武功演员肩部损伤的治疗

武功演员（包括戏曲武功演员、杂技顶功演员，舞蹈顶尖演员等）最常见的损伤是肩部损伤，而肩部损伤最常见的是肩峰、肩袖、肩肌群的慢性损伤。１　病因机理武功演员双手倒立、拿顶、前翻、后滚、纵跳、穿毛、投抱、弄剑、阻击、对打、无不以肩部动作为主导，肩部的肌肉群在多次的反复动作，特别是肱二头肌肌腱结节及冈上肌、冈下肌起止点受到机械刺激，加上慢性劳损兼受风寒湿的侵袭，使局部气血瘀滞，肌腱群与肌腱腔增粗、变性，亦使纤维管腔变窄变细，从而使肌腱在管内的滑动受到影响，而产生肩部的╥、胀、痛、麻的临床症状，甚者发生肩…

Treatment of Shoulder Injury of the Wushu Player

Shoulder injury is the most common disease among Wushu players, players in Chinese opera, acrobats, dancers and athletes. The disease is mainly caused by the long term and repetitive shoulder movements, which give rise to mechanical stimulus to muscle group of shoulder, especially to musculus biceps brachii, musculus supraspinatus and musculus infraspinatus. They cause chronic strain and the converging invasion of wind, cold and dampness which result in multiplex congestion of muscle tendon, showing symtoms of dull ache, plasy, fullness and pain, or even adhesion of muscle group and impairment of functions if sever. Diagnosis can be made by inquiring the patient about their Wushu practice history, or history of chronic development of illness or injury history; by examining the node and cord shape ligament and by seeing the shadow of sclerosis in X ray film. Besides, differential diagnosis can be made with periarthritis of shoulder, dislocation of shoulder and tuberculosis of shoulder joint. The treatment may include manipulation, drug treatment, Kongfu exercise and physiotherapy.