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Scapular Retraction Under Adduction Load: an Alternative to Overhead Exercises to Activate Infraspinatus, Upper and Lower Trapezius in Subjects With and Without Shoulder Pain
dos Santos, J.J.; Nagy, R.O.; Souza, M.A.; Intelangelo, L.; Barbosa, M.A.; Silveira-Nunes, G.; Barbosa, A.C. Scapular Retraction under Adduction Load: An Alternative to Overhead Exercises to Activate Infraspinatus, Upper, and Lower Trapezius in Subjects with and without Shoulder Pain. Int. J. Environ. Res. Public Health2021, 18, 9251.
dos Santos, J.J.; Nagy, R.O.; Souza, M.A.; Intelangelo, L.; Barbosa, M.A.; Silveira-Nunes, G.; Barbosa, A.C. Scapular Retraction under Adduction Load: An Alternative to Overhead Exercises to Activate Infraspinatus, Upper, and Lower Trapezius in Subjects with and without Shoulder Pain. Int. J. Environ. Res. Public Health 2021, 18, 9251.
dos Santos, J.J.; Nagy, R.O.; Souza, M.A.; Intelangelo, L.; Barbosa, M.A.; Silveira-Nunes, G.; Barbosa, A.C. Scapular Retraction under Adduction Load: An Alternative to Overhead Exercises to Activate Infraspinatus, Upper, and Lower Trapezius in Subjects with and without Shoulder Pain. Int. J. Environ. Res. Public Health2021, 18, 9251.
dos Santos, J.J.; Nagy, R.O.; Souza, M.A.; Intelangelo, L.; Barbosa, M.A.; Silveira-Nunes, G.; Barbosa, A.C. Scapular Retraction under Adduction Load: An Alternative to Overhead Exercises to Activate Infraspinatus, Upper, and Lower Trapezius in Subjects with and without Shoulder Pain. Int. J. Environ. Res. Public Health 2021, 18, 9251.
Abstract
Exercises for lower trapezius (LT) often use overhead positions, causing compressive forces to the subacromial space. Scapular retraction would be an alternative to activate LT muscle. Electromyography of infraspinatus (IS), upper (UT) and LT was recorded during scapular retraction under progressive adduction loads of 42 participants, divided in 2 groups: with (SP, n=26) and without shoulder pain (nSP, n=16). The adduction loads of 20, 30, 40 and 50% of the maximal voluntary contraction were applied using a load cell. Normalized electromyography and the ratio between UT and LT (UT:LT) were used for statistical analysis. No differences were observed between groups, but a condition effect occurred for all muscles: UT showed higher values at 50% vs. 20% (p=0.004); LT showed higher values on 40% and 50% (p=0.001; 0.006). Higher values for IS were noted at 40% (vs 20%; p=0.04), and at 50% (vs. 20%; p=0.001, vs. 30%, p=0.001; vs. 40%; p=0.001). UT:LT showed lower values at 50% (vs. 20%; p=0.001, and vs. 30%; p=0.016). Scapular retraction with adduction loads at 40-50% is an alternative to overhead exercises aiming to activate the LT and the IS muscles. The exercise ensures higher levels of LT and IS excitation, without increasing UT excitation.
Medicine and Pharmacology, Orthopedics and Sports Medicine
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