Electromyographic activity of the shoulder muscles during rehabilitation exercises in subjects with and without subacromial pain syndrome: a systematic review

Shoulder and Elbow

Volumn 9, Issue 2, 2017, Pages 112-126

  Kinsella, Rita ^a   Pizzari, Tania ^a  

^a LA TROBE UNIVERSITY   (Australia)

Author keywords

electromyography; rehabilitation; rotator cuff; scapular muscles; subacromial pain syndrome

Indexed keywords

EID: 85075534549     PISSN: 17585732     EISSN: 17585740     Source Type: Journal    
DOI: 10.1177/1758573216660038     Document Type: Review

References (65)

1. Luime JJ, Koes BW, Hendriksen IJ.et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. ScandJ Rheumatol 2004; 33: 73–81.
2. Engebretsen KB, Grotle M, Natvig B. Patterns of shoulder pain during a 14-year follow-up: results from a longitudinal population study in Norway. Shoulder Elbow 2015; 7: 49–59.
3. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995; 54: 959–64.
4. Linsell L, Dawson J, Zondervan K.et al. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology 2006; 45: 215–21.
5. Roquelaure Y, Ha C, Leclerc A.et al. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum 2006; 55: 765–78.
6. Lewis JS. Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion? Phys Ther Rev 2011; 16: 388–98.
7. Neer CS. Impingement lesions. Clin Orthop Relat Res 1983: 7.
8. McFarland EG, Maffulli N, Del Buono A, Murrell GAC, Garzon-Muvdi J, Petersen SA. Impingement is not impingement: the case for calling it ‘rotator cuff disease’. Muscles Ligaments Tendons 2013; 3: 196–196.
9. de Witte PB, de Groot JH, van Zwet EW.et al. Communication breakdown: clinicians disagree on subacromial impingement. Med Biol Eng Comp 2014; 52: 221–31.
10. Ozaki J, Fujimoto S, Nakagawa Y, Masuhara K, Tamai S. Tears of the rotator cuff of the shoulder associated with pathological changes in the acromion. A study in cadavera. J Bone Joint Surg Am 1988; 70: 1224–1230.
11. Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin Biomech (Bristol, Avon) 2005; 20: 700–9.
12. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther 1996; 24: 57–65.
13. Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘Scapular Summit'. Br J Sports Med 2013; 47: 877–85.
14. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 2000; 80: 276–91.
15. Levangie PK, Norkin CC. Joint structure and function. A comprehensive analysis. Philadelphia: FA Davis Company, 2011.
16. Sharkey NA, Marder RA. The Rotator Cuff Opposes Superior Translation of the Humeral Head. Am Jo Sports Med 1995; 23: 270–5.
17. Chopp JN, O'Neill JM, Hurley K, Dickerson CR. Superior humeral head migration occurs after a protocol designed to fatigue the rotator cuff: a radiographic analysis. J Shoulder Elbow Surg 2010; 19: 1137–44.
18. Graichen H, Bonel H, Stammberger T.et al. [An MR-based technique for determination of the subacromial space width in subjects with and without shoulder muscle activity]. Zeitschrift fur Orthopadie und ihre Grenzgebiete 1999; 137: 2–6.
19. Myers JB, Hwang JH, Pasquale MR, Blackburn JT, Lephart SM. Rotator cuff coactivation ratios in participants with subacromial impingement syndrome. J Sci Med Sport 2009; 12: 603–8.
20. Reddy AS, Mohr KJ, Pink MM, Jobe FW. Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg 2000; 9: 519–23.
21. Chester R, Smith TO, Hooper L, Dixon J. The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex: a systematic review of electromyographic studies. BMC Musculoskelet Disord 2010; 11: 45–45.
22. Struyf F, Cagnie B, Cools A.et al. Scapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability. J Electromyogr Kinesiol 2014; 24: 277–84.
23. Heers G, Jenkyn T, Dresner MA.et al. Measurement of muscle activity with magnetic resonance elastography. Clin Biomech (Bristol, Avon) 2003; 18: 537–42.
