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临床试验/NCT05281900
NCT05281900Unknown不适用

Investigation of Muscular Activation Levels Around the Scapula and Shoulder in Exercises Which Body Weight is Carried on the Arms

Hacettepe University1 个研究点 分布在 1 个国家目标入组 21 人开始时间: 2022年1月12日最近更新:
适应症
干预措施

试验速览

阶段
不适用
入组人数
21
试验地点
1
主要终点
Muscle activation ratio recorded with surface electromyography (sEMG)

研究概览

简要总结

Closed kinetic chain (CKC) exercises are exercises in which body weight is carried on the distal segment. It is considered advantageous and reliable in many respects compared to open kinetic chain exercises (OKC). For the restoration of functional stability in shoulder rehabilitation, it is recommended to use CKC exercises that carry body weight from the early period. Plank exercise, which is frequently used to strengthen the core area in rehabilitation programs, is performed by transferring weight on the upper extremity. For this reason, it is thought that this exercise will provide an isometric load on the shoulder and scapula muscles. In many previous studies, it has been observed that scapular muscle activations also change with the changes in stability (support surface properties, etc.) in plank exercises and variations in a way that provides a more stable exercise environment. However, as the difficulty level of the used moving floor increased (using softer or unstable surfaces), it was seen that the increase in muscle activation levels was more in favor of the upper trapezius muscle (UT). In a study, it was observed that the UT / Middle Trapeze (MT), UT / Lower Trapezius (LT), UT / Serratus Anterior (SA) ratios were lower in the 3-point supported plank exercise performed on one hand. For this reason, it is thought that while the difficulty level of plank variations is increased in shoulder rehabilitation, body position changes will be more effective in maintaining optimal scapular muscle activation rates instead of using a moving floor. Based on this information, investigating the muscular activation levels for the scapular and shoulder girdle muscles during different variations of the plank exercise in terms of load levels in the targeted muscles will provide valuable information for the management of shoulder exercise programs and post-operative rehabilitation.

It was planned to include 21 healthy physically active individuals between the ages of 18-45 in the study. Muscle activation levels during maximum voluntary isometric contraction (MVIC) of each muscle will be recorded to normalize muscle activation levels during plank variations. Muscle activation levels will be evaluated with a surface electromyography device (Noraxon, Myomotion, USA).

详细描述

Closed kinetic chain (CKC) exercises are exercises in which body weight is carried on the distal segment. It is considered advantageous and reliable in many respects compared to open kinetic chain exercises (OKC). For the restoration of functional stability in shoulder rehabilitation, it is recommended to use CKC exercises that carry body weight from the early period. Plank exercise, which is frequently used to strengthen the core area in rehabilitation programs, is performed by transferring weight on the upper extremity. For this reason, it is thought that this exercise will provide an isometric load on the shoulder and scapula muscles. In many previous studies, it has been observed that scapular muscle activations also change with the changes in stability (support surface properties, etc.) in plank exercises and variations in a way that provides a more stable exercise environment. However, as the difficulty level of the used moving floor increased (using softer or unstable surfaces), it was seen that the increase in muscle activation levels was more in favor of the upper trapezius muscle (UT). In a study, it was observed that the UT / Middle Trapeze (MT), UT / Lower Trapezius (LT), UT / Serratus Anterior (SA) ratios were lower in the 3-point supported plank exercise performed on one hand. For this reason, it is thought that while the difficulty level of plank variations is increased in shoulder rehabilitation, body position changes will be more effective in maintaining optimal scapular muscle activation rates instead of using a moving floor. Based on this information, investigating the muscular activation levels for the scapular and shoulder girdle muscles during different variations of the plank exercise in terms of load levels in the targeted muscles will provide valuable information for the management of shoulder exercise programs and post-operative rehabilitation.

It was planned to include 21 healthy physically active individuals between the ages of 18-45 in the study. Muscle activation levels during maximum voluntary isometric contraction (MVIC) of each muscle will be recorded to normalize muscle activation levels during plank variations. Muscle activation levels will be evaluated with a surface electromyography device (Noraxon, Myomotion, USA).

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 45 Years(Adult)
性别
Male
接受健康志愿者
是

入选标准

  • •Physically active participants,
  • •Having full range of motion of shoulder,
  • •Having a body mass index less than 30 kg\m2.

排除标准

  • •Exposure to repetitive overhead shoulder movements due to occupational or sports activities,
  • •Being symptomatic and positive in at least one of the Hawkins-Kennedy, Neer, Apprehension, Relocation test, Jobe test, and External Rotation Resistance tests,
  • •Having any injury and/or surgery in the last 6 months,
  • •Having a current complaint of pain in any part of the body,
  • •Being diagnosed with a rheumatic, systemic or neurological disease,

研究组 & 干预措施

Physically active volunteers

Experimental

All volunteers who meet the inclusion criteria will be included in the study.

干预措施: Exercises (Other)

Physically active volunteers

Experimental

All volunteers who meet the inclusion criteria will be included in the study.

干预措施: Clinical Tests (Diagnostic Test)

Physically active volunteers

Experimental

All volunteers who meet the inclusion criteria will be included in the study.

干预措施: MVIC measurements (Other)

结局指标

主要结局

Muscle activation ratio recorded with surface electromyography (sEMG)

时间窗: 2 hours for each participant

Electromyography is a measurement method that provides recording and analysis of signals from the central nervous system to the relevant muscle. In this study, muscle activations of the Upper Trapezius(UT), Middle Trapezius(MT), Lower Trapezius(LT), Serratus Anterior(SA), Biceps Brachii(BB), Triceps Brachii(TB) and Infraspinatus(IS) muscles during plank variations will be investigated. Muscle activation levels during maximum voluntary isometric contraction(MVIC) of the muscles will be recorded. The highest value in all repetations of MVIC measurements will be included in the analysis. Muscle activations will be recorded during 10 different plank variations after MVIC measurements. The average value of each repetition will be recorded as a result. As a result of the measurements, %MVIC values of UT, OT, AT, SA, BB, TB, IS, AD muscles and UT/AT, UT/SA, BB/TB, MD/IS activation rates will be calculated in each exercise.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Elif Turgut

Physical Therapist, PhD

Hacettepe University

研究点 (1)

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