PMID- 38261765
OWN - NLM
STAT- MEDLINE
DCOM- 20240517
LR  - 20240517
IS  - 1537-7385 (Electronic)
IS  - 0894-9115 (Linking)
VI  - 103
IP  - 6
DP  - 2024 Jun 1
TI  - Comparative Electromyographic Study of Scapular Stabilizing Muscles During Five 
      Main Rehabilitation Exercises.
PG  - 502-509
LID - 10.1097/PHM.0000000000002394 [doi]
AB  - OBJECTIVE: The aim of the study is to compare the surface electromyographic 
      amplitude, activation ratio, and onset latency of the main scapular stabilizing 
      muscles between five typical rehabilitative exercises. DESIGN: Twenty-seven 
      healthy participants performed five scapular exercises (wall slide, wall push-up 
      plus, prone horizontal abduction with external rotation, external rotation in 
      side lying, and low row) while simultaneously recording surface electromyographic 
      of serratus anterior, middle trapezius, lower trapezius, and upper trapezius. 
      Surface electromyographic amplitudes, onset latencies, and activation ratios were 
      calculated. RESULTS: Prone horizontal abduction with external rotation showed an 
      excellent upper trapezius/middle trapezius (0.43) and upper trapezius/lower 
      trapezius (0.30) muscle balance with high (>50% maximum voluntary isometric 
      contraction) middle trapezius and lower trapezius amplitudes, a low (<20% maximum 
      voluntary isometric contraction) upper trapezius amplitude, and an early 
      activation of the scapular stabilizing muscles (-474.7 to 89.9 ms) relative to 
      upper trapezius. External rotation in side lying showed excellent upper 
      trapezius/serratus anterior (0.26), upper trapezius/middle trapezius (0.32), and 
      upper trapezius/lower trapezius (0.21) activation ratios and, along with low row 
      and wall slide, showed early activation of the scapular stabilizing muscles 
      (-378.1 to -26.6 ms). CONCLUSIONS: Prone horizontal abduction with external 
      rotation presented optimal scapular neuromuscular control. Although external 
      rotation in side lying, low row, and wall slide did not meet all the criteria 
      associated with optimal scapular neuromuscular control, these exercises could be 
      used in early stages of shoulder rehabilitation because they favor early 
      activation of the scapular stabilizing muscles.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Mendez-Rebolledo, Guillermo
AU  - Mendez-Rebolledo G
AD  - From the Laboratorio de Investigacion Somatosensorial y Motora, Escuela de 
      Kinesiologia, Facultad de Salud, Universidad Santo Tomas, Talca, Chile (GM-R, 
      EG-M, JS-M); Escuela de Kinesiologia, Facultad de Odontologia y Ciencias de la 
      Rehabilitacion, Universidad San Sebastian, Santiago, Chile (FA-Q); Department of 
      Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile 
      (CC-M); Department of Rehabilitation Sciences (Physical Therapy), University 
      Hospital Ghent, Faculty of Medicine and Health Sciences, Ghent University, Gent, 
      Belgium (KRB); and Exercise Intervention for Health Research Group (EXINH-RG), 
      Department of Physiotherapy, University of Valencia, Spain (JC).
FAU - Araya-Quintanilla, Felipe
AU  - Araya-Quintanilla F
FAU - Guzman-Munoz, Eduardo
AU  - Guzman-Munoz E
FAU - Salazar-Mendez, Joaquin
AU  - Salazar-Mendez J
FAU - Cruz-Montecinos, Carlos
AU  - Cruz-Montecinos C
FAU - Berckmans, Kelly R
AU  - Berckmans KR
FAU - Calatayud, Joaquin
AU  - Calatayud J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20231221
PL  - United States
TA  - Am J Phys Med Rehabil
JT  - American journal of physical medicine & rehabilitation
JID - 8803677
SB  - IM
MH  - Humans
MH  - *Electromyography
MH  - Male
MH  - *Scapula/physiology
MH  - Female
MH  - Adult
MH  - *Exercise Therapy/methods
MH  - *Isometric Contraction/physiology
MH  - *Muscle, Skeletal/physiology
MH  - Young Adult
MH  - Superficial Back Muscles/physiology
MH  - Healthy Volunteers
COIS- Financial disclosure statements have been obtained, and no conflicts of interest 
      have been reported by the authors or by any individuals in control of the content 
      of this article.
EDAT- 2024/01/23 18:42
MHDA- 2024/05/17 12:43
CRDT- 2024/01/23 15:32
PHST- 2024/05/17 12:43 [medline]
PHST- 2024/01/23 18:42 [pubmed]
PHST- 2024/01/23 15:32 [entrez]
AID - 00002060-990000000-00367 [pii]
AID - 10.1097/PHM.0000000000002394 [doi]
PST - ppublish
SO  - Am J Phys Med Rehabil. 2024 Jun 1;103(6):502-509. doi: 
      10.1097/PHM.0000000000002394. Epub 2023 Dec 21.