Evaluation of an adjustable support shoulder exoskeleton on static and dynamic overhead tasks

Author(s):  
Logan Van Engelhoven ◽  
Nathan Poon ◽  
Homayoon Kazerooni ◽  
Alan Barr ◽  
David Rempel ◽  
...  

Introduction: Overhead tasks increase the risk of work related musculoskeletal disorders to industrial workers. A shoulder supporting exoskeleton with adjustable and angle dependent torque (referred to as shoulderX in this paper for brevity) was designed and built at the University of California Berkeley Human Engineering and Robotics Laboratory for workers performing overhead tasks. shoulderX was designed specifically to reduce the exposure to large muscle exertion forces on the shoulder complex from overhead work. Methods: We evaluated shoulderX by measuring the muscle activation of the upper trapezius (UT), anterior deltoid (AD), triceps long head (TR), and infraspinatus (IF) during static and dynamic overhead tasks. Thirteen male subjects with experience in the construction or manufacturing industries were recruited to perform overhead tasks using light (.45 kg) and heavy (2.25 kg) weight tools with four exoskeleton support levels (0, 8.5, 13.0, 20.0 Nm peak torque). Results: During all conditions, the wearer’s shoulder flexor muscle activity of UT, AD were reduced with increasing strength of shoulderX by up to 80%. Subjects unanimously preferred the use of shoulderX over the unassisted condition for all task types (static and dynamic overhead tasks) and tool weights (.45 kg and 2.25 kg). Conclusion: shoulderX reduces the wearer’s primary muscle activity in overhead static and dynamic work and results in a more desirable and balanced pattern of shoulder complex activation. This investigation indicates that shoulderX reduces the risk of work related shoulder injuries during overhead tasks.

2011 ◽  
Vol 46 (4) ◽  
pp. 349-357 ◽  
Author(s):  
Mithun Joshi ◽  
Charles A. Thigpen ◽  
Kevin Bunn ◽  
Spero G. Karas ◽  
Darin A. Padua

Context: Glenohumeral external rotation (GH ER) muscle fatigue might contribute to shoulder injuries in overhead athletes. Few researchers have examined the effect of such fatigue on scapular kinematics and muscle activation during a functional movement pattern. Objective: To examine the effects of GH ER muscle fatigue on upper trapezius, lower trapezius, serratus anterior, and infraspinatus muscle activation and to examine scapular kinematics during a diagonal movement task in overhead athletes. Setting: Human performance research laboratory. Design: Descriptive laboratory study. Patients or Other Participants: Our study included 25 overhead athletes (15 men, 10 women; age = 20 ± 2 years, height = 180 ± 11 cm, mass = 80 ± 11 kg) without a history of shoulder pain on the dominant side. Intervention(s): We tested the healthy, dominant shoulder through a diagonal movement task before and after a fatiguing exercise involving low-resistance, high-repetition, prone GH ER from 0° to 75° with the shoulder in 90° of abduction. Main Outcome Measure(s): Surface electromyography was used to measure muscle activity for the upper trapezius, lower trapezius, serratus anterior, and infraspinatus. An electromyographic motion analysis system was used to assess 3-dimensional scapular kinematics. Repeated-measures analyses of variance (phase × condition) were used to test for differences. Results: We found a decrease in ascending-phase and descending-phase lower trapezius activity (F1,25 = 5.098, P = .03) and an increase in descending-phase infraspinatus activity (F1,25 = 5.534, P = .03) after the fatigue protocol. We also found an increase in scapular upward rotation (F1,24 = 3.7, P = .04) postfatigue. Conclusions: The GH ER muscle fatigue protocol used in this study caused decreased lower trapezius and increased infraspinatus activation concurrent with increased scapular upward rotation range of motion during the functional task. This highlights the interdependence of scapular and glenohumeral force couples. Fatigue-induced alterations in the lower trapezius might predispose the infraspinatus to injury through chronically increased activation.