24. Herbert RD. How to estimate treatment effects from reports of clinical trials. I: Continuous outcomes. Aust J Physiother 2000; 46: 229–35.
25. Bandholm T, Rasmussen L, Aagaard P, Jensen BR, Diederichsen L. Force steadiness, muscle activity, and maximal muscle strength in subjects with subacromial impingement syndrome. Muscle Nerve 2006; 34: 631–9.
26. Lau J, Ioannidis JP, Schmid CH. Quantitative synthesis in systematic reviews. Ann Intern Med 1997; 127: 820–6.
27. Review Manager. RevMan, Version 5.3. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2014.
28. Roy JS, Moffet H, McFadyen BJ. Upper limb motor strategies in persons with and without shoulder impingement syndrome across different speeds of movement. Clin Biomech 2008; 23: 1227–36.
29. Moraes GF, Faria CD, Teixeira-Salmela LF. Scapular muscle recruitment patterns and isokinetic strength ratios of the shoulder rotator muscles in individuals with and without impingement syndrome. J Shoulder Elbow Surg 2008; 17: 48S–53S.
30. Siegfried N, Muller M, Deeks J.et al. HIV and male circumcision – a systematic review with assessment of the quality of studies. Lancet Infect Dis 2005; 5: 165–73.
31. Green S, Higgins JPT. Preparing a Cochrane Review. Cochrane handbook for systematic reviews of interventions. Oxford: John Wiley & Sons, Ltd, 2008: 11–30.
32. Ganderton C, Pizzari T. A systematic literature review of the resistance exercises that promote maximal muscle activity of the rotator cuff in normal shoulders. Shoulder Elbow 2013; 5: 120–35.
33. Cools AM, Witvrouw EE, Declercq GA, Danneels LA, Cambier DC. Scapular muscle recruitment patterns: trapezius muscle latency with and without impingement symptoms. Am J Sports Med 2003; 31: 542–9.
34. Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports 2007; 17: 25–33.
35. de Morais Faria CD, Teixeira-Salmela LF, de Paula Goulart FR, de Souza Moraes GF. Scapular muscular activity with shoulder impingement syndrome during lowering of the arms. Clin J Sport Med 2008; 18: 130–6.
36. Alpert SW, Pink MM, Jobe FW, McMahon PJ, Mathiyakom W. Electromyographic analysis of deltoid and rotator cuff function under varying loads and speeds. J Shoulder Elbow Surg 2000; 9: 47–58.
37. Clisby EF, Bitter NL, Sandow MJ, Jones MA, Magarey ME, Jaberzadeh S. Relative contributions of the infraspinatus and deltoid during external rotation in patients with symptomatic subacromial impingement. J Shoulder Elbow Surg 2008; 17: 87S–92S.
38. Bitter NL, Clisby EF, Jones MA, Magarey ME, Jaberzadeh S, Sandow MJ. Relative contributions of infraspinatus and deltoid during external rotation in healthy shoulders. J Shoulder Elbow Surg 2007; 16: 563–8.
39. Diederichsen LP, Norregaard J, Dyhre-Poulsen P.et al. The activity pattern of shoulder muscles in subjects with and without subacromial impingement. J Electromyogr Kinesiol 2009; 19: 789–99.
40. Brox JI, Roe C, Saugen E, Vollestad NK. Isometric abduction muscle activation in patients with rotator tendinosis of the shoulder. Arch Phys Med Rehabil 1997; 78: 1260–7.
41. Larsen CM, Sogaard K, Chreiteh SS, Holtermann A, Juul-Kristensen B. Neuromuscular control of scapula muscles during a voluntary task in subjects with Subacromial Impingement Syndrome. A case–control study. J Electromyogr Kinesiol 2013; 23: 1158–65.
42. Lin JJ, Hsieh SC, Cheng WC, Chen WC, Lai Y. Adaptive patterns of movement during arm elevation test in patients with shoulder impingement syndrome. J Orthop Res 2011; 29: 653–7.
43. Tucker WS, Armstrong CW, Gribble PA, Timmons MK, Yeasting RA. Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises. Arch Phys Med Rehabil 2010; 91: 550–6.
44. Smith M, Sparkes V, Busse M, Enright S. Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: is there imbalance and can taping change it? Phys Ther Sport 2009; 10: 45–50.
