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EMG OF SHOULDER MUSCLES DURING REACTIVE ISOMETRIC ELASTIC RESISTANCE EXERCISES
Michael J Mullaney1, Christine Perkinson1, Ian Kremenic1
1Nicholas Institute of Sports Medicine and Athletic Trauma Lenox Hill Hospital, New York, NY, USA.
International Journal of Sports Physical Therapy
|June 9, 2017
Summary
Clinicians can standardize shoulder rehabilitation by using elastic resistance bands to measure isometric exercises. Adjusting band elongation and color allows for precise prescription of therapeutic exercises based on % maximum voluntary contraction.
Area of Science:
- Biomechanics
- Rehabilitation Science
- Exercise Physiology
Background:
- Shoulder isometrics are a cornerstone of early-stage rehabilitation.
- Current methods rely on subjective force perception, limiting precision.
- Standardizing isometric exercises using elastic resistance offers objective % maximum voluntary contraction (%MVC) prescription.
Purpose of the Study:
- To measure electromyographic (EMG) activity during shoulder isometric exercises.
- To determine %MVC at varying elastic resistance band elongations.
- To test the hypothesis that increased band elongation proportionally increases shoulder musculature %MVC.
Main Methods:
- Healthy subjects (n=8) performed isometric shoulder flexion, external rotation, and abduction.
- Surface EMG recorded anterior deltoid, middle deltoid, and infraspinatus activity.
- Subjects incrementally increased distance from an anchored TheraBand®, varying elongation (50-250%) and color (yellow to blue).
Main Results:
- EMG activity for shoulder flexion and external rotation increased significantly with band elongation and color.
- Abduction showed increased middle deltoid activity with elongation and color.
- Force output increased with elongation and color, with distinct increases from red to green to blue bands.
Conclusions:
- Elastic resistance band elongation and color can accurately prescribe shoulder isometric exercises.
- This method allows for objective %MVC-based prescription in clinical settings.
- Therapeutic isometrics can be precisely controlled by manipulating band resistance and length.
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