上交叉综合征(UCS)的特征是普遍存在的姿势功能障碍,涉及肩带和颈胸区肌肉组织的功能失调。胸锁乳突之间的不协调平衡,胸大肌,肩胛骨提肌,上斜方肌可能会导致颈椎不适,从而阻碍常规活动并促进UCS的发展。临床量表通常用于评估和监测康复进展;尽管如此,它们往往存在固有的局限性。相比之下,三维(3D)运动捕捉技术的进步提供了详细的运动学数据,从而增强了以更高的精度客观量化和阐明运动缺陷的能力。这个案例突出了采用Xsens作为结果度量的运动学分析来阐明UCS的复杂性的关键意义。从而为类似临床场景中的治疗干预提供宝贵的见解,并提供对运动生物力学的客观见解,肌肉功能,和功能限制。利用这些信息,临床医生可以巧妙地调整治疗方式,以解决潜在的肌肉骨骼失衡,最终优化患者结果。在这个案例研究中,我们检查了一名48岁的上班族持续头痛的运动学分析,运动范围受限,颈部和肩部疼痛超过四个月。尽管先前的干预,症状恶化,提示咨询神经物理治疗师。评估显示右肩局部疼痛,上背部,脖子,以逐渐发作和隐痛为特征,活动加剧,休息和药物缓解,没有昼夜波动。体检描绘了UCS特征。实施为期四周的理疗康复方案后,采用Xsens步态运动分析进行初步评估.在康复计划之后,注意到各种参数的显着改善。这些包含了增加的运动范围,增强肌肉力量,增强的灵活性。此外,在姿势和步态方面观察到明显的增强,其特点是恢复正常的颈椎曲度和扩大的活动范围。
Upper crossed syndrome (UCS) characterizes a prevalent postural dysfunction involving dysfunctional tone in the musculature of the shoulder girdle and cervicothoracic region. The discordant balance among the sternocleidomastoid, pectoralis major, levator scapulae, and upper trapezius musculature potentially precipitated cervical discomfort, thereby hindering routine activities and fostering the progression of UCS. Clinical scales are routinely utilized to assess and monitor the progress of rehabilitation; nonetheless, they often present inherent limitations. In contrast, advancements in three-dimensional (3D) motion capture technology furnish detailed kinematic data, thereby augmenting the capacity to objectively quantify and elucidate movement deficits with heightened precision. This case highlights the critical significance of employing kinematic analysis with Xsens as an outcome measure to elucidate the intricacies of UCS, thereby offering invaluable insights for therapeutic interventions in similar clinical scenarios and providing objective insights into movement biomechanics, muscular function, and functional limitations. Leveraging this information, clinicians can skillfully tailor treatment modalities to address underlying musculoskeletal imbalances, ultimately optimizing patient outcomes. In this case study, we examine the kinematic analysis of a 48-year-old office worker experiencing persistent headaches, restricted range of motion, and neck and shoulder pain over a four-month period. Despite prior interventions, symptomatology deteriorated, prompting consultation with a neurophysiotherapist. The evaluation revealed localized pain in the right shoulder, upper back, and neck, characterized by gradual onset and dull ache, exacerbated by activity and alleviated by rest and medication, without diurnal fluctuations. Physical examination delineated UCS features. Following the implementation of a four-week physiotherapy rehabilitation protocol, initial assessments utilizing Xsens gait motion analysis were undertaken. Subsequent to the rehabilitation program, significant improvements were noted across various parameters. These encompassed augmented range of motion, heightened muscular strength, and enhanced flexibility. Additionally, discernible enhancements were observed in posture and gait, characterized by the restoration of normal cervical spine curvature and an expanded range of motion.