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NTIS 바로가기Medicine, v.97 no.44, 2018년, pp.e12569 - e12569
Shin, A-Reum (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University, Wonju, Kangwon-do, Republic of Korea.) , Lee, Ji-Hyun , Kim, Da-Eun , Cynn, Heon-Seock
ABSTRACT: Serratus anterior muscle weakness causes scapular winging, characterized by scapular downward rotation and scapular anterior tipping in the resting position. Knee push-up plus (KPP), a modified push-up plus that is generally used in early rehabilitation programs, is performed to elicit SA activation. However, excessive thoracic kyphosis can easily occur as a compensatory movement during KPP. Therefore, the aim of this study was to examine the effect of tactile cues during KPP on activities of the thoracic erector spinae, rectus abdominis, lower trapezius, serratus anterior, and upper trapezius; scapular winging; and thoracic kyphosis in subjects with scapular winging.Thirteen men with scapular winging performed KPP exercises under 3 different tactile cue conditions (no cue, to the thoracic spinous process [TSP], and to the interscapular region [ISR]). Electromyography was used to collect the muscle activity; in addition, a scapulometer and ImageJ software were used to measure the amount of scapular winging and thoracic kyphosis, respectively. One-way repeated-measures analysis of variance and Bonferroni correction were used to assess for statistical significance.The activity of the thoracic erector spinae, rectus abdominis, serratus anterior, and upper trapezius had significant difference among three conditions (P < .05). Lower trapezius activity was no significantly different among 3 conditions. Degrees of scapular winging and thoracic kyphosis had also significant difference among 3 conditions (P < .05).These results suggest that the tactile cue to the TSP and ISR in KPP exercise can be an effective method for decreasing scapular winging as well as correcting compensatory thoracic kyphosis during the KPP in subjects with scapular winging.
[1] Lukasiewicz AC McClure P Michener L Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement . J Orthop Sports Phys Ther 1999 ; 29 : 574 – 83 . 10560066
[2] Watson CJ Schenkman M Physical therapy management of isolated serratus anterior muscle paralysis . Phys Ther 1995 ; 75 : 194 – 202 . 7870751
[3] Page P Frank CC Lardner R Assessment and Treatment of Muscle Imbalance: The Janda Approach . Champaign, IL : Human Kinetics ; 2010 .
[4] Martins J Tucci HT Andrade R Electromyographic amplitude ratio of serratus anterior and upper trapezius muscles during modified push-ups and bench press exercises . J Strength Cond Res 2008 ; 22 : 477 – 84 . 18550963
[5] Cools AM Dewitte V Lanszweert F Rehabilitation of scapular muscle balance which exercises to prescribe? Am J Sport Med 2007 ; 35 : 1744 – 51 .
[6] Sandhu JS Mahajan S Shenoy S An electromyographic analysis of shoulder muscle activation during push-up variations on stable and labile surfaces . Int J Shoulder Surg 2008 ; 2 : 30 – 5 . 20300308
[7] Ludewig PM Hoff MS Osowski EE Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises . Am J Sports Med 2004 ; 32 : 484 – 93 . 14977678
[8] Hardwick DH Beebe JA McDonnell MK A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises . J Orthop Sports Phys Ther 2006 ; 36 : 903 – 10 . 17193867
[9] Sahrmann SA Does postural assessment contribute to patient care? J Orthop Sports Phys Ther 2002 ; 32 : 376 – 9 . 12168955
[10] Kelley MJ Anatomic and biomechanical rationale for rehabilitation of the athlete's shoulder . J Sport Rehabil 1995 ; 4 : 122 – 54 .
[11] Greig AM Bennell KL Briggs AM Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis . Man Ther 2008 ; 13 : 249 – 57 . 17433756
[12] O'Sullivan K O'Sullivan L O'Sullivan P Investigating the effect of real-time spinal postural biofeedback on seated discomfort in people with non-specific chronic low back pain . Ergonomics 2013 ; 56 : 1315 – 25 . 23826725
[13] Park JH Kang SY Cynn HS Effect of tactile feedback on trunk posture and EMG activity in people with postural kyphosis during VDT work . Phys Ther Korea 2016 ; 23 : 48 – 56 .
