한국전문물리치료학회지 (Physical Therapy Korea)

  • 제30권3호
  • /
  • Pages.237-244
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  • 2023
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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Enhancing Shoulder External Rotator Electromyography Activity During Sitting External Rotation Exercise: The Impact of Biofeedback Training

  • Il-young Yu (Department of Rehabilitation Center, DangDang Korean Medicine Hospital) ;
  • Min-joo Ko (Department of Physical Therapy, College of Healthcare Medical Science and Engineering, Inje University) ;
  • Jae-seop Oh (Department of Physical Therapy, College of Healthcare Medical Science and Engineering, Inje University)
  • 투고 : 2023.08.01
  • 심사 : 2023.08.12
  • 발행 : 2023.08.20
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초록

Background: The external rotation (ER) exercise in performed at a 90° abduction of the shoulder joint is an effective to strengthen the infraspinatus. However, failure of the humeral head to control axial rotation during exercise can be increased the posterior deltoid over activity. Biofeedback training is an effective method of promoting motor learning and control it could look forward to activate the infraspinatus selectively by controlling the humeral head during exercise. Objects: The aim of this study was investigated that whether biofeedback for axial rotation was effective to activate selectively the infraspinatus during ER exercise. Methods: The 15 healthy males participated, and all subjects performed both ER exercise in a sitting position with shoulder abducted 90° under conditions with and without axial rotation biofeedback. Exercise was performed in a range of 90° ER, divided into three phases: concentric, isometric, and eccentric. The infraspinatus and posterior deltoid muscle activity were observed using surface electromyography. Results: Both infraspinatus activity (p < 0.01) and infraspinatus to posterior deltoid activity ratio (p = 0.01) were significantly higher with biofeedback however, posterior deltoid activity was significantly lower with biofeedback (p = 0.01). The infraspinatus muscle activity and muscle activity ratio were the highest in the isometric contraction type, and there were significant differences for all contraction types (p < 0.05). Whereas, the posterior deltoid activity was the lowest in the isometric contraction type, and showed a significant difference between isometric and other two contraction types (p < 0.05), but no significant different between concentric and eccentric contraction. Conclusion: Our results indicate that the axial rotation biofeedback during sitting ER exercise might be effective method to activating selective infraspinatus muscle and recommended to enhance the dynamic stability of the shoulder joint.

