Scapula-focused exercises with or without biofeedback increase corticospinal excitability in recreational overhead athletes with shoulder impingement
ContextIndividuals with shoulder impingement syndrome (SIS) exhibit changed corticospinal excitability, scapular kinematics, and scapular muscle activation patterns. To restore the scapular kinematics and muscle activation patterns in individuals with SIS, treatment protocols usually include scapula...
Saved in:
Published in | Journal of athletic training |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Dallas
National Athletic Trainers Association
01.08.2023
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | ContextIndividuals with shoulder impingement syndrome (SIS) exhibit changed corticospinal excitability, scapular kinematics, and scapular muscle activation patterns. To restore the scapular kinematics and muscle activation patterns in individuals with SIS, treatment protocols usually include scapula-focused exercises, such as scapular orientation training and strength training.ObjectiveTo investigate whether these two types of scapular exercise can reverse the changed corticospinal excitability of recreational overhead athletes with SIS.DesignRandomized Controlled Clinical Trial.SettingUniversity laboratory.Patients or Other ParticipantsForty-one recreational overhead athletes with SIS (n=20 in the scapular orientation group with age= 26.45±4.13 years; height= 171.85±7.88 cm; mass= 66.70±10.68 kg; n=21 in the strengthening group with age= 26.43±5.55 years; height= 171.62±5.87 cm; mass= 68.67±10.18 kg).InterventionsBoth groups performed a 30-minute training protocol consisting of three exercises to strengthen the lower trapezius and serratus anterior muscles without overactivating the upper trapezius. Participants in the scapular orientation group were instructed to consciously activate their scapular muscles with electromyographic biofeedback and cues, whereas the strengthening group did not have biofeedback or cues for scapular motion.Main Outcome MeasuresCorticospinal excitability was assessed using transcranial magnetic stimulation. Scapular kinematics and muscle activation during arm elevation were also measured.ResultsAfter the training, both groups demonstrated a significant increase in motor evoked potentials in lower trapezius (P=0.004) and significant increases in scapular upward rotation (P=0.032), lower trapezius activation (P<0.001), and serratus anterior activation (P<0.001) during arm elevation. Moreover, the scapular orientation group showed higher lower trapezius activation levels during arm elevation following the training, compared with the strengthening group (P=0.028).ConclusionsWith or without biofeedback and cues, scapula-focused exercises improved scapular control and increased corticospinal excitability. Adding biofeedback and cues for scapular control during exercise helped facilitate greater lower trapezius activation, and thus, feedback and cues are recommended during scapula-focused training. |
---|---|
AbstractList | ContextIndividuals with shoulder impingement syndrome (SIS) exhibit changed corticospinal excitability, scapular kinematics, and scapular muscle activation patterns. To restore the scapular kinematics and muscle activation patterns in individuals with SIS, treatment protocols usually include scapula-focused exercises, such as scapular orientation training and strength training.ObjectiveTo investigate whether these two types of scapular exercise can reverse the changed corticospinal excitability of recreational overhead athletes with SIS.DesignRandomized Controlled Clinical Trial.SettingUniversity laboratory.Patients or Other ParticipantsForty-one recreational overhead athletes with SIS (n=20 in the scapular orientation group with age= 26.45±4.13 years; height= 171.85±7.88 cm; mass= 66.70±10.68 kg; n=21 in the strengthening group with age= 26.43±5.55 years; height= 171.62±5.87 cm; mass= 68.67±10.18 kg).InterventionsBoth groups performed a 30-minute training protocol consisting of three exercises to strengthen the lower trapezius and serratus anterior muscles without overactivating the upper trapezius. Participants in the scapular orientation group were instructed to consciously activate their scapular muscles with electromyographic biofeedback and cues, whereas the strengthening group did not have biofeedback or