruciate ligament injury than male athletes. The underlying cause of ACL injury is multifactorial. However, several researchers have identified knee joint laxity as a possible contributing factor. The purpose of this study was to provide a comparison of knee joint laxity between male and female collegiate soccer players and male and female non-athletes. Thirty-nine (19 male, 20 female) apparently healthy, collegiate athletes from the University of Texas at El Paso's 2001-2002 women's intercollegiate soccer team and men's club soccer team, and forty (20 male, 20 female) non-athletic students volunteered to participate. All participants were tested bilaterally using the KT-1000 MEDmetric knee joint ligament arthrometer. Three tests were used to determine anterior laxity: passive displacement, active displacement, and the Lachman test. The mean passive displacement, mean active displacement, and Lachman (only for the left leg) were significantly lower for the athletic group than for the non-athletic group. There were no significant differences found between males and females for the passive and active drawer tests. However, females had significantly more laxity than males in the Lachman test. These findings suggest that strength and conditioning may play a more significant role in knee joint laxity than the sex of the individual.  相似文献   

12.
中国国家男子排球运动员训练致伤分析   总被引：13，自引：0，他引：13  
对我国 8支甲级俱乐部的 17名国家男子排球队运动员进行问卷调查 ,结果发现 ,创伤率高达 95 .8% ,创伤率与技术训练和身体素质训练的不合理运用有关。现役国家男子排球队运动员中 ,发病率最高的是膝伤和腰伤 ,踝关节、腕关节、肩关节、指关节以及肌肉的劳损和急性损伤比较多见。结合排球运动的特点就发病率的几种创伤原因进行了分析 ,并提出了预防建议  相似文献   

13.
In this study we analysed technique, ball speed and trunk injury data collected at the Australian Institute of Sport (AIS) from 42 high performance male fast bowlers over a four year period. We found several notable technique inter-relationships, technique and ball speed relationships, and associations between technique and trunk injuries. A more front-on shoulder alignment at back foot contact was significantly related to increased shoulder counter-rotation (p < 0.001). Bowlers who released the ball at greater speeds had an extended front knee, or extended their front knee, during the front foot contact phase (p < 0.05). They also recorded higher braking and vertical impact forces during the front foot contact phase and developed those forces more rapidly (p < or =0.05). A maximum hip-shoulder separation angle occurring later in the delivery stride (p = 0.05) and a larger shoulder rotation to ball release (p = 0.05) were also characteristics of faster bowlers. Bowlers suffering lower back injuries exhibited typical characteristics of the 'mixed' technique. Specifically, the hip to shoulder separation angle at back foot contact was greater in bowlers who reported soft tissue injuries than in non trunk-injured bowlers (p = 0.03), and shoulder counter-rotation was significantly higher in bowlers who reported lumbar spine stress fractures than non trunk-injured bowlers (p = 0.01). The stress fracture group was also characterised by a larger hip angle at front foot contact and ball release, whereas a more flexed front knee at ball release characterised the non trunk-injured group.  相似文献   

14.
Adult overhead athletes without a history of shoulder injury show scapular adaptations. There is a lack of detailed assessment of scapular kinematics in junior overhead athletes. This study aims to investigate three-dimensional scapular kinematics in junior overhead athletes. We recruited a total of 20 junior tennis players and 20 healthy children without participation in any overhead sports in this study. Bilateral scapular kinematic data were recorded using an electromagnetic tracking device for scapular plane glenohumeral elevation. The data were further analysed at 30°, 45°, 60°, 90° and 120° during glenohumeral elevation and lowering. Statistical comparisons of the data between groups (junior overhead athletes and non-overhead athletes) and sides (serve dominant and non-dominant shoulders of the overhead athletes) were analysed with the ANOVA. Comparisons showed that, in general, the scapula was more upwardly rotated and anteriorly tilted in overhead athletes when compared to non-overhead athletes, however there was no side-to-side differences when serve dominant and non-dominant shoulders compared in junior overhead athletes. The serve dominant arm of junior overhead athletes had alternations in scapular kinematics when compared with the non-overhead athletes. These findings provide clinical evaluation implications and the need for clinicians to assess for potential adaptations in junior overhead athletes.  相似文献   

