Abstract
The effects of the two popular strategies, scapular adduction and depression and
scapular posterior tilt, on the muscle activity of trapezius and serratus
anterior muscles have not been compared. This study demonstrates the effects of
additional scapular adduction and depression and scapular posterior tilt
movements on the activation of trapezius and serratus anterior muscles and
scapular kinematics during arm raising. Eighteen asymptomatic men performed arm
raising tasks with and without additional scapular movements, including scapular
adduction and depression and scapular posterior tilt. During all tasks, the
muscle activity of the upper/middle/lower trapezius and serratus anterior
muscles was measured using surface electromyography; scapular upward rotation
and posterior tilt angles were measured using a smartphone application. Lower
trapezius muscle activity significantly increased during arm raising with
scapular adduction and depression (p=0.001) or scapular posterior tilt
compared to preferred arm raising (p<0.001). However, arm raising with
the scapular posterior tilt showed significantly greater serratus anterior
muscle activity (p=0.002) and scapular posterior tilt angle
(p=0.001) together with lesser upper trapezius muscle activity
(p=0.027) compared with those of scapular adduction and depression.
Scapular posterior tilt may be effective for increasing the lower trapezius and
serratus anterior muscle activity while reducing the upper trapezius muscle
activity.
Keywords
biomechanical phenomena - electromyography - scapula - superficial back muscles