Electromyographic Activity in the Immobilized Shoulder Girdle Musculature During Ipsilateral Kinetic Chain Exercises

Jay Smith, Diane L. Dahm, Brian R. Kotajarvi, Andrea Boon, Edward R. Laskowski, David J. Jacofsky, Kenton R Kaufman

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Smith J, Dahm DL, Kotajarvi BR, Boon AJ, Laskowski ER, Jacofsky DJ, Kaufman KR. Electromyographic activity in the immobilized shoulder girdle musculature during ipsilateral kinetic chain exercises. Objective: To quantify the electromyographic activity in the shoulder girdle musculature during ipsilateral kinetic chain exercises performed in a shoulder immobilizer in asymptomatic men. Design: Descriptive. Setting: Motion analysis laboratory at a tertiary care center. Participants: Five asymptomatic male volunteers, ages 24 to 32 years. Intervention: Fine-wire (supraspinatus, infraspinatus, upper subscapularis) and surface (deltoids, trapezii, biceps, serratus anterior) electrodes recorded electromyographic activity from each muscle during a split-stance cross-body rotation (twisting to the opposite side at high, mid, and low levels), split stance attempted ipsilateral floor touch, and attempted overhead reach. All movements were initiated from the immobilized scapula and were tested with and without a combined step. Main Outcome Measure: Mean peak normalized (percentage of maximum voluntary contraction [%MVC]) electromyographic activity of each muscle during each exercise. Results: For all exercises, biceps and infraspinatus activity remained low (<10% MVC), whereas upper subscapularis activity was moderate to very high (29%-68% MVC). Supraspinatus activity was low (<20% MVC) for all motions except the attempted overhead reach (23% MVC). Serratus electromyographic activity was less than 20% of MVC for all motions and was most responsive to added stepping (23%-136% MVC without stepping vs 24%-199% MVC with stepping). Cross-body rotation at lower heights progressively increased serratus activity while decreasing supraspinatus, upper trapezius, and anterior deltoid activity. Conclusions: Based on these electromyographic data, selected kinetic chain exercises could potentially be implemented during periods of shoulder immobilization. All exercises examined could potentially be safe after superior labral anteroposterior repair, but not after subscapularis repair. All exercises, with the exception of the attempted overhead reach, could potentially be safe after supraspinatus repair, with or without concomitant infraspinatus repair. Early activation of the serratus anterior could potentially be achieved by performing cross-body rotations, particularly at lower heights.

Original languageEnglish (US)
Pages (from-to)1377-1383
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume88
Issue number11
DOIs
StatePublished - Nov 2007

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Rotator Cuff
Exercise
Scapula
Muscles
Superficial Back Muscles
Touch
Tertiary Care Centers
Immobilization
Volunteers
Electrodes
Outcome Assessment (Health Care)

Keywords

  • Electromyography
  • Exercise
  • Kinetics
  • Rehabilitation
  • Shoulder

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Electromyographic Activity in the Immobilized Shoulder Girdle Musculature During Ipsilateral Kinetic Chain Exercises. / Smith, Jay; Dahm, Diane L.; Kotajarvi, Brian R.; Boon, Andrea; Laskowski, Edward R.; Jacofsky, David J.; Kaufman, Kenton R.

In: Archives of Physical Medicine and Rehabilitation, Vol. 88, No. 11, 11.2007, p. 1377-1383.

