EMG activity of the serratus anterior and trapezius muscles during elevation and PUSH UP exercises

Patselas, Thomas; Karanasios, Stefanos; Sakellari, Vasiliki; Fysekis, Ioannis; Patselas, Marios I.; Gioftsos, George

doi:10.1016/j.jbmt.2021.02.002

Cited by 7 publications

(9 citation statements)

References 43 publications

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“…Despite this, the study was included in the quantitative analysis since there is no evidence that the unfulfilled criteria of the scale modify the results of the EMG activity. Regarding external validity, eight studies included a representative sample of men and women ( Tucker et al, 2010 ; Maenhout et al, 2010 ; De Mey et al, 2014 ; Byrne et al, 2014 ; Herrington, Waterman & Smith, 2015 ; Youdas et al, 2018 ; Youdas et al, 2020a ; Biscarini, Contemori & Grolla, 2019 ) and only two reported dropouts throughout the study ( Byrne et al, 2014 ; Patselas et al, 2021 ). Regarding internal validity, ten of the included articles ( Martins et al, 2008 ; Tucker et al, 2010 ; De Araújo et al, 2011 ; De Araújo et al, 2018 ; De Araújo et al, 2020 ; Park et al, 2013 ; Kim et al, 2014 ; Pirauá et al, 2014 ; Karagiannakis, Athanasopoulos & Mandalidis, 2018 ; De Faria et al, 2021 ) carried out a physical evaluation of the participants to identify any clinical condition.…”

Section: Resultsmentioning

confidence: 99%

“…All the articles presented an appropriate normalization of the EMG signal, nevertheless only five studies ( Pirauá et al, 2014 ; Horsak et al, 2017 ; De Araújo et al, 2018 ; De Araújo et al, 2020 ; De Faria et al, 2021 ) randomized MVIC measurement, and one study ( Park et al, 2013 ) did not specify the statistical test performed for multifactorial analysis, only describing the pair comparison test. Lastly, four studies ( Martins et al, 2008 ; Gioftsos et al, 2016 ; Horsak et al, 2017 ; Patselas et al, 2021 ) included trial to trial reliability analysis among EMG measurements.…”

Section: Resultsmentioning

confidence: 99%

“…The comparison involved nine studies ( Maenhout et al, 2010 ; Park et al, 2013 ; Park & Yoo, 2013 ; Pirauá et al, 2014 ; Borreani et al, 2015a ; Gioftsos et al, 2016 ; De Araújo et al, 2018 ; De Faria et al, 2021 ; Patselas et al, 2021 ), involving nine groups that completed push-ups on stable surface ( n = 180) and 9 groups that completed push-ups on wobble board ( n = 180). The forest plot ( Fig.…”

Section: Resultsmentioning

confidence: 99%

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Electromyographic analysis of the serratus anterior and upper trapezius in closed kinetic chain exercises performed on different unstable support surfaces: a systematic review and meta-analysis

Méndez-Rebolledo

Orozco-Chavez

Morales-Verdugo

et al. 2022

PeerJ

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Background Multiple investigations have compared the electromyographic (EMG) activity of the scapular muscles between stable and unstable support surfaces during the execution of closed kinetic chain exercises. However, these comparative analyses have grouped different unstable surfaces (wobble board, BOSU, therapeutic ball, and suspension equipment) into a single data pool, without considering the possible differences in neuromuscular demand induced by each unstable support surface. This study aimed to analyze the individual effect of different unstable support surfaces compared to a stable support surface on scapular muscles EMG activity during the execution of closed kinetic chain exercises. Methodology A literature search was conducted of the Pubmed Central, ScienceDirect and SPORTDiscus databases. Studies which investigated scapular muscles EMG during push-ups and compared at least two support surfaces were included. The risk of bias of included articles was assessed using a standardized quality assessment form for descriptive, observational and EMG studies, and the certainty of the evidence was measured with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. A random-effects model was used to calculate effect sizes (ES, Hedge’s g). Results Thirty studies were selected in the systematic review. Of these, twenty-three low-to-high quality studies (498 participants) were included in the meta-analysis. The main analyzes revealed, in decreasing order, greater UT EMG activity during push-ups performed on suspension equipment (ES = 2.92; p = 0.004), therapeutic ball (ES = 1.03; p < 0.001) and wobble board (ES = 0.33; p = 0.003); without effect on the BOSU ball. In addition, no effect was observed for SA on any unstable device. The certainty of the evidence ranged from low to very low due to the inclusion of descriptive studies, as well as high imprecision, inconsistency, and risk of publication bias. Conclusion These findings could be applied in scapular muscles strengthening in healthy individuals. The use of suspension equipment achieves higher UT activation levels. Conversely, the use of any type of unstable devices to increase the activation levels of the SA in shoulder musculoskeletal dysfunctions is not recommended. These conclusions should be interpreted with caution as the available evidence showed a low to very low certainty of evidence, downgraded mostly by inconsistency and imprecision.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Electromyographic analysis of the serratus anterior and upper trapezius in closed kinetic chain exercises performed on different unstable support surfaces: a systematic review and meta-analysis