cues for scapular motion.Main Outcome MeasuresCorticospinal excitability was assessed using transcranial magnetic stimulation. Scapular kinematics and muscle activation during arm elevation were also measured.ResultsAfter the training, both groups demonstrated a significant increase in motor evoked potentials in lower trapezius (P=0.004) and significant increases in scapular upward rotation (P=0.032), lower trapezius activation (P<0.001), and serratus anterior activation (P<0.001) during arm elevation. Moreover, the scapular orientation group showed higher lower trapezius activation levels during arm elevation following the training, compared with the strengthening group (P=0.028).ConclusionsWith or without biofeedback and cues, scapula-focused exercises improved scapular control and increased corticospinal excitability. Adding biofeedback and cues for scapular control during exercise helped facilitate greater lower trapezius activation, and thus, feedback and cues are recommended during scapula-focused training. |
Author | Yin-Liang, Lin Shi-Lun Luo Lin, Jiu-Jeng Shih, Yi-Fen |
Author_xml | – sequence: 1 fullname: Shi-Lun Luo – sequence: 2 givenname: Yi-Fen surname: Shih fullname: Shih, Yi-Fen – sequence: 3 givenname: Jiu-Jeng surname: Lin fullname: Lin, Jiu-Jeng – sequence: 4 givenname: Lin surname: Yin-Liang fullname: Yin-Liang, Lin |
BookMark | eNqNjUFOwzAQRS1UJFrgAOwssXZxksZy14iKPSzYVY4zIVPcTPA4UA7CfXER3bP6I_333yzEbKABhLgp9HKlbX1XaFMqo2uttDZmWVZnYl6sK6sKU77M8n3qL8SCead1UdZrMxffT96NU3CqIz8xtBIOED0ysPzE1EuKv0lTkg1SB9A2zr9JHHwExyA9xYSeeMTBhTz2mFyDAdNXZmSEI5aQjiV9QOzBtdKlPkA6feAsDy1EifsseYU9DOlKnHcuMFz_5aW43Tw83z-qMdL7BJy2O5pilvK2tMZYq82qqv5H_QCJLGM0 |
ContentType | Journal Article |
Copyright | Copyright National Athletic Trainers Association Aug 2023 |
Copyright_xml | – notice: Copyright National Athletic Trainers Association Aug 2023 |
DBID | 0-V 3V. 4U- 7RV 7TS 7X7 7XB 88B 88E 88G 8A4 8FI 8FJ 8FK 8G5 ABUWG AFKRA ALSLI AZQEC BEC BENPR CCPQU CJNVE DWQXO FYUFA GHDGH GNUQQ GUQSH K9- K9. KB0 M0P M0R M0S M1P M2M M2O MBDVC NAPCQ PQEDU PQEST PQQKQ PQUKI PSYQQ Q9U S0X |
DOI | 10.4085/1062-6050-0066.23 |
DatabaseName | ProQuest Social Sciences Premium Collection【Remote access available】 ProQuest Central (Corporate) University Readers ProQuest Nursing and Allied Health Journals Physical Education Index Health & Medical Complete (ProQuest Database) ProQuest Central (purchase pre-March 2016) Education Database (Alumni Edition) Medical Database (Alumni Edition) Psychology Database (Alumni) Education Periodicals Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central Social Science Premium Collection (Proquest) (PQ_SDU_P3) ProQuest Central Essentials eLibrary AUTh Library subscriptions: ProQuest Central ProQuest One Community College Education Collection ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep Consumer Health Database (Alumni Edition) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Education Journals (ProQuest Database) ProQuest Consumer Health Database Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) Psychology Database Research Library (ProQuest Database) Research Library (Corporate) Nursing & Allied Health Premium ProQuest One Education ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest One Psychology ProQuest Central Basic SIRS Editorial |
DatabaseTitle | ProQuest One Education ProQuest One Psychology University Readers Research Library Prep ProQuest Central Student ProQuest Central Essentials SIRS Editorial elibrary ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College Research Library (Alumni Edition) ProQuest Family Health (Alumni Edition) Physical Education Index ProQuest Central Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Research Library ProQuest Medical Library (Alumni) Social Science Premium Collection Education Collection ProQuest Central Basic ProQuest Education Journals ProQuest Family Health ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Psychology Journals (Alumni) ProQuest Professional Education ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest Psychology Journals ProQuest Social Sciences Premium Collection ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Education Journals (Alumni Edition) ProQuest Central (Alumni) |
DatabaseTitleList | ProQuest One Education |
Database_xml | – sequence: 1 dbid: BENPR name: AUTh Library subscriptions: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1938-162X |
