Scapulo-humeral rhythmの臨床的評価方法の検討 : 肩甲骨の機能的可動性について

概要

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The purpose of this study was to investigate the reliability of goniometric measurement of functional range of motion of the scapula. We wanted to propose an assessment method of the scapulo-humeral rhythm with measuring the scapula motion. The measurements were conducted in three-dimensional view of the scapula; upper rotation angle, inward rotation angle and anterior tilt angle. (1) Intertester errors were investigated from measurements on four healthy subjects with different body types (lean, obese and standard) by twelve physical therapists and occupational therapists, with clinical experience of one to nine years. The intertester errors were approximately 5 to 8 degrees, and the data of an obese subject showed a significant error in anterior tilt angle measurement. (2) Intratester errors were investigated from measurements on a single healthy subject once a week for eight weeks by three physical therapists, with clinical experience of two, three and seven years, respectively. The intratester errors were approximately 3 to 5 degrees. The measurement of functional range of motion of the scapula was meaningful particularly on upper rotation angle measurement and anterior tilt angle measurement in a clinical setting. We concluded our measuring method with the shoulder joint flexed actively at 90-degree position was practically and useful to assess scapulo-humeral rhythm clinically.
神戸大学の論文