[14] Weon JH Kwon OY Cynn HS Real-time visual feedback can be used to activate scapular upward rotators in people with scapular winging: an experimental study . J Physiother 2011 ; 57 : 101 – 7 . 21684491
[15] Katzman WB Vittinghoff E Kado DM Study of hyperkyphosis, exercise and function (SHEAF) protocol of a randomized controlled trial of multimodal spine strengthening exercise in older adults with hyperkyphosis . Phys Ther 2016 ; 96 : 371 – 81 . 26251480
[16] Criswell E Cram's Introduction to Surface Electromyography . 2nd ed. Salisbury, MA : Jones & Bartlett ; 2010 .
[17] Kendall FP McCreary EK Provance PG Muscles: Testing and Function with Posture and Pain . 5th ed. Philadelphia, PA : Lippincott Williams & Wilkins ; 2005 .
[18] Vera-Garcia FJ Moreside JM McGill SM MVC techniques to normalize trunk muscle EMG in healthy women . J Electromyogr Kinesiol 2010 ; 20 : 10 – 6 . 19394867
[19] 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 : 418 – 28 . 15811612
[20] Park JS Jeon HS Kwon OY A comparison of the shoulder stabilizer muscle activities during push-up plus between persons with and without winging scapular . Phys Ther Korea 2007 ; 14 : 44 – 52 .
[21] Abràmoff MD Magalhães PJ Ram SJ Image processing with Image J . Biophotonics Intern 2004 ; 11 : 36 – 42 .
[22] Kuo YL Tully EA Galea MP Video analysis of sagittal spinal posture in healthy young and older adults . J Manipulative Physiol Ther 2009 ; 32 : 210 – 5 . 19362231
[23] Park KM Cynn HS Kwon OY Comparison of pectoralis major and serratus anterior muscle activities during different push-up plus exercises in subjects with and without scapular winging . J Strength Cond Res 2014 ; 28 : 2546 – 51 . 24618724
[24] Park KM Cynn HS Yi CH Effect of isometric horizontal abduction on pectoralis major and serratus anterior EMG activity during three exercises in subjects with scapular winging . J Electromyogr Kinesiol 2013 ; 23 : 462 – 8 . 23332682
[25] Joung KW Choi SS Jang DM Comparative effects of dexmedetomidine and propofol on US-guided radiofrequency ablation of hepatic neoplasm under monitored anesthesia care: a randomized controlled study . Medicine 2015 ; 94 : e1349 . 26266387
[26] Sinaki M Itoi E Rogers JW Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women . Am J Phys Med Rehabil 1996 ; 75 : 370 – 4 . 8873705
[27] Antfolk C Balkenius C Lundborg G Design and technical construction of a tactile display for sensory feedback in a hand prosthesis system . Biomed Eng Online 2010 ; 9 : 50 – 8 . 20840758
[28] Joseph E Muscolino DC Know the body muscle, bone, and palpation essentials . 2013 ; Amsterdam : Elsevier Health Sciences , 64 .
[29] O'Sullivan PB Grahamslaw KM Kendell M The effect of different standing and sitting postures on trunk muscle activity in a pain-free population . Spine 2002 ; 27 : 1238 – 44 . 12045525
[30] Cools AM Witvrouw EE Declercq GA Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms . Br J Sport Med 2004 ; 38 : 64 – 8 .
[31] Ludewig PM Cook TM Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement . Phys Ther 2000 ; 80 : 276 – 91 . 10696154
[32] 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 : 945 – 50 . 10453773
[33] Neumann DA Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation . Amsterdam : Elsevier Health Sciences ; 2013 .
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