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Comparison Among Shoulder Diagonal Pattern of Exercises Considering Phase of Contraction Based on Muscle Activity

상지의 대각선 운동형태와 수축형태에 따른 근활성도 비교연구

  • Soo-Han Kim (Department of Physical Therapy, Kaya University) ;
  • Se-Yeon Park (Department of Physical Therapy, Uiduk University)
  • 김수한 (가야대학교 물리치료학과) ;
  • 박세연 (위덕대학교 물리치료학과)
  • Received : 2024.04.02
  • Accepted : 2024.04.08
  • Published : 2024.04.30

Abstract

Purpose: The present study investigated how variations in diagonal exercises affect shoulder muscle activity, examining changes in neuromuscular activation during scapular and shoulder diagonal patterns of exercises. Furthermore, we explored whether the exercise phase affects muscle activation. Methods: Sixteen asymptomatic male participants were recruited. Four diagonal pattern exercises (scapular anterior elevation, posterior elevation, flexion-adduction-external rotation, flexion, abduction-external rotation), and two exercise phases (concentric and eccentric) were administered. Surface electromyography data were collected. Results: Upper trapezius activity was significantly higher during the concentric phase of scapular posterior elevation exercises compared with the others (p<0.05). The serratus anterior, anterior deltoid, and infraspinatus activities were significantly higher during shoulder diagonal pattern exercises compared with the scapular diagonal pattern exercises (p<0.05). Except for the lower trapezius, muscular activities during the concentric phase were significantly greater compared with the eccentric phase (p<0.05). Conclusion: The current study suggests that the diagonal pattern of exercise may contribute to selective strengthening of the shoulder complex muscles and that the form of exercise should be tailored to the subject. It also suggests that diagonal exercises with concentric contractions tend to be more beneficial than eccentric contractions for overall muscle recruitment, but the effects vary for specific diagonal patterns.

Keywords

Acknowledgement

This research was supported by the Kaya University.

References

  1. Adler SS, Beckers D, Buck M. PNF in practice: An illustrated guide. 3rd ed. Heidelberg, Germany: Springer Medizin Verlag; 2008.
  2. Andersen LL, Andersen CH, Mortensen OS, et al. Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Physical Therapy. 2010;90(4):538-549. https://doi.org/10.2522/ptj.20090167
  3. Coratella G, Tornatore G, Longo S, et al. An Electromyographic Analysis of Lateral Raise Variations and Frontal Raise in Competitive Bodybuilders. International Journal of Environmental Research and Public Health. 2020;17(17):6015.
  4. Cram JR, Kasman GS. Holtz J. Introduction to surface electromyography. 1st ed. Maryland, USA: Aspen; 1998.
  5. Cools AM, Tongel AV, Berckmans K, et al. Electromyographic analysis of selected shoulder muscles during a series of exercises commonly used in patients with symptomatic degenerative rotator cuff tears. Journal of Shoulder and Elbow Surgery. 2020;29(10):361-373.
  6. DiGiovine NM, Jobe FW, Pink M, et al. An electromyographic analysis of the upper extremity in pitching. Journal of Shoulder and Elbow Surgery. 1992;1(1):15-25. https://doi.org/10.1016/S1058-2746(09)80011-6
  7. Doma K, Deakin GB, Ness KF. Kinematic and electromyographic comparisons between chin-ups and lat-pull down exercises. Sports Biomechanics. 2013;12(3):302-313. https://doi.org/10.1080/14763141.2012.760204
  8. Ebaugh DD, McClure PW, Karduna AR. Effects of shoulder muscle fatigue caused by repetitive overhead activities on scapulothoracic and glenohumeral kinematics. Journal of Electromyography and Kinesiology. 2006;16(3):224-235. https://doi.org/10.1016/j.jelekin.2005.06.015
  9. Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. Journal of Orthopeadic Sports and Physical Therapy. 2003;33(5):247-58. https://doi.org/10.2519/jospt.2003.33.5.247
  10. Fukunaga T, Orishimo KF, McHugh MP. Electromyographic analysis of select eccentric-focused rotator cuff exercises. Physiotherapy Theory and Practice. 2022;38(13):2554-2562 https://doi.org/10.1080/09593985.2021.1949767
  11. Kim JJ, Ann SY, Park SY. Comparison of diagonal shoulder exercises with and without visual trace. International Journal of Athletic Therapy and Training. 2014;20(1):52-56.
  12. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and Function, with Posture and Pain. 5th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2005.
  13. Ludewig PM, Hoff MS, Osowski EE, et al. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. American Journal of Sports Medicine. 2004; 32(2): 484-493. https://doi.org/10.1177/0363546503258911
  14. Park JH, Chung SW, Lee SJ, et al. Evaluation of the electromyographic amplitude-to-work ratio in the infraspinatus muscle during external shoulder rotation exercises: A comparison of concentric isotonic and isokinetic exercises. Orthopaedic Journal of Sports Medicine. 2020;8(7):1-6.
  15. Park SY, Park DJ. Comparison of muscular activities between subjects with and without scapular downward rotation impairment during diagonal pattern of exercises. Journal of Bodywork and Movement Therapy. 2019;23(1):59-64. https://doi.org/10.1016/j.jbmt.2018.01.006
  16. Park SY, Yoo WG. Activation of the serratus anterior and upper trapezius in a population with winged and tipped scapulae during push-up-plus and diagonal shoulder-elevation. Journal of Back and Musculoskeletal Rehabilitation. 2015;28(1):7-12. https://doi.org/10.3233/BMR-140458
  17. Ortega-Castillo M, Medina-Porqueres I. Effectiveness of the eccentric exercise therapy in physically active adults with symptomatic shoulder impingement or lateral epicondylar tendinopathy: A systematic review. Journal of Science and Medicine in Sport. 2016;19(6):438-453. https://doi.org/10.1016/j.jsams.2015.06.007
  18. Ribeiro LP, Cools A, Camargo PR. Rotator cuff unloading versus loading exercise program in the conservative treatment of patients with rotator cuff tear: protocol of a randomised controlled trial. BMJ Open. 2020;10(12):040820.
  19. Rodrigues JA, Bull ML, Dias GA, et al. Electromyographic validation of the pectoralis major and deltoideus anterior muscles in inverted "flying" exercises with loads. Electromyography and Clinical Neurophysiology. 2005;45(7-8):425-432.
  20. Staker JL, Evans AJ, Jacobs LE, et al. The effect of tactile and verbal guidance during scapulothoracic exercises: An EMG and kinematic investigation. Journal of Electromyography and Kinesiology. 2022;62:102334.
  21. Struyf F, Cagnie B, Cools A, Baert I, et al. Scapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability. Journal of Electromyography and Kinesiology. 2014;24(2):277-284. https://doi.org/10.1016/j.jelekin.2013.12.002
  22. Tucker WS, Armstrong CW, Gribble PA, et al. Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises. Archives of Physical Medicine and Rehabilitation. 2010;91(4):550-556. https://doi.org/10.1016/j.apmr.2009.12.021
  23. Youdas JW, Arend DB, Exstrom JM, et al. Comparison of muscle activation levels during arm abduction in the plane of the scapula vs. proprioceptive neuromuscular facilitation upper extremity patterns. Journal of Strengthening and Conditioning Research. 2012;26(4):1058-1065. https://doi.org/10.1519/JSC.0b013e31822e597f