Research output: Contribution to journalArticle

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abstract = "Smith J, Dahm DL, Kotajarvi BR, Boon AJ, Laskowski ER, Jacofsky DJ, Kaufman KR. Electromyographic activity in the immobilized shoulder girdle musculature during ipsilateral kinetic chain exercises. Objective: To quantify the electromyographic activity in the shoulder girdle musculature during ipsilateral kinetic chain exercises performed in a shoulder immobilizer in asymptomatic men. Design: Descriptive. Setting: Motion analysis laboratory at a tertiary care center. Participants: Five asymptomatic male volunteers, ages 24 to 32 years. Intervention: Fine-wire (supraspinatus, infraspinatus, upper subscapularis) and surface (deltoids, trapezii, biceps, serratus anterior) electrodes recorded electromyographic activity from each muscle during a split-stance cross-body rotation (twisting to the opposite side at high, mid, and low levels), split stance attempted ipsilateral floor touch, and attempted overhead reach. All movements were initiated from the immobilized scapula and were tested with and without a combined step. Main Outcome Measure: Mean peak normalized (percentage of maximum voluntary contraction [{\%}MVC]) electromyographic activity of each muscle during each exercise. Results: For all exercises, biceps and infraspinatus activity remained low (<10{\%} MVC), whereas upper subscapularis activity was moderate to very high (29{\%}-68{\%} MVC). Supraspinatus activity was low (<20{\%} MVC) for all motions except the attempted overhead reach (23{\%} MVC). Serratus electromyographic activity was less than 20{\%} of MVC for all motions and was most responsive to added stepping (23{\%}-136{\%} MVC without stepping vs 24{\%}-199{\%} MVC with stepping). Cross-body rotation at lower heights progressively increased serratus activity while decreasing supraspinatus, upper trapezius, and anterior deltoid activity. Conclusions: Based on these electromyographic data, selected kinetic chain exercises could potentially be implemented during periods of shoulder immobilization. All exercises examined could potentially be safe after superior labral anteroposterior repair, but not after subscapularis repair. All exercises, with the exception of the attempted overhead reach, could potentially be safe after supraspinatus repair, with or without concomitant infraspinatus repair. Early activation of the serratus anterior could potentially be achieved by performing cross-body rotations, particularly at lower heights.",
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AU - Boon, Andrea

AU - Laskowski, Edward R.

AU - Jacofsky, David J.

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N2 - Smith J, Dahm DL, Kotajarvi BR, Boon AJ, Laskowski ER, Jacofsky DJ, Kaufman KR. Electromyographic activity in the immobilized shoulder girdle musculature during ipsilateral kinetic chain exercises. Objective: To quantify the electromyographic activity in the shoulder girdle musculature during ipsilateral kinetic chain exercises performed in a shoulder immobilizer in asymptomatic men. Design: Descriptive. Setting: Motion analysis laboratory at a tertiary care center. Participants: Five asymptomatic male volunteers, ages 24 to 32 years. Intervention: Fine-wire (supraspinatus, infraspinatus, upper subscapularis) and surface (deltoids, trapezii, biceps, serratus anterior) electrodes recorded electromyographic activity from each muscle during a split-stance cross-body rotation (twisting to the opposite side at high, mid, and low levels), split stance attempted ipsilateral floor touch, and attempted overhead reach. All movements were initiated from the immobilized scapula and were tested with and without a combined step. Main Outcome Measure: Mean peak normalized (percentage of maximum voluntary contraction [%MVC]) electromyographic activity of each muscle during each exercise. Results: For all exercises, biceps and infraspinatus activity remained low (<10% MVC), whereas upper subscapularis activity was moderate to very high (29%-68% MVC). Supraspinatus activity was low (<20% MVC) for all motions except the attempted overhead reach (23% MVC). Serratus electromyographic activity was less than 20% of MVC for all motions and was most responsive to added stepping (23%-136% MVC without stepping vs 24%-199% MVC with stepping). Cross-body rotation at lower heights progressively increased serratus activity while decreasing supraspinatus, upper trapezius, and anterior deltoid activity. Conclusions: Based on these electromyographic data, selected kinetic chain exercises could potentially be implemented during periods of shoulder immobilization. All exercises examined could potentially be safe after superior labral anteroposterior repair, but not after subscapularis repair. All exercises, with the exception of the attempted overhead reach, could potentially be safe after supraspinatus repair, with or without concomitant infraspinatus repair. Early activation of the serratus anterior could potentially be achieved by performing cross-body rotations, particularly at lower heights.

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