Effect of Selective Muscle Training Using Visual Emg Biofeedback on Infraspinatus and Posterior Deltoid

• Authors: One-bin Lim , Jeong-ah Kim , Si-jeong Song , Heon-seock Cynn , Chung-hwi Yi
• Languages of publication: EN

Abstracts

EN

We investigated the effects of visual electromyography (EMG) biofeedback during side-lying shoulder external rotation exercise on the EMG amplitude for the posterior deltoid, infraspinatus, and infraspinatus/posterior deltoid EMG activity ratio. Thirty-one asymptomatic subjects were included. Subjects performed side-lying shoulder external rotation exercise with and without visual EMG biofeedback. Surface EMG was used to collect data from the posterior deltoid and infraspinatus muscles. The visual EMG biofeedback applied the pre-established threshold to prevent excessive posterior deltoid muscle contraction. A paired t-test was used to determine the significance of the measurements between without vs. with visual EMG biofeedback. Posterior deltoid activity significantly decreased while infraspinatus activity and the infraspinatus/posterior activity ratio significantly increased during side-lying shoulder external rotation exercise with visual EMG biofeedback. This suggests that using visual EMG biofeedback during shoulder external rotation exercise is a clinically effective training method for reducing posterior deltoid activity and increasing infraspinatus activity.

Keywords

EN

EMG biofeedback; Infraspinatus; Posterior deltoid; Shoulder external rotation

• Publisher: De Gruyter Open
• Journal: Journal of Human Kinetics
• Year: 2014
• Volume: 44
• Issue: 1
• Pages: 83-90

Dates

published

1 - 12 - 2014

accepted

1 - 12 - 2014

online

30 - 12 - 2014

Contributors

author

One-bin Lim

• Department of Physical Therapy, The Graduate School, Yonsei University, Won-ju, Republic of Korea

author

Jeong-ah Kim

• Department of Physical Therapy, The Graduate School, Yonsei University, Won-ju, Republic of Korea

author

Si-jeong Song

• Department of Physical Therapy, The Graduate School, Yonsei University, Won-ju, Republic of Korea
• Department of Physical Therapy, Seoul-chuk Hospital, Seoul, Republic of Korea

author

Heon-seock Cynn

• Department of Physical Therapy, College of Health Science, Yonsei University, Won-ju, Republic of Korea

author

Chung-hwi Yi

• Department of Physical Therapy, College of Health Science, Yonsei University, Won-ju, Republic of Korea

References

• Basmajian JV. Biofeedback in rehabilitation: a review of principles and practices. Arch Phys Med Rehabil, 1981; 62: 469-475[PubMed]
• 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): 563-568[WoS][PubMed]
• Bot SD, van der Waal JM, Terwee CB, van der Windt DA, Schellevis FG, Bouter LM, Dekker J. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis, 2005; 64: 118-123[Crossref]
• Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res, 1991; 267: 45-56[PubMed]
• 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): 551-563[WoS][Crossref]
• Criswell E. Cram's introduction to surface electromyography. 2nd ed. Massachusetts: Jones and Bartlet Publishers, 302-306; 2011
• Dark A, Ginn KA, Halaki M. Shoulder muscle recruitment patterns during commonly used rotator cuff exercises: an electromyographic study. Physi Ther, 2007; 87(8): 1039-1046[Crossref]
• David G, Magarey ME, Jones MA, Dvir Z, Türker KS, Sharpe M. EMG and strength correlates of selected shoulder muscles during rotations of the glenohumeral joint. Clin Biomech (Bristol, Avon), 2000; 15: 95-102[Crossref]
• Farina D, Leclerc F, Arendt-Nielsen L, Buttelli O, Madeleine P. The change in spatial distribution of upper trapezius muscle activity is correlated to contraction duration. J Electromyogr Kinesiol, 2008; 18(1): 16-25[WoS][Crossref]
• Friedman R, Knetsche R. Biomechanics of the rotator cuff. In: Burkhead WZ, editor. Rotator cuff disorders. Baltimore, MD: Williams & Wilkins; 1996
• Grimsby O, Rivard J. Science, theory and clinical application in orthopaedic manual physical therapy: scientific therapeutic exercise progressions (STEP): The neck and upper extremity. 1st ed. Taylorsville: The Academy of Graduate Physical Therapy; 2009
• Ha SM, Kwon OY, Cynn HS, Lee WH, Kim SJ, Park KN. Selective activation of the infraspinatus muscle. J Athl Train, 2013; 48(3): 346-352[PubMed]
• Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA, Andersen JH. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis, 2005; 64: 760-764[PubMed][Crossref]
• 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): 359-365[Crossref][WoS]
• Holtermann A, Roeleveld K, Mork PJ, Grönlund C, Karlsson JS, Andersen LL, Olsen HB, Zebis MK, Sjøgaard G, Søgaard K. Selective activation of neuromuscular compartments within the human trapezius muscle. J Electromyogr Kinesiol, 2009; 19(5): 896-902[Crossref][WoS]
• Huang HY, Lin JJ, Guo YL, Wang WTJ, 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): 267-274[WoS][Crossref]
• Jeon YJ, Choung SD, Kim SH, Cynn HS. Selective activation of serratus anterior using electromyography biofeedback during push-up plus. Phys Ther Korea, 2011; 18(1): 1-8
• Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: Testing and function with posture and pain. 5th ed. Baltimore: Lippincott Williams & Wilkins; 2005
• Linsell L, Dawson J, Zondervan K, Rose P, Randall T, Fitzpatrick R, Carr A. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology, 2006; 45(2): 215-221
• Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, Verhaar JA. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol, 2004; 33(2): 73-81[PubMed][Crossref]
• Magee DJ. Orthopedic physical assessment. 5th ed. Philadelphia: W.B. Saunders; 2007
• Martins J, Tucci HT, Andrade R, Araújo RC, Bevilaqua Grossi D, Oliveira AS. Electromyographic amplitude ratio of serratus anterior and upper trapezius muscles during modified push-ups and bench press exercises. J Strength Cond Res, 2008; 22: 477-484[Crossref][PubMed][WoS]
• Pagnani MJ, Warren RF. Stabilizers of the glenohumeral joint. J Shoulder Elbow Surg, 1994; 3: 173-190[PubMed]
• Picavet HSJ, Schouten JSAG. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain, 2003; 102: 167-178[PubMed][Crossref]
• Reilingh ML, Kuijpers T, Tanja Harfterkamp AM, van der Windt DA. Course and prognosis of shoulder symptoms in general practice. Rheumatology, 2008; 47: 724-730[Crossref][WoS]
• Reinold M, Escamilla RF, Wilk KE. Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature. J Orthop Sports Phys Ther, 2009; 39: 105-117[Crossref][WoS]
• Reinold MM, Wilk KE, Fleisig GS, Zheng N, Barrentine SW, Chmielewski T, Cody RC, Jameson GG, Andrews JR. Electromyographic analysis of the rotator cuff and deltoid musculature during common shoulder external rotation exercises. J Orthop Sports Phys Ther, 2004; 34: 385-394[Crossref]
• Sharmann S. Diagnosis and treatment of movement impairment syndromes. 1st ed. St. Louis: Mosby; 2002
• Tardo DT, Halaki M, Cathers I, Ginn KA. Rotator cuff muscles perform different functional roles during shoulder external rotation exercises. Clin Anat, 2013; 26: 236-243[PubMed][WoS][Crossref]
• Wuelker N, Korell M, Thren K. Dynamic glenohumeral joint stability. J Shoulder Elbow Surg, 1998; 7: 43-52 [PubMed]

Identifiers

DOI

10.2478/hukin-2014-0113