KINESIOLOGY / RESEARCH PAPER
Effects of Lumbar Stabilization on Scapular Muscle Activity, Activation Onset Time, and Kinematics in Individuals
with Scapular Dyskinesis
1
Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
2
Department of Rehabilitation Medicine, University of Washington, Washington, United States.
Submission date: 2023-05-23
Final revision date: 2024-01-04
Acceptance date: 2024-04-09
Online publication date: 2024-07-17
KEYWORDS
TOPICS
ABSTRACT
This study aimed to investigate the effects of lumbar stabilization on muscle activity, muscle onset time, and scapular kinematics in individuals with scapular dyskinesis. Fourteen participants with scapular dyskinesis were recruited. Scapular muscle activity and activation onset time were measured by electromyography (EMG), and scapular upward rotation was measured by two-dimensional (2-D) Kinovia software, under two conditions: with and without abdominal bracing. There was a significant increase in the activity of the serratus anterior, middle trapezius, and inferior trapezius muscles between the conditions (p < 0.001, p = 0.045, and p < 0.001, respectively). During abdominal bracing, the activation onset time of the serratus anterior and lower trapezius was noticeably shorter (p = 0.041 and p = 0.011, respectively). Scapular upward rotation at 30°, 60°, 90°, and 120° of shoulder abduction was significantly greater (p = 0.027, p = 0.003, p = 0.003, and p = 0.030, respectively). Increased scapular muscle activation, early activation onset time, and increased scapular upward rotation were also noted. These changes have an impact on the scapulohumeral rhythm.
REFERENCES (54)
1.
Becker, N. W., Ziebarth, A. D., Larson, D. J., Zwambag, D. P., & Brown, S. H. M. (2022). Influence of spine-focused verbal instruction on spine flexion during lifting. Journal of Human Kinetics, 84, 12–20. https://doi.org/10.2478/hukin-....
2.
Buonocore, D., Rucci, S., Vandoni, M., Negro, M., & Marzatico, F. (2012). Oxidative system in aged skeletal muscle. Muscles, Ligaments and Tendons Journal, 1(3), 85–90. https://www.ncbi.nlm.nih.gov/p....
3.
Burkhart, S. S., Morgan, C. D., & Kibler, W. B. (2003). The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy, 19(6), 641–661. https://doi.org/10.1016/s0749-....
4.
Camargo, P. R., & Neumann, D. A. (2019). Kinesiologic considerations for targeting activation of scapulothoracic muscles - part 2: trapezius. Brazilian Journal of Physical Therapy, 23(6), 467–475. https://doi.org/10.1016/j.bjpt....
5.
de Araújo, R. C., Pirauá, A. L. T., Beltrão, N. B., & Pitangui, A. C. R. (2018). Activity of periscapular muscles and its correlation with external oblique during push-up: Does scapular dyskinesis change the electromyographic response? Journal of Sports Sciences, 36(5), 571–577. https://doi.org/10.1080/026404....
6.
Deschenes, M. R. (2004). Effects of aging on muscle fibre type and size. Sports Medicine, 34(12), 809–824. https://doi.org/10.2165/000072....
7.
Gunaydin, G. (2021). The relationship between scapular endurance and core endurance in elite amputee football players. Balt J Health Phys Activ, 13, 1-8. https://doi.org/10.29359/BJHPA....
8.
Gupta, M., Dashottar, A., & Borstad, J. D. (2013). Scapula kinematics differ by body mass index. Journal of Applied Biomechanics, 29(4), 380–385. https://doi.org/10.1123/jab.29....
9.
Hannah, D. C., Scibek, J. S., & Carcia, C. R. (2017). Strength profiles in healthy individuals with and without scapular dyskinesis. International Journal of Sports Physical Therapy, 12(3), 305–313. https://www.ncbi.nlm.nih.gov/p....
10.
Hermens, H. J., Freriks, B., Disselhorst-Klug, C., & Rau, G. (2000). Development of recommendations for SEMG sensors and sensor placement procedures. Journal of Electromyography and Kinesiology, 10(5), 361–374. https://doi.org/10.1016/s1050-....
11.
Hickey, D., Solvig, V., Cavalheri, V., Harrold, M., & McKenna, L. (2018). Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(2), 102. https://doi.org/10.1136/bjspor....
12.
Hislop, H. J., Avers, D., & Brown, M. (2013). Daniels and Worthingham's muscle testing techniques of manual examination and performance testing. Elsevier Health Sciences.
13.
Hodges, P. W., & Bui, B. H. (1996). A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalography and Clinical Neurophysiology, 101(6), 511–519. https://doi.org/10.1016/s0013-....
14.
