Changes in Shoulder External Rotator Muscle Activity during Shoulder External Rotation in Various Arm Positions in the Sagittal Plane.

[Purpose] The aim of this study was to investigate changes in electromyographic (EMG) activity of the infraspinatus and posterior deltoid muscles during shoulder external rotation under different shoulder flexion angles. [Subjects] Thirteen participants were included in this study. [Methods] The participants performed isometric shoulder external rotation at 45°, 90°, and 135° of shoulder flexion. A surface EMG system recorded the EMG activity of the infraspinatus and posterior deltoid muscles during shoulder external rotation. The changes in the muscle activity of infraspinatus and posterior deltoid and ratio of infraspinatus to posterior deltoid muscle activity were analyzed using one-way repeated-measures analysis of variance with Bonferroni's correction. [Results] The posterior deltoid activity was significantly decreased, while the ratio of the infraspinatus to posterior deltoid activity was significantly increased at 45° of shoulder flexion compared with 90° and 135° of shoulder flexion (p < 0.05). There were no significant differences in the EMG activity of the infraspinatus among the three conditions (p > 0.05). [Conclusion] These findings indicate that shoulder external rotation at 45° of shoulder flexion effectively reduced the contribution of the posterior deltoid activation to shoulder external rotation.