J Korean Phys Ther.  2019 Aug;31(4):199-203. 10.18857/jkpt.2019.31.4.199.

Effect of Shoulder Protraction Exercise on the Supine position for Selective Activation of the Serratus Anterior according to Weight in Winging Scapula

Affiliations
  • 1Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Daegu, Korea.
  • 2Department of Physical Therapy, Graduate School of Daegu University, Daegu, Korea.
  • 3Department of Physical Therapy, Dong-ju College, Busan, Korea. hanqy@naver.com

Abstract

PURPOSE
This study investigated the effects of shoulder protraction exercise according to weight by examining the surface electromyography (EMG) amplitude in the serratus anterior (SA), upper trapezius (UT), and pectoralis major (PM) as well as the activity ratio of each muscle.
METHODS
Twenty three winging scapula subjects participated in the study. The subjects performed scapula protraction at shoulder 90° flexion and 60° horizontal abduction with up to four (none, 1kg, 1.5kg, and 2kg) dumbbells in the supine position. The EMG data were collected from the dominant side muscles during a shoulder protraction exercise according to weight in the supine position. One way repeated measures analysis of variance (ANOVA) was used to compare the normalized activities of the SA, UT, and PM and the ratios of PM/SA and UT/SA.
RESULTS
The results showed that the activities of both the SA and UT were highest for the shoulder protraction exercise at 2kg in the supine position. The UT/SA ratio also was the lowest for exercise at 2kg. On the other hand, the activities of both the UT and PM/SA ratio were similar under all conditions.
CONCLUSION
These results show that there is a need to selectively strengthen the SA muscle in the case of patients with the shoulder dysfunction. In particular, it is necessary to weigh 2kg when performing shoulder protraction exercises in the supine position to activate the SA muscle in patients with a winging scapula.

Keyword

Scapula protraction; Serratus anterior; Upper trapezius; Pectoralis major

MeSH Terms

Electromyography
Exercise
Hand
Humans
Muscles
Scapula*
Shoulder*
Superficial Back Muscles
Supine Position*
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