| Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises. | |
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MedLine Citation:
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PMID: 20382286 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the amount of muscle activation in 4 scapular muscles in overhead athletes with and without a history of secondary shoulder impingement, during 3 upper extremity closed chain exercises. DESIGN: One-between (group), one-within (exercise) repeated measures. SETTING: Controlled laboratory study. PARTICIPANTS: Overhead athletes (n=15; mean age +/- SD, 21.0+/-2.5 y; mean height +/- SD, 176.0+/-7.8 cm; mean weight +/- SD, 76.1+/-13.4 kg) demonstrating with symptoms of shoulder impingement and overhead athletes (n=15; mean age +/- SD, 20.4+/-3.8 y; mean height +/- SD, 174.1+/-9.7 cm; mean weight +/- SD, 73.3+/-11.7 kg) with no shoulder pathologies. INTERVENTIONS: Subjects completed 5 individual trials of a standard push-up, a push-up on an unstable surface, and a revolution on a shoulder rehabilitation device while electromyography (EMG) recorded muscle activity of the serratus anterior, upper trapezius, middle trapezius, and lower trapezius. MAIN OUTCOME MEASURES: The mean EMG data for the 4 muscles from the standard push-up, push-up on an unstable surface, and shoulder rehabilitation device trials were normalized as a percentage of a maximum voluntary isometric contraction for each muscle. RESULTS: There was a statistically significant interaction for the middle trapezius (F(2,56)=3.856; P=.027). The shoulder impingement push-up on an unstable surface (33.76%+/-26.45%) had significantly greater activation compared with the shoulder impingement standard push-up (25.88%+/-13.76%), the shoulder impingement shoulder rehabilitation device (9.40%+/-5.86%), and the nonpathology push-up on an unstable surface (19.49%+/-7.73%). The shoulder impingement standard push-up had significantly greater activation compared with the shoulder impingement shoulder rehabilitation device and nonpathology standard push-up (17.99%+/-7.31%). The nonpathology standard push-up and nonpathology push-up on an unstable surface had significantly greater activation compared with the nonpathology shoulder rehabilitation device (7.95%+/-4.30%). CONCLUSIONS: These results suggest that the muscle activation of the middle trapezius differs in overhead athletes with a history of secondary shoulder impingement compared with those who lack this history during closed chain exercise, as well as within the 3 closed chain exercises. The levels of muscle activation of the serratus anterior and upper trapezius during these closed chain exercises were similar between the 2 groups. These results support the use of closed chain exercises in the rehabilitation process of overhead athletes with secondary shoulder impingement. However, clinicians should consider the muscle(s) of interest when selecting an exercise. |
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Authors:
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W Steven Tucker; Charles W Armstrong; Phillip A Gribble; Mark K Timmons; Richard A Yeasting |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 91 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-12 Completed Date: 2010-05-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 550-6 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Kinesiology and Physical Education, University of Central Arkansas, Conway, AR 72035, USA. stucker@uca.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Athletes* Electromyography Exercise Therapy / methods* Female Humans Isometric Contraction Male Muscle, Skeletal / physiopathology* Scapula / physiopathology* Shoulder / physiopathology* Shoulder Impingement Syndrome / physiopathology, rehabilitation* Young Adult |
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