45. Huang HY, Lin JJ, Guo YL, Wang WT, Chen YJ. EMG biofeedback effectiveness to alter muscle activity pattern and scapular kinematics in subjects with and without shoulder impingement. J Electromyogr Kinesiol 2013; 23: 267–74.
46. Alves de Oliveira VM, da Silva Paixão Batista L, Torres Pirauá AL, Rodarti Pitangui AC, Cappato de Araújo R. Electromyographic activity and scapular dyskenesia in athletes with and without shoulder impingement syndrome. Atividade eletromiográfica e discinesia escapular em atletas com e sem síndrome do impacto no ombro. Braz J Kineanthropom Hum Performance 2013; 15: 193–203.
47. Castelein B, Cagnie B, Parlevliet T, Cools A. Scapulothoracic muscle activity during elevation exercises measured with surface and fine wire EMG: a comparative study between patients with subacromial impingement syndrome and healthy controls. Man Ther 2016; 23: 33–9.
48. Wadsworth DJ, Bullock-Saxton JE. Recruitment patterns of the scapular rotator muscles in freestyle swimmers with subacromial impingement. Int J Sports Med 1997; 18: 618–24.
49. Worsley P, Warner M, Mottram S.et al. Motor control retraining exercises for shoulder impingement: effects on function, muscle activation, and biomechanics in young adults. J Shoulder Elbow Surg 2013; 22: e11–9.
50. Phadke V, Ludewig PM. Study of the scapular muscle latency and deactivation time in people with and without shoulder impingement. J Electromyogr Kinesiol 2013; 23: 469–75.
51. Belling Sorensen AK, Jorgensen U. Secondary impingement in the shoulder. An improved terminology in impingement. Scand J Med Sci Sports 2000; 10: 266–78.
52. Jobe FW, Kvitne RS, Giangarra CE. Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement. Orthop Rev 1989; 18: 963–75.
53. Jaggi A, Malone AA, Cowan J, Lambert S, Bayley I, Cairns MC. Prospective blinded comparison of surface versus wire electromyographic analysis of muscle recruitment in shoulder instability. Physiother Res Int 2009; 14: 17–29.
54. Soderberg GL, Knutson LM. A guide for use and interpretation of kinesiologic electromyographic data. Phys Ther 2000; 80: 485–98.
55. Cram J, Criswell E. Cram’s introduction to surface electromyography. 2nd edition. Sudbury: Jones and Bartlett Publishers, 2011.
56. Ginn KA, Halaki M. Do surface electrode recordings validly represent latissimus dorsi activation patterns during shoulder tasks? J Electromyogr Kinesiol 2015; 25: 8–13.
57. Waite DL, Brookham RL, Dickerson CR. On the suitability of using surface electrode placements to estimate muscle activity of the rotator cuff as recorded by intramuscular electrodes. J Electromyogr Kinesiol 2010; 20: 903–11.
58. Hackett L, Reed D, Halaki M, Ginn KA. Assessing the validity of surface electromyography for recording muscle activation patterns from serratus anterior. J Electromyogr Kinesiol 2014; 24: 221–7.
59. Hodges PW, Bui BH. A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol 1996; 101: 511–9.
60. Lewis JS. Rotator cuff tendinopathy: a model for the continuum of pathology and related management. BJSM Online 2010; 44: 918–23.
61. Oberg T, Sandsjo L, Kadefors R. Arm movement and EMG mean power frequency in the trapezius muscle: a comparison between surface and intramuscular recording techniques. Electromyogr Clin Neurophysiol 1992; 32: 87–96.
62. Johnson VL, Halaki M, Ginn KA. The use of surface electrodes to record infraspinatus activity is not valid at low infraspinatus activation levels. J Electromyogr Kinesiol 2011; 21: 112–8.
63. Hughes PC, Green RA, Taylor NF. Isolation of infraspinatus in clinical test positions. J Sci Med Sport 2014; 17: 256–60.
64. Wickham J, Pizzari T, Balster S, Ganderton C, Watson L. The variable roles of the upper and lower subscapularis during shoulder motion. Clin Biomech (Bristol, Avon) 2014; 29: 885–91.
65. Inman VT, Ralston HJ, Saunders JB, Feinstein B, Wright EW, Jr. Relation of human electromyogram to muscular tension. Electroencephalogr Clin Neurophysiol 1952; 4: 187–94.