Huang, L. L., Huang, T. S., Lin, Y. H., Huang, C. Y., Yang, J. L., & Lin, J. J. (2022). Effects of upper trapezius myofascial trigger points on scapular kinematics and muscle activation in overhead athletes. Journal of Human Kinetics, 84, 32–42. https://doi.org/10.2478/hukin-....
15.
Huang, T. S., Ou, H. L., Huang, C. Y., & Lin, J. J. (2015). Specific kinematics and associated muscle activation in individuals with scapular dyskinesis. Journal of Shoulder and Elbow Surgery, 24(8), 1227–1234. https://doi.org/10.1016/j.jse.....
16.
Kaur, N., Bhanot, K., & Ferreira, G. (2020). Effects of lower extremity and trunk kinetic chain recruitment on serratus anterior muscle activation during forward punch plus exercise on stable and unstable surfaces International Journal of Sports Physical Therapy, 15(1), 126–138. https://doi.org/10.26603/ijspt....
18.
Kibler, W. B. (1995). Biomechanical analysis of the shoulder during tennis activities. Clinical Journal of Sport Medicine, 14(1), 79–85. https://doi.org/10.1016/S0278-....
19.
Kibler, W. B. (1998). The role of the scapula in athletic shoulder function. Archives of Physical Medicine and Rehabilitation, 26(2), 325–337. https://doi.org/10.1177/036354....
20.
Kibler, W. B., Ludewig, P. M., McClure, P. W., Michener, L. A., Bak, K., & Sciascia, A. D. (2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘scapular summit’. British Journal of Sports Medicine, 47(14), 877. https://doi.org/10.1136/bjspor....
21.
Kibler, W. B., & Sciascia, A. (2019). Evaluation and Management of Scapular Dyskinesis in Overhead Athletes. Current Reviews in Musculoskeletal Medicine, 12(4), 515–526. https://doi.org/10.1007/s12178....
22.
Kibler, W. B., Uhl, T. L., Maddux, J. W., Brooks, P. V., Zeller, B., & McMullen, J. (2002). Qualitative clinical evaluation of scapular dysfunction: a reliability study. Journal of Shoulder and Elbow Surgery, 11(6), 550–556. https://doi.org/10.1067/mse.20....
23.
Kim, D., Cynn, H.-S., Lee, J., & Shin, A. (2017). Effect of abdominal drawing-in maneuver on the scapular stabilizer muscle activity during push-up plus exercise in subjects with scapular winging. Physical therapy Korea, 24, 61–70. https://doi.org/10.12674/ptk.2....
24.
Kolber, M. J., & Hanney, W. J. (2012). The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. International Journal of Sports Physical Therapy, 7(3), 306–313.
26.
Larsen, C. M., Søgaard, K., Chreiteh, S. S., Holtermann, A., & Juul-Kristensen, B. (2013). Neuromuscular control of scapula muscles during a voluntary task in subjects with Subacromial Impingement Syndrome. A case-control study. Journal of Electromyography and Kinesiology, 23(5), 1158–1165. https://doi.org/10.1016/j.jele....
27.
McClure, P., Tate, A. R., Kareha, S., Irwin, D., & Zlupko, E. (2009). A clinical method for identifying scapular dyskinesis, part 1: reliability. Journal of Athletic Training, 44(2), 160–164. https://doi.org/10.4085/1062-6....
28.
McGill, E., Montel, I., & National Academy of Sports, M. (2019). NASM essentials of sports performance training. Jones & Bartlett Learning.
29.
Michener, L. A., Elmore, K. A., Darter, B. J., & Timmons, M. K. (2016). Biomechanical measures in participants with shoulder pain: Intra-rater reliability. Manual Therapy, 22, 86–93. https://doi.org/10.1016/j.math....
30.
Murta, B. A. J., Santos, T. R. T., Araujo, P. A., Resende, R. A., & Ocarino, J. M. (2020). Influence of reducing anterior pelvic tilt on shoulder posture and the electromyographic activity of scapular upward rotators. Brazilian Journal of Physical Therapy, 24(2), 135–143. https://doi.org/10.1016/j.bjpt....
31.
Myers, J. B., Oyama, S., & Hibberd, E. E. (2013). Scapular dysfunction in high school baseball players sustaining throwing-related upper extremity injury: a prospective study. Journal of Shoulder and Elbow Surgery, 22(9), 1154–1159. https://doi.org/10.1016/j.jse.....
32.
Myers, T. W. (2014). Anatomy trains : myofascial meridians for manual and movement therapists. Elsevier.
33.
Neumann, D. A. (2017). Kinesiology of the musculoskeletal system: foundations for rehabilitation. Elsevier.
34.
