scholarly journals Acromiohumeral Distance and 3-Dimensional Scapular Position Change After Overhead Muscle Fatigue

2015 ◽  
Vol 50 (3) ◽  
pp. 281-288 ◽  
Author(s):  
Annelies Maenhout ◽  
Famke Dhooge ◽  
Maarten Van Herzeele ◽  
Tanneke Palmans ◽  
Ann Cools
Keyword(s):  
Muscle Fatigue ◽  
Mixed Model ◽  
Tracking System ◽  
Position Change ◽  
Sports Activity ◽  
Overhead Athletes ◽  
3 Dimensional ◽  
Shoulder Muscle ◽  
Overhead Sports ◽  
Acromiohumeral Distance

Context: Muscle fatigue due to repetitive and prolonged overhead sports activity is considered an important factor contributing to impingement-related rotator cuff pathologic conditions in overhead athletes. The evidence on scapular and glenohumeral kinematic changes after fatigue is contradicting and prohibits conclusions about how shoulder muscle fatigue affects acromiohumeral distance. Objective: To investigate the effect of a fatigue protocol resembling overhead sports activity on acromiohumeral distance and 3-dimensional scapular position in overhead athletes. Design: Cross-sectional study. Setting: Institutional laboratory. Patients or Other Participants: A total of 29 healthy recreational overhead athletes (14 men, 15 women; age = 22.23 ± 2.82 years, height = 178.3 ± 7.8 cm, mass = 71.6 ± 9.5 kg). Intervention(s) The athletes were tested before and after a shoulder muscle-fatiguing protocol. Main Outcome Measure(s) Acromiohumeral distance was measured using ultrasound, and scapular position was determined with an electromagnetic motion-tracking system. Both measurements were performed at 3 elevation positions (0°, 45°, and 60° of abduction). We used a 3-factor mixed model for data analysis. Results: After fatigue, the acromiohumeral distance increased when the upper extremity was actively positioned at 45° (Δ = 0.78 ± 0.24 mm, P = .002) or 60° (Δ = 0.58 ± 0.23 mm, P = .02) of abduction. Scapular position changed after fatigue to a more externally rotated position at 45° (Δ = 4.97° ± 1.13°, P < .001) and 60° (Δ = 4.61° ± 1.90°, P = .001) of abduction, a more upwardly rotated position at 45° (Δ = 6.10° ± 1.30°, P < .001) and 60° (Δ = 7.20° ± 1.65°, P < .001) of abduction, and a more posteriorly tilted position at 0°, 45°, and 60° of abduction (Δ = 1.98° ± 0.41°, P < .001). Conclusions: After a fatiguing protocol, we found changes in acromiohumeral distance and scapular position that corresponded with an impingement-sparing situation.

No Effect of Scapular Position on 3-Dimensional Scapular Motion in the Throwing Shoulder of Healthy Professional Pitchers

2012 ◽  
Vol 21 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Amee L. Seitz ◽  
Michael Reinold ◽  
Robert A. Schneider ◽  
Thomas J. Gill ◽  
Charles Thigpen
Keyword(s):  
Mixed Model ◽  
Outcome Measure ◽  
External Rotation ◽  
Tracking System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Main Outcome Measure ◽  
3 Dimensional ◽  
Baseball Pitchers ◽  
Scapular Motion

