Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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A Comparison of the Serratus Anterior Muscle Activity according to the Shoulder Flexion Angles in a Closed Kinetic Chain Exercise and an Open Kinetic Chain Exercise

열린사슬운동 및 닫힌사슬운동에서 위팔굽힘 각도에 따른 앞톱니근의 근활성도 비교

  • Moon, Sung-Jong (Department of Physical Therapy, Graduate School, Hanseo University) ;
  • Kim, Tack-Hoon (Department of Physical Therapy, Hanseo University) ;
  • Roh, Jung-Suk (Department of Physical Therapy, Hanseo University)
  • 문성종 (한서대학교 대학원 물리치료학과) ;
  • 김택훈 (한서대학교 물리치료학과) ;
  • 노정석 (한서대학교 물리치료학과)
  • Received : 2013.04.25
  • Accepted : 2013.07.05
  • Published : 2013.08.31
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Abstract

PURPOSE: The purpose of present study was to ascertain how the activity of the serratus anterior muscle, the upper trapezius muscle and the pectoral major muscle was affected while the upper arm was being flexed at 70, 90 and 110 degrees respectively in a closed kinetic chain exercise (wall push up plus) and an open kinetic chain exercise (static hug). METHODS: Sixteen healthy young men subjects participated in the study. Surface electromyography (EMG) data were collected from the dominant-side muscles during a closed kinetic chain exercise and an open kinetic chain exercise. The activity of each muscle was measured quantitatively, and by the use of the two-way repeated ANOVA, the data were compared with each other according to exercises and shoulder flexion angles. RESULTS: Results indicated that the closed kinetic chain exercise did not interact with the open kinetic chain exercise (p>.05). In both the closed kinetic chain exercise and the open kinetic chain exercise, the activity of the serratus anterior muscle became different significantly according to angles (p<.05). Its activity increased in order of 70, 90 and 110 degrees (p<.05). In both exercises and all angles, muscle activity was significantly higher in the serratus anterior muscle than in the upper trapezius muscle and the pectoral major muscle (p<.05). CONCLUSION: The above results show that there is a need to selectively control the exercise stress of the serratus anterior muscle in the case of the patients with the shoulder impingement syndrome characterized by the winged scapula, insufficient scapular protraction and upward rotation.

Keywords

References

  1. Cha YH. 2008. Comparison of the scapulothoracic muscle activities according to the type of quadruped position. Dept. of Ergonomic Therapy. The Graduate School of Health and Environment. Yonsei University. Master's thesis. 2008.
  2. Davies GJ, Dickoff-Hoffman S. Neuromuscular testing and rehabilitation of the shoulder complex. J Orthop Sports Phys Ther. 1993;18(2):449-58. https://doi.org/10.2519/jospt.1993.18.2.449
  3. Decker MJ, RA Hintermeister, KJ Faber et al. Serratus anterior muscle activity during selected rehabilitation exercises. Am J Sports Med. 1999;27(6):784-91.
  4. Ekstrom RA, Donatelli RA, Soderberg GL. "Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles". J Orthop Sports Phys ther. 2003;33(5):247-58. https://doi.org/10.2519/jospt.2003.33.5.247
  5. Ellenbecker TS, Davies GJ. Closed kinetic exercise. Champaign: Human kinetics. 2001.
  6. Hardwick DH, Beebe JA, McDonnell MK et al. A comparison of serratus anterior muscle activation during wall slide exercise and other traditional exercises. J Orthop Sports Phys Ther. 2006;36(12):903-10. https://doi.org/10.2519/jospt.2006.2306
  7. Iwasaki T, Shiba N, Matsuse H et al. Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. Tohoku J Exp Med. 2006;209(1):33-40. https://doi.org/10.1620/tjem.209.33
  8. Jackson DA. The treatment of scapular dysfunction in the athlete with chromic shoulder pain. Presented at the annual conference for the National Athletic Trainer's Association, Indianapolis, IN. 1995;June:15-8.
  9. Jang JW. Change of muscle activation in quadriceps femoris muscle during taking open kinetic chain exercise and closed kinetic chain exercise and closed kinetic chain exercise: on the subject of soccer players. The Graduate School of Bio-medical Sciences. Korea University. Master's thesis. 2004.
  10. Kim YJ, Park RJ. The effects of closed kinetic chain exercises of unstable floor on the stability of the knee joints of patients with anterior cruciate ligament reconstruction. Journal of the Korean Society of Physical Medicine. 2008;3(1):11-20
  11. Lephart SM. Scientific rationale and phydiolofical effects of closed kinetic chain in upper extremity rehabilitation. Presented at the Closed Kinetic Chain in Sports Rehabilitation. 1995;February:4-5.
  12. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-91.
  13. Ludewig PM, Hoff MS, Osowski EE et al. 2004. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. Am J Sports Med. 32(2):484-93. https://doi.org/10.1177/0363546503258911
  14. Lukasiewicz AC, McClure P, Michener L et al. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther. 1999;29(10): 574-83. https://doi.org/10.2519/jospt.1999.29.10.574
  15. McClure PW, Bialker J, Neff N et al. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004;84(9):832-48.
  16. Peat M, Grahame R. Electromyographical analysis of soft tissue lesions affecting shoulder function. Am J Phys Med. 1977;56(5):223-40.
  17. Prentice WE, Voight ML. Techniques in musculoskeletal rehabilitation. McGraw-Hill. 2005.
  18. Sahrmann S. Diagnosis and Treatment of Movement impairment Syndromes. Mosby. 2002.
  19. Stone JA, Lueken JS, Partin NB et al. Closed kinetic chain rehabilitation for the glenohumeral joint. J Athl Train. 1993;28(1):34-7.
  20. Tippett SR. Closed chain exercise. Orthop Phys Ther Clin North Am. 1992;1:253-67.
  21. Weon JH, Oh JS, Cynn HS et al. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther. 2010 Oct;14(4):367-74. https://doi.org/10.1016/j.jbmt.2009.06.006

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