肩关节周围炎康复治疗.pptxVIP

肩关节周围炎康复治疗第1页/共54页 一、概述二、临床特点三、康复评定四、康复治疗第2页/共54页 概述—肩复合体第3页/共54页 概述—肩关节第4页/共54页 概述—肩关节第5页/共54页 概述—肩关节第6页/共54页 概述—肩部肌肉m. deltoideus= deltoid muscle三角肌m. Pectoralis major= pectoral major muscle胸大肌第7页/共54页 概述—肩部肌肉m. Levator scapulae (1) 肩胛提肌m. Rhomboideus (2+3)= rhomboid muscle 菱形肌m. Latissimus dorsi= lat dorsi muscle背阔肌第8页/共54页 概述—肩部肌肉m. serratus ant. (1-3)= anterior serratus muscle前锯肌m. pectoralis minor (2)= minor pectoral muscle胸小肌第9页/共54页 概述—肩部肌肉m. subscapularis= sub scapular muscle肩胛下肌m. trapezius= trapezius muscle斜方肌第10页/共54页 概述—肩部肌肉m. teres minor (3)= teres minor muscle小圆肌m. supraspinatus (1)= supraspinatus muscle冈上肌m. infraspinatus (2)= infraspinatus muscle冈下肌Rotatory Cuff肩袖第11页/共54页 概述—肩部韧带Supraspinatus Tendon冈上肌腱Long bicep Tendon二头肌长头腱Infraspinatus Tendon冈下肌腱Teres Minor Tendon胸小肌腱第12页/共54页 概述—功能解剖Abduction: scapula glides lateral and anterior外展：肩胛骨向侧前运动Involved muscle: m. serratus anterior相关肌肉：前锯肌第13页/共54页 概述—功能解剖Adduction: scapula approaches the spine内收：肩胛骨向脊柱方向运动Involved muscles: m. trapezius m. rhomboideus相关肌肉：斜方肌，菱形肌第14页/共54页 概述—功能解剖External Rotation: scapula swings lateral, like a bell外旋：肩胛骨侧摆，像钟摆一样Involved muscles: m. serratus anterior m. trapezius, pars descendens m. trapezius, pars ascendens相关肌肉：前锯肌，斜方肌上部和下部第15页/共54页 概述—功能解剖Internal Rotation: scapula swings medial, like a bell内旋：肩胛骨侧摆，像钟摆一样Involved muscles: m. serratus anterior m. trapezius, pars descendens m. trapezius, pars ascendens相关肌肉：前锯肌，斜方肌上部和下部第16页/共54页 概述—功能解剖Lifting the shoulder: scapula shifts forward, as if to top the shoulder耸肩：肩胛骨前移，到肩的最高处Involved muscles: m. trapezius, pars descendens m. rhomboideus m. levator scapulaeand a bit: m. subclavius (not in the picture)相关肌肉：斜方肌上部，菱形肌，肩胛提肌，小部分：锁骨下肌（不在图中）第17页/共54页 概述—功能解剖Sinking the shoulder: scapula shifts towards the thorax沉肩：肩胛骨向胸廓方向移动Involved muscles: m. trapezius, pars asscendens m. serratus anterior and a bi