文件過頭擊打項(xiàng)目網(wǎng)球羽毛球

USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,PhasesofOverhead過頭擊打的階ShoulderandPelvislateralRear肩關(guān)節(jié)和骨盆向外后PhasesofOverhead過頭擊打的階PhasesofOverhead過頭擊打的階PhasesofOverhead過頭擊打的階PhasesofOverhead過頭擊打的階Phase1:第一階段：起Muscleactivationofshoulder/scapulaGoalofstart:alignbodytoutilizegroundforce/powerthroughoutmotion好地利用地面反作用力／力量OverheadStrikingDeanCaswellPT,OCS,USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,PhasesofOverheadPhase4:第4階段：后HighinternalrotationeccentricloadsinlatePhasesofOverhead過頭擊打的階Phase4:第4階段：后PhasesofOverhead過頭擊打的階PhasesofOverhead過頭擊打的階Trunkandtorsorotationduringtheloadingstageoftheserve發(fā)球時(shí)負(fù)載階段軀干的旋PhasesofOverhead過頭擊打的階Phase3第3RightTrunk右側(cè)軀干Ipsilateralerectorspinae>單側(cè)豎脊肌活動(dòng)增Ipsilateralerectorspinaeincreaseactivitythroughtheendof在減速末期時(shí)單側(cè)豎脊肌活動(dòng)增PhasesofOverhead過頭擊打的階USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,LateralSymptoms癥狀的激PointtendernessattheCommonExtensorTendon(CET)Painwhenyoustraightenorraiseyourwristand當(dāng)伸直或抬起手腕和手時(shí)出現(xiàn)疼Painwithgrippingobjectsorwithbackhand當(dāng)抓握物體或反手擊球時(shí)出現(xiàn)疼Increasedpainbyliftingaheavy當(dāng)抬起重物時(shí)疼痛加Painwithmakingafist,shakinghands,orturningdoor當(dāng)出拳，握手或轉(zhuǎn)動(dòng)門把手時(shí)出現(xiàn)疼Painthatshootsfromtheelbowdownintotheforearmorintoupper疼痛從肘關(guān)節(jié)放射至前臂或上LateralLateralCommonlyreferredtoastennisChronicoveruseinjury:themostfrequentlyseenamongtennisplayers慢性勞損：在網(wǎng)球運(yùn)動(dòng)員中最常InflammationandsmallmicrotearsoftheforearmmusculatureExtensorTendons(CommonExtensor前臂伸肌肌腱（伸肌總腱）的炎癥及小撕裂CommonTennisDeanCaswellPT,OCS,Phase4:第4階段：后RepeatedERcanleadtoincreasedERonthedominantarmattheexpenseofIR.反復(fù)的外旋會(huì)引起主發(fā)力手通過犧牲內(nèi)旋來增加外旋角LossofbothIRandtotalrotationupto10-15degoccursat90degabduction在外展至90度時(shí)，內(nèi)旋和總旋轉(zhuǎn)角度的減少可以達(dá)到10-15Posteriorcapsulestretches(sleeperandcrossarm)counterIRrotationloss.后側(cè)關(guān)節(jié)囊拉伸（睡姿和手臂內(nèi)收）,內(nèi)旋角Phase4:第4階段：后MagnitudeofERsimilartobaseball外旋的幅度跟棒球投擲手相ThedegreeofERisacombinationofglenohumeralandscapulothoracicmotionandtrunkextensionmotion.USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,10c.旋10bWristFlexion10b腕關(guān)節(jié)屈曲Supportingthe支撐Palmfacing手掌Raisetheweightinhandasfaras將手中的重量（啞鈴等）上抬到最Hold2sec,lower保持2秒，緩慢放10aWristExtension10a腕關(guān)節(jié)伸展Suportthe支撐Palmfacing手掌Raiseweightinhandasfaras將手中的重量（啞鈴等）上抬到最Hold2sec,lower保持2秒，緩慢放LateralPhysicaltherapyStage1.ImprovementofNormal第一步.增強(qiáng)正常的功Improveflexibilityandstrengthforearm增加柔韌性和強(qiáng)化前StretchingForearm前臂伸肌拉IncreaseGrip增加抓StrengthenForearm強(qiáng)化前臂伸?。黃trengthen強(qiáng)化旋前／旋LateralStretchingMovementRe-education動(dòng)作再教育Kinesiotaping肌內(nèi)效貼LateralUSCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,RotatorCuff肩袖拉Treatment:Conservativetreatmentconsistof:保守治療包strengtheningexercises.減少打球時(shí)間，關(guān)節(jié)活動(dòng)度練習(xí)，漸進(jìn)式肌肉增強(qiáng)訓(xùn)Rest,iceand休息，冰敷和非甾體類抗炎PhysicalTherapyRotatorCuff肩袖拉Symptoms:癥Painovertheanterior(front)andlateral(outside)aspectsoftheshoulderwithoverheadmotion在過頭的動(dòng)作中肩關(guān)節(jié)前方和外側(cè)出現(xiàn)疼Shoulder肩關(guān)節(jié)無Lossofshouldermovement,especiallyoverhead,andhandbehindback肩關(guān)節(jié)活動(dòng)減少，特別是過頭，和手在背后的活RotatorCuff肩袖拉Cause:Poorshoulder肩關(guān)節(jié)力學(xué)結(jié)構(gòu)不Poorscapular肩胛骨穩(wěn)定性不Poorthoracic胸椎活動(dòng)性不RotatorCuff肩袖拉Lateral10d旋前USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout#4-Tennis.key-July17,USCBKN&PTModule6-Handout#4USCBKN&PTModule6-Handout