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

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Lim O.-b., Kim J.-a., Song S.-j., Cynn H.-s., Yi C.-h.
Journal of Human Kinetics
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2014
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vol. 44
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issue 1
83-90
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.
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A Reliability of Electromyographic Normalization Methods for the Infraspinatus Muscle in Healthy Subjects

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Ha S.-m., Cynn H.-s., Kwon O.-y., Park K.-n., Kim G.-m.
Journal of Human Kinetics
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2013
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vol. 36
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issue 1
69-76
EN
The purpose of this study was to examine the test-retest reliability of normalization methods for the infraspinatus muscle in a group of healthy subjects. Twelve healthy subjects (male=8, female=4) performed the maximal voluntary isometric contraction (MVIC) with examiner`s resistance, MVIC with a digital tension-meter (MVIC-DT), and sub-MVIC methods. Surface electromyography (EMG) signals were recorded from the infraspinatus muscles according to normalization methods. Reliability was analyzed using the intra-class coefficient (ICC), standard error of measurement (SEM), and minimal detectable difference (MDD). The results of the present study demonstrated that the sub-MVIC method has excellent test-retest reliability (ICC=0.92) with a relatively small SEM (5.9 mV) and MDD95 (16.4 mV), compared to MVIC-DT (ICC=0.73; SEM=11.2 mV; MDD95: 31 mV) and MVIC-E (ICC=0.5; SEM=15.7 mV; MDD95: 43.6 mV). These findings provide evidence that sub-MVIC is more appropriate for comparing the EMG activity for the infraspinatus muscle as a normalization method. If MVIC for normalization is needed, MVIC-DT is more appropriate than MVIC-E.
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