关键词: Biomechanical study Forearm rotation Muscle control Muscle loading Scapholunate joint Scapholunate stability

Mesh : Humans Joint Instability / physiopathology rehabilitation Muscle, Skeletal / physiology Forearm / physiology Rotation Male Female Adult Carpal Joints / physiopathology Ligaments, Articular Range of Motion, Articular / physiology Lunate Bone Scaphoid Bone Wrist Joint / physiopathology physiology Biomechanical Phenomena Proprioception / physiology

来  源:   DOI:10.1016/j.jht.2023.09.012

Abstract:
BACKGROUND: This study focuses on the relationship between forearm muscles, carpal ligaments, and their impact on scapholunate joint stability across varying forearm rotations. This is crucial for optimizing pre and postoperative rehabilitation strategies for scapholunate joint dysfunction.
OBJECTIVE: Our study aims to understand the kinetic influence of forearm muscles on scapholunate joint instability. We emphasize the significance of forearm rotation to enhance treatment efficacy.
METHODS: We conducted an experimental study to understand how forearm muscles contribute to the stability of the scapholunate joint during different degrees of forearm rotation and we focused on the joint effect of muscle groups rather than individual muscles for treatment protocols.
RESULTS: Our findings shed light on the conservative treatment of dynamic scapholunate instability and the postoperative rehabilitation of scapholunate ligament repair. We found that the effect of forearm muscles significantly contributes to preserve stability in the scapholunate joint across various forearm rotational positions. These insights have practical implications for hand therapists, offering innovative strategies to enhance clinical practice.
CONCLUSIONS: This research underscores the importance of considering forearm rotation when developing rehabilitation protocols for scapholunate joint instability and provides a valuable perspective in line with current rehabilitation principles.
摘要:
背景:这项研究的重点是前臂肌肉之间的关系,腕骨韧带,以及它们对前臂旋转过程中肩胛骨关节稳定性的影响。这对于优化肩胛骨关节功能障碍的术前和术后康复策略至关重要。
目的:我们的研究旨在了解前臂肌肉对肩胛骨关节不稳定的动力学影响。我们强调前臂旋转对提高治疗效果的重要性。
方法:我们进行了一项实验研究,以了解前臂肌肉在不同程度的前臂旋转过程中如何促进肩胛骨关节的稳定性,我们专注于肌肉群的关节效应,而不是单个肌肉的治疗方案。
结果:我们的发现为动态肩胛骨不稳定的保守治疗和肩胛骨韧带修复的术后康复提供了启示。我们发现,前臂肌肉的作用显着有助于在各种前臂旋转位置上保持肩胛骨关节的稳定性。这些见解对手治疗师具有实际意义,提供创新策略以加强临床实践。
结论:这项研究强调了在制定肩胛骨关节不稳定的康复方案时考虑前臂旋转的重要性,并提供了符合当前康复原则的有价值的观点。
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