Activation Profile of Scapular Stabilizing Muscles in Asymptomatic People: Does Scapular Dyskinesis Have an Impact on It?

• Published in: American journal of physical medicine & rehabilitation Vol. 99; no. 10; pp. 925 - 931
• Main Authors: Tooth, Camille, Schwartz, Cédric, Croisier, Jean-Louis, Bornheim, Stephen, Brüls, Olivier, Denoël, Vincent, Forthomme, Bénédicte
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-10-2020; Copyright Wolters Kluwer Health, Inc. All rights reserved
• Subjects: Asymptomatic Diseases; Athletes; Belgium; Dyskinesias - physiopathology; Electromyography; Female; Humans; Male; Scapula - physiopathology; Young Adult; Belgium
• ISSN: 0894-9115; 1537-7385
• DOI: 10.1097/PHM.0000000000001446

OBJECTIVEThe aim of the study was to assess the activation profile of scapular stabilizing muscles in dyskinetic asymptomatic people.
DESIGNThis is a noninterventional observational study. Two groups of 20 people were included in the study. The first group involved asymptomatic athletes with scapular dyskinesis. The second one included athletes without scapular dysfunction. Muscle activation of upper trapezius, lower trapezius, and serratus anterior were recorded by a surface electromyography during shoulder flexion and shoulder abduction, in unloaded and loaded conditions.
RESULTSA significant increase of the activity of the upper trapezius (between 23% and 31%) and a significant decrease of the activity of the lower trapezius (between 32% and 65%) were observed in the dyskinetic group in comparison with the nondyskinetic group in asymptomatic athletes. A significant increase between 17% and 31% of the activity of the serratus anterior was also observed in dyskinetic people. Likewise, a significant increase approximately 24%–61% and 23%–70% was noted respectively in upper trapezius/lower trapezius and upper trapezius/serratus anterior ratio’s in the dyskinetic group.
CONCLUSIONSAn alteration of periscapular muscular activation exists in dyskinetic asymptomatic people. Future studies will be needed to know whether those alterations increase the risk of shoulder injuries.