Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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Comparison of Activity of the Muscles around the Shoulders during Push Up and Push Up Plus Exercises under Diverse Stabilization Conditions

  • Received : 2014.11.09
  • Accepted : 2015.02.23
  • Published : 2015.03.31
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Abstract

This study aimed to examine the most effective exercise method for shoulder joint rehabilitation by comparatively observing activity of shoulder stabilizer muscles during push up and push up plus exercises under diverse stable conditions. The subjects were 20 healthy adults students who went to M university. While the subjects conducted push up and push up plus exercises under diverse stable conditions(a stable surface, a support of 25cm height, a support of 30 cm height and a balance pad), activities of the upper trapezius muscle, pectoralis major muscle, serratus anterior muscle, and triceps brachii muscle were recorded. During push up and push up plus exercises, activities of the stabilizer muscles were higher when the stable condition was changed rather than on the stable surface. In particular, when the support of 30cm height and balance pads were applied, activity of the shoulder stabilizer was highest. There were significant differences in the upper trapezius muscle and triceps brachii muscle during the push up exercise(p<.05) and in the serratus anterior muscle during the push up plus exercise(p<.05). Activities of the shoulder stabilizers were higher when the upper and lower limbs' surface stable conditions were changed than the stable surface. Therefore, when programs for rehabilitation of shoulder joints are applied, provision of diverse stable conditions according to patients' conditions will be effective methods.

