Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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Effects of elevation on shoulder joint motion: comparison of dynamic and static conditions

  • Takaki Imai (Department of Rehabilitation, Kyushu University of Nursing and Social Welfare) ;
  • Takashi Nagamatsu (Department of Rehabilitation, Kyushu University of Nursing and Social Welfare) ;
  • Junichi Kawakami (Department of Physical Therapy, Kyushu Nutrition Welfare University) ;
  • Masaki Karasuyama (Department of Rehabilitation, Minamikawa Orthopedic Hospital) ;
  • Nobuya Harada (Department of Rehabilitation, Fukuoka Shion Hospital) ;
  • Yu Kudo (Department of Rehabilitation, Fukuoka Shion Hospital) ;
  • Kazuya Madokoro (Department of Physical Therapy, Technical School of Medical and Welfare Ryokuseikan)
  • 투고 : 2022.10.19
  • 심사 : 2023.01.02
  • 발행 : 2023.06.01
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초록

Background: Although visual examination and palpation are used to assess shoulder motion in clinical practice, there is no consensus on shoulder motion under dynamic and static conditions. This study aimed to compare shoulder joint motion under dynamic and static conditions. Methods: The dominant arm of 14 healthy adult males was investigated. Electromagnetic sensors attached to the scapular, thorax, and humerus were used to measure three-dimensional shoulder joint motion under dynamic and static elevation conditions and compare scapular upward rotation and glenohumeral joint elevation in different elevation planes and angles. Results: At 120° of elevation in the scapular and coronal planes, the scapular upward rotation angle was higher in the static condition and the glenohumeral joint elevation angle was higher in the dynamic condition (P<0.05). In scapular plane and coronal plane elevation 90°-120°, the angular change in scapular upward rotation was higher in the static condition and the angular change in scapulohumeral joint elevation was higher in the dynamic condition (P<0.05). No differences were found in shoulder joint motion in the sagittal plane elevation between the dynamic and static conditions. No interaction effects were found between elevation condition and elevation angle in all elevation planes. Conclusions: Differences in shoulder joint motion should be noted when assessing shoulder joint motion in different dynamic and static conditions.

