Samenvatting
Op basis van onderzoek uitgevoerd op gezonde individuen zijn vier oefeningen geselecteerd om de scapulaire spierbalans en de timing van de scapulaire spieractivatie te verbeteren. Er bestaat echter nog geen evidentie voor de effectiviteit van deze oefeningen bij bovenhandse sporters met impingementklachten. In dit prospectief onderzoek werden 47 bovenhandse atleten met milde impingementklachten geïncludeerd. Door middel van oppervlakte-elektromyografie werd de activiteit van de verschillende bundels van de m. trapezius en van de m. serratus anterior bestudeerd tijdens het heffen van de arm in het scapulaire vlak. Daarnaast werd bij iedereen de Shoulder Pain and Disability Index afgenomen om de pijn en het functionele resultaat te beoordelen. Veertig atleten beëindigden het programma. De drie trapeziusbundels vertoonden hogere maximale contractiewaarden en gedaalde activatieniveaus tijdens het heffen van de arm, terwijl dit niet het geval was voor de m. serratus anterior. De timing van de spieractivatie was niet gewijzigd na zes weken oefenen. Dit is de eerste longitudinale studie die aantoont dat een eenvoudig oefenprogramma bestaande uit slechts vier oefeningen de relatieve trapeziusactiviteit kan verlagen, de pijn kan verminderen en de functionele mogelijkheden kan verbeteren. Deze resultaten zijn hoopgevend omdat op deze manier mogelijk voorkomen wordt dat vage schouderklachten en functionele beperkingen een chronisch karakter krijgen.
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De Mey, K., Danneels, L., Cagnie, B., Cools, A. (2013). Revalidatie van scapulaire spieren bij bovenhandse sporters met impingement. In: van Wilgen, C., Calders, P., Geraets, J., Nijs, J., Veenhof, C., van Wegen, E. (eds) Jaarboek Fysiotherapie Kinesitherapie 2013. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-9173-8_5
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