Author(s):  
Sirirat Kiatkulanusorn ◽  
Bhornluck Paepetch Suato ◽  
Phurichaya Werasirirat

BACKGROUND: There are currently no reports of biomechanical changes in patients with forward head posture (FHP) that result in altered muscle activation throughout various functions with muscle activation response during diverse sleep postures. OBJECTIVE: This study investigated neck and back muscle activity in individuals with and without FHP during a maintained side-sleeping position by incorporating various pillow designs. METHODS: Thirty-four participants (i.e. 17 in each group) were enrolled. The muscle activity was investigated via surface electromyography during the use of three trial pillows: orthopedic pillow, hollow pillow, and Thai neck support pillow. RESULTS: With the application of all three trial pillows the FHP group demonstrated significantly greater lower trapezius muscle activity than the normal head posture group (p< 0.05). Sternocleidomastoid and upper trapezius (UT) muscle activity were similar between the two groups (p> 0.05). Only UT muscle activity was affected by variations in pillow design. In the normal group no difference was observed in the muscle activity between all three pillows (p> 0.05). CONCLUSIONS: Feasibly, the ability to appropriately modify a pillow configuration without creating undesired muscle activation was limited to those exhibiting FHP. Therefore, specially designed pillows or mattresses should be investigated in terms of their relevance to muscle fatigue and potential musculoskeletal pain in FHP patients.


Author(s):  
CHANHEE PARK ◽  
SAMWON YOON ◽  
HYUNSIK YOON ◽  
KYOUNGTAE KIM ◽  
YOUNGJOO CHA ◽  
...  

The importance of core stabilization exercises for extremities associated with dynamic spinal stabilization prior to movement has been demonstrated. However, no previous studies have investigated the muscle-coordinated effects on the upper trapezius (UT), anterior deltoid (AD), pectoralis major (PM), bilateral transverse abdominis (TrA), bilateral internal oblique (IO), and bilateral external oblique (EO) in healthy adults. The purpose of this study was to compare the effects of the dynamic neuromuscular stabilization (DNS) breathing technique and the abdominal bracing (AB) technique on UT, AD, PM, bilateral IO/TrA, and bilateral EO motor control in healthy participants during horizontal shoulder adduction. Thirty-six participants, eight of whom were female, were randomized into an AB and a DNS group and performed horizontal shoulder adduction with loads (8 and 17 lb). The clinical outcomes were UT, AD, and PM muscle activation and TrA/IO and EO muscle activation. Paired t-tests were used to analyze electromyography (EMG) data to determine statistically significant differences in muscle activity between the two techniques. For the EMG analysis, the maximal voluntary isometric contraction was measured for normalization and then divided by the EMG amplitude value. The results showed that UT, AD, and PM muscle amplitudes were lower and TrA/IO and EO muscle amplitudes were higher with DNS than with AB ([Formula: see text]). Our findings provide clinical evidence that core exercise with DNS is more effective in lessening UT, AD, and PM muscle activation and improving bilateral TrA/IO motor control than with AB.


2017 ◽  
Vol 118 (6) ◽  
pp. 3165-3174 ◽  
Author(s):  
Rasmus F. Frisk ◽  
Peter Jensen ◽  
Henrik Kirk ◽  
Laurent J. Bouyer ◽  
Jakob Lorentzen ◽  
...  

