Effect of different postures of the scapular girdle and arm on the pressure pain threshold in the infraspinatus muscle.

BACKGROUND: Mechanosensitivity changes and trigger points in the infraspinatus muscle are associated with several painful conditions of the upper limb. The aim of this study was to assess the effect of different postures of the upper quadrant on the pressure pain threshold (PPT) of the infraspinatus muscle. METHODS: This was an observational, cross-sectional study. Fifty-four subjects with and without shoulder pain (Asymptomatic subjects = 27, mean age 26.9 ± 4.92 years, BMI 23.73 ± 3.87), (symptomatic subjects = 27, mean age 27.6 ± 3.68 years, BMI 24.35 ± 3.86) were evaluated with a pressure algometer on the infraspinatus muscle belly, in four different positions of the upper quadrant: rest position (P1), passive scapular retraction position (P2), cervical contralateral inclination position (P3), and suprascapular nerve provocation position (P4). The assessed side was randomly chosen and all measurements were taken in sitting position. RESULTS: No differences were observed between groups. The within-group analysis showed differences for both factors: "Positions" (F = 69.91; p = 0.001) and the interaction "Positions^Group" (F = 3.36; p = 0.02). The pairwise post-hoc analysis showed differences for the retracted position (P2) compared to others P1 (p = 0.001), P3 (p = 0.001), and P4 (p = 0.001), with higher PPT results achieved on the retracted position. Differences between P4 vs. P1 (p = 0.03) were also observed, with higher values for P4. CONCLUSION: Placing the scapular girdle in a passive scapular retraction position significantly reduces the pressure sensitivity at the infraspinatus muscle. Physiotherapists can take into account these results when assessing and treating patients with upper quadrant pain syndromes.

Interquartile differences in biomechanical parameters in CrossFit® athletes during deep squats with submaximal load until fatigue.

BACKGROUND: CrossFit® exercises are demanding and require high power outputs sustained over time, therefore the daily workouts (WOD) could provoke considerable fatigue and lead to injury in a subsequent exercise session. To improve performance and prevent injury, the effect of pacing strategies has to be studied, by observing how fatigue modifies movement biodynamics until muscle failure. Thus, the present study aimed to analyze the interquartile differences in biomechanical parameters in CrossFit® athletes during deep squats with submaximal load until fatigue. METHODS: This is a comparative and descriptive applied research study using electromyographic analysis. Twenty CrossFit® competition athletes participated in this study (age 27±6 years; training experience 14.4±7.7 months; weight 80±11 kg; height 175±7 cm; BMI 26±3 kg/m2). RESULTS: The mean time until fatigue was 14±8 minutes. Pairwise comparisons confirmed fatigue by using the lactate results (pre=1.80 mg/dL, post=12.60 mg/dL; P=0.0001). Significant differences were noted among quartiles (Pillai's trace F=3.99; P=0.001) on the composite variable. CONCLUSIONS: The results supported the hypothesis of self-regulation and showed higher velocity associated with higher maximal power. Concentric muscular recruitment was associated to the detriment of the eccentric phase during progressive fatigue. Coaches and athletes can apply the results of the present study when establishing WOD strategies during training and competition.