網上的拉筋教學僅能暫時舒緩肌肉張力,但無法解決筋膜沾黏、錯位等背後的問題。
自行矯正或強行放鬆或會加劇問題,圓肩矯正須由脊醫從身體各種結構著手,才能完整的改善問題。
圓肩的代價不只影響外觀,更潛藏健康風險:
慢性痛症
肌力不平衡(胸小肌、前鋸肌、上下斜方肌)及長期使用呼吸輔助肌可導致頸、肩、背持續酸痛。[1][3][5]
影響心肺
含胸姿勢壓縮胸腔,影響呼吸效率,導致容易疲倦。[5]
肩膊活動功能下降
肌肉僵硬可改變胸大肌張力,引發肩膊痛、其活動功能下降及肌肉發力感。[2][4]
力學失衡
不良姿勢增加關節壓力,將中心向前推,致姿勢失衡及平衡力變差[6]。
註冊脊醫需從日常生活姿勢、肌肉功能及代償模式去判斷圓肩的形成。
治療目標除了減少所導致圓肩的筋膜沾黏外,還需要處理背後的力學問題,包括恢復肌肉張力及胸椎的活動幅度。
被動治療緩解過緊的關節與肌肉後,利用復康治療(強化岡下肌、中背肌肉、呼吸模式等)維持及改善肌肉功能及姿態。
* 以上只供參考,實際治療方法需經脊醫診斷。
[1] Correlation analysis of craniovertebral angle and scapular index with muscle tone, pulmonary function, balance control, and proprioception. (n.d.). Life.
[2] Guduru, R. K. R., Domeika, A., & Domeikienė, A. (2022). Effect of rounded and hunched shoulder postures on myotonometric measurements of upper body muscles in sedentary workers. Applied Sciences, 12(7), 3333. https://doi.org/10.3390/app12073333
[3] Kim, E.-K., & Kim, J. S. (2016). Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. Journal of Physical Therapy Science, 28(10), 2929–2932. https://doi.org/10.1589/jpts.28.2929
[4] Lu, L., Robinson, M., Tan, Y., Goonewardena, K., Guo, X., Mareels, I., & Oetomo, D. (2020). Effective assessments of a short-duration poor posture on upper limb muscle fatigue before physical exercise. Frontiers in Physiology, 11. https://doi.org/10.3389/fphys.2020.541974
[5] Thongchote, K., Chinwaro, U., & Lapmanee, S. (2024). Effects of scapulothoracic exercises on chest mobility, respiratory muscle strength, and pulmonary function in male COPD patients with forward shoulder posture: A randomized controlled trial. F1000Research, 11, 1284. https://doi.org/10.12688/f1000research.126832.2
[6] The effect of the forward head posture on postural balance in long time computer based worker. (2012). Annals of Rehabilitation Medicine, 36(1).