Exaggerated sensory activity has been assumed to contribute to functional impairment following lesion of the central motor pathway. However, recent studies have suggested that sensory contribution to muscle activity during gait is reduced in stroke patients and children with cerebral palsy (CP). We investigated whether this also occurs in CP adults and whether daily treadmill training is accompanied by alterations in sensory contribution to muscle activity. Seventeen adults with CP and 12 uninjured individuals participated. The participants walked on a treadmill while a robotized ankle-foot orthosis applied unload perturbations at the ankle, thereby removing sensory feedback naturally activated during push-off. Reduction of electromyographic (EMG) activity in the soleus muscle caused by unloads was compared and related to kinematics and ankle joint stiffness measurements. Similar measures were obtained after 6 wk of gait training. We found that sensory contribution to soleus EMG activation was reduced in CP adults compared with uninjured adults. The lowest contribution of sensory feedback was found in participants with lowest maximal gait speed. This was related to increased ankle plantar flexor stiffness. Six weeks of gait training did not alter the contribution of sensory feedback. We conclude that exaggerated sensory activity is unlikely to contribute to impaired gait in CP adults, because sensory contribution to muscle activity during gait was reduced compared with in uninjured individuals. Increased passive stiffness around the ankle joint is likely to diminish sensory feedback during gait so that a larger part of plantar flexor muscle activity must be generated by descending motor commands.NEW & NOTEWORTHY Findings suggest that adults with cerebral palsy have less contribution of sensory feedback to ongoing soleus muscle activation during push-off than uninjured individuals. Increased passive stiffness around the ankle joint is likely to diminish sensory feedback during gait, and/or sensory feedback is less integrated with central motor commands in the activation of spinal motor neurons. Consequently, muscle activation must to a larger extent rely on descending drive, which is already decreased because of the cerebral lesion.


Author(s):  
Sun-Hee Ahn ◽  
Sung-Hoon Jung ◽  
Hyun-A Kim ◽  
Jun-Hee Kim ◽  
Young-Soo Weon ◽  
...  

BACKGROUND: Due to the extended use of smartphones, people spend a lot of time on these devices while lying down. OBJECTIVE: The purpose of the present study was to compare the differences in neck muscle activity of participants while they watched videos on a smartphone in four different lying positions (supine (SUP), prone on elbows (PE), side lying (SIDE), and 45∘ head turn while side lying (45-SIDE)). METHODS: Twenty-three healthy volunteers (22.4 ± 1.7 years) were enrolled in this study. We assessed the activities of their right and left sternocleidomastoid (SCM), anterior scalene, cervical erector spinae (CES), and upper trapezius (UT) muscles while they watched videos on a smartphone in four different lying positions. RESULTS: The right and left SCM and CES had significantly different muscle activities depending on the lying positions. The SCM activity had a significantly greater asymmetry in the 45-SIDE position, while the CES activity had a significantly greater asymmetry in the SIDE and 45-SIDE positions. Moreover, the UT activity had a significantly greater asymmetry in the SUP, PE, and SIDE positions. CONCLUSIONS: Neck muscle activity and asymmetry were the lowest in the SUP position relative to the other positions. Therefore, lying down in the SUP position may minimize neck muscle activation while using a smartphone.


2020 ◽  
Vol 12 (4) ◽  
pp. 395-400 ◽  
Author(s):  
Masaaki Tsuruike ◽  
Todd S. Ellenbecker ◽  
Yoshinori Kagaya ◽  
Luke Lemings

Background: Little is known about the optimal exercise intensity and the effects of arm position on elastic resistance exercise. The purpose of this study was to investigate scapular muscle activity in different arm positions utilized during standing elastic resistance exercise. Hypothesis: Lower trapezius (LT), serratus anterior (SA), and infraspinatus (IS) muscle activity will vary across arm positions above shoulder level. Also, oscillation resistance exercise will result in increased muscle activity compared with isometric contraction. Study Design: Controlled laboratory study. Level of Evidence: Level 4. Methods: A total of 19 uninjured male collegiate baseball players volunteered to participate in this study. The electromyography (EMG) activity of the LT, upper trapezius (UT), middle deltoid (MD), SA, and IS muscles was determined using surface EMG in 3 arm positions: diagonal pattern 1 (D1), 120° of shoulder abduction (120), and 90° shoulder abduction with external rotation and elbow flexion (90/90) during both isometric contraction and oscillation resistance exercise. Results: No difference in EMG activity of the LT muscle was found between the 120 and 90/90 position. However, the 120 position increased UT and MD muscle activity significantly more than those of the 90/90 position. The D1 arm position significantly increased SA muscle activity more than the 120 and 90/90 positions while the LT muscle activity was nearly silent. Conclusion: The standing 90/90 position effectively generated both LT and IS muscle EMG activity while minimizing both UT and MD muscle activity. Clinical Relevance: The use of oscillation movements under elastic loading can create high muscle activation in the LT muscle without an adverse effect of the humeral head position and scapular rotation.


