Document Detail


Rotator-cuff muscle-recruitment strategies during shoulder rehabilitation exercises.
MedLine Citation:
PMID:  22012500     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
CONTEXT: There are contradictory data on optimal muscle-activation strategies for restoring shoulder stability. Further investigation of neuromuscular-control strategies for glenohumeral-joint stability will guide clinicians in decisions regarding appropriate rehabilitation exercises.
OBJECTIVES: To determine whether subscapularis, infraspinatus, and teres minor (anteroposterior force couple) muscle activation differ between 4 shoulder exercises and describe coactivation ratios and individual muscle-recruitment characteristics of rotator-cuff muscles throughout each shoulder exercise.
DESIGN: Crossover.
SETTING: Laboratory.
PARTICIPANTS: healthy, physically active men, age 20.55 ± 2.0 y.
INTERVENTIONS: 4 rehabilitation exercises: pitchback, PNF D2 pattern with tubing, push-up plus, and slide board.
MAIN OUTCOMES MEASURES: Mean coactivation level, coactivation-ratio patterns, and level (area) of muscle-activation patterns of the subscapularis, infraspinatus, and teres minor throughout each exercise.
RESULTS: Coactivation levels varied throughout each exercise. Subscapularis activity was consistently higher than that of the infraspinatus and teres minor combined at the start of each exercise and in end ranges of motion. Individual muscle-recruitment levels in the subscapularis were also different between exercises.
CONCLUSION: Results provide descriptive data for determining normative coactivation-ratio values for muscle recruitment for the functional exercises studied. Differences in subscapularis activation suggest a reliance to resist anteriorly directed forces.
Authors:
Kathleen A Swanik; Kellie Huxel Bliven; Charles Buz Swanik
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of sport rehabilitation     Volume:  20     ISSN:  1543-3072     ISO Abbreviation:  J Sport Rehabil     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206500     Medline TA:  J Sport Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  471-86     Citation Subset:  IM    
Affiliation:
Athletic Training Program, Neumann University, Aston, PA.
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