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ABSTRACT: Ratanapinunchai, J and Madeeyoh, I. Differences in electromygraphic activity of the middle and the lower serratus anterior fibers during open and closed kinematics exercises. J Strength Cond Res 36(7): 1788-1792, 2022-This paper seeks to determine differences in muscle activation between the middle (MSA) and the lower serratus anterior (LSA) fibers during 3 exercises. Fifteen healthy men were recruited for the study. Bench push-up plus (BPUP), unstable BPUP (UPUP), and resisted shoulder flexion (RSF) with 10 repetitions at maximum weight were tested. The normalized electromyographic (EMG) activity of the MSA and the LSA was recorded during isometric scapular protraction for BPUP and UPUP or at 150° shoulder flexion for RSF. Normalization was calculated using maximum voluntary isometric scapular protraction activity (%EMG). The results showed that the ratio of %EMG of MSA:LSA was higher than one in BPUP (1.41 ± 0.36) and UPUP (1.81 ± 0.47), but less than one (0.86 ± 0.27) in RSF. These ratios were statistically significantly different (p < 0.05). The activity of MSA and LSA in RSF was significantly (p < 0.002) higher than that of BPUP and UPUP (%EMG of the MSA = 80.53 ± 26.07, 64.75 ± 23.19 and 55.62 ± 25.56 for the RSF, BPUP, and UPUP, respectively; %EMG of LSA = 95.54 ± 24.15, 50.71 ± 26.32, and 32.26 ± 16.14 for the RSF, BPUP, and UPUP, respectively). There was no difference in the %EMG of MSA and LSA between BPUP and UPUP. The MSA worked more than the LSA in the push-up plus (PUP), but the opposite was found in the RSF exercise. The study suggests different functions of the MSA and the LSA. Different exercises should be used, including a PUP for the MSA and RSF for the LSA, or a combination to emphasize both parts of the SA.
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Exercise Therapy , Muscle, Skeletal , Biomechanical Phenomena , Electromyography , Exercise/physiology , Exercise Therapy/methods , Humans , Male , Muscle, Skeletal/physiology , Scapula/physiology , Shoulder/physiologyABSTRACT
OBJECTIVE: To describe scapular upward rotation during passive humeral abduction in individuals with hemiplegia post-stroke compared to normal subjects. METHODS: Twenty-five individuals with hemiplegia post-stroke and 25 age- and gender-matched normal subjects voluntarily participated in this study. Scapular upward rotation during resting and passive humeral abduction at 30°, 60°, 90°, 120°, and 150° were measured using a digital inclinometer. RESULTS: In both groups, scapular upward rotation significantly increased as humeral abduction increased (p<0.001). Scapular upward rotation was significantly less in the hemiplegic group compared to that in the control at 90° (p=0.002), 120° (p<0.001), and 150° of humeral abduction (p<0.001). The mean difference in scapular upward rotation between these two groups ranged from 6.3° to 11.38°. CONCLUSION: Passive humeral abductions ranging from 90° to 150° can significantly alter scapular upward rotation in individuals with hemiplegia post-stroke compared to those of matched normal subjects. The magnitude of reduction of the scapular upward rotation may potentially lead to the development of hemiplegic shoulder pain after prolonged repetitive passive movement. Scapular upward rotation should be incorporated during passive humeral abduction in individuals with hemiplegia post-stroke, especially when the humeral is moved beyond 90° of humeral abduction. Combined movements of scapular and humeral will help maintain the relative movement between the scapula and humerus. However, further longitudinal study in patients with shoulder pain post-stroke is needed to confirm these findings.
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OBJECTIVE: To determine the effect of very high stimulation frequency (150 and 200 Hz) with wide pulse duration versus 50 Hz with wide pulse duration on stimulated force and fatigue of quadriceps femoris in healthy participants. METHODS: Thirty-four healthy participants underwent fatigue test using three stimulation frequency conditions (50, 150, and 200 Hz) with pulse duration of 0.9 ms. Normalized force values at the end of each fatigue protocol and curve fitting patterns were compared among stimulated frequencies. RESULTS: Very high stimulation frequency (150 and 200 Hz) conditions showed a trend of having more decline in normalized stimulated force during fatigue test compared to a low stimulation frequency at 50 Hz. However, the difference was not statistically significant. Responder group showed the same slope of a linear fitting pattern, implying the same pattern of muscle fatigue among three stimulation frequency conditions (-3.32 in 50 Hz, -2.88 in 150 Hz, and -3.14 in 200 Hz, respectively). CONCLUSION: There were high inter-subject variations in the response to different frequency stimulation conditions. However, very high stimulation frequency generated the same fatigue pattern as the low stimulation frequency in the responder group. Further research is needed to explore the mechanism involved.
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OBJECTIVE: To compare lateral abdominal muscle thickness between weightlifters and matched controls. DESIGN: A case control study design. SETTING: University laboratory. SUBJECTS: 16 female Thai national weightlifters and 16 matched controls participated in this study. MAIN OUTCOME MEASURES: Ultrasound imaging with a 12-MHz linear array was used to measure the resting thickness of transversus abdominis (TrA), internal oblique (IO) and total thickness (Total) of lateral abdominal muscle (LAM) on the right side of abdominal wall. The absolute muscle thickness and the relative contribution of each muscle to the total thickness were determined. RESULTS: Weightlifters had significantly thicker absolute TrA and IO muscles than matched controls (p < 0.01). Further, the relative thickness of the IO was significantly greater in weightlifters than matched controls (p < 0.05). CONCLUSIONS: The findings of this study suggest that routine Olympic style weight training among female weightlifters appears to result in preferential hypertrophy or adaptation of the IO muscle.
