Effects on Muscle Activities around Scapula for Wall Slide and Sling Slide Exercises in Subjects with Scapular Downward Rotation syndrome

월 슬라이드와 슬링 슬라이드 운동이 어깨뼈 아래쪽 돌림 증후군의 어깨뼈 주변 근육의 활성도에 미치는 영향

  • 임진용 (대구 한솔병원 물리치료실) ;
  • 김병곤 (대구보건대학교 물리치료과) ;
  • 서현규 (대구보건대학교 물리치료과)
  • Received : 2016.04.26
  • Accepted : 2016.06.16
  • Published : 2016.06.30

Abstract

Background: Evidence for effective management of scapular downward rotation syndrome is limited. The present study was performed to compare the scapular muscle activation through 4weeks wall slide exercise and sling slide exercise in subjects with scapular downward rotation syndrome. Methods: Twenty-two subjects with scapular downward rotation syndrome participated in the study. Surface electromyography data were collected from the upper and lower trapezius, serratus anterior and pectoralis major during shoulder flexion of $60^{\circ}$, $90^{\circ}$ and $120^{\circ}$ in the sagittal plane. The alignment of the scapula was measured using radiographic analysis. Subjects were assessed pre and post a 4 weeks exercise (wall slide, sling slide). The significance of the difference in pre- and post-exercise within each groups was assessed using a paired t-test. The significant difference between wall- and sling-exercise was used a independent t-test. Results: In the wall slide group, the muscle activity of upper trapezius decreased significantly during shoulder flexion at $60^{\circ}$, $90^{\circ}$ and $120^{\circ}$ after 4 weeks, and the muscle activity of serratus anterior increased significantly at all angles. Also, the muscle activity of pectoralis major decreased significantly at $90^{\circ}$ and $120^{\circ}$. Conclusions: Based on such results, it can be said that wall slide exercise is effective than sling slide exercise for the subjects with scapular downward rotation syndrome.

Keywords

References

  1. Akel I, Pekmezci M, Hayran M, et al. Evaluation of shoulder balance in the normal adolescent population and its correlation with radiological parameters. Eur Spine J. 2008;17(3):348-354. https://doi.org/10.1007/s00586-007-0546-0
  2. Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005;35(4):227-238. https://doi.org/10.2519/jospt.2005.35.4.227
  3. Caldwell C, Sahrmann S, Van Dillen L. Use of a movement system impairment diagnosis for physical therapy in the management of a patient with shoulder pain. J Orthop Sports Phys Ther. 2007;37(9):551-563. https://doi.org/10.2519/jospt.2007.2283
  4. Cools AM, Witvrouw EE, Declercq GA, et al. Scapular muscle recruitment patterns: Trapezius muscle latency with and without impingement symptoms. Am J Sports Med. 2003;31(4):542-549. https://doi.org/10.1177/03635465030310041101
  5. Cools AM, Declercq GA, Cambier DC, et al. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports. 2007;17(1):25-33. https://doi.org/10.1111/j.1600-0838.2006.00570.x
  6. Cram JR, Kasman GS, Holtz J. Electrode Placement. Introduction to Surface Electromyography. Gaithersburg. Aspen Publishers. 1998;237-383.
  7. De Mey K, Danneels L, Cagnie B, et al. Shoulder muscle activation levels during four closed kinetic chain exercises with and without Redcord slings. J Strength Cond Res. 2014;28(6):1626-1635. https://doi.org/10.1519/JSC.0000000000000292
  8. Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review. Br J Sports Med. 2010;44(5):319-327. https://doi.org/10.1136/bjsm.2009.058875
  9. Hardwick DH, Beebe JA, McDonnell MK, et al. A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises. J Orthop Sports Phys Ther. 2006;36(12):903-910. https://doi.org/10.2519/jospt.2006.2306
  10. Hansson GA, Nordander C, Asterland P, et al. Sensitivity of trapezius electromyography to differences between work tasks-influence of gap definition and normalisation methods. J Electromyogr Kinesiol. 2000;10(2):103-115. https://doi.org/10.1016/S1050-6411(99)00030-9
  11. Jeong, SY, Chung SH, Shim JH. Comparison of Upper Trapezius, Anterior Deltoid, and Serratus Anterior Muscle Activity during Push-up plus Exercise on Slings and a Stable Surface. J Phys Ther Sci. 2014;26(6):937. https://doi.org/10.1589/jpts.26.937
  12. Jeong MK, Oh DW. Effects of 12-week balance training with visual feedback on balance and walking functions in patients with chronic stroke. The Journal of Digital Policy & Management. 2013;11(11):537-544.
  13. Kendall FP, McCreary FP, Provance PG. Muscles Testing and Function, 5th ed, Baltimore, Williams & Wilkins. 2005;330-333.
  14. Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther. 2005;35(2):72-87. https://doi.org/10.2519/jospt.2005.35.2.72
  15. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-291.
  16. Ludewig PM, Hoff MS, Osowski EE, et al. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. Am J Sports Med. 2004;32(2):484-493. https://doi.org/10.1177/0363546503258911
  17. Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther. 2009;39(2):90-104. https://doi.org/10.2519/jospt.2009.2808
  18. Maeo S, Chou T, Yamamoto M, et al. Muscular activities during sling-and ground-based push-up exercise. BMC res notes. 2014;7(1):192. https://doi.org/10.1186/1756-0500-7-192
  19. McClure P, Greenberg E, Kareha S. Evaluation and management of scapular dysfunction. Sports Med Arthrosc. 2012;20(1):39-48. https://doi.org/10.1097/JSA.0b013e31824716a8
  20. Mottram SL. Dynamic stability of the scapula. Man Ther. 1997;2(3):123-131. https://doi.org/10.1054/math.1997.0292
  21. Neumann DA. Kinesiology of the Musculoskeletal System. Foundations for Physical Rehabilitation. Missouri, Mosby. 2002;127-128.
  22. Phadke V, Camargo PR, Ludewig PM. Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement. Braz J Phys Ther. 2009;13(1):1-9. https://doi.org/10.1590/S1413-35552009005000012
  23. Piraua AL, Pitangui A, Silva JP, et al. Electromyographic analysis of the serratus anterior and trapezius muscles during push-ups on stable and unstable bases in subjects with scapular dyskinesis. J Electromyogr Kinesiol. 2014;24(5): 675-681. https://doi.org/10.1016/j.jelekin.2014.05.009
  24. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndromes. St. Louis, Mosby. 2002;217-222.
  25. Sobush DC, Simoneau GG, Dietz KE, et al. The Lennie test for measuring scapular position in healthy young adult females: a reliability and validity study. J Orthop Sports Phys Ther. 1996;23(1):39-50. https://doi.org/10.2519/jospt.1996.23.1.39
  26. Van Dillen LR, McDonnell MK, Susco TM, et al. The immediate effect of passive scapular elevation on symptoms with active neck rotation in patients with neck pain. Clin J Pain. 2007;23(8):641-647. https://doi.org/10.1097/AJP.0b013e318125c5b6