2002 ◽  
Vol 17 (2) ◽  
pp. 68-75 ◽  
Author(s):  
Patrice Berque ◽  
Heather Gray

Work-related musculoskeletal disorders in the neck-shoulder area are common among violin and viola players. The aim of this study was to investigate the influence of playing-related musculoskeletal disorders (PRMDs) on muscle activity, by measuring electromyographic activity in the upper trapezius (UT) muscles of violin and viola players under three experimental conditions: rest, performance of an easy piece, and performance of a difficult piece. Ten professional violin and viola players from a Scottish orchestra volunteered to take part in the study. Five subjects complained of pain in the neck-shoulder region; five were pain-free. Bilateral surface electromyography (EMG) was used, following submaximal reference voluntary contractions, to record the muscle activity of the UT muscles during the three experimental conditions. Subjects were randomly allocated to the conditions. A four-factor balanced analysis of variance (ANOVA) was performed. The results revealed that the pain-free subjects developed more UT muscle activity than subjects experiencing neck-shoulder pain (F = 4.07, df = 1, p = 0.05). Furthermore, the subjects developed significantly more UT activity when progressing from the rest condition to performance of the difficult piece (F = 36.64, df = 2, p> < 0.001). The PRMD subjects developed more UT activity than the pain-free subjects at rest. The opposite tendency was observed for the playing conditions. However, the results were not statistically significant for this interaction (F = 1.85, df = 2, p = 0.169). The results suggest that redistribution of the load to other synergistic muscles may be a strategy used by PRMD subjects to alleviate pain or discomfort at the nec-shoulder area. The voluntary monitoring of shoulder muscle activity may be of great importance in the prevention of PRMDs in viola and violin players.


2014 ◽  
Vol 49 (3) ◽  
pp. 345-355 ◽  
Author(s):  
Chad R. Moeller ◽  
Kellie C. Huxel Bliven ◽  
Alison R. Snyder Valier

Context: Alterations in scapular muscle activation, which are common with glenohumeral (GH) injuries, affect stability and function. Rehabilitation aims to reestablish activation between muscles for stability by progressing to whole-body movements. Objective: To determine scapular muscle-activation ratios and individual muscle activity (upper trapezius [UT], middle trapezius [MT], lower trapezius [LT], serratus anterior [SA]) differences between participants with GH injuries and healthy control participants during functional rehabilitation exercises. Design: Cross-sectional study. Setting: Laboratory. Patients or Other Participants: Thirty-nine participants who had GH injuries (n = 20; age = 23.6 ± 3.2 years, height = 170.7 ± 11.5 cm, mass = 74.7 ± 13.1 kg) or were healthy (n = 19; age = 24.4 ± 3.3 years, height = 173.6 ± 8.6 cm, mass = 74.7 ± 14.8 kg) were tested. Intervention(s): Clinical examination confirmed each participant's classification as GH injury or healthy control. Participants performed 4 exercises (bow and arrow, external rotation with scapular squeeze, lawnmower, robbery) over 3 seconds with no load while muscle activity was recorded. Main Outcome Measure(s): We used surface electromyography to measure UT, MT, LT, and SA muscle activity. Scapular muscle-activation ratios (UT:MT, UT:LT, and UT:SA) were calculated (normalized mean electromyography of the UT divided by normalized mean electromyography of the MT, LT, and SA). Exercise × group analyses of variance with repeated measures were conducted. Results: No group differences for activation ratios or individual muscle activation amplitude were found (P &gt; .05). Similar UT:MT and UT:LT activation ratios during bow-and-arrow and robbery exercises were seen (P &gt; .05); both had greater activation than external-rotation-with-scapular-squeeze and lawnmower exercises (P &lt; .05). The bow-and-arrow exercise elicited the highest activation from the UT, MT, and LT muscles; SA activation was greatest during the external-rotation-with-scapular-squeeze exercise. Conclusions: Scapular muscle activation was similar between participants with GH injuries and healthy control participants when performing the unloaded multiplanar, multijoint exercises tested. High activation ratios during the bow-and-arrow exercise indicate UT hyperactivity or decreased MT, LT, and SA activity. Our GH injury group may be comparable to high-functioning injured athletes. Study results may assist clinicians in selecting appropriate exercises for scapular muscle activation when caring for injured athletes.