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References

  1. No TH, Kim JH, Park SB, Lee NN. Analysis of biomechanics of push up movement. J. of the Korean Society of Physical Medicine. 2009; 4(4): 269-274.
  2. Warby SA, Pizzari T, Ford JJ, Hahne A. J, Watson L. The effect of exercise based management for multidirectional instability of the glenohumeral joint: a systematic review. Journal of Shoulder and Elbow Surgery. 2014; 23(1): 128-142. https://doi.org/10.1016/j.jse.2013.08.006
  3. Magee DJ. Orthopedic Physical Assessment. St. Louis, Missouri : Elsevier. 2014.
  4. Hess SA. Functional stability of the glenohumeral joint. Man Ther. 2000; 5(2): 63-71. https://doi.org/10.1054/math.2000.0241
  5. Bae SS, Choi JW, Ching HA et al. Biomechanical analysis of scapular pattern in proprioceptive neuromuscular facilitation. J Kor Soc Phys Ther. 1999; 11(3): 65-69.
  6. Anderson GS, Gaetz M, Holzmann M, Twist P. Comparison of EMG activity during stable and unstable push up protocols comparison of EMG activity during stable and unstable push up protocols. European J of Sport Science. 2013; 13(1): 42-48. https://doi.org/10.1080/17461391.2011.577240
  7. Lee S. The effect of hand position changes on electromyographic activity of shoulder stabilizers during push up plus exercise on stable and unstable surfaces. Journal of Physical Therapy. 2013; 25(8): 981-984. https://doi.org/10.1589/jpts.25.981
  8. Decker MJ, Hintermeister RA, Faber KJ, Hawkins RJ. Serratus anterior muscle activity during selected rehabilitation exercises. Am J Sports Med, 1999; 27(6): 784-791. https://doi.org/10.1177/03635465990270061601
  9. Fiddian NJ, King RJ. The winged scapula. Clin Orthop Relat Res. 1984; 185: 228-236.
  10. Yoon JG. Periscapular muscle activities and kinematic analysis of the performed on different supporting surfaces for the lower limbs push-up plus exercise. Journal of Physical Therapy Science. 2013; 25(3): 259-262. https://doi.org/10.1589/jpts.25.259
  11. Snarr R, Esco MR. Exercise technique push up with knee tuck using a suspension device. Stretch and Conditioning Jouranl. 2013; 35(2): 30-32.
  12. Kim JS, Lee DY. A effect of the shoulder stabilizer muscle activity during a push up plus on a different condition surface. The Journal of digital policy & management. 2012; 10(1): 399-405.
  13. Lehman GJ, Gilas D, Patel U. An unstable support surface does not increase scapulothoracic stabilizing muscle activity during push up and push up plus exercises. Manual Therapy. 2008; 13(6): 500-506. https://doi.org/10.1016/j.math.2007.05.016
  14. Moseley JB Jr, Jobe FW, Pink M, Perry J, Tibone J. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med. 1992; 20(2): 128-134. https://doi.org/10.1177/036354659202000206
  15. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther, 2000; 80(3): 276-291.
  16. Ludewig PM, Hoff MS, Osowski EE, Meschke SA, Rundguist PJ. Relative balance of serratus anterior and upper trapezius muscle activity during push up exercises. Am J Sports Med. 2004; 32(2): 484-493. https://doi.org/10.1177/0363546503258911
  17. Ellenbecker TS, Davies GJ. Closed Kinematic Chain Exercise: A comprehensice guide to multiple joint exercise. Champaign, IL. Human Kinetics Publishers, 2001; 53-58.
  18. Marina K. Gouvall and Konstantinos boudolos, Dynamic and electromyogaphical analysis in variants of push up exercise. Journal of Strength and Conditioning Research, 2005; 19(1): 145-151.
  19. Ghigiarelli, JJ. Exercise technique advanced loading variations in the push up exercise. Stretch and Conditionag Journal. 2013; 35(4): 107-110.
  20. Hwang, HJ. The Effects of Push-up Plus Exercise using a Sling on Lumbar Region Stabilization. Master's Thesis, Korea Graduate School. 2011
  21. Oh JS, Park JS, Kim SY, Kwon OY. Comparison of muscle activity during a push up on a suspension sling and a fixed support. Physical Therapy Korea. 2003; 10(3): 29-40.
  22. Lear LJ, Gross MT. An electromyographical analysis of the scapular stabilizing synergists during a push up progression. J Orthop Sports Phys Ther, 1998; 28(3): 146-157. https://doi.org/10.2519/jospt.1998.28.3.146
  23. Cram JR, Kneebone WJ. Cervical flexion: A study of dynamic surface flectromyography and range of motion. Journal of manipulative and physiological therapeutics. 1999; 22(9): 570-575. https://doi.org/10.1016/S0161-4754(99)70016-3
  24. Jeon YJ, Heong YJ, Kim SH, Shin HS. Selective activation of serratus anterior using electromyography biofeedback during push up plus. Physical Therapy Korea. 2011; 18(1): 1-8.
  25. Park JS, Jeon HS, Kwon OY. A comparison of the shoulder stabilizer muscle activities during push up plus between persons with and without winging scapular. Physical Therapy Korea. 2007; 14(2): 44-52.
  26. Kim SH, Kwon OY, Kim SJ, Park KN. Serratus anterior muscle activation during knee push up plus exercise performed on static stable, static unstable, and oscillating unstable surfaces in healthy subjects. Physical Therapy in Sport, 2014; 15(1): 20-25. https://doi.org/10.1016/j.ptsp.2013.01.001
  27. Kim MH. Effects of push-up exercise with hip adduction on the COP deviation and the serratus anterior and L1 paraspinal muscles. J. of Physical Therapy Science. 2013; 25(7): 783-784. https://doi.org/10.1589/jpts.25.783
  28. Park SK, Lee HO, Kim JS, Kim SY. A comparison of muscle activity in periscapular muscles during push-up plus exercise on stable support and unstable support. Journal of Korean Academy of Orthopaedic Manual Therapy. 2005; 11(2): 71-82.
  29. Lehman GJ, Gilas D, Patel U. An unstable support surface does not increase scapulothoracic stabilizing muscle activity during push-up and pushup plus exercises. Man The, 2008; 13(6): 500-506.
  30. Kim JS, Lee DY. A effect of the shoulder stabilizer muscle activity during a push-up-plus on a different condition surface. The Korea Society of Digital Policy & Management. 2012; 1091: 399-405.
  31. Starnberger I. Kamminga P. Fosah VC. Nuttma C. The 'Push-Up' as a calling posture in nectophrynoides tornieri(Anura: Bufonidae) in the amani nature reserve, Tanzania. Herpetologia 2011; 67(2): 124-134. https://doi.org/10.1655/HERPETOLOGICA-D-10-00017.1