• Physical Therapy Korea
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• v.24 no.4
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• pp.60-67
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• 2017

Background: Scapular downward rotation syndrome (SDRS) is a common scapular alignment impairment that causes insufficient upward rotation and muscle imbalance, shortened levator scapulae (LS) and rhomboid, and lengthened serratus anterior (SA) and trapezius. A modified shrug exercise (MSE), performing a shrug exercise with the shoulders at $150^{\circ}$ abduction, is known as an effective exercise to increase scapular stabilizer muscle activation. Previous studies revealed that scapular exercise are more effective when combined with trunk stabilization exercises in decreasing scapular winging and increasing scapular stabilizer muscle activation. Objects: The purpose of our study was to clarify the effect of MSE with or without trunk stabilization exercises in subjects with SDRS. Methods: Eighteen volunteer subjects (male=10, female=8) with SDRS were recruited for this experiment. All subjects performed MSE under 3 different conditions: (1) MSE, (2) MSE with an abdominal draw-in maneuver (ADIM), and (3) MSE with an abdominal expansion maneuver (AEM). The muscle thickness of the lower trapezius (LT) and the SA were measured using an ultrasonography in each condition. Electromyography (EMG) data were collected from the LT, LS, SA, and upper trapezius (UT) muscle activities. Data were statistically analysed using one-way repeated analysis of variance at a significance level of .05. Results: The muscle thickness of the LT and the SA were the significant different in the MSE, MSE with ADIM (MSE+ADIM) and MSE with AEM (MSE+AEM) conditions (p<.05) In both LT and SA, the order of thick muscle thickness was MSE+AEM, MSE+ADIM, and MSE alone. No significant differences were found in the EMG activities of the SA, UT, LS, and LT in all condition. Conclusion: In conclusion, MSE is more beneficial to people with SDRS when combined with trunk stabilization exercises by increased thickness of scapular stabilizer muscles.

• Clinics in Shoulder and Elbow
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• v.3 no.1
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• pp.39-43
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• 2000

Osteochondromas, the most common tumor of the scapula, are one type of bone abnormality that may cause symptomatic scapula pseudowinging. This type of scapula winging is structural and maybe associated with significant scapula crepitus. We describe a case of a scapular solitary osteochondroma, arised from the ventral surface of the scapula in a 15-year-old boy, produced pseudowinging and scapula crepitus. The winging and scapula crepitus are alleviated with resection of the bony abnormality.

• Journal of Digital Convergence
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• v.10 no.1
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• pp.399-405
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• 2012

The purpose of this study was to compare the shoulder stabilizer muscle activity during a push up plus on a different conditioning surface. Eighteen healthy volunteers were tested. Surface EMG was recorded from the upper trapezius(UT), pectoralis major(PM), and serratus anterior(SA) using surface differential conditions. Measurements were performed for 7 days. The mean root mean square (RMS) of EMG activity was calculated. A one-way repeated measures analysis of variance was performed to compare RMS normalized values. The UT and PM did not show significant differences of electric activation amplitude in relation to different surface conditions(p>.05). However, the SA showed greater mean electric activation amplitude values on the push up plus exercise on a upper and lower unstable surface(p<.05). These results suggest that to improve SA EMG activity is more useful when performed on a upper and lower unstable surface conditions than on a stable surface conditions.