Méndez-Rebolledo

Orozco-Chavez

Morales-Verdugo

et al. 2022

PeerJ

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“…Out of the 2,850 records identified in the primary search, 92 full text articles were reviewed in detail to check the eligibility. Thirty-eight studies met the inclusion criteria ( Figure 1 ) and were included in the qualitative analysis ( Lear and Gross, 1998 ; Lehman et al, 2008 ; Sandhu et al, 2008 ; Tucker et al, 2008 ; Maenhout et al, 2010 ; Park and Yoo, 2011 ; Tucker et al, 2011 ; Kim et al, 2012 ; Park et al, 2013a ; Park et al, 2013b ; Park et al, 2013c ; Lee et al, 2013 ; Seo et al, 2013 ; Yoo, 2013 ; Yoon and Lee, 2013 ; Calatayud et al, 2014a ; Calatayud et al, 2014b ; Calatayud et al, 2014c ; De Mey et al, 2014 ; Kim et al, 2014 ; McGill et al, 2014 ; Borreani et al, 2015a ; Borreani et al, 2015b ; Herrington et al, 2015 ; Lee et al, 2015 ; Gioftsos et al, 2016 ; Kim et al, 2016 ; Harris et al, 2017 ; Horsak et al, 2017 ; Torres et al, 2017 ; de Araújo et al, 2018 ; Kim and Yoo, 2019 ; de Araújo et al, 2020 ; Ferreira et al, 2020 ; Youdas et al, 2020 ; De Faria et al, 2021 ; Patselas et al, 2021 ; Ratanapinunchai and Madeeyoh, 2022 ). For the quantitative analysis, 7 studies had to be excluded ( Lear and Gross, 1998 ; Kim et al, 2012 ; Lee et al, 2013 ; Yoo, 2013 ; Yoon and Lee, 2013 ; Borreani et al, 2015b ; Kim et al, 2016 ).…”

Section: Resultsmentioning

confidence: 99%

“…Two of the 38 included studies included two groups (control and scapular dyskinesis) ( de Araújo et al, 2018 ; De Faria et al, 2021 ) , and the other 36 included only healthy subjects. Twenty-eight out of 38 selected studies were conducted with male subjects ( Lehman et al, 2008 ; Sandhu et al, 2008 ; Park and Yoo, 2011 ; Park et al, 2013a ; Park et al, 2013b ; Park et al, 2013c ; Lee et al, 2013 ; Seo et al, 2013 ; Yoo, 2013 ; Yoon and Lee, 2013 ; Calatayud et al, 2014a ; Calatayud et al, 2014b ; Calatayud et al, 2014c ; Kim et al, 2014 ; McGill et al, 2014 ; Borreani et al, 2015a ; Borreani et al, 2015b ; Lee et al, 2015 ; Gioftsos et al, 2016 ; Kim et al, 2016 ; Torres et al, 2017 ; de Araújo et al, 2018 ; Kim and Yoo, 2019 ; de Araújo et al, 2020 ; Ferreira et al, 2020 ; De Faria et al, 2021 ; Patselas et al, 2021 ; Ratanapinunchai and Madeeyoh, 2022 ), 8 studies were conducted with mixed samples ( Lear and Gross, 1998 ; Tucker et al, 2008 ; Maenhout et al, 2010 ; Tucker et al, 2011 ; De Mey et al, 2014 ; Herrington et al, 2015 ; Harris et al, 2017 ; Youdas et al, 2020 ), and one study was conducted with female subjects ( Horsak et al, 2017 ). Gender was not reported in one study ( Kim et al, 2012 ).…”

Section: Resultsmentioning

confidence: 99%

Electromyography of scapular stabilizers in people without scapular dyskinesis during push