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Updated: May 11, 2026

Acquisition and Semi-Automated Analysis of Respiratory Muscle Surface Electromyography
Published on: January 24, 2025
Differences in EMG activity during exercises targeting the scapulothoracic region: a preliminary study
Se-yeon Park1, Won-gyu Yoo, Mi-hyun Kim
1Department of Physical Therapy, The Graduate School, Inje University, Republic of Korea.
Dynamic hug plus exercise effectively activates the middle serratus anterior (MSA) and lower serratus anterior (LSA) muscles. Exercises incorporating scapular protraction best target these muscles for selective activation.
Area of Science:
- Biomechanics
- Exercise Physiology
- Sports Medicine
Background:
- The serratus anterior muscles (middle and lower) and upper trapezius are crucial for scapular stability and movement.
- Understanding muscle activation patterns during various exercises is essential for effective training and rehabilitation.
- Previous research has explored shoulder and scapular muscle activation, but specific comparisons for serratus anterior engagement are less defined.
Purpose of the Study:
- To compare the surface electromyographic (sEMG) activity of the middle serratus anterior (MSA), lower serratus anterior (LSA), and upper trapezius (UT) muscles across different exercises.
- To identify exercises that selectively activate the MSA and LSA.
- To determine the optimal exercises for targeting serratus anterior muscles, considering potential over-activation of the upper trapezius.
Main Methods:
- Sixteen healthy, physically active volunteers participated in the study.
- Surface electromyography (sEMG) was used to record muscle activity.
- Participants performed five exercises: arm elevation above 120°, diagonal elevation, dynamic hug, dynamic hug plus, and push-up plus.
Main Results:
- The dynamic hug plus exercise demonstrated significantly higher MSA activation compared to other exercises (P < 0.05).
- Diagonal elevation, dynamic hug plus, and push-up plus exercises showed significantly greater LSA activation than arm elevation above 120° and dynamic hug (P < 0.05).
- The UT muscle and UT/MSA and UT/LSA ratios were significantly higher during arm elevation and diagonal shoulder flexion compared to dynamic hug, dynamic hug plus, and push-up plus exercises (P < 0.05).
Conclusions:
- The dynamic hug plus exercise is effective for activating both the MSA and LSA.
- Exercises incorporating a scapular protraction component, such as dynamic hug plus and push-up plus, are superior for achieving selective activation of the LSA and MSA.
- These findings suggest that specific exercise selection can optimize serratus anterior engagement while potentially minimizing upper trapezius over-recruitment.
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