Serratus anterior muscle activation during knee push-up plus exercise performed on static stable, static unstable, and oscillating unstable surfaces in healthy subjects
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Updated: May 8, 2026

Muscle Function Obtained with Motion Mode Ultrasound and Surface Electromyography during Core Endurance Exercise
Published on: August 25, 2022
Si-hyun Kim1, Oh-yun Kwon2, Su-jung Kim1
1234 Maeji-ri, Heungeop-Myeon, Wonju, Kangwon-Do 220-710, Department of Physical Therapy, Graduate School, Yonsei University, Wonju, South Korea.
Objectives:
To compare electromyographic (EMG) activity of the serratus anterior (SA) during knee push-up plus exercises according to various surfaces (static stable, static unstable, and oscillating unstable surfaces).
Study Design:
Comparative study by repeated measures.
Setting:
Yonsei University laboratory.
Participants:
In total, 15 healthy male subjects participated.
Main Outcome Measures:
The subjects performed knee push-up plus exercises on three different surfaces: static stable, static unstable, and oscillating unstable surfaces. Surface EMG activity of the SA for the peak and average amplitudes were collected from the dominant arm and presented as a percentage of the maximal voluntary contraction. A one-way repeated-measures ANOVA with a Bonferroni post hoc test was performed to compare differences in SA EMG activity according to the surface.
Results:
The peak and average amplitudes of SA activity were significantly greater during knee push-up plus on the oscillating unstable surface than on the static stable or static unstable surfaces (p < 0.01). Additionally, there was no significant difference between the stable and static unstable surfaces (p > 0.05).
Conclusions:
Knee push-up plus exercise on an oscillating unstable surface activates the SA more than the same exercise on static stable and static unstable surfaces.
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