Neumann, D. A., & Camargo, P. R. (2019). Kinesiologic considerations for targeting activation of scapulothoracic muscles - part 1: serratus anterior. Brazilian Journal of Physical Therapy, 23(6), 459–466. https://doi.org/10.1016/j.bjpt....
35.
Nodehi Moghadam, A., Rahnama, L., Noorizadeh Dehkordi, S., & Abdollahi, S. (2020). Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials. Journal of Shoulder and Elbow Surgery, 29(1), e29–e36.
37.
Oshikawa, T., Adachi, G., Akuzawa, H., Okubo, Y., & Kaneoka, K. (2022). The influence of anticipation of movement starting time on feedforward activation of trunk muscles during rapid shoulder Joint movements. Journal of Human Kinetics, 84, 43–52. https://doi.org/10.2478/hukin-....
38.
Petviset, H., Sakulsriprasert, P., Vongsirinavarat, M., & Wattananon, P. (2021). Comparison of scapulothoracic muscles onset and deactivation time between individuals with and without inferior angle type of scapular dyskinesis: a cross-sectional study. Songklanakarin Journal of Science and Technology, 43(2), 512–519. https://sjst.psu.ac.th/journal....
39.
Phadke, V., Camargo, P., & Ludewig, P. (2009). Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement. Revista Brasileira de Fisioterapia (Sao Carlos (Sao Paulo, Brazil)), 13(1), 1–9. https://doi.org/10.1590/S1413-....
40.
Phadke, V., & Ludewig, P. M. (2013). Study of the scapular muscle latency and deactivation time in people with and without shoulder impingement. Journal of Electromyography and Kinesiology, 23(2), 469–475. https://doi.org/10.1016/j.jele....
41.
Puig-Diví, A., Escalona-Marfil, C., Padullés, J., Busquets Faciaben, A., Padullés-Chando, X., & Marcos-Ruiz, D. (2019). Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives. PLoS One, 14, e0216448. https://doi.org/10.1371/journa....
42.
Saini, S. S., Shah, S. S., & Curtis, A. S. (2020). Scapular Dyskinesis and the Kinetic Chain: Recognizing Dysfunction and Treating Injury in the Tennis Athlete. Current Reviews in Musculoskeletal Medicine, 13, 748–756. https://doi.org/10.1007/s12178....
43.
Sciascia, A., & Kibler, W. B. (2022). Current Views of Scapular Dyskinesis and its Possible Clinical Relevance. International Journal of Sports Physical Therapy, 17(2), 117–130. https://doi.org/10.26603/001c.....
44.
Sciascia, A., Thigpen, C., Namdari, S., & Baldwin, K. (2012). Kinetic chain abnormalities in the athletic shoulder. Sports Medicine and Arthroscopy Review, 20(1), 16–21.
46.
Scott, R., Yang, H. S., James, C. R., Sawyer, S. F., & Sizer, P. S., Jr. (2018). Volitional preemptive abdominal contraction and upper extremity muscle latencies during D1 flexion and scaption shoulder exercises. Journal of Athletic Training, 53(12), 1181–1189. https://doi.org/10.4085/1062-6....
47.
Seitz, A., McClelland, R., Jones, J., Jean, R., & Kardouni, J. (2015). A comparison of change in 3D scapular kinematics with maximal contractions and force production with scapular muscle tests between asymptomatic overhead athletes with and without scapular dyskinesis. International Journal of Sports Physical Therapy, 10, 309–318. https://www.ncbi.nlm.nih.gov/p....
48.
Struyf, F., Cagnie, B., Cools, A., Baert, I., Brempt, J. V., Struyf, P., & Meeus, M. (2014). Scapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability. Journal of Electromyography and Kinesiology, 24(2), 277–284.
50.
Tayashiki, K., Takai, Y., Maeo, S., & Kanehisa, H. (2016). Intra-abdominal pressure and trunk muscular activities during abdominal bracing and hollowing. International Journal of Sports Medicine, 37(2), 134–143. https://doi.org/10.1055/s-0035....
51.
Vezina, M. J., & Hubley-Kozey, C. L. (2000). Muscle activation in therapeutic exercises to improve trunk stability. Archives of Physical Medicine and Rehabilitation, 81(10), 1370–1379. https://doi.org/https://doi.or....
52.
Voight, M. L., & Thomson, B. C. (2000). The role of the scapula in the rehabilitation of shoulder injuries. Journal of Athletic Training, 35(3), 364–372.
54.
Wang, C. H., McClure, P., Pratt, N. E., & Nobilini, R. (1999). Stretching and strengthening exercises: their effect on three-dimensional scapular kinematics. Archives of Physical Medicine and Rehabilitation, 80(8), 923–929. https://doi.org/10.1016/s0003-....
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