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Shoulder electromyography activity during push-up variations: a scoping review.

Katie L Kowalski1, Denise M Connelly2, Jennifer M Jakobi3

  • 1School of Kinesiology, University of Western Ontario, London, Ontario, Canada.

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Push-ups variations significantly impact muscle activation, with unstable surfaces yielding the greatest global muscle activity. This research helps tailor push-up (PU) exercises for specific muscle targeting and rehabilitation outcomes.

Keywords:
Push-upelectromyographyexerciserehabilitation

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Area of Science:

  • Biomechanics
  • Exercise Physiology
  • Sports Medicine

Background:

  • Push-ups (PU) are fundamental closed-chain exercises for shoulder girdle stability.
  • Variations in PU exercises modify difficulty and muscle engagement.
  • Understanding muscle activation patterns is crucial for effective exercise prescription.

Purpose of the Study:

  • To identify common push-up variations.
  • To describe muscle activation levels during these variations.
  • To provide a framework for exercise prescription in rehabilitation.

Main Methods:

  • Scoping review of literature from January 2000 to November 2019.
  • Searched databases: PubMed, CINAHL, Scopus, SPORTDiscus.
  • Analyzed 30 articles, focusing on six PU types and five key muscles.

Main Results:

  • Weighted mean electromyography (EMG) amplitude analyzed for muscle-specific and global activity.
  • Triceps and pectoralis major showed high EMG during standard, unstable, suspension, and ball-incline PUs.
  • Serratus anterior activation was highest during PU plus and incline PUs.
  • Unstable surface push-ups demonstrated the greatest global EMG amplitude.

Conclusions:

  • Clinicians can use these findings to prescribe targeted PU exercises.
  • Exercise difficulty can be scaled based on muscle activation profiles.
  • Facilitates optimized rehabilitation outcomes through informed exercise selection.