Clinical trial NCT06274827: Electromyographic Analysis of Scapular Muscles During Closed Kinetic Chain Exercises
Official title: Electromyographic Analysis of Scapular Muscles During Closed Kinetic Chain Exercises: The Effect of Glenohumeral Joint Elevation Status on Muscle Activity
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Pain
Shoulder Injuries
Activation, Patient
Keywords: Scapular muscle
Exercise
Electromyography
Kinetic chain
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2024-02-23
Enrollment: 22
Sex: MALE
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: All participants will complete each stage in a randomized order.
Primary purpose: BASIC_SCIENCE

Brief summary: In shoulder rehabilitation, the inclusion of kinetic chain exercises is advocated in order to provide the necessary energy transfer to produce optimal force with minimal energy consumption. Closed kinetic chain (CKC) exercises are defined as exercises in which the distal segment is stabilized by encountering significant resistance while the proximal segment moves. In contrast, open kinetic chain (OKC) exercises allow the distal segment to move freely without any resistance. Recently, the importance of closed kinetic chain (CKC) exercises has increased in enhancing shoulder joint neuromuscular control by improving dynamic shoulder stability and joint position sense.

The most current shoulder rehabilitation protocols include exercises for restoration of scapular muscle imbalances.There exist studies investigating the levels of scapular muscle activation during CKC exercises. Researchers have shown that most CKC exercises especially push-ups and plank variations with the shoulder in the 90° position, generally provide high SA activity and an optimal UT/SA ratio.In the literature, there is limited information on how the level of shoulder elevation affects scapular muscle activity and ratio during closed kinetic chain exercises in the prone position. To effectively prescribe CKC exercises commonly used in rehabilitation and athletic programs, a clear understanding of shoulder elevation changes muscle activity during these exercises is required.

Our hypothesis is that glenohumeral joint elevation status will alter scapular muscle activation and activation rates.

Detailed description: Twenty-two healthy male individuals to recruited in the study. Conducting a power analysis through G∗Power, considering a moderate effect size (f = 0.25), an alpha level of 0.05, and a power of 0.8. The outcome of this analysis indicated a required minimum sample size of 21 individuals. This study was used a randomized, repeated measures cross-over design. Muscle activation levels during maximum voluntary isometric contraction (MVIC) of each muscle (Upper trapezius, Middle trapezius, Lower trapezius, Serratus anterior) will be recorded to normalize muscle activation levels during closed kinetic chain exercises. Muscle activation levels will be evaluated with a surface electromyography device (Noraxon, Myomotion, USA).

Eligibility criteria: Inclusion Criteria:

* Physically active male individuals (self-reported participating in 150 minutes per week of moderate-vigorous aerobic activity)
* Being between 18-30 years old
* Having full range of motion of shoulder without pain
* Having a body mass index less than 30 kg\\m2.

Exclusion Criteria:

* Having pain in any kinetic chain of the body, had history of any musculoskeletal problems or orthopaedic surgery,
* Having symptoms in at least one of the screening tests (Hawkins-Kennedy, Neer, Resistant External Rotation, Jobe and Apprehension Test),
* Being diagnosed with a rheumatic, systemic or neurological disease.

Primary outcomes:
measure: Muscle activation recorded with surface electromyography (sEMG) during CKC
timeFrame: 2 hours for each participant
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University
Study officials:
References: