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Influence of Pre-Emptive Scapular Posterior Tilt on Scapular Muscle Activation and Scapulohumeral Movements during Shoulder Horizontal Abduction in the Prone Position

  • Received : 2020.10.07
  • Accepted : 2020.11.20
  • Published : 2020.12.31

Abstract

Background: Shoulder horizontal abduction in the prone position (SHAP) has been reported as an effective exercise to strengthen the lower trapezius. However, the effects of pre-emptive scapular posterior tilt on scapular muscle activity and scapulohumeral movements during SHAP have not been examined. Objectives: To examine the effect of the addition of scapular posterior tilt on muscle activity of the trapezius and posterior deltoid, and scapular posterior tilt and shoulder horizontal abduction, during SHAP. Design: Cross-sectional study. Methods: Fifteen healthy male subjects performed two types of SHAP: general and modified SHAP (SHAP combined with pre-emptive scapular posterior tilt). To perform modified SHAP, pre-emptive scapular posterior tilt training was performed prior to the modified SHAP. Muscle activity of the middle and lower trapezius and posterior deltoid, and the amount of scapular posterior tilt and shoulder horizontal abduction, were measured during two types of SHAP. Results: Muscle activity of the lower trapezius and scapular posterior tilt was significantly increased during the modified SHAP, while muscle activity of the posterior deltoid and the amount of shoulder horizontal abduction were significantly decreased. However, the middle trapezius muscle activity did not change during the modified SHAP. Conclusion: The SHAP with pre-emptive scapular posterior tilt can be useful to strengthen the lower trapezius.

Keywords

References

  1. Huang TS, Ou HL, Huang CY, Lin JJ. Specific kinematics and associated muscle activation in individuals with scapular dyskinesis. J Shoulder Elbow Surg. 2015;24(8):1227-1234. https://doi.org/10.1016/j.jse.2014.12.022
  2. 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
  3. 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. https://doi.org/10.1093/ptj/80.3.276
  4. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 3rd ed. St Louis: Elsevier, 2017.
  5. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and Function with Posture and Pain. 5th ed. Baltimore: Lippincott Williams & Wilkins, 2005.
  6. Johnson G, Bogduk N, Nowitzke A, House D. Anatomy and actions of the trapezius muscle. Clin Biomech (Bristol, Avon). 1994;9:44-50. Ekstrom RA, Soderberg GL, Donatelli RA. https://doi.org/10.1016/0268-0033(94)90057-4
  7. 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
  8. Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phys Ther. 2003;33(5):247-258. https://doi.org/10.2519/jospt.2003.33.5.247
  9. Cools AM, Dewitte V, Lanszweert F, et al. Rehabilitation of scapular muscle balance: which exercises to prescribe? Am J Sports Med. 2007;35(10):1744-1751. https://doi.org/10.1177/0363546507303560
  10. Kinney E, Wusthoff J, Zyck A, et al. Activation of the trapezius muscle during varied forms of Kendall exercises. Phys Ther Sport. 2008;9(1):3-8. https://doi.org/10.1016/j.ptsp.2007.11.001
  11. Lim JY, Lee JS, Mun BM, Kim TH. A comparison of trapezius muscle activities of different shoulder abduction angles and rotation conditions during prone horizontal abduction. J Phys Ther Sci. 2015;27(1):97-100. https://doi.org/10.1589/jpts.27.97
  12. Oyama S, Myers JB, Wassinger CA, Lephart SM. Three-dimensional scapular and clavicular kinematics and scapular muscle activity during retraction exercises. J Orthop Sports Phys Ther. 2010;40(3):169-179. https://doi.org/10.2519/jospt.2010.3018
  13. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndrome. St Louis: Elsevier, 2011.
  14. Caldwell C, Sahrmann S, Van Dillen L. Use of a movement system impairment diagnosis for physicaltherapy in the management of a patient with shoulder pain. J Orthop Sports Phys Ther. 2007;37:551-563. https://doi.org/10.2519/jospt.2007.2283
  15. Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003;18:369-379. https://doi.org/10.1016/S0268-0033(03)00047-0
  16. Yu IY, Choo YK, Kim MH, Oh JS. The effects of pressure biofeedback training on infraspinatus muscle activity and muscle thickness. J Electromyogr Kinesiol. 2018;39:81-88. https://doi.org/10.1016/j.jelekin.2018.01.007
  17. Reinold MM, Wilk KE, Fleisig GS, et al. Electromyographic analysis of the rotator cuff and deltoid musculature during common shoulder external rotation exercises. J Orthop Sports Phys Ther. 2004;34(7):385-394. https://doi.org/10.2519/jospt.2004.34.7.385
  18. Ha SM, Kwon OY, Cynn HS, et al. Selective activation of the infraspinatus muscle. J Athl Train. 2013;48(3):346-352. https://doi.org/10.4085/1062-6050-48.2.18
  19. Kang MH. Arm lifting exercises for lower trapezius muscle activation. J Int Acad Phys Ther Res. 2019;10(4):1868-1872. https://doi.org/10.20540/JIAPTR.2019.10.4.1868
  20. Hislop HJ, Avers D, Brown M. Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination and Performance Testing. 9th ed. St. Louis: Elsevier, 2013.
  21. Scibek JS, Carcia CR. Validation of a new method for assessing scapular anterior-posterior tilt. Int J Sports Phys Ther. 2014;9(5):644-656.
  22. Cole AK, McGrath ML, Harrington SE, Padua DA, Rucinski TJ, Prentice WE. Scapular bracing and alteration of posture and muscle activity in overhead athletes with poor posture. J Athl Train. 2013;48(1):12-24. https://doi.org/10.4085/1062-6050-48.1.13
  23. Ludewig PM, Cook TM, Nawoczenski DA. Threedimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996;24(2):57-65. https://doi.org/10.2519/jospt.1996.24.2.57