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Int J Sports Med 2024; 45(13): 980-986
DOI: 10.1055/a-2358-4759
Training & Testing

Shoulder Rotation Affects Trapezius Muscle Activity During Shoulder Horizontal Abduction

Ilyoung Yu
1   Department of Smart Healthcare, Pukyong National University, Busan, Korea (the Republic of)
,
Minhyeok Kang
2   Department of Physical Therapy, Catholic University of Pusan, Busan, Korea (the Republic of)
› Author Affiliations Funding Information This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2021R1F1A1047329).
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Abstract

Shoulder horizontal abduction exercise in the prone position is effective for strengthening the lower trapezius muscle. However, this exercise is difficult for patients with acute pain or those undergoing initial rehabilitation because of the postural characteristics of the exercise. This study aimed to (1) investigate the effect of a shoulder horizontal abduction exercise when performed with a different amount of shoulder rotation on the trapezius muscle activation and scapular anterior/posterior tilt angle and (2) evaluate the effect of shoulder rotation on the acromiohumeral distance while sitting. Fifteen healthy men performed shoulder horizontal abduction exercise in three shoulder positions (internal rotation, neutral rotation, and external rotation). During exercises, we measured trapezius muscle activity using an electromyography system and scapular anterior/posterior tilt angle using an inclinometer application. We also measured the acromiohumeral distance using real-time ultrasonography before the exercises. Increases in lower trapezius and middle trapezius muscle activities and a decrease in scapular anterior tilt occurred in shoulder external rotation compared with other positions (p<0.001). Shoulder external rotation also significantly increased acromiohumeral distance in the sitting position (p<0.05). We propose that shoulder external rotation effectively and safely increases middle and lower trapezius muscle activities during the sitting shoulder horizontal abduction exercise.

Keywords

acromiohumeral distance - electromyography - lower trapezius


Publication History

Received: 06 February 2024

Accepted: 17 June 2024

Article published online:
31 July 2024

© 2024. Thieme. All rights reserved.

