Gutiérrez-Torre Samuel Eloy, Lozano-Melero Miguel Ángel, Gómez-Jiménez Maria, Manoso-Hernando Daniel
Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain.
CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain.
Healthcare (Basel). 2025 Apr 17;13(8):922. doi: 10.3390/healthcare13080922.
BACKGROUND/OBJECTIVES: The validity of shoulder orthopaedic tests to establish a diagnosis has recently been challenged. For this reason, functional tests, such as the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), have started to be used in clinical settings. The aim of this study is to compare the electromyography (EMG) activity during the CKCUEST and the modified CKCUEST in a healthy adult population.
Ten male (age: 26.6 ± 4.8) and ten female participants (age: 24.2 ± 6.0) were recruited from a university setting. The Edinburgh Handedness Inventory, the International Physical Activity Questionnaire and the percentage of activation of the maximum voluntary contraction of the infraspinatus, anterior deltoid and upper trapezius, of both upper limbs, throughout the CKCUEST and modified CKCUEST were analysed.
The percentage of activation of the infraspinatus ( < 0.01), anterior deltoid ( < 0.01) and upper trapezius ( < 0.01) in both sides was significantly higher in the CKCUEST compared to the modified CKCUEST. No differences were observed between laterality and the activation percentage of the infraspinatus ( > 0.05), anterior deltoid ( > 0.05) and upper trapezius ( > 0.05) in both sides during the CKCUEST.
The results of this research showed a higher percentage of EMG activation during the CKCUEST compared to the modified CKCUEST in all the muscular structures analysed, regardless of the participants' hemibody.
背景/目的:肩部骨科检查用于确诊的有效性近来受到质疑。因此,功能测试,如闭链上肢稳定性测试(CKCUEST),已开始在临床环境中使用。本研究的目的是比较健康成年人群在CKCUEST和改良CKCUEST过程中的肌电图(EMG)活动。
从一所大学招募了10名男性参与者(年龄:26.6±4.8岁)和10名女性参与者(年龄:24.2±6.0岁)。分析了爱丁堡手部偏好量表、国际体力活动问卷,以及在整个CKCUEST和改良CKCUEST过程中,双侧上肢冈下肌、三角肌前部和斜方肌上部最大自主收缩的激活百分比。
与改良CKCUEST相比,CKCUEST双侧冈下肌(<0.01)、三角肌前部(<0.01)和斜方肌上部(<0.01)的激活百分比显著更高。在CKCUEST过程中,双侧之间的偏侧性与冈下肌(>0.05)、三角肌前部(>0.05)和斜方肌上部(>0.05)的激活百分比之间未观察到差异。
本研究结果表明,在所有分析的肌肉结构中,无论参与者的半身情况如何,与改良CKCUEST相比,CKCUEST期间的EMG激活百分比更高。