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Immediate Effects of Flexi-bar Exercise With Knee Push-up Plus on Shoulder Joint Position Sense and Muscle Activity in Subjects With Scapular Winging

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주제분류물리치료학

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Background: Individuals with scapular winging may have proprioceptive dysfunction which is important for motor control and causes shoulder instability. Reduced serratus anterior (SA) and lower trapezius (LT) muscle activity accompanied by over-active upper trapezius (UT), and pectoralis major (PM) may be contributing factors. Flexi-bar (FB) exercise may be used to increase joint position sense (JPS) and alter the target muscle activities. Objects: This study aimed to investigate the immediate effects of flexi-bar exercise prior to knee push-up plus (FPK) versus knee push-up plus (KPP) on JPS and muscle activity of SA, LT, UT, and PM in subjects with scapular winging. Methods: Eighteen subjects with scapular winging were recruited. JPS was investigated at baseline, after KPP and after FPK. Passive and active JPS errors were calculated by isokinetic equipment. Surface electromyography was used to record muscle activities during KPP and FPK. One-way repeated-measures analysis of variance and post hoc analyses were used to analyze the JPS error measured at baseline, after KPP and after FPK. Paired t-tests were used to compare muscle activities between KPP and FPK. Results: Passive JPS error was significantly decreased after KPP (p = 0.005) and after FPK (p = 0.003) compared to the baseline. Active JPS error was also significantly decreased after KPP (p = 0.016) and after FPK (p = 0.012) compared to the baseline. There was no significant dif-ference in the passive and active JPS errors between KPP and FPK. SA activity during FPK was significantly increased (p = 0.024), and LT activity during FPK was significantly increased (p = 0.006). There were no significant differences in the UT and PM activity. Conclusion: FB might be recommended to immediately improve passive and active JPS and to selectively increase SA and LT muscle activities during KPP in individuals with scapular winging.

Abstract

Background: Individuals with scapular winging may have proprioceptive dysfunction which is important for motor control and causes shoulder instability. Reduced serratus anterior (SA) and lower trapezius (LT) muscle activity accompanied by over-active upper trapezius (UT), and pectoralis major (PM) may be contributing factors. Flexi-bar (FB) exercise may be used to increase joint position sense (JPS) and alter the target muscle activities. Objects: This study aimed to investigate the immediate effects of flexi-bar exercise prior to knee push-up plus (FPK) versus knee push-up plus (KPP) on JPS and muscle activity of SA, LT, UT, and PM in subjects with scapular winging. Methods: Eighteen subjects with scapular winging were recruited. JPS was investigated at baseline, after KPP and after FPK. Passive and active JPS errors were calculated by isokinetic equipment. Surface electromyography was used to record muscle activities during KPP and FPK. One-way repeated-measures analysis of variance and post hoc analyses were used to analyze the JPS error measured at baseline, after KPP and after FPK. Paired t-tests were used to compare muscle activities between KPP and FPK. Results: Passive JPS error was significantly decreased after KPP (p = 0.005) and after FPK (p = 0.003) compared to the baseline. Active JPS error was also significantly decreased after KPP (p = 0.016) and after FPK (p = 0.012) compared to the baseline. There was no significant dif-ference in the passive and active JPS errors between KPP and FPK. SA activity during FPK was significantly increased (p = 0.024), and LT activity during FPK was significantly increased (p = 0.006). There were no significant differences in the UT and PM activity. Conclusion: FB might be recommended to immediately improve passive and active JPS and to selectively increase SA and LT muscle activities during KPP in individuals with scapular winging.

참고문헌 (44)

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Effect of Isometric Horizontal Abduction on Scapular and Shoulder Muscle Activity During Knee Push-up Plus With Different Shoulder Angles in Individuals With Scapular WingingBaik Seung-Min, Choi Jung-Hoon, Cynn Heon-Seock, Kim Seok-Hyun한국전문물리치료학회 · 한국전문물리치료학회지2023 · 제30권 제2호Effect of Craniocervical Flexion on Muscle Activities of Scapula Upward Rotator Muscle During Push-Up Plus Exercise in Subject With Winging of Scapula김정아, 송시정, 신헌석, 용준형, 이충휘, 임원빈한국전문물리치료학회 · 한국전문물리치료학회지2014 · 제21권 제2호Effect of the Abdominal Drawing-in Maneuver on the Scapular Stabilizer Muscle Activities and Scapular Winging During Push-up Plus Exercise in Subjects With Scapular Winging김다은, 신아름, 신헌석, 이지현한국전문물리치료학회 · 한국전문물리치료학회지2017 · 제24권 제1호Does the Use of Sling Influence Scapular Stabilizers’ Activity During Push Up Plus Exercises in Subjects With Scapular Dyskinesis?신헌석, 윤태림, 이동훈, 이지현한국전문물리치료학회 · 한국전문물리치료학회지2017 · 제24권 제1호Changes in Muscle Activity of the Serratus Anterior According to Surface Tilt Angle During Push-up Plus Exercise in Subjects With Winged Scapula김태호, 천정근, Qian Gu한국전문물리치료학회 · 한국전문물리치료학회지2019 · 제26권 제4호Comparison of the Scapular Muscles Activity Between Individuals With and Without Scapular Winging During Shoulder Flexion With Load권오윤, Jung Jang-hun, Jung Sung-hoon, Kang Seung-tak한국전문물리치료학회 · 한국전문물리치료학회지2022 · 제29권 제2호

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