Posture-dependent neuromuscular contributions to three-dimensional isometric shoulder torque generation.

The execution of activities of daily living requires the generation of three-dimensional shoulder torques through the coordinated activations of 20 shoulder muscles. Changes in shoulder posture can influence the contributions of individual shoulder muscles to shoulder torque generation, but it is unclear how the coordinated activity of shoulder muscles changes with shoulder plane of elevation and elevation angle. The purpose of this study was to characterize how neuromuscular coordination underlying three-dimensional shoulder function varies with arm posture. Muscle activations were obtained using surface electromyography from 16 shoulder muscles, as 12 healthy participants repeated eight three-dimensional isometric shoulder torques in 20 arm postures. Nonnegative matrix factorization revealed the muscle synergies underlying shoulder torque generation across each of the experimental postures, while the normalized similarity index assessed changes in overall synergy structure and linear mixed-effects models assessed changes in the weighted contributions of individual muscles to each synergy. Our analysis revealed that three distinct muscle synergies underlie healthy three-dimensional shoulder function. The overall structure of these synergies remained more similar than is expected by chance, despite changes in shoulder posture. However, the weighted contributions of five muscles composing the first synergy were influenced by changes in shoulder plane of elevation angle, and six muscles composing the second synergy were influenced by elevation angle. The weighted contributions of individual muscles composing the third synergy were unaffected by posture. These findings suggest that the neuromuscular control plan for healthy shoulder function consists of three distinct synergies, whose overall structure is fixed across shoulder posture. This study is the first to identify the muscle synergies underlying three-dimensional isometric shoulder torque generation. Although the overall structure of these synergies was unaffected by arm posture, the weighted contributions of several muscles composing two synergy patterns changed as a function of the elevation or plane of elevation of the shoulder. Our findings provide valuable insight for the development of targeted interventions for the restoration of shoulder function after neuromuscular or orthopedic pathologies.