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Effect of the Abdominal Drawing-in Maneuver on the Scapular Stabilizer Muscle Activities and Scapular Winging During Push-up Plus Exercise in Subjects With Scapular Winging

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주제분류물리치료학

초록

Background: Scapular winging is a prominence of the entire scapular medial border, mainly caused by insufficient activity of the serratus anterior (SA) and imbalance of scapulothoracic muscles. Push-up plus (PUP) exercise has been commonly used to increase SA muscle activity. The facilitation of abdominal muscle may affect scapular muscle activity by myofascial connections. Thus, the sequential activation of the turnk muscles is suggested to facilitate the transition of proper force from upper limb and restore force couple of scapular muscles. The abdominal drawing-in maneuver (ADIM) has been effective in improving activation of the deep trunk muscles during movement. Objects: The aim of this study was to determine the effect of ADIM on the activity of the upper trapezius (UT), lower trapezius (LT), and SA during PUP exercises in subjects with scapular winging. Methods: Fourteen men with scapular winging (determined as a of distance between the scapular medial border and thoracic wall over 3 ㎝) volunteered for our study. The subjects performed the PUP exercise with and without ADIM. Surface electromyography was used to collect the electromyography data of the UT, LT, and SA. A scapulometer was used to measure the amount of scapular winging. Results: SA activity was significantly greater and scapular winging significantly lower during the PUP exercise with ADIM than during those without ADIM. Conclusion: PUP exercise with ADIM can be used as an beneficial method to improve SA activation and to reduce the amount of scapular winging in subjects with scapular winging.

Abstract

Background: Scapular winging is a prominence of the entire scapular medial border, mainly caused by insufficient activity of the serratus anterior (SA) and imbalance of scapulothoracic muscles. Push-up plus (PUP) exercise has been commonly used to increase SA muscle activity. The facilitation of abdominal muscle may affect scapular muscle activity by myofascial connections. Thus, the sequential activation of the turnk muscles is suggested to facilitate the transition of proper force from upper limb and restore force couple of scapular muscles. The abdominal drawing-in maneuver (ADIM) has been effective in improving activation of the deep trunk muscles during movement. Objects: The aim of this study was to determine the effect of ADIM on the activity of the upper trapezius (UT), lower trapezius (LT), and SA during PUP exercises in subjects with scapular winging. Methods: Fourteen men with scapular winging (determined as a of distance between the scapular medial border and thoracic wall over 3 ㎝) volunteered for our study. The subjects performed the PUP exercise with and without ADIM. Surface electromyography was used to collect the electromyography data of the UT, LT, and SA. A scapulometer was used to measure the amount of scapular winging. Results: SA activity was significantly greater and scapular winging significantly lower during the PUP exercise with ADIM than during those without ADIM. Conclusion: PUP exercise with ADIM can be used as an beneficial method to improve SA activation and to reduce the amount of scapular winging in subjects with scapular winging.

참고문헌 (36)

