한국전문물리치료학회지 (Physical Therapy Korea)

  • 제24권4호
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  • Pages.29-37
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  • 2017
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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Comparison of Serratus Anterior Muscle Activity between Serratus Anterior Strengthening Exercises and Scapular Upward Rotation Exercise

  • Kim, Jun-hee (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Hwang, Ui-jae (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jung, Sung-hoon (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Gwak, Gyung-tae (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kwon, Oh-yun (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • 투고 : 2017.09.29
  • 심사 : 2017.11.01
  • 발행 : 2017.11.19
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초록

Background: The serratus anterior (SA) muscle is one of the important muscles in the upward rotation of the scapula when the arm is raised. Insufficient muscle activity of the SA can cause deformation of the shoulder rhythm resulting in shoulder pathology. Objects: This study intends to compare SA and upper trapezius (UT) activity during the conventional wall-slide and push-up plus exercises for SA muscle strengthening and the scapular upward rotation (SUR) exercise. Methods: A total of 30 subjects participated in this study, and we measured the muscle activity of the SA and UT muscles during the wall-slide, push-up plus and SUR exercises. The one-way repeated ANOVA was used to compare SA and UT muscle activities during the 3 exercises. Results: During the SUR exercise, SA muscle activity was 79.88% maximum voluntary isometric contraction (MVIC), which was significantly higher than its activity during the other 2 exercises. The UT muscle activity was 47.53 %MVIC during the SUR exercise, indicating a significantly higher UT muscle activity than during the other 2 exercises. Conclusion: These findings suggest that the SUR exercise can maximize SA muscle activity to strengthen the SA while keeping UT muscle activity at an appropriate level.

키워드

참고문헌

  1. Andersen LL, Magnusson SP, Nielsen M, et al. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: Implications for rehabilitation. Phys Ther. 2006;86(5):683-697.
  2. Ayotte NW, Stetts DM, Keenan G, et al. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. J Orthop Sports Phys Ther. 2007;37(2):48-55. https://doi.org/10.2519/jospt.2007.2354
  3. Cram JR. The history of surface electromyography. Appl Psychophysiol Biofeedback. 2003;28(2):81-91. https://doi.org/10.1023/A:1023802407132
  4. Criswell E. Cram's Introduction to Surface Electromyography. 2nd ed. Sudbury, Jones and Bartlett Publishers, 2010:289-299.
  5. David G, Magarey M, Jones M, et al. Emg and strength correlates of selected shoulder muscles during rotations of the glenohumeral joint. Clin Biomech (Bistol, Avon). 2000;15(2):95-102. https://doi.org/10.1016/S0268-0033(99)00052-2
  6. Decker MJ, Hintermeister RA, Faber KJ, et al. Serratus anterior muscle activity during selected rehabilitation exercises. Am J Sports Med. 1999;27(6):784-791. https://doi.org/10.1177/03635465990270061601
  7. Edgerton VR, Wolf SL, Levendowski DJ, et al. Theoretical basis for patterning emg amplitudes to assess muscle dysfunction. Med Sci Sports Exer. 1996;28(6):744-751. https://doi.org/10.1097/00005768-199606000-00013
  8. Ekstrom RA, Bifulco KM, Lopau CJ, et al. Comparing the function of the upper and lower parts of the serratus anterior muscle using surface electromyography. J Orthop Sports Phy Ther. 2004;34(5):235-243. https://doi.org/10.2519/jospt.2004.34.5.235
  9. Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phy Ther. 2003;33(5):247-258. https://doi.org/10.2519/jospt.2003.33.5.247
  10. Ekstrom RA, Soderberg GL, Donatelli RA. Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface emg analysis. J Electromyogr Kinesiol. 2005;15(4):418-428. https://doi.org/10.1016/j.jelekin.2004.09.006
  11. Escamilla RF, Andrews JR. Shoulder muscle recruitment patterns and related biomechanics during upper extremity sports. Sports Med. 2009;39(7):569-590. https://doi.org/10.2165/00007256-200939070-00004.
  12. Gregg JR, Labosky D, Harty M, et al. Serratus anterior paralysis in the young athlete. J Bone Joint Surg Am. 1979;61(6):825-832. https://doi.org/10.2106/00004623-197961060-00004
  13. 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 Phy Ther. 2006;36(12):903-910. https://doi.org/10.2519/jospt.2006.2306
  14. Inman VT, Abbott LC. Observations of the function of the shoulder joint. Clin Orthop Reat Res. 1996;330:3-12. https://doi.org/10.1097/00003086-199609000-00002
  15. Jobe FW, Moynes D, Brewster C. Rehabilitation of shoulder joint instabilities. Orthop Clin North Am. 1987;18(3):473-482.
  16. Johnson G, Bogduk N, Nowitzke A, et al. Anatomy and actions of the trapezius muscle. Clin Biomech (Bristol, Avon). 1994;9(1):44-50. https://doi.org/10.1016/0268-0033(94)90057-4
  17. Lehman GJ, Gilas D, Patel U. An unstable support surface does not increase scapulothoracic stabilizing muscle activity during push up and push up plus exercises. Man Ther. 2008;13(6):500-506. https://doi.org/10.1016/j.math.2007.05.016
  18. Levangie PK, Norkin CC. Joint Structure and Function: A comprehensive analysis. 4th ed. Philadelphia, PA, FA Davis, 2005:258-265.
  19. 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.
  20. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phy Ther. 1996;24(2):57-65. https://doi.org/10.2519/jospt.1996.24.2.57
  21. 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
  22. Lukasiewicz AC, McClure P, Michener L, et al. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phy Ther. 1999;29(10):574-583. https://doi.org/10.2519/jospt.1999.29.10.574
  23. McCann PD, Wootten ME, Kadaba MP, et al. A kinematic and electromyographic study of shoulder rehabilitation exercises. Clin Orthop Relat res. 1993;288:179-188.
  24. McQuade KJ, Dawson J, Smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation 1. J Orthop Sports Phy Ther. 1998;28(2):74-80. https://doi.org/10.2519/jospt.1998.28.2.74
  25. Pappas AM, Zawacki RM, Mccarthy CF. Rehabilitation of the pitching shoulder. Am J Sports Med. 1985;13(4):223-235. https://doi.org/10.1177/036354658501300403
  26. Peat M, Grahame RE. Electromyographic analysis of soft tissue lesions affecting shoulder function. Am J Phys Med. 1977;56(5):223-240.
  27. Peterson-Kendall F, Kendall-McCreary E, Geise-Provance P, et al. Muscles Testing and Function With Posture and Pain. 5th ed. Baltimore: MD, Lippincott Williams and Wilkins, 2005:330-332.
  28. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. 1st ed. St. Louis, Mosby, 2002:228-255.
  29. Soderberg GL, Knutson LM. A. guide for use and interpretation of kinesiologic electromyographic data. Phys Ther. 2000;80(5):485-498.
  30. Watson CJ, Schenkman M. Physical therapy management of isolated serratus anterior muscle paralysis. Phys Ther. 1995;75:194-194. https://doi.org/10.1093/ptj/75.3.194
  31. Yoshizaki K, Hamada J, Tamai K, et al. Analysis of the scapulohumeral rhythm and electromyography of the shoulder muscles during elevation and lowering: Comparison of dominant and nondominant shoulders. J Shoulder Elbow Surg. 2009;18(5):756-763. https://doi.org/10.1016/j.jse.2009.02.021

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