[논문]Arm Lifting Exercises for Lower Trapezius Muscle Activation

Kang, Minhyeok

doi:10.20540/jiaptr.2019.10.4.1868

Arm Lifting Exercises for Lower Trapezius Muscle Activation 원문보기

Journal of international academy of physical therapy research, v.10 no.4, 2019년, pp.1868 - 1872

Kang, Minhyeok (Department of Physical Therapy, International University of Korea)

Abstract ▼ AI-Helper

Background: Lower trapezius muscle function is important for the prevention and treatment of shoulder injuries. However, scapular posterior tilt movement has been overlooked in lower trapezius strengthening exercise programs. Objective: To examine the effects of prone arm lifting with scapular posterior tilt (PALSPT) on trapezius muscles. Design: Crossover study Methods: 17 healthy males were recruited for participation in this study. Participants performed backward rocking diagonal arm lifting (BRDAL) and PALSPT. To train participants in scapular posterior tilt movements for PALSPT, visual biofeedback of scapular movements was provided using a motion sensor. Electromyography (EMG) activities of the middle and lower trapezius were recorded using a surface EMG system. Differences in middle and lower trapezius muscle activity between BRDAL and PALSPT exercises were analyzed. Results: Lower trapezius muscle activity was significantly greater during PALSPT than during BRDAL (p=.006). Although greater EMG activity was observed in the middle trapezius during PALSPT than during BRDAL, this difference was not significant (p=.055). Conclusions: The results of the present study indicate that scapular posterior tilt movements must be considered in lower trapezius muscle strengthening programs.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

The objective of the present study was to compare the effects of BRDAL and PALSPT exercises on lower and middle trapezius muscle activity. The results showed significantly greater muscle activity in the lower trapezius but not middle trapezius during PALSPT than during BRDAL.
However, no study has examined the effects of prone arm lifting with scapular posterior tilt (PALSPT). Therefore, the objective of this study was to compare the effects of BRDAL, which has been reported to be effective for lower trapezius muscle activation, and PALSPT, on lower trapezius and middle trapezius activity measured by electromyography (EMG).

제안 방법

The motion sensor was used to provide subjects with real-time visual biofeedback of scapular posterior tilt movement. To train subjects in scapular posterior tilt movement, subjects were asked to practice with the assistance of an examiner, and then performed the movement unaided while monitoring the scapular posterior tilt angle in real time using a tablet PC in a sitting position for 10 min (Fig. 1).

대상 데이터

Exclusion criteria included history of tendinitis, adhesive capsulitis, or subacromial impingement. All subjects were recruited from September 17 to October 8, 2019 via advertisement on the message board at the local university in Korea. The study protocol was approved by a public institutional review board designated by the Ministry of Health and Welfare (P01-201908-11-004).
In total, 17 healthy male subjects (age: 24.12 ± .99 years; height: 171.18 ± 5.40 cm; body weight: 70.76 ± 10.47 kg) without shoulder pain at the time of participation in this study were recruited.

이론/모형

Data normality was determined using the Shapiro–Wilk test.

성능/효과

The results of this study demonstrate that a combination of scapular posterior tilt movements and prone arm lifting leads to greater activity of the lower trapezius than BRDAL exercise, as measured by EMG. Therefore, clinicians must consider scapular posterior tilt movement to facilitate lower trapezius activation.
The objective of the present study was to compare the effects of BRDAL and PALSPT exercises on lower and middle trapezius muscle activity. The results showed significantly greater muscle activity in the lower trapezius but not middle trapezius during PALSPT than during BRDAL.

후속연구

Future studies should aim to recruit female subjects and subjects with lower trapezius weakness. This study compared only BRDAL to PALSPT; future studies should include a range of exercises to clarify the effects of PALSPT on lower trapezius activity. Lastly, because only trapezius muscle activity was measured, EMG activity of other muscles, including agonist and antagonist muscles needs to be examined during BRDAL and PALSPT.

참고문헌 (27)

Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 3rd ed. St Louis: Elsevier; 2017.
Hislop HJ, Avers D, Brown M. Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination and Performance Testing. 9th ed. St. Louis: Elsevier; 2013.
Magee DJ. Orthopedic Physical Assessment, 6th ed. St Louis: Elsevier; 2014.
Struyf F, Cagnie B, Cools A, et al. Scapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability. J Electromyogr Kinesiol. 2014;24(2):277-84.

