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首頁> 外文學(xué)位 >An ultrasonographic analysis of the structures of the subacromial space, as they relate to the postures of upper string musicians.
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An ultrasonographic analysis of the structures of the subacromial space, as they relate to the postures of upper string musicians.

機(jī)譯：對肩峰下空間的結(jié)構(gòu)進(jìn)行超聲分析，因?yàn)樗鼈兣c上弦樂手的姿勢有關(guān)。

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摘要

Background: The leading source of general population shoulder pain is subacromial impingement syndrome (SAIS) which can contribute to rotator cuff disease (RCD). It has been reported that up to 12% of musicians end their musical career due to musculoskeletal injury. SAIS is a common source of shoulder pain in bowing arm of upper string musicians. However, the mechanisms leading to shoulder pain, in upper string musicians, are not well known.;Purpose: The purpose of this study was to characterize aspects, of the subacromial space anatomy, while in standard playing positions of upper string musicians. Specifically measurements taken of the acromiohumeral distance (AHD) and supraspinatus tendon thickness.;Methods: Experienced musicians (n = 23) were recruited from the university and local communities. Ultrasound images of the participant's shoulders were collected using standard imaging techniques.;Results: On the right side, the arm position main effect was significant (p < 0.001), the AHD in the 4th string position (8.459 +/- 0.449mm) was less than the 1st string (10.978 +/- 0.319mm) and resting (11.713 +/- 0.327mm) positions. There was a significant difference in the AHD between the resting (13.428 +/- 0.606mm) and the 1st finger, 1st string (10.765 +/- 0.488mm) positions in the left side. The resting AHD was smaller (p < 0.001) on the right side (11.713 + 0.327mm) compared to the left (12.273 +/- 0.404mm). Tendon thickness of the left shoulder (5.687 +/- 0.211mm) was not significantly different when compared to the right side. (5.889 +/- 0.262mm). There was a statistically significant difference (p < 0.001) in the occupation ratio (tendon thickness / AHD) between the left (0.472 +/- 0.021mm) and right shoulder (0.507 +/- 0.022mm).;Conclusions and Practical Relevance: The reduced resting AHD measurements of the right shoulder and the reduction of AHD measurements as the arm is brought into elevation, suggest upper string musicians are at greater risk for RCD than the general population, especially on the right side. Treatment interventions that help musicians maximize the width of the subacromial space may reduce the prevalence of shoulder pain in this population.
機(jī)譯：背景：一般人群肩痛的主要來源是肩峰以下撞擊綜合征（SAIS），可導(dǎo)致肩袖?。≧CD）。據(jù)報道，多達(dá)12％的音樂家由于肌肉骨骼損傷而結(jié)束了音樂生涯。 SAIS是上弦音樂家彎弓臂中常見的肩部疼痛源。然而，尚不清楚上弦樂手導(dǎo)致肩部疼痛的機(jī)制。目的：本研究的目的是表征上弦樂手在標(biāo)準(zhǔn)演奏位置時肩峰下空間解剖的各個方面。具體測量肩峰肱距離（AHD）和棘上肌腱厚度。方法：方法：從大學(xué)和當(dāng)?shù)厣鐓^(qū)招募經(jīng)驗(yàn)豐富的音樂家（n = 23）。結(jié)果：在右側(cè)，手臂位置的主要影響是顯著的（p <0.001），在第4弦位置的AHD是8.459 +/- 0.449mm，這是參與者肩部的超聲圖像。小于第一弦（10.978 +/- 0.319mm）和靜止（11.713 +/- 0.327mm）位置。靜止的（13.428 +/- 0.606mm）與左側(cè)的第一根手指，第一根弦（10.765 +/- 0.488mm）之間的AHD差異顯著。與左側(cè)（12.273 +/- 0.404mm）相比，右側(cè)（11.713 + 0.327mm）的靜止AHD較?。╬ <0.001）。與右側(cè)相比，左肩的肌腱厚度（5.687 +/- 0.211mm）沒有顯著差異。 （5.889 +/- 0.262mm）。左肩（0.472 +/- 0.021mm）和右肩（0.507 +/- 0.022mm）之間的占有率（肌腱厚度/ AHD）有統(tǒng)計學(xué)意義的差異（p <0.001）。右肩的靜息AHD測量值降低，而手臂抬高則AHD測量值降低，這表明弦樂演奏者患RCD的風(fēng)險比一般人群更大，尤其是在右側(cè)。幫助音樂家最大程度地擴(kuò)大肩峰下空間寬度的治療干預(yù)措施可以減少這一人群中肩痛的患病率。

著錄項(xiàng)

  • 作者

    Smithson, Elliot V.;

  • 作者單位

    Marshall University.;

  • 授予單位 Marshall University.;
  • 學(xué)科 Kinesiology.;Performing arts.;Biomechanics.
  • 學(xué)位 M.S.
  • 年度 2016
  • 頁碼 104 p.
  • 總頁數(shù) 104
  • 原文格式 PDF
  • 正文語種 eng
  • 中圖分類 植物學(xué);
  • 關(guān)鍵詞

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