  1. Bang MD, "Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome", J Orthop Sports Phys Ther, 30(3), pp.126~137 (2000)
  2. Choi WJ, "Different weight bearing push-up plus exercises with and without isometric horizontal abduction in subjects with scapular winging: A randomized trial", J Bodyw Mov Ther, pp.1~7 (2016)
  3. Cools AM, "Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms", Scand J Med Sci Sports, 17(1), pp.25~33 (2007)
  4. Criswell E, "Cram’s Introduction to Surface Electromyography", pp.289~299 (2010), Jones &Bartlett Learning
  5. Decker MJ, "Serratus anterior muscle activity during selected rehabilitation exercises", AmJ Sports Med, 27(6), pp.784~791 (1999)
  6. Ekstrom RA, "Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface EMG analysis", J Electromyogr Kinesiol, 15(4), pp.418~428 (2005)
  7. Hardwick DH, "A comparison of serratus anterior muscle activation during wall slide exercise and other traditional exercises", J Orthop Sports Phys Ther, 36(12), pp.903~910 (2006)
  8. Henry SM, "The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects", J Orthop Sports Phys Ther, 35(6), pp.338~345 (2005)
  9. Hides JA, "Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall : An intrarater reliability study", J Orthop Sports Phys Ther, 37(8), pp.480~486 (2007)
  10. Hirashima M, "Sequential muscle activity and its functional role in the upper extremity and trunk during overarm throwing", J Sports Sci, 20(4), pp.301~310 (2002)
  11. Hodges PW, "Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis", Spine (Phila Pa 1976), 21(22), pp.2640~2650 (1996)
  12. Hodges PW, "Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds", Arch Phys Med Rehabil, 80(9), pp.1005~1012 (1999)
  13. Hyun-jeong Jang, "Effects of augmented trunk stabilization with external compression support on shoulder and scapular muscle activity and maximum strength during isometric shoulder abduction", Journal of Electromyography and Kinesiology, 25(2), pp.387~391 (2015), Elsevier BV[DOI]
  14. Kendall FP, "Muscles: Testing and function with posture and pain", pp.330~332 (2005), Williams & Wilkins
  15. Kibler WB, "The role of core stability in athletic function", Sports Med, 36(3), pp.189~198 (2006)
  16. W. B. Kibler, "Current concepts: scapular dyskinesis", British Journal of Sports Medicine, 44(5), pp.300~305 (2010), BMJ[DOI]
  17. 김기송, "Comparisons of Trunk Muscle Activity During Arm Lift in Prone and Standing Positions With and Without Abdominal Drawing-in Maneuver", 한국전문물리치료학회지, 19(4), pp.38~45 (2012), 한국전문물리치료학회
  18. A. Maenhout, "Electromyographic analysis of knee push up plus variations: what is the influence of the kinetic chain on scapular muscle activity?", British Journal of Sports Medicine, 44(14), pp.1010~1015 (2010), BMJ[DOI]
  19. Magarey ME, "Dynamic evaluation and early management of altered motor control around the shoulder complex", Man Ther, 8(4), pp.195~206 (2003)
  20. Ryan M. Martin, "Scapular winging: anatomical review, diagnosis, and treatments", Current Reviews in Musculoskeletal Medicine, 1(1), pp.1~11 (2008), Springer Nature[DOI]
  21. Jaqueline Martins, "Electromyographic Amplitude Ratio of Serratus Anterior and Upper Trapezius Muscles During Modified Push-Ups and Bench Press Exercises", Journal of Strength and Conditioning Research, 22(2), pp.477~484 (2008), Ovid Technologies (Wolters Kluwer Health)[DOI]
  22. Misuri G, "In vivo ultrasound assessment of respiratory function of abdominal muscles in normal subjects", Eur Respir J, 10(12), pp.2861~2867 (1997)
  23. Moseley JB, "EMG analysis of the scapular muscles during a shoulder rehabilitation program", Am J Sports Med., 20(2), pp.128~134 (1992)
  24. Myers TW, "Anatomy Trains: Myofascial meridians for manual and movement therapists", pp.159~175 (2009), Churchill Livingstone
  25. Neumann DA, "Kinesiology of the Musculoskeletal System: Foundations for rehabilitation", pp.161~164 (2013), St Louis Mosby
  26. O’Sullivan PB, "Lumbar segmental ‘instability’: Clinical presentation and specific stabilizing exercise management", Man Ther, 5(1), pp.2~12 (2000)
  27. 박준상, "푸시업플러스(Push-up plus) 운동 시 견갑골 익상 유무에 따른 어깨안정근의 근활성도 비교", 한국전문물리치료학회지, 14(2), pp.44~52 (2007), 한국전문물리치료학회
  28. Kyung-Mi Park, "Effect of isometric horizontal abduction on pectoralis major and serratus anterior EMG activity during three exercises in subjects with scapular winging", Journal of Electromyography and Kinesiology, 23(2), pp.462~468 (2013), Elsevier BV[DOI]
  29. Richardson CA, "The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain", Spine (Phila Pa 1976), 27(4), pp.399~405 (2002)
  30. Julie D. Ries, "Test-Retest Reliability and Minimal Detectable Change Scores for the Timed “Up & Go” Test, the Six-Minute Walk Test, and Gait Speed in People With Alzheimer Disease", Physical Therapy, 89(6), pp.569~579 (2009), Oxford University Press (OUP)[DOI]
  31. Rogol IM, "Open and closed kinetic chain exercises improve shoulder joint reposition sense equally in healthy subjects", J Athl Train, 33(4), pp.315~318 (1998)
  32. Sahrmann SA, "Diagnosis and treatment of movement impairment syndromes", pp.199~252 (2002), Mosby
  33. Tadanobu Suehiro, "Comparison of spine motion and trunk muscle activity between abdominal hollowing and abdominal bracing maneuvers during prone hip extension", Journal of Bodywork and Movement Therapies, 18(3), pp.482~488 (2014), Elsevier BV[DOI]
  34. Angie Stephanie Vega Toro, "Instruction and feedback for conscious contraction of the abdominal muscles increases the scapular muscles activation during shoulder exercises", Manual Therapy, 25, pp.11~18 (2016), Elsevier BV[DOI]
  35. Francisco J. Vera-Garcia, "MVC techniques to normalize trunk muscle EMG in healthy women", Journal of Electromyography and Kinesiology, 20(1), pp.10~16 (2010), Elsevier BV[DOI]
  36. Warner JJ, "Arthroscopic release of postoperative capsular contracture of the shoulder", J Bone Joint Surg Am, 79(8), pp.1151~1158 (1997)

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