15.
This study aimed (1) to describe and compare scapular kinematics between three groups of swimmers of different levels and a group of non-swimmers, and (2) to assess whether swimming practice alters the asymmetries in scapular kinematics between the dominant and non-dominant sides, both during unilateral arm raising and lowering in the scapular plane. Scapular kinematics were assessed bilaterally during arm raising and lowering in the scapular plane using an electromagnetic system in 42 healthy males, which were split into four groups: control (n?=?11), adolescent elite swimmers (n?=?11), adult elite swimmers (n?=?10), and club-level adult swimmers (n?=?10). One-Way ANOVA SPM(t) on two repeated measures showed that the three groups of swimmers had more protracted shoulder between 30° and 90° of arm raising and lowering (p?p?p?≤?.02), who presented similar scapular positioning in internal rotation. In conclusion, the findings of the study pointed out that swimming practice generated protracted shoulders and removed bilateral differences in scapular upward rotation during scaption, while accumulation of swimming practice at elite level enlarged scapular internal rotation.  相似文献   

16.
近年来,在高校排球专项学生发生运动损伤的现象较多,影响了学生在训练和比赛中的竞技水平、正常的教学秩序以及学生的正常生活。通过对排球教学中运动损伤的调查分析,探讨运动损伤的发生规律及防治对策,为今后更好地安排排球的教学与训练提供有益参考。  相似文献   

17.
棒球投手肩关节旋转运动特征研究   总被引：4，自引：0，他引：4  
棒球比赛中,投手是一支球队的灵魂,在很大程度上决定全局的比赛。肩部力量素质和活动范围是投手有效投球的基础,在很大程度上决定投球技术、机能的发挥。肩关节既是躯干和上肢的连结点,又是上肢运动的支点,是保证上肢完成三维活动的重要结构[1]。因此,肩关节在棒球运动中发挥着  相似文献   

18.
Soccer     
Female athletes are at least twice as likely to sustain an anterior cruciate ligament injury than male athletes. The underlying cause of ACL injury is multifactorial. However, several researchers have identified knee joint laxity as a possible contributing factor. The purpose of this study was to provide a comparison of knee joint laxity between male and female collegiate soccer players and male and female non‐athletes. Thirty‐nine (19 male, 20 female) apparently healthy, collegiate athletes from the University of Texas at El Paso's 2001‐2002 women's intercollegiate soccer team and men's club soccer team, and forty (20 male, 20 female) non‐athletic students volunteered to participate. All participants were tested bilaterally using the KT‐1000 MEDmetric knee joint ligament arthrometer. Three tests were used to determine anterior laxity: passive displacement, active displacement, and the Lachman test. The mean passive displacement, mean active displacement, and Lachman (only for the left leg) were significantly lower for the athletic group than for the non‐athletic group. There were no significant differences found between males and females for the passive and active drawer tests. However, females had significantly more laxity than males in the Lachman test. These findings suggest that strength and conditioning may play a more significant role in knee joint laxity than the sex of the individual.  相似文献   

19.
The aim of this study was to examine the relationship between shoulder alignment and elbow angle during the delivery action of fast-medium bowlers. The elbow and upper trunk alignment were recorded for 13 high-performance bowlers (mean age 20 years) using a 12-camera Vicon motion analysis system operating at 250 Hz. The three highest velocity trials for "good" and "short" length deliveries were analysed. Results showed that bowlers with a more front-on shoulder alignment at back-foot impact and when the upper arm was horizontal to the ground experienced a significantly greater elbow flexion--extension range when compared with those who had a more side-on orientation at the same point in the delivery action. Bowlers with greater shoulder counter-rotation also recorded higher elbow flexion and subsequently extension during the period from upper arm horizontal to ball release. Shoulder alignment and elbow angles were similar for "short" and "good" length deliveries. It was concluded that bowlers with a more front-on shoulder orientation at back-foot impact demonstrated a higher elbow extension from upper arm horizontal to ball release and are therefore more likely to infringe International Cricket Council elbow tolerance levels, compared with those who adopt a more side-on shoulder orientation at back-foot impact.  相似文献   

20.
Abstract

The aim of this study was to examine the relationship between shoulder alignment and elbow angle during the delivery action of fast-medium bowlers. The elbow and upper trunk alignment were recorded for 13 high-performance bowlers (mean age 20 years) using a 12-camera Vicon motion analysis system operating at 250 Hz. The three highest velocity trials for “good” and “short” length deliveries were analysed. Results showed that bowlers with a more front-on shoulder alignment at back-foot impact and when the upper arm was horizontal to the ground experienced a significantly greater elbow flexion – extension range when compared with those who had a more side-on orientation at the same point in the delivery action. Bowlers with greater shoulder counter-rotation also recorded higher elbow flexion and subsequently extension during the period from upper arm horizontal to ball release. Shoulder alignment and elbow angles were similar for “short” and “good” length deliveries. It was concluded that bowlers with a more front-on shoulder orientation at back-foot impact demonstrated a higher elbow extension from upper arm horizontal to ball release and are therefore more likely to infringe International Cricket Council elbow tolerance levels, compared with those who adopt a more side-on shoulder orientation at back-foot impact.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号