Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 11 , Pages 1377-1383 , November 2007

Electromyographic Activity in the Immobilized Shoulder Girdle Musculature During Ipsilateral Kinetic Chain Exercises

  • Jay Smith, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Rochester, MN
    • Corresponding Author InformationReprint requests to Jay Smith, MD, Dept of Physical Medicine and Rehabilitation, Mayo Clinic, 200 First St SW, Rochester, MN 55905
  • ,
  • Diane L. Dahm, MD

      Affiliations

    • Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, MN
  • ,
  • Brian R. Kotajarvi, PT

      Affiliations

    • Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, MN
  • ,
  • Andrea J. Boon, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Rochester, MN
  • ,
  • Edward R. Laskowski, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Rochester, MN
  • ,
  • David J. Jacofsky, MD

      Affiliations

    • The Center for Orthopedic Research and Education—the CORE Institute, Sun City West, AZ.
  • ,
  • Kenton R. Kaufman, PhD

      Affiliations

    • Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, MN

  • Image Result

    Cross-body reach at low level. Note how motion is initiated from the immobilized side and multiple body segments are integrated to achieve the motion.

    Cross-body reach at low level. Note how motion is initiated from the immobilized side and multiple body segments are integrated to achieve the motion.

  • Image Result

    Attempted overhead reach. Model initiates motion from the immobilized side. Note how multiple body segments are allowed to participate, as long as the model stays in the coronal plane.

    Attempted overhead reach. Model initiates motion from the immobilized side. Note how multiple body segments are allowed to participate, as long as the model stays in the coronal plane.

  • Image Result

    Attempted ipsilateral floor touch. Model initiates motion with the immobilized side. Multiple body segments participate, although the model does not twist (compare with low cross-body reach).

    Attempted ipsilateral floor touch. Model initiates motion with the immobilized side. Multiple body segments participate, although the model does not twist (compare with low cross-body reach).

  • Image Result

    Peak 1-second normalized electromyographic (EMG) activity from the rotator cuff, biceps, and anterior deltoid muscles (N=5 subjects) during 5 kinetic chain exercises completed (A) without and (B) with

    Peak 1-second normalized electromyographic (EMG) activity from the rotator cuff, biceps, and anterior deltoid muscles (N=5 subjects) during 5 kinetic chain exercises completed (A) without and (B) with stepping. NOTE. Values are mean ± standard error of the mean (SEM). Abbreviations: AD, anterior deltoid; BB, biceps; CBRHN, cross-body reach high no step; CBRHS, same motion with step; CBRLN, cross-body reach low without step; CBRLS, cross-body reach low with step; CBRMN, cross-body reach at medium height without step; CBRMS, cross-body reach at medium height with step; IFTN, attempted ipsilateral floor touch without step; IFTS, attempted ipsilateral floor touch with step; IS, infraspinatus; OHRN, attempted overhead reach without step; OHRS, attempted overhead reach with step; SS, supraspinatus.

  • Image Result
    Peak 1-second normalized electromyographic activity from serratus anterior and trapezii muscles (N=5 subjects) during 5 kinetic chain exercises completed (A) without and (B) with stepping. NOTE. Value

    Peak 1-second normalized electromyographic activity from serratus anterior and trapezii muscles (N=5 subjects) during 5 kinetic chain exercises completed (A) without and (B) with stepping. NOTE. Values are mean ± SEM. Abbreviations: see fig 4; LT, lower trapezius; MD, middle deltoid; MT, middle trapezius; PD, posterior deltoid; SA, serratus anterior; UT, upper trapezius.

 Supported by the Mayo Foundation and the Physiatric Association of Spine, Sports, and Occupational Rehabilitation.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(07)01456-6

doi: 10.1016/j.apmr.2007.07.028

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 11 , Pages 1377-1383 , November 2007