Department of Physical Therapy, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.
Department of Rehabilitation Center, Dang Dang Korean Medicine Hospital, Changwon 51495, Korea.
Int J Environ Res Public Health. 2021 Aug 30;18(17):9147. doi: 10.3390/ijerph18179147.
The intended scapular motion is a strategy to strengthen the lower trapezius (LT). However, few studies have explored the effects of the intended scapular posterior tilt motion on selective LT activation. Thus, the present study investigated the effect of the intended scapular posterior tilt on the electromyography (EMG) activity of trapezius muscles during prone shoulder horizontal abduction (PSHA). Eighteen asymptomatic men performed three types of PSHA: (1) preferred PSHA, (2) PSHA with the intended scapular posterior tilt, and (3) PSHA with the intended scapular posterior tilt and trunk extension. EMG activity of the upper trapezius (UT), middle trapezius (MT), and LT were measured during PSHAs. Scapular posterior tilt angle, with and without the intended scapular posterior tilt, were measured using inclinometer. The results indicated that LT muscle activity increased when scapular posterior tilt was applied with and without trunk extension (14-16%), compared to the preferred condition, during PSHA ( < 0.05). However, the addition of trunk extension to PSHA with the intended scapular posterior tilt increased the UT muscle activity (28%) and the UT/LT (29%) and UT/MT (31%) ratios ( < 0.05). The scapular posterior tilt angle was higher (15%) when applying the intended scapular posterior tilt ( = 0.020). These findings suggest that the intended scapular posterior tilt may be a useful strategy for selective LT muscle activation.
肩胛骨的预期运动是一种强化下斜方肌(LT)的策略。然而,很少有研究探讨预期的肩胛骨后倾运动对选择性 LT 激活的影响。因此,本研究调查了在俯卧位肩部水平外展(PSHA)期间,预期的肩胛骨后倾对斜方肌肌电图(EMG)活动的影响。18 名无症状男性进行了三种类型的 PSHA:(1)首选 PSHA,(2)肩胛骨后倾的 PSHA,(3)肩胛骨后倾和躯干伸展的 PSHA。在 PSHA 期间测量了上斜方肌(UT)、中斜方肌(MT)和 LT 的 EMG 活动。使用测斜仪测量有和没有预期的肩胛骨后倾时的肩胛骨后倾角度。结果表明,与首选情况相比,在 PSHA 期间,当施加肩胛骨后倾(14-16%)时,LT 肌肉活动增加(<0.05)。然而,在肩胛骨后倾的 PSHA 中加入躯干伸展会增加 UT 肌肉活动(28%)和 UT/LT(29%)和 UT/MT(31%)的比值(<0.05)。当施加预期的肩胛骨后倾时,肩胛骨后倾角度更高(15%)(=0.020)。这些发现表明,预期的肩胛骨后倾可能是选择性 LT 肌肉激活的有用策略。