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外旋练习期间身体姿势和外展角度对肩部肌肉活动模式的影响。

The Effects of Body Positions and Abduction Angles on Shoulder Muscle Activity Patterns during External Rotation Exercises.

作者信息

Sung Jung-Ha, Jung Woosung, Wang Junsig, Kim Jung-Hyun

机构信息

Graduate School of Physical Education, Kyung Hee University, Yongin-si 17104, Republic of Korea.

Department of Sports Medicine, Kyung Hee University, Yongin-si 17014, Republic of Korea.

出版信息

Healthcare (Basel). 2023 Jul 8;11(14):1977. doi: 10.3390/healthcare11141977.

Abstract

BACKGROUND

Excess and repetitive glenohumeral external rotation (ER) is at a higher risk for shoulder injuries, which occurs frequently in professional sports and specific occupations. Current rehabilitation programs emphasize selective targeting of muscle activity, which can help restore dysfunctional muscle imbalances or prevent injuries. However, the impact of different body postures on GH muscle activity during ER exercises has not been fully understood. Therefore, the purpose of this study was to investigate shoulder EMG activity for different body positions and humeral abduction angles during ER exercises.

METHOD

Twenty-three healthy young men (age: 22.3 ± 2.3, height: 175.75 ± 4.02, mass: 75.37 ± 9.14) participated in this study. Surface Electromyography was recorded from seven shoulder muscles: upper trapezius, lower trapezius, serratus anterior, infraspinatus, and deltoid. Six ER exercises: three postures (sitting, supine lying, and prone lying) and two abduction angles (ABD; 45° and 90°) were tested using an isokinetic dynamometer.

RESULTS

During a sitting position, the lower trapezius/upper trapezius muscle activity ratios were significantly increased for sitting compared to supine lying and prone lying ( < 0.001, = 0.004). Serratus anterior/upper trapezius co-contraction indices were significantly increased for 90° than 45° ABD ( < 0.001).

CONCLUSION

These findings can provide insight into new training programs aimed at restoring GH muscle imbalances.

摘要

背景

肩关节盂肱关节过度和反复的外旋(ER)会增加肩部受伤风险,这种情况在职业体育和特定职业中经常发生。目前的康复计划强调选择性地针对肌肉活动,这有助于恢复功能失调的肌肉失衡或预防损伤。然而,在ER练习过程中,不同身体姿势对盂肱关节(GH)肌肉活动的影响尚未完全明确。因此,本研究的目的是调查在ER练习期间不同身体位置和肱骨外展角度下肩部的肌电图活动。

方法

23名健康青年男性(年龄:22.3±2.3岁,身高:175.75±4.02厘米,体重:75.37±9.14千克)参与了本研究。从七块肩部肌肉记录表面肌电图:上斜方肌、下斜方肌、前锯肌、冈下肌和三角肌。使用等速测力计测试六种ER练习:三种姿势(坐姿、仰卧位和俯卧位)和两个外展角度(ABD;45°和90°)。

结果

在坐姿时,与仰卧位和俯卧位相比,下斜方肌/上斜方肌的肌肉活动比率显著增加(<0.001,=0.004)。90°外展时前锯肌/上斜方肌的共同收缩指数比45°外展时显著增加(<0.001)。

结论

这些发现可为旨在恢复GH肌肉失衡的新训练计划提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/737d/10378914/7fe777658e88/healthcare-11-01977-g001.jpg

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