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참고문헌

  1. Mell AG, LaScalza S, Guffey P, et al. Effect of rotator cuff pathology on shoulder rhythm. J Shoulder Elbow Surg 2005;14(1 Suppl S):58S-64S.  https://doi.org/10.1016/j.jse.2004.09.018
  2. McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther 2006;86:1075-90.  https://doi.org/10.1093/ptj/86.8.1075
  3. Ogston JB, Ludewig PM. Differences in 3-dimensional shoulder kinematics between persons with multidirectional instability and asymptomatic controls. Am J Sports Med 2007;35:1361-70.  https://doi.org/10.1177/0363546507300820
  4. Kijima T, Matsuki K, Ochiai N, et al. In vivo 3-dimensional analysis of scapular and glenohumeral kinematics: comparison of symptomatic or asymptomatic shoulders with rotator cuff tears and healthy shoulders. J Shoulder Elbow Surg 2015;24:1817-26.  https://doi.org/10.1016/j.jse.2015.06.003
  5. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 2000;80:276-91.  https://doi.org/10.1093/ptj/80.3.276
  6. Dayanidhi S, Orlin M, Kozin S, Duff S, Karduna A. Scapular kinematics during humeral elevation in adults and children. Clin Biomech (Bristol, Avon) 2005;20:600-6.  https://doi.org/10.1016/j.clinbiomech.2005.03.002
  7. Nagamatsu T, Kai Y, Gotoh M, Madokoro K, Shiba N. Effects of sex differences on scapular motion during arm elevation. SICOT J 2015;1:9. 
  8. Sugamoto K, Harada T, Machida A, et al. Scapulohumeral rhythm: relationship between motion velocity and rhythm. Clin Orthop Relat Res 2002;(401):119-24. 
  9. Ebaugh DD, McClure PW, Karduna AR. Effects of shoulder muscle fatigue caused by repetitive overhead activities on scapulothoracic and glenohumeral kinematics. J Electromyogr Kinesiol 2006;16:224-35.  https://doi.org/10.1016/j.jelekin.2005.06.015
  10. McQuade KJ, Smidt GL. Dynamic scapulohumeral rhythm: the effects of external resistance during elevation of the arm in the scapular plane. J Orthop Sports Phys Ther 1998;27:125-33.  https://doi.org/10.2519/jospt.1998.27.2.125
  11. Borstad JD, Ludewig PM. Comparison of scapular kinematics between elevation and lowering of the arm in the scapular plane. Clin Biomech (Bristol, Avon) 2002;17:650-9.  https://doi.org/10.1016/S0268-0033(02)00136-5
  12. Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin Biomech (Bristol, Avon) 2005;20:700-9.  https://doi.org/10.1016/j.clinbiomech.2005.03.008
  13. Tate AR, McClure P, Kareha S, Irwin D, Barbe MF. A clinical method for identifying scapular dyskinesis, part 2: validity. J Athl Train 2009;44:165-73.  https://doi.org/10.4085/1062-6050-44.2.165
  14. MacLean KF, Chopp JN, Grewal TJ, Picco BR, Dickerson CR. Three-dimensional comparison of static and dynamic scapular motion tracking techniques. J Electromyogr Kinesiol 2014;24:65-71.  https://doi.org/10.1016/j.jelekin.2013.09.011
  15. Pascoal AG, van der Helm FF, Pezarat Correia P, Carita I. Effects of different arm external loads on the scapulo-humeral rhythm. Clin Biomech (Bristol, Avon) 2000;15 Suppl 1:S21-4.  https://doi.org/10.1016/S0268-0033(00)00055-3
  16. Vermeulen HM, Stokdijk M, Eilers PH, Meskers CG, Rozing PM, Vliet Vlieland TP. Measurement of three dimensional shoulder movement patterns with an electromagnetic tracking device in patients with a frozen shoulder. Ann Rheum Dis 2002;61:115-20.  https://doi.org/10.1136/ard.61.2.115
  17. Karduna AR, McClure PW, Michener LA, Sennett B. Dynamic measurements of three-dimensional scapular kinematics: a validation study. J Biomech Eng 2001;123:184-90.  https://doi.org/10.1115/1.1351892
  18. Wu G, van der Helm FC, Veeger HE, et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion: part II: shoulder, elbow, wrist and hand. J Biomech 2005;38:981-92.  https://doi.org/10.1016/j.jbiomech.2004.05.042
  19. Ludewig PM, Phadke V, Braman JP, Hassett DR, Cieminski CJ, LaPrade RF. Motion of the shoulder complex during multiplanar humeral elevation. J Bone Joint Surg Am 2009;91:378-89.  https://doi.org/10.2106/JBJS.G.01483
  20. van der Helm FC, Pronk GM. Three-dimensional recording and description of motions of the shoulder mechanism. J Biomech Eng 1995;117:27-40.  https://doi.org/10.1115/1.2792267
  21. Fayad F, Hoffmann G, Hanneton S, et al. 3-D scapular kinematics during arm elevation: effect of motion velocity. Clin Biomech (Bristol, Avon) 2006;21:932-41.  https://doi.org/10.1016/j.clinbiomech.2006.04.015
  22. McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg 2001;10:269-77.  https://doi.org/10.1067/mse.2001.112954
  23. Graichen H, Stammberger T, Bonel H, Karl-Hans Englmeier, Reiser M, Eckstein F. Glenohumeral translation during active and passive elevation of the shoulder: a 3D open-MRI study. J Biomech 2000;33:609-13.  https://doi.org/10.1016/S0021-9290(99)00209-2
  24. Price CI, Franklin P, Rodgers H, Curless RH, Johnson GR. Active and passive scapulohumeral movement in healthy persons: a comparison. Arch Phys Med Rehabil 2000;81:28-31.  https://doi.org/10.1016/S0003-9993(00)90217-X
  25. Lee B, Kim D, Jang Y, Jin H. Three-dimensional in vivo scapular kinematics and scapulohumeral rhythm: a comparison between active and passive motion. J Shoulder Elbow Surg 2020;29:185-94.  https://doi.org/10.1016/j.jse.2019.05.036
  26. Robert-Lachaine X, Allard P, Godbout V, Begon M. 3D shoulder kinematics for static vs dynamic and passive vs active testing conditions. J Biomech 2015;48:2976-83.  https://doi.org/10.1016/j.jbiomech.2015.07.040
  27. Lawrence RL, Braman JP, Ludewig PM. The impact of decreased scapulothoracic upward rotation on subacromial proximities. J Orthop Sports Phys Ther 2019;49:180-91.  https://doi.org/10.2519/jospt.2019.8590
  28. Karduna AR, Kerner PJ, Lazarus MD. Contact forces in the subacromial space: effects of scapular orientation. J Shoulder Elbow Surg 2005;14:393-9. https://doi.org/10.1016/j.jse.2004.09.001