Context:Differences in 3-dimensional (3D) scapular motion have been reported between healthy baseball position players and healthy nonoverhead athletic controls, as well as players diagnosed with shoulder impingement syndrome. These alterations are theorized to be the result of adaptations due to the demands of repetitive throwing. However, comparisons between the throwing and nonthrowing shoulders are commonly used to infer normal motion.Objective:The purpose of this study was to compare 3D scapular kinematics between the throwing and nonthrowing shoulders in asymptomatic professional male baseball pitchers.Design:Cross-sectional study.Setting:Laboratory.Participants:45 asymptomatic professional baseball pitchers participating without restrictions during preseason training.Interventions:An electromagnetic tracking system was used to assess 3D scapular orientation at rest and during weighted (2.3-kg) shoulder flexion across discrete humeral-flexion angles (rest, 30°, 60°, 90°, 120°, and maximum).Main Outcome Measure:3D scapular upward/downward rotation (UR/DR), anteroposterior (AP) tilt, and internal/external rotation (IR/ER). Separate mixed-model ANOVAs (Side × Angle) for each scapular motion were used to compare the throwing and the nonthrowing shoulder across all angles.Results:There were significant side-to-side differences with scapular UR/DR (P < .001), AP tilt (P < .001), and IR/ER (P < .001). The throwing scapula displayed greater mean UR (increase = 3.6°, SE = 0.50) and anterior/posterior tilt (increase = 2.1°, SE = 0.60) and less mean IR (decrease = 2.1°, SE = 0.66) than the nonthrowing shoulder averaged across all arm angles.Conclusions:In asymptomatic professional pitchers, the throwing shoulder’s scapular position differs across all arm angles from that of the nonthrowing shoulder, but the motion does not differ. Scapular asymmetry that is consistent throughout arm elevation may be indicative not of pathology but, potentially, of a normal adaptation of the pitching shoulder.

The Effect of Shoulder Muscle Fatigue on Acromiohumeral Distance and Scapular Dyskinesis in Women With Generalized Joint Hypermobility

2017 ◽  
Vol 33 (6) ◽  
pp. 424-430 ◽  
Author(s):  
Razie J. Alibazi ◽  
Afsun Nodehi Moghadam ◽  
Ann M. Cools ◽  
Enayatollah Bakhshi ◽  
Alireza Aziz Ahari
Keyword(s):  
Muscle Fatigue ◽  
Shoulder Pain ◽  
Joint Hypermobility ◽  
Control Group ◽  
Scapular Dyskinesis ◽  
Generalized Joint Hypermobility ◽  
Shoulder Muscle ◽  
Before And After ◽  
History Of ◽  
Acromiohumeral Distance

Muscle fatigue is considered to be one cause of shoulder pain, and subjects with generalized joint hypermobility (GJH) are affected more by shoulder pain. The purpose of this study was to examine the effects of muscle fatigue on acromiohumeral distance (AHD) and scapular dyskinesis in women with GJH. Thirty-six asymptomatic participants were assigned to either a GJH (n = 20) or control group (n = 16) using the Beighton scale. Before and after elevation fatigue trials, AHD was measured with ultrasonography at rest and when the arm was in 90° active elevation. A scapular dyskinesis test was used to visually observe alterations in scapular movement. Our results showed that in both groups, the fatigue reduced AHD in the 90° elevation position and increased the presence of scapular dyskinesis; however, no differences were found between the two groups. Although GJH has been identified as a factor for developing musculoskeletal disorders, generalized joint hypermobility did not result in changes to scapular dyskinesis or AHD, even after an elevation fatigue task. More studies are needed to evaluate the effects of muscle fatigue in subjects with GJH and a history of shoulder instability.

scholarly journals Scapular Kinematics in Athletes With and Without Rotator Cuff Tendinopathy: A Systematic Review

2020 ◽  
Vol 29 (6) ◽  
pp. 820-829
Author(s):  
Xin Fu ◽  
Patrick Shu-hang Yung ◽  
Chun Cheong Ma ◽  
Hio Teng Leong
Keyword(s):  
Rotator Cuff ◽  
Sports Participation ◽  
Small Sample ◽  
Cochrane Library ◽  
Shoulder Injuries ◽  
Overhead Athletes ◽  
3 Dimensional ◽  
Scapular Kinematics ◽  
Overhead Sports ◽  
Rotator Cuff Tendinopathy