상세보기
Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol, Avon). 2003;18(5):369-79.

상세보기
Johnson G, Bogduk N, Nowitzke A, et al. Anatomy and actions of the trapezius muscle. Clin Biomech (Bristol, Avon). 1994;9(1):44-50.

상세보기
Castelein B, Cagnie B, Parlevliet T, et al. Superficial and deep scapulothoracic muscle electromyographic activity during elevation exercises in the scapular plane. J Orthop Sports Phys Ther. 2016;46(3):184-93.

상세보기
Alizadehkhaiyat O, Hawkes DH, Kemp GJ, et al. Electromyographic analysis of the shoulder girdle musculature during external rotation exercises. Orthop J Sports Med. 2015;3(11):2325967115613988.

상세보기
Chopp-Hurley JN, Prophet C, Thistle B, et al. Scapular muscle activity during static yoga postures. J Orthop Sports Phys Ther. 2018;48(6): 504-9.

상세보기
Ekstrom RA, Soderberg GL, Donatelli RA. Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface EMG analysis. J Electromyogr Kinesiol. 2005;15(4):418-28.

상세보기
Kinney E, Wusthoff J, Zyck A, et al. Activation of the trapezius muscle during varied forms of Kendall exercises. Phys Ther Sport. 2008;9(1):3-8.

상세보기
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(5):247-58.

상세보기
Ha SM, Kwon OY, Cynn HS, et al. Comparison of electromyographic activity of the lower trapezius and serratus anterior muscle in different arm-lifting scapular posterior tilt exercises. Phys Ther Sport. 2012;13(4):227-32.

상세보기
Choi SA, Cynn HS, Shin AR, et al. Effects of verbal cue for scapular depression during scapular posterior tilt exercise on scapular muscle activities and clavicular tilt angle in subjects with rounded shoulder posture and upper trapezius myofascial pain. Phys Ther Korea. 2017;24(3):30-9.
Ko CH, Cynn HS, Lee JH, et al. Figure-8 strap application: immediate alteration of pectoralis minor length and scapular alignment during arm-lifting exercise in participants with forward shoulder posture. J Sport Rehabil. 2016;25(3):273-9.

상세보기
Lee JH, Cynn HS, Yoon TL, et al. Comparison of scapular posterior tilting exercise alone and scapular posterior tilting exercise after pectoralis minor stretching on scapular alignment and scapular upward rotators activity in subjects with short pectoralis minor. Phys Ther Sport. 2015; 16(3):255-61.

상세보기
Lee JH, Cynn HS, Yoon TL, et al. The effect of scapular posterior tilt exercise, pectoralis minor stretching, and shoulder brace on scapular alignment and muscles activity in subjects with round-shoulder posture. J Electromyogr Kinesiol. 2015;25(1):107-14.

상세보기
Escamilla RF, Yamashiro K, Paulos L, et al. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med. 2009;39(8):663-85.

상세보기
De Mey K, Danneels LA, Cagnie B, et al. Conscious correction of scapular orientation in overhead athletes performing selected shoulder rehabilitation exercises: the effect on trapezius muscle activation measured by surface electromyography. J Orthop Sports Phys Ther. 2013;43(1):3-10.

상세보기
Kim SY, Weon JH, Jung DY, et al. Effect of the scapula-setting exercise on acromio-humeral distance and scapula muscle activity in patients with subacromial impingement syndrome. Phys Ther Sport. 2019;37:99-104.

상세보기
Yu IY, Kang MH. Change in pelvic motion caused by visual biofeedback influences trunk and hip muscle activities during side-lying hip abduction in asymptomatic individuals. J Int Acad Phys Ther Res. 2019;10(3):1818-22.

원문보기 상세보기
Scibek JS, Carcia CR. Validation of a new method for assessing scapular anterior-posterior tilt. Int J Sports Phys Ther. 2014;9(5):644-56.
Kebaetse M, McClure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):945-50.

상세보기
Lee ST, Moon J, Lee SH, et al. Changes in activation of serratus anterior, trapezius and latissimus dorsi with slouched posture. Ann Rehabil Med. 2016;40(2):318-25.

상세보기
Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Man Ther. 2009;14(6):690-5.

상세보기
Henry SM, Westervelt KC. The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther. 2005;35(6):338-45.

상세보기
Sahrmann SA. Movement System Impairment Syndromes of the Extremities, Cervical, and Thoracic Spines. St Louis: Elsevier; 2011.

LOADING...

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증