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  • References

  • 1 Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 2000; 80: 276-291
    CrossrefPubMedSearch in Google Scholar
  • 2 Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol, Avon) 2003; 18: 369-379
    CrossrefPubMedSearch in Google Scholar
  • 3 Graichen H, Hinterwimmer S, von Eisenhart-Rothe R. et al. Effect of abducting and adducting muscle activity on glenohumeral translation, scapular kinematics and subacromial space width in vivo. J Biomech 2005; 38: 755-760
    CrossrefPubMedSearch in Google Scholar
  • 4 Cools AM, Witvrouw EE, Mahieu NN. et al. Isokinetic scapular muscle performance in overhead athletes with and without impingement symptoms. J Athl Train 2005; 40: 104-110
    PubMedSearch in Google Scholar
  • 5 Desmeules F, Minville L, Riederer B. et al. Acromio-humeral distance variation measured by ultrasonography and its association with the outcome of rehabilitation for shoulder impingement syndrome. Clin J Sport Med 2004; 14: 197-205
    CrossrefPubMedSearch in Google Scholar
  • 6 Hébert LJ, Moffet H, McFadyen BJ. et al. Scapular behavior in shoulder impingement syndrome. Arch Phys Med Rehabil 2002; 83: 60-69
    CrossrefPubMedSearch in Google Scholar
  • 7 Luque-Suarez A, Navarro-Ledesma S, Petocz P. et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial. Man Ther 2013; 18: 573-577
    CrossrefPubMedSearch in Google Scholar
  • 8 Bagg SD, Forrest WJ. Electromyographic study of the scapular rotators during arm abduction in the scapular plane. Am J Phys Med 1986; 65: 111-124
    PubMedSearch in Google Scholar
  • 9 Johnson GR, Pandyan AD. The activity in the three regions of the trapezius under controlled loading conditions--an experimental and modelling study. Clin Biomech (Bristol, Avon) 2005; 20: 155-161
    CrossrefPubMedSearch in Google Scholar
  • 10 Flatow EL, Soslowsky LJ, Ticker JB. et al. Excursion of the rotator cuff under the acromion. Patterns of subacromial contact. Am J Sports Med 1994; 22: 779-788
    CrossrefPubMedSearch in Google Scholar
  • 11 De Mey K, Danneels L, Cagnie B. et al. Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms: effect of a 6-week training program on muscle recruitment and functional outcome. Am J Sports Med 2012; 40: 1906-1915
    CrossrefPubMedSearch in Google Scholar
  • 12 Kibler WB, McMullen J, Uhl T. Shoulder rehabilitation strategies, guidelines, and practice. Orthop Clin North Am 2001; 32: 527-538
    CrossrefPubMedSearch in Google Scholar
  • 13 Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phys Ther 2003; 33: 247-258
    CrossrefPubMedSearch in Google Scholar
  • 14 Marta S, Pezarat-CP, Fernandes O, et al. Electromyographic analysis of posterior deltoid, posterior rotator cuff and trapezius musculature in different shoulder exercises. Int SportMed J. 2013 14. 1-15
    PubMedSearch in Google Scholar
  • 15 Schory A, Bidinger E, Wolf J. et al. A systematic review of the exercises that produce optimal muscle ratios of the scapular stabilizers in normal shoulders. Int J Sports Phys Ther 2016; 11: 321-336
    PubMedSearch in Google Scholar
  • 16 Wilk KE, Arrigo C. Current concepts in the rehabilitation of the athletic shoulder. J Orthop Sports Phys Ther 1993; 18: 365-378
    CrossrefPubMedSearch in Google Scholar
  • 17 O'Brien SJ, Neves MC, Arnoczky SP. et al. The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder. Am J Sports Med 1990; 18: 449-456
    CrossrefPubMedSearch in Google Scholar
  • 18 Halder AM, Zhao KD, Odriscoll SW. et al. Dynamic contributions to superior shoulder stability. J Orthop Res 2001; 19: 206-212
    CrossrefPubMedSearch in Google Scholar
  • 19 Reddy AS, Mohr KJ, Pink MM. et al. Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg 2000; 9: 519-523
    CrossrefPubMedSearch in Google Scholar
  • 20 Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 3rd edn. St. Louis: Elsevier; 2017
    Search in Google Scholar
  • 21 Yu IY, Kim SY, Kang MH. Strategies for controlling axial shoulder rotation change shoulder muscle activity during external rotation exercises. J Shoulder Elbow Surg 2021; 30: 1230-1237
    CrossrefPubMedSearch in Google Scholar
  • 22 Harriss DJ, Jones C, MacSween A. Ethical Standards in Sport and Exercise Science Research: 2022 Update. Int J Sports Med 2022; 43: 1065-1070
    Thieme ConnectPubMedSearch in Google Scholar
  • 23 MacConaill MA, Basmajian JV. Muscle and movements: a basis for human kinesiology. Huntington, New York: Krieger publishing company; 1977. 190.
    Search in Google Scholar
  • 24 Yu IY, Oh SI, Jung WJ. et al. Appropriate resistance intensity and effective exercise for activation of infraspinatus. Int J Sports Med 2019; 40: 569-575
    Thieme ConnectPubMedSearch in Google Scholar
  • 25 Cram JR, Kasman GS, Holtz J. Introduction to Surface Electromyography. Gaithersburg, MD: Aspen Publishers; 1998
    Search in Google Scholar
  • 26 Schludt K, Harms-Ringdahl K. Activity levels during isometric test contractions of the neck and shoulder muscles. Scand J Rehabil Med 1988; 20: 117-127
    PubMedSearch in Google Scholar
  • 27 Kendall FP, Kendall EK. Muscles, Testing and Function. Baltimore, Md: Williams & Wilkins; 1993
    Search in Google Scholar
  • 28 Kim SY, Yu IY, Oh JS. et al. Effects of intended scapular posterior tilt motion on trapezius muscle electromyography activity. Int J Environ Res Public Health 2021; 18: 9147
    CrossrefPubMedSearch in Google Scholar
  • 29 Scibek JS, Carcia CR. Validation of a new method for assessing scapular anterior-posterior tilt. Int J Sports Phys Ther 2014; 9: 644-656
    PubMedSearch in Google Scholar
  • 30 Bdaiwi AH, Mackenzie TA, Herrington L. et al. Acromiohumeral distance during neuromuscular electrical stimulation of the lower trapezius and serratus anterior muscles in healthy participants. J Athl Train 2015; 50: 713-718
    CrossrefPubMedSearch in Google Scholar
  • 31 Oyama S, Myers JB, Wassinger CA. et al. Three-dimensional scapular and clavicular kinematics and scapular muscle activity during retraction exercises. J Orthop Sports Phys Ther 2010; 40: 169-179
    CrossrefPubMedSearch in Google Scholar
  • 32 Moseley JB, Jobe FW, Pink M. et al. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med 1992; 20: 128-134
    CrossrefPubMedSearch in Google Scholar
  • 33 Boettcher CE, Cathers I, Ginn KA. The role of shoulder muscles is task specific. J Sci Med Sport 2010; 13: 651-656
    CrossrefPubMedSearch in Google Scholar
  • 34 Ribeiro A, Pascoal AG. Scapular contribution for the end-range of shoulder axial rotation in overhead athletes. J Sports Sci Med 2012; 11: 676-681
    PubMedSearch in Google Scholar
  • 35 Ludewig PM, Phadke V, Braman JP. et al. Motion of the shoulder complex during multiplanar humeral elevation. J Bone Joint Surg Am 2009; 91: 378-389
    CrossrefPubMedSearch in Google Scholar
  • 36 McClure PW, Bialker J, Neff N. et al. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther 2004; 84: 832-848
    CrossrefPubMedSearch in Google Scholar
  • 37 Bdaiwi AH, Mackenzie TA, Herrington L. et al. The effects of rigid scapular taping on acromiohumeral distance in healthy shoulders: an observational study. J Sport Rehabil 2017; 26: 51-56
    CrossrefPubMedSearch in Google Scholar
  • 38 McCully SP, Suprak DN, Kosek P. et al. Suprascapular nerve block results in a compensatory increase in deltoid muscle activity. J Biomech 2007; 40: 1839-1846
    CrossrefPubMedSearch in Google Scholar