肩胛骨稳定训练PPT.ppt

上海交通大学医学院附属第九人民医院骨科康复 肩胛骨稳定训练 Scapular Stabilization Exercise Scapular strengthening 2008-11-27 肩胛胸壁连接Scapulothoracic Joint 不是真正的关节 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 肩胛骨稳定的意义 Weakness of the scapular muscles will lead to dysfunction of the scapulohumeral rhythm,which may cause or lead to shoulder injury. With weakness and instability of the scapula may lead to possible SLAP tear, rotator cuff tear, labral tear and or shoulder impingement. Scapular dysfunction is found in as many as 68% of rotator cuff problems and 100% of glenohumeral instability diagnoses ?的弱点肩胛肌肉会导致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 肩胛骨的运动 肩胛肌肉的功能解剖 Functional Anatomy of the Scapular Muscles 斜方肌Trapezius 大、小菱形肌Rhomboid major/minor 前锯肌Serratus anterior 胸小肌Pec minor 肩胛提肌Levator scapulae 起于躯干止于肩胛骨的肌群 scapula stabilizers Trapezius Upper trapezius strong elevator, upward rotator and retractor of the scapula Middle trapezius mainly responsible for scapula retraction Lower trapezius assists in retraction and upward rotatin Depression ?上斜方肌(电梯,向上旋转和肩胛骨的牵开器?中间斜方肌——主要负责肩胛收缩?低斜方肌协助在收缩和向上rotatin抑郁 Levator scapulae Shrugging the shoulders (scapula elevation) requires the use of levator scapulae and Trapezius. Serratus anterior Action Scapula protraction Rotation of the scapula upwards The muscle is used mainly for pushing and punching actions and is nicknamed The Boxers Muscle. It is used strongly in push-ups and bench presses Pec Minor Action Scapula protraction Rotation of the scapula downwards scapula Depression It works together with Serratus anterior. When the two work together, pure protraction (without rotation) is produced. Movement Muscles Abduction/Protraction Pectoralis minor Serratus anterior Adduction/Retraction Trapezius lower fibers Trapezius middle fibers Rhomboids Elevation Trapezius upper fibers Trapezius middle fibers Rhomboi