Context: Rotator cuff tendinopathy is one of the most frequently reported shoulder injuries in athletes of overhead sports. Abnormal scapular kinematics has been proposed as one of the contributing factors of rotator cuff tendinopathy in overhead athletes. Objectives: To review the literature on 3-dimensional scapular kinematics in overhead athletes with and without rotator cuff tendinopathy. Evidence Acquisition: Electronic databases (Cochrane Library, MEDLINE, Embase, and PubMed) were searched from inception to September 2017. In addition, the reference lists of the articles that met the inclusion criteria were also searched. We included studies that compared the changes in 3-dimensional scapular kinematics in athletes with and without rotator cuff tendinopathy. Two reviewers independently examined the quality of studies by using the modified Downs and Black checklist. Evidence Synthesis: A total of 9 studies (a total of 332 athletes, mean age 23.41 [2.62] y) were included in the final analysis. The methodological quality was low (modified Downs and Black checklist = 9/15). Our findings showed a consistent pattern of increased scapular anterior tilting and internal rotation in the dominant shoulders than the nondominant shoulders of athletes who participated in overhead sports. Athletes of overhead sports seem to demonstrate an increase in scapular upward rotation during arm elevation when compared with nonathlete individuals. However, there is no consensus on the scapular kinematics pattern in athletes with rotator cuff tendinopathy when compared with healthy controls. Conclusion: Findings demonstrated that changes in scapular kinematics were observed in overhead athletes. However, all the included studies were cross-sectional studies with small sample size and diverse sports participation, whether changes in scapular kinematics may contribute to rotator cuff tendinopathy in overhead athletes warrants more high-quality prospective studies.

scholarly journals Skill Transference of a Probe-Tube Placement Training Simulator

2020 ◽  
Vol 31 (01) ◽  
pp. 040-049 ◽  
Author(s):  
Robert W. Koch ◽  
Hasan Saleh ◽  
Paula Folkeard ◽  
Sheila Moodie ◽  
Conner Janeteas ◽  
...  
Keyword(s):  
Mixed Model ◽  
Tracking System ◽  
Optical Tracking ◽  
Tube Placement ◽  
Control Group ◽  
Educational Settings ◽  
Training Simulator ◽  
Nonlinear Mixed Model ◽  
Optical Tracking System ◽  
Clinical Scenarios

AbstractProbe-tube placement is a necessary step in hearing aid verification which needs ample hands-on experience and confidence before performing in clinic. To improve the methods of training in probe-tube placement, a manikin-based training simulator was developed consisting of a 3D-printed head, a flexible silicone ear, and a mounted optical tracking system. The system is designed to provide feedback to the user on the depth and orientation of the probe tube, and the time required to finish the task. Although a previous validation study was performed to determine its realism and teachability with experts, further validation is required before implementation into educational settings.This study aimed to examine the skill transference of a newly updated probe-tube placement training simulator to determine if skills learned on this simulator successfully translate to clinical scenarios.All participants underwent a pretest in which they were evaluated while performing a probe-tube placement and real-ear-to-coupler difference (RECD) measurement on a volunteer. Participants were randomized into one of two groups: the simulator group or the control group. During a two-week training period, all participants practiced their probe-tube placement according to their randomly assigned group. After two weeks, each participant completed a probe-tube placement on the same volunteer as a posttest scenario.Twenty-five novice graduate-level student clinicians.Participants completed a self-efficacy questionnaire and an expert observer completed a questionnaire evaluating each participant’s performance during the pre- and posttest sessions. RECD measurements were taken after placing the probe tube and foam tip in the volunteer’s ear. Questionnaire results were analyzed through nonparametric t-tests and analysis of variance, whereas RECD results were analyzed using a nonlinear mixed model method.Results suggested students in the simulator group were less likely to contact the tympanic membrane when placing a probe tube, appeared more confident, and had better use of the occluding foam tip, resulting in more improved RECD measurements.The improved outcomes for trainees in the simulator group suggest that supplementing traditional training with the simulator provides useful benefits for the trainees, thereby encouraging its usage and implementation in educational settings.

scholarly journals 3-Dimensional Magnetic Resonance Imaging of the Freely Moving Human Eye