GroupedDBID | --- -W8 .GO 0-V 29J 2QV 2WC 36B 3V. 4.4 4U- 53G 5GY 7RV 7TS 7X7 7XB 88E 8A4 8FI 8FJ 8FK 8FW 8G5 8R4 8R5 AACLI AAHSB AAWTL ABIVO ABUWG ACGFO ADBBV AENEX AFKRA AHMBA AIKWM ALIPV ALMA_UNASSIGNED_HOLDINGS ALSLI ARALO AZQEC BAWUL BCU BEC BENPR BKEYQ BKNYI BLC BPHCQ BVXVI CAG CCPQU CJNVE DIK DWQXO DXH E3Z EBD EBS EX3 F5P FJW FRJ FRP FYUFA GNUQQ GUQSH GX1 HMCUK HYE IER INH INR K9- K9. M0P M0R M1P M2M M2O MBDVC M~E NAPCQ NHB OK1 P2P P6G PCD PQEDU PQEST PQQKQ PQUKI PRG PROAC PSQYO PSYQQ Q2X Q9U RNS RPM RWL RXW S0X SJFOW SJN TAE TR2 TWZ UKHRP UPT WH7 WOW XSB Y3D YCJ YQT YSQ ZCA |
ID | FETCH-proquest_journals_28668806433 |
IEDL.DBID | BENPR |
ISSN | 1062-6050 |
IngestDate | Thu Oct 10 22:12:07 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-proquest_journals_28668806433 |
PQID | 2866880643 |
PQPubID | 47878 |
ParticipantIDs | proquest_journals_2866880643 |
PublicationCentury | 2000 |
PublicationDate | 20230801 |
PublicationDateYYYYMMDD | 2023-08-01 |
PublicationDate_xml | – month: 08 year: 2023 text: 20230801 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | Dallas |
PublicationPlace_xml | – name: Dallas |
PublicationTitle | Journal of athletic training |
PublicationYear | 2023 |
Publisher | National Athletic Trainers Association |
Publisher_xml | – name: National Athletic Trainers Association |
SSID | ssj0012596 |
Score | 4.8560905 |
Snippet | ContextIndividuals with shoulder impingement syndrome (SIS) exhibit changed corticospinal excitability, scapular kinematics, and scapular muscle activation... |
SourceID | proquest |
SourceType | Aggregation Database |
SubjectTerms | Biofeedback Cues Kinematics Outcome Measures |
Title | Scapula-focused exercises with or without biofeedback increase corticospinal excitability in recreational overhead athletes with shoulder impingement |
URI | https://www.proquest.com/docview/2866880643 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bS8MwFD64DcQX8YqXOQL6GufaNF2fRGVjCBviBfo22jTDIrbaC-gP8f96TptW8GFPhaYkNAnnfDnfOfkALuRKUogq4iJwAy6ko7hnKcFVFGr08DZiAqodni_k7EXc-45vAm65SatsbGJlqKNUUYx8aI2lxL2GDvT645OTahSxq0ZCowM9aySIpu3dThYPjy2PgOC-qi-6khZH4G54TbrVa9i-4-R2L0mv6J81rlzMdAe2DTZkN_Vi7sKGTvZgc27Y7334eVIByW3xVarKXEes0UvKGYVTWZpVz7QsWBinK_RLYaDeWJwQMsw1w4Mm9kxCITSM_lJxUd_S_Y3fsKwFkNhIiZ1opiNWJVsUzQj5Kyli64zF71RnVYUWD-B8Onm-m_Hmt5Zmf-bLv9m0D6GbpIk-AqbG0hOBY6tRhOcmT4SOYyMAs7UKBfGpx9Bf19PJ-uZT2CKp9jp5rg_dIiv1GTr0IhxAx_XdgVm7Xz5IqS4 |
link.rule.ids | 315,786,790,12083,21416,27955,27956,31752,33777,43343,43838,74100,74657 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bS8MwFD7oBPVFvOJlakBf47BJs-1JRBxTt704oW-lTVMsYqttB_pD_L-ek6UTfNhToSkJTcL5vnNJPoBLlSoKUSVcRt2IS-Vr3ve05DqJDSK8QE5AZ4fHEzV8kY-BH7iAW-XKKhubaA11UmiKkXe8nlK41xBAbz4-OalGUXbVSWiswpoUQtI-7wYLhwux2-pzodfjcaTtLqtJd3p1Fu84ge4VqRX9s8UWYAbbsOWYIbudL-UOrJh8F9bHLve9Bz_POiKxLZ4WelaZhDVqSRWjYCorSvssZjWLsyJFVIoj_caynHhhZRi6mdgzyYTQMOZLZ_X8ju5v_IaVC_qIjVTWiUY6YbbUom5GqF5JD9uULHunU1Y2sLgPF4P76d2QN78Vut1ZhX9zKQ6glRe5OQSme6ovI1_o6wS9pr6MfV8g_RJGx5KyqUfQXtbT8fLmc9gYTsejcPQweTqBTRJtn5fRtaFVlzNzitBex2d2_X4BevWpzg |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bS8MwFD7ohOGLeMXL1IC-xuqaZtuTiFrmZUNQYW-lTVNWxFbbDvSH-H89J0sr-LCnQlMSmoTzncuXfACnMpGUooq5CHshF9JTfNBVgqs40ojwLvoEdHZ4NJbDV3E_8SaW_1RaWmVtE42hjnNFOXKn25cS9xoCqJNYWsTTjX_58clJQYoqrVZOYxlWECXPScahN2mCL8Rxo9WFEVCXowtvK5x0v5fTvOMEwGekXPTPLhuw8ddhzXqJ7Gq-rBuwpLNNaI9sHXwLfp5VSMJbPMnVrNQxq5WTSkaJVZYX5pnPKhaleYIIFYXqjaUZ-YilZhhyYs8kGULD6C-VVvP7ur_xG1Y0riQ2EsUTDXbMDO2iqkcop6SNrQuWvtOJK5Nk3IYT__blesjr3wrsTi2Dv3l1d6CV5ZneBab6ciBCz1UXMUZQAxF5nouumKtVJKiyugedRT3tL24-hjYuXfB4N344gFXSb58z6jrQqoqZPkSUr6Ijs3y_ss6t-g |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Scapula-focused+exercises+with+or+without+biofeedback+increase+corticospinal+excitability+in+recreational+overhead+athletes+with+shoulder+impingement&rft.jtitle=Journal+of+athletic+training&rft.au=Shi-Lun+Luo&rft.au=Shih%2C+Yi-Fen&rft.au=Lin%2C+Jiu-Jeng&rft.au=Yin-Liang%2C+Lin&rft.date=2023-08-01&rft.pub=National+Athletic+Trainers+Association&rft.issn=1062-6050&rft.eissn=1938-162X&rft_id=info:doi/10.4085%2F1062-6050-0066.23&rft.externalDBID=HAS_PDF_LINK |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1062-6050&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1062-6050&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1062-6050&client=summon |