Relação entre a coluna torácica e a função do ombro: relação estática ou dinâmica?
DOI:
https://doi.org/10.33233/fb.v12i2.815Abstract
O ombro pode influenciar o movimento da coluna torácica e vice-versa, mas há pouca evidência sobre essa relação. Movimentos do ombro associados í coluna cervical e lombar estão bem descritos na literatura. No entanto, há um menor número de dados disponíveis sobre a influência da coluna torácica e de outras estruturas sobre os movimentos do ombro. O objetivo do estudo foi descrever a relação entre a coluna torácica e a função do ombro. Foi realizada uma revisão de literatura nas bases de dados eletrônicos Bireme, Pubmed, Lilacs e Science Direct. Os descritores utilizados foram: coluna torácica, função do ombro e movimentos torácicos, com suas devidas traduções para língua inglesa. A pesquisa abrangeu um intervalo de 17 anos (1994-2011) e retornou 566 trabalhos. Após aplicação dos critérios de inclusão e exclusão, e da análise de duplicidade de citações, restaram 26 fontes. Acredita-se que as alterações posturais e encurtamentos musculares contribuem para disfunções do ombro, porém esses achados não são evidentes em estudos experimentais ou bem instrumentados. Existe uma forte correlação funcional e dinâmica entre movimentos da coluna torácica e os padrões de movimento do úmero e da escápula. A abordagem fisioterapêutica deve contemplar a coluna torácica em indivíduos com dores no ombro.
Palavras-chave: parede torácica, articulação do ombro, biomecânica, incapacidade.
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