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참고문헌

  1. Lippitt SB, Vanderhooft JE, Harris SL, Sidles JA, Harryman DT 2nd, Matsen FA 3rd. Glenohumeral stability from concavity-compression: a quantitative analysis. J Shoulder Elbow Surg 1993;2(1):27-35. https://doi.org/10.1016/S1058-2746(09)80134-1
  2. Inman VT, Saunders JB, Abbott LC. Observations of the function of the shoulder joint. Clin Orthop Relat Res 1996;(330):3-12.
  3. Terry GC, Chopp TM. Functional anatomy of the shoulder. J Athl Train 2000;35(3):248-55.
  4. Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res 1991;(267):45-56.
  5. Bitter NL, Clisby EF, Jones MA, Magarey ME, Jaberzadeh S, Sandow MJ. Relative contributions of infraspinatus and deltoid during external rotation in healthy shoulders. J Shoulder Elbow Surg 2007;16(5):563-8. https://doi.org/10.1016/j.jse.2006.11.007
  6. Grimsby O, Rivard J. Science, theory and clinical application in orthopaedic manual physical therapy: scientific therapeutic exercise progressions (STEP): the neck and upper extremity. The Academy of Graduate Physical Therapy; 2008.
  7. Caldwell C, Sahrmann S, Van Dillen L. Use of a movement system impairment diagnosis for physical therapy in the management of a patient with shoulder pain. J Orthop Sports Phys Ther 2007;37(9):551-63. https://doi.org/10.2519/jospt.2007.2283
  8. Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol, Avon) 2003;18(5):369-79. https://doi.org/10.1016/S0268-0033(03)00047-0
  9. Kendall FP, McCreary EK, Provance PG. Muscles: testing and function. 4th ed. Williams & Wilkins; 1993.
  10. Lyman S, Fleisig GS, Andrews JR, Osinski ED. Effect of pitch type, pitch count, and pitching mechanics on risk of elbow and shoulder pain in youth baseball pitchers. Am J Sports Med 2002;30(4):463-8. https://doi.org/10.1177/03635465020300040201
  11. Struyf F, Nijs J, Mollekens S, Jeurissen I, Truijen S, Mottram S, et al. Scapular-focused treatment in patients with shoulder impingement syndrome: a randomized clinical trial. Clin Rheumatol 2013;32(1):73-85. https://doi.org/10.1007/s10067-012-2093-2
  12. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy 2003;19(6):641-61. https://doi.org/10.1016/S0749-8063(03)00389-X
  13. Townsend H, Jobe FW, Pink M, Perry J. Electromyographic analysis of the glenohumeral muscles during a baseball rehabilitation program. Am J Sports Med 1991;19(3):264-72. https://doi.org/10.1177/036354659101900309
  14. Wilk KE, Meister K, Andrews JR. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med 2002;30(1):136-51. https://doi.org/10.1177/03635465020300011201
  15. Reinold MM, Wilk KE, Fleisig GS, Zheng N, Barrentine SW, Chmielewski T, et al. Electromyographic analysis of the rotator cuff and deltoid musculature during common shoulder external rotation exercises. J Orthop Sports Phys Ther 2004;34(7):385-94. https://doi.org/10.2519/jospt.2004.34.7.385
  16. Myers JB, Pasquale MR, Laudner KG, Sell TC, Bradley JP, Lephart SM. On-the-field resistance-tubing exercises for throwers: an electromyographic analysis. J Athl Train 2005;40(1):15-22.
  17. Fleisig GS, Barrentine SW, Escamilla RF, Andrews JR. Biomechanics of overhand throwing with implications for injuries. Sports Med 1996;21(6):421-37. https://doi.org/10.2165/00007256-199621060-00004
  18. Wilk KE, Arrigo CA, Andrews JR. Current concepts: the stabilizing structures of the glenohumeral joint. J Orthop Sports Phys Ther 1997;25(6):364-79. https://doi.org/10.2519/jospt.1997.25.6.364
  19. Lunnen JD, Yack J, LeVeau BF. Relationship between muscle length, muscle activity, and torque of the hamstring muscles. Phys Ther 1981;61(2):190-5. https://doi.org/10.1093/ptj/61.2.190
  20. Poppen NK, Walker PS. Forces at the glenohumeral joint in abduction. Clin Orthop Relat Res 1978;(135):165-70.
  21. Jones DA, Round JM, de Haan A. Skeletal muscle from molecules to movement: a textbook of muscle physiology for sport, exercise, physiotherapy and medicine. Churchill Livingstone; 2004.
  22. Holtermann A, Roeleveld K, Mork PJ, Gronlund C, Karlsson JS, Andersen LL, et al. Selective activation of neuromuscular compartments within the human trapezius muscle. J Electromyogr Kinesiol 2009;19(5):896-902. https://doi.org/10.1016/j.jelekin.2008.04.016
  23. Holtermann A, Mork PJ, Andersen LL, Olsen HB, Sogaard K. The use of EMG biofeedback for learning of selective activation of intra-muscular parts within the serratus anterior muscle: a novel approach for rehabilitation of scapular muscle imbalance. J Electromyogr Kinesiol 2010;20(2):359-65. https://doi.org/10.1016/j.jelekin.2009.02.009
  24. Huang HY, Lin JJ, Guo YL, Wang WT, Chen YJ. EMG biofeedback effectiveness to alter muscle activity pattern and scapular kinematics in subjects with and without shoulder impingement. J Electromyogr Kinesiol 2013;23(1):267-74. https://doi.org/10.1016/j.jelekin.2012.09.007
  25. Lim OB, Kim JA, Song SJ, Cynn HS, Yi CH. Effect of selective muscle training using visual EMG biofeedback on infraspinatus and posterior deltoid. J Hum Kinet 2014;44:83-90. https://doi.org/10.2478/hukin-2014-0113
  26. Yu IY, Choo YK, Kim MH, Oh JS. The effects of pressure biofeedback training on infraspinatus muscle activity and muscle thickness. J Electromyogr Kinesiol 2018;39:81-8. https://doi.org/10.1016/j.jelekin.2018.01.007
  27. Park SY, Yoo WG. Effects of hand and knee positions on muscular activity during trunk extension exercise with the Roman chair. J Electromyogr Kinesiol 2014;24(6):972-6. https://doi.org/10.1016/j.jelekin.2014.08.012
  28. Magee DJ. Orthopedic physical assessment. 5th ed. W.B. Saunders; 2008.
  29. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and testing and function with posture and pain. 5th ed. Lippincott Williams & Wilkins; 2005.
  30. Comerford M, Mottram S. Kinetic control: the management of uncontrolled movement. Churchill Livingstone; 2012.
  31. Chen SK, Simonian PT, Wickiewicz TL, Otis JC, Warren RF. Radiographic evaluation of glenohumeral kinematics: a muscle fatigue model. J Shoulder Elbow Surg 1999;8(1):49-52. https://doi.org/10.1016/S1058-2746(99)90055-1
  32. Yamaguchi K, Sher JS, Andersen WK, Garretson R, Uribe JW, Hechtman K, et al. Glenohumeral motion in patients with rotator cuff tears: a comparison of asymptomatic and symptomatic shoulders. J Shoulder Elbow Surg 2000;9(1):6-11. https://doi.org/10.1016/S1058-2746(00)90002-8
  33. Kelkar R, Wang VM, Flatow EL, Newton PM, Ateshian GA, Bigliani LU, et al. Glenohumeral mechanics: a study of articular geometry, contact, and kinematics. J Shoulder Elbow Surg 2001;10(1):73-84. https://doi.org/10.1067/mse.2001.111959
  34. Knapik JJ, Mawdsley RH, Ramos MU. Angular specificity and test mode specificity of isometric and lsokinetic strength training. J Orthop Sports Phys Ther 1983;5(2):58-65. https://doi.org/10.2519/jospt.1983.5.2.58
  35. Weir JP, Housh TJ, Weir LL. Electromyographic evaluation of joint angle specificity and cross-training after isometric training. J Appl Physiol (1985) 1994;77(1):197-201. https://doi.org/10.1152/jappl.1994.77.1.197
  36. Duncan PW, Chandler JM, Cavanaugh DK, Johnson KR, Buehler AG. Mode and speed specificity of eccentric and concentric exercise training. J Orthop Sports Phys Ther 1989;11(2):70-5. https://doi.org/10.2519/jospt.1989.11.2.70
  37. Horstmann T, Maschmann J, Mayer F, Heitkamp HC, Handel M, Dickhuth HH. The influence of age on isokinetic torque of the upper and lower leg musculature in sedentary men. Int J Sports Med 1999;20(6):362-7. https://doi.org/10.1055/s-2007-971145