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Updated: Nov 9, 2025

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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
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Line Hops and Side Hold Rotation Tests Load Both Anterior and Posterior Shoulder: A Biomechanical Study
Margie K Olds1, Nicole Lemaster2, Kelsey Picha3
1Flawless Motion Ltd.
International Journal of Sports Physical Therapy
|April 12, 2021
Summary
Clinical tests should mimic sports' stressful positions. Line Hops (LH) and Side Hold Rotation (SHR) generate significant shoulder forces, with high serratus anterior and infraspinatus activation, crucial for stability.
Area of Science:
- Biomechanics
- Sports Medicine
- Clinical Assessment
Background:
- Clinical tests should accurately simulate the dynamic stresses experienced during athletic activities.
- Understanding the biomechanical and electromyographical demands of clinical tests is essential for selecting appropriate tests for specific sports.
Purpose of the Study:
- To quantify shoulder forces and muscle activation during functional closed-chain tests: Line Hops (LH) and Side Hold Rotation (SHR).
Main Methods:
- A descriptive biomechanical study involving ten asymptomatic participants.
- Utilized 3D video analysis and electromyography to measure shoulder forces, moments, and muscle activity during LH and SHR.
- Assessed muscle activation in terms of % maximum voluntary isometric contraction (MVIC).
Main Results:
- Side Hold Rotation (SHR) generated peak posterior translation forces of 4.84 N/kg and anterior translation forces of 1.57 N/kg.
- Line Hops (LH) produced posterior translational forces of 4.25 N/kg.
- Both tests demonstrated high serratus anterior (98-105% MVIC) and infraspinatus (52-87% MVIC) activation.
Conclusions:
- LH and SHR impose substantial posterior translational forces on shoulder structures, nearing 50% of bodyweight.
- SHR creates significant anterior translation forces (approx. 18% bodyweight) at end-range horizontal abduction.
- LH engages the serratus anterior for propulsion and both serratus anterior and infraspinatus for scapular and humeral stability.

