Yu Il-Young, Kang Min-Hyeok
Rehabilitation Center, Dang Dang Korean Medicine Hospital, Changwon, Korea.
Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan, Busan, Korea.
J Back Musculoskelet Rehabil. 2023;36(5):1171-1178. doi: 10.3233/BMR-220366.
The Y exercise is a therapeutic exercise facilitating lower trapezius muscle activity.
To identify the effects of scapular movement cues (posterior tilt vs. posterior tilt with adduction/depression) on trapezius muscle activity during Y exercise.
Fifteen healthy men without current shoulder pain performed general Y exercise; Y exercise with cues for scapular posterior tilt; and Y exercise with cues for scapular posterior tilt, adduction, and depression. Electromyography (EMG) data for the trapezius muscles were collected during Y exercise. The posterior tilt angle of the scapula was measured in the prone position with and without cues for scapular posterior tilt using an inclinometer application.
The greatest lower trapezius muscle activity was observed during Y exercise with cues for scapular posterior tilt, while the greatest EMG activity of the upper trapezius was observed during Y exercise with cues for scapular posterior tilt, adduction, and depression (p< 0.05). Middle trapezius muscle activity did not significantly differ among the three Y exercise conditions (p= 0.175). Cues for scapular posterior tilt significantly increased the scapular posterior tilt angle in the prone shoulder abduction position (p= 0.007).
Cues for scapular posterior tilt were most effective in facilitating lower trapezius muscle activity during Y exercise.
Y 形运动是一种促进下斜方肌活动的治疗性运动。
确定在 Y 形运动过程中,肩胛运动提示(后倾与后倾伴内收/下压)对斜方肌活动的影响。
15 名目前无肩部疼痛的健康男性进行一般 Y 形运动;有肩胛后倾提示的 Y 形运动;以及有肩胛后倾、内收和下压提示的 Y 形运动。在 Y 形运动过程中收集斜方肌的肌电图(EMG)数据。使用倾角仪应用程序,在有和没有肩胛后倾提示的俯卧位测量肩胛骨的后倾角。
在有肩胛后倾提示的 Y 形运动中观察到下斜方肌的最大活动,而在有肩胛后倾、内收和下压提示的 Y 形运动中观察到上斜方肌的最大肌电图活动(p<0.05)。在三种 Y 形运动条件下,中斜方肌的活动没有显著差异(p = 0.175)。肩胛后倾提示显著增加了俯卧位肩部外展时的肩胛骨后倾角(p = 0.007)。
在 Y 形运动过程中,肩胛后倾提示在促进下斜方肌活动方面最有效。