Maximum Shoulder Torque and Muscle Activation During Standing Arm Flexion: Reference Data for Biomechanical and...

Objectives: Shoulder joint strength and muscle activation during overhead reaching are critical for ergonomic task design, rehabilitation, and exoskeleton support. The objective of this study was to characterize maximum shoulder torque and flexor muscle activation profiles across functional elevation angles in healthy adult males. Methods: A total of 14 healthy male participants performed maximum voluntary isometric contractions at eight arm elevation angles (90-160°, sagittal plane, and standing). Shoulder torque was measured using a calibrated force sensor and normalized to each participant's overall maximum. Electromyography (EMG) was recorded from the anterior deltoid, medial deltoid, biceps brachii, and clavicular pectoralis major; EMG for the medial deltoid, biceps brachii, and pectoralis major was normalized to muscle-specific isometric MVCs, whereas the anterior deltoid was normalized to the peak value at 90° during the main task. All EMG signals were smoothed using a 0.5 s RMS-based moving average window. Linear regression was used to analyze the torque-angle relationship, and linear mixed-effects models were used to test EMG differences across angles. Summary statistics included mean ± SD, coefficient of variation, R², p-values (significance threshold: p < 0.05), Cohen's d, and 95% confidence intervals where appropriate. Results: Maximum torque declined with elevation angle (y = -0.6317x + 157.21; R² = 0.99), from 77.2 Nm at 90° to 43.2 Nm at 160°, with normalized values from 99.6% to 55.3%. Medial deltoid activation increased significantly with elevation (p < 0.001, from 87.5 ± 19.9% at 90° to 109.4 ± 25.6% at 150°), while pectoralis major declined sharply (p < 0.001, from 68.9 ± 24.2% at 90° to 19.8 ± 5.6% at 160°). Anterior deltoid and biceps brachii activations were high and showed no systematic change with angle (p = 0.37 and 0.81, respectively), remaining within approximately 95-102% and 70-85% of their reference levels across 90-160°. Normalization reduced inter-participant variability, clarifying muscle-specific trends. Conclusions: This study provides preliminary biomechanical reference values for shoulder torque and muscle activation across elevation angles in healthy males under isometric standing conditions, confirming an inverse torque-angle relationship and distinct muscle activation strategies at higher positions. These findings may inform ergonomic assessment and exoskeleton design, while recognizing that generalization to dynamic tasks and other populations requires caution.