Rehabilitation for Subacromial Impingement Starts at the Scapula: 肩峰下撞擊綜合症的康復治療始於肩胛骨

Subacromial impingement, especially secondary subacromial impingement, is a common malady of athletes and non-athletes alike. Although several pathologies may lead to impingement, they all relate back to poor posture. Over time, postural changes increase stress to soft tissue structures to change both alignment and performance. Injury results as low-level stresses impact weakening tissues to the point of overload. Crucial to effective treatment of secondary subacromial impingement is the identification and correction of all causes. Basic to successful treatment is correction of posture, including scapular posture and muscles which control, stabilize, and move the scapula. An evidence-based approach to not only identifying the causes but also creating a treatment regimen to effectively resolve secondary subacromial impingement is presented.

中文摘要肩峰下撞擊症，特別是繼發性肩峰下撞擊，是運動員和非運動員的通病。雖然有一些病理可能造成撞擊，但全部都與姿勢不良有關。長期的體位改變能增加軟組織結構的壓力，影響其正常之排列和功能。創傷引起的低量應力能減弱組織的結構並到達其超載點。繼發性肩峰下撞擊綜合症的有效治療方法之關鍵是識別和糾正各種病因。成功的治療基礎是矯正姿勢，包括肩胛骨姿勢和控制、穩定及移動肩胛骨的肌肉羣組。我們以證據為基礎，不僅能查明病因，並創造了一個治療方案，有效地舒緩繼發性肩峰下撞擊症。