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022 _a1050-6411
040 _cSalus Infirmorum
245 0 0 _aScapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability /
_cFilip Struyf, Barbara Cagnie, Ann Cools, Isabel Baert, Jolien Van Brempt, Pieter Struyf, Mira Meeus
500 _aEste artículo se encuentra disponible en su edición impresa.
504 _aBibliografía: p.283
520 8 _aBackground: Various studies have investigated scapulothoracic muscle activity and recruitment patterns in relation to shoulder complaints in different populations, but a consensus review is lacking. Hypothesis/purpose: To systematically review the state of the art regarding scapulothoracic muscle activity and recruitment timing in subjects with shoulder pain compared to pain free controls. Study design: Systematic review. Methods: The search for relevant articles was performed in Pubmed and Web of Science, including Web of Knowledge, using key words related to shoulder pain, scapulothoracic muscle activity or recruitment timing. Articles were included till November 2012. Case-control studies concerning the scapulothoracic region and muscle recruitment using electromyography (EMG) were included. Articles regarding rotator cuff muscles or neck-shoulder pathologies or studies handling a treatment outcome, were excluded. The methodological quality of the articles was assessed using appropriate risk of bias criteria for case-control studies. Results: A total of 12 articles were included in the systematic review, containing patients with Shoulder Impingement Syndrome (SIS) or glenohumeral instability. In patients with SIS 3 out of 6 articles showed increased upper trapezius muscle (UT) activity, 3 out of 5 studies showed decreased lower trapezius muscle (LT) activity and 3 out of 5 articles showed decreased serratus anterior muscle (SA) activity. Patients with glenohumeral instability showed contradictory results on scapulothoracic muscle activity patterns. In both SIS and glenohumeral instability patients, no consensus was found on muscle recruitment timing. Conclusion: Patients with SIS and glenohumeral instability display numerous variations in scapulothoracic muscle activity compared to healthy controls. In the SIS-group, the LT and SA muscle activity is decreased. In addition, the UT muscle activity is increased among the SIS patients, whereas no clear change is seen among patients with glenohumeral instability. Although the scapulothoracic muscle activity changed, no consensus could be made regarding muscle recruitment timing
653 1 4 _aShoulder pain
653 1 4 _aShoulder Impingement Syndrome
653 1 4 _a Glenohumeral instability
653 1 4 _aEMG
653 1 4 _aScapula
653 1 4 _aMuscle recruitment timing
653 1 4 _aMuscle activity
773 _g-- 2014, v. 24, n. 2, p. 277-284
_tJournal of Electromyography and Kinesiology
942 _2udc
_cARTÍCULO
999 _c12962
_d12962