Ultrasound evaluation of the subacromial space in healthy subjects performing three different positions of shoulder abduction in both loaded and unloaded conditions

作者: Stefano Longo , Alberto Corradi , Giovanni Michielon , Francesco Sardanelli , Luca Maria Sconfienza

DOI: 10.1016/J.PTSP.2016.08.007

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摘要: Abstract Background Subacromial space (SS) narrowing may result in unsafe contact of rotator cuff tendons and bursa with the acromion, possibly promoting pathologies pain. We measured SS asymptomatic subjects after three movements employed for shoulder muscles' training. Participants main outcome measures Twenty-five males (age 24±5years; stature 175±8 cm; body mass 74±12 kg) underwent ultrasound evaluation while executing (WL) without (NL) 4-kg load: 90° abduction (SA) humerus rotation (90° neutral ); SA maximal humeral external er maximum (above 90°) during upright row (UR). For inter-operator reliability analysis, a subset 12 was assessed by two operators. Results Intra/inter-operator coefficients were high (ICC>0.87; standard error measurement range: 0.23–0.51 mm; minimum detectable change 0.61–1.79 mm). ANOVA revealed significant differences between loads (p = 0.003, η 2  = 0.37) angles (p   = 0.72), interaction (p = 0.004,  = 0.45). Normalized values WL higher at vs. UR both (p = 0.002) (p = 0.009). Conclusions When holding load, is larger than positions. In unloaded condition, reduced compared to UR.

参考文章(46)
Luc J. Hébert, Hélène Moffet, Marie Dufour, Christian Moisan, Acromiohumeral distance in a seated position in persons with impingement syndrome Journal of Magnetic Resonance Imaging. ,vol. 18, pp. 72- 79 ,(2003) , 10.1002/JMRI.10327
Morey J. Kolber, Scott W. Cheatham, Paul A. Salamh, William J. Hanney, Characteristics of shoulder impingement in the recreational weight-training population. Journal of Strength and Conditioning Research. ,vol. 28, pp. 1081- 1089 ,(2014) , 10.1519/JSC.0000000000000250
P F Tirman, F W Bost, G J Garvin, C G Peterfy, J C Mall, L S Steinbach, J F Feller, J V Crues, Posterosuperior glenoid impingement of the shoulder: findings at MR imaging and MR arthrography with arthroscopic correlation. Radiology. ,vol. 193, pp. 431- 436 ,(1994) , 10.1148/RADIOLOGY.193.2.7972758
Amee L. Seitz, Philip W. McClure, Sheryl Finucane, Jessica M. Ketchum, Matthew K. Walsworth, N. Douglas Boardman, Lori A. Michener, The Scapular Assistance Test Results in Changes in Scapular Position and Subacromial Space but Not Rotator Cuff Strength in Subacromial Impingement Journal of Orthopaedic & Sports Physical Therapy. ,vol. 42, pp. 400- 412 ,(2012) , 10.2519/JOSPT.2012.3579
Joseph P. Weir, Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. Journal of Strength and Conditioning Research. ,vol. 19, pp. 231- 240 ,(2005) , 10.1519/15184.1
Chris J. Durall, Robert C. Manske, George J. Davies, Avoiding Shoulder Injury From Resistance Training Strength and Conditioning Journal. ,vol. 23, pp. 10- 18 ,(2001) , 10.1519/00126548-200110000-00002
Amee L. Seitz, Lori A. Michener, Ultrasonographic measures of subacromial space in patients with rotator cuff disease: A systematic review. Journal of Clinical Ultrasound. ,vol. 39, pp. 146- 154 ,(2011) , 10.1002/JCU.20783
François Desmeules, Luc Minville, Barbara Riederer, Claude H. Côté, Pierre Frémont, Acromio-Humeral Distance Variation Measured by Ultrasonography and Its Association With the Outcome of Rehabilitation for Shoulder Impingement Syndrome Clinical Journal of Sport Medicine. ,vol. 14, pp. 197- 205 ,(2004) , 10.1097/00042752-200407000-00002
H. Graichen, S. Hinterwimmer, R.von Eisenhart-Rothe, T. Vogl, K.-H. Englmeier, F. Eckstein, Effect of abducting and adducting muscle acitivity on glenohumeral translation, scapular kinematics and subacromial space width in vivo Journal of Biomechanics. ,vol. 38, pp. 755- 760 ,(2005) , 10.1016/J.JBIOMECH.2004.05.020