Author(s):  
Soo-Yong Kim ◽  
Il-Young Yu ◽  
Jae-Seop Oh ◽  
Min-Hyeok Kang

The intended scapular motion is a strategy to strengthen the lower trapezius (LT). However, few studies have explored the effects of the intended scapular posterior tilt motion on selective LT activation. Thus, the present study investigated the effect of the intended scapular posterior tilt on the electromyography (EMG) activity of trapezius muscles during prone shoulder horizontal abduction (PSHA). Eighteen asymptomatic men performed three types of PSHA: (1) preferred PSHA, (2) PSHA with the intended scapular posterior tilt, and (3) PSHA with the intended scapular posterior tilt and trunk extension. EMG activity of the upper trapezius (UT), middle trapezius (MT), and LT were measured during PSHAs. Scapular posterior tilt angle, with and without the intended scapular posterior tilt, were measured using inclinometer. The results indicated that LT muscle activity increased when scapular posterior tilt was applied with and without trunk extension (14–16%), compared to the preferred condition, during PSHA (p < 0.05). However, the addition of trunk extension to PSHA with the intended scapular posterior tilt increased the UT muscle activity (28%) and the UT/LT (29%) and UT/MT (31%) ratios (p < 0.05). The scapular posterior tilt angle was higher (15%) when applying the intended scapular posterior tilt (p = 0.020). These findings suggest that the intended scapular posterior tilt may be a useful strategy for selective LT muscle activation.


2019 ◽  
Vol 28 (3) ◽  
pp. 266-271 ◽  
Author(s):  
Hande Guney-Deniz ◽  
Gulcan Harput ◽  
Ugur Toprak ◽  
Irem Duzgun

Context:The scapular retraction exercises are widely used among clinicians to balance the activity of the scapular muscles as well as the rotator cuff muscles in different shoulder abduction positions.Objectives:The aim of this study was to investigate the relationship between scapular (middle and upper trapezius) and shoulder muscles (middle deltoid and infraspinatus) activation level differences and acromiohumeral distance changes during shoulder abduction with scapular retraction.Design:Cross-sectional study.Setting:University research laboratory.Participants:Nineteen asymptomatic individuals were included (mean [SD]: age = 22.4 [1.8] y).Main Outcome Measure:The acromiohumeral distance was measured at 0° and 90° shoulder abduction when the scapula was in nonretracted and retracted position with ultrasound imaging. The relationship between muscle activation level changes and acromiohumeral distance difference was analyzed with the Pearson correlation test.Results:Middle trapezius muscle activity change correlated with acromiohumeral distance difference (r = .55,P = .02) from 0° to 90° shoulder abduction when scapula was retracted. For both nonretracted and retracted scapular positions, no correlations were found between middle deltoid, infraspinatus, and upper trapezius muscle activity changes with acromiohumeral distance differences during shoulder abduction (P > .05).Conclusions:Active scapular retraction exercise, especially focusing on the middle trapezius muscle activation, seems to be an effective treatment option to optimize the acromiohumeral distance during shoulder abduction.


Sign in / Sign up

Export Citation Format

Share Document