2020 ◽  
Author(s):  
Benedetta Franceschiello ◽  
Lorenzo Di Sopra ◽  
Astrid Minier ◽  
Silvio Ionta ◽  
David Zeugin ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Eye Tracking ◽  
Tracking System ◽  
Patent Application ◽  
Movement Analysis ◽  
Resonance Imaging ◽  
3 Dimensional ◽  
Eye Motion ◽  
Financial Interests

AbstractEye motion is a major confound for magnetic resonance imaging (MRI) in neuroscience or ophthalmology. Currently, solutions toward eye stabilisation include participants fixating or administration of paralytics/anaesthetics. We developed a novel MRI protocol for acquiring 3-dimensional images while the eye freely moves. Eye motion serves as the basis for image reconstruction, rather than an impediment. We fully reconstruct videos of the moving eye and head. We quantitatively validate data quality with millimetre resolution in two ways for individual participants. First, eye position based on reconstructed images correlated with simultaneous eye-tracking. Second, the reconstructed images preserve anatomical properties; the eye’s axial length measured from MRI images matched that obtained with ocular biometry. The technique operates on a standard clinical setup, without necessitating specialized hardware, facilitating wide deployment. In clinical practice, we anticipate that this may help reduce burden on both patients and infrastructure, by integrating multiple varieties of assessments into a single comprehensive session. More generally, our protocol is a harbinger for removing the necessity of fixation, thereby opening new opportunities for ethologically-valid, naturalistic paradigms, the inclusion of populations typically unable to stably fixate, and increased translational research such as in awake animals whose eye movements constitute an accessible behavioural readout.Author contributionsB.F., L.D.S., M.S., and M.M.M. conceptualised the problem. B.F. and L.D.S. developed, implemented, and tested the protocol. A.M. provided optometry assessments and assisted with eye movement analysis. S.I., D.Z., and M.P.N. assisted with installation of the eye-tracking system within the MRI scanner. J.A.M.B., J.J. and J.Y. contributed with the MRI sequences and compressed sensing framework. B.F., L.D.S. and M.M.M. drafted the manuscript, and all authors contributed to internal review.Competing interestsB.F., L.D.S., J.A.M.B., J.Y., M.S., and M.M.M. declare the following competing financial interest: a patent application for the protocol described in this manuscript has been filed (patent application: EP19160832). A.M., S.I., D.Z., M.P.N. and J.J. declare no competing financial interests.

scholarly journals Scapular kinematic and shoulder muscle activity alterations after serratus anterior muscle fatigue

2018 ◽  
Vol 27 (7) ◽  
pp. 1205-1213 ◽  
Author(s):  
Jun Umehara ◽  
Ken Kusano ◽  
Masatoshi Nakamura ◽  
Katsuyuki Morishita ◽  
Satoru Nishishita ◽  
...  
Keyword(s):  
Muscle Fatigue ◽  
Muscle Activity ◽  
Serratus Anterior Muscle ◽  
Serratus Anterior ◽  
Shoulder Muscle

Posture-movement changes following repetitive motion-induced shoulder muscle fatigue

2009 ◽  
Vol 19 (6) ◽  
pp. 1043-1052 ◽  
Author(s):  
Jason R. Fuller ◽  
Karen V. Lomond ◽  
Joyce Fung ◽  
Julie N. Côté
Keyword(s):  
Muscle Fatigue ◽  
Repetitive Motion ◽  
Shoulder Muscle

scholarly journals Shoulder External Rotation Fatigue and Scapular Muscle Activation and Kinematics in Overhead Athletes

2011 ◽  
Vol 46 (4) ◽  
pp. 349-357 ◽  
Author(s):  
Mithun Joshi ◽  
Charles A. Thigpen ◽  
Kevin Bunn ◽  
Spero G. Karas ◽  
Darin A. Padua
Keyword(s):  
Muscle Fatigue ◽  
Muscle Activation ◽  
External Rotation ◽  
Shoulder Injuries ◽  
Serratus Anterior ◽  
Overhead Athletes ◽  
Scapular Kinematics ◽  
Fatigue Protocol ◽  
Upper Trapezius ◽  
Lower Trapezius

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.

Sign in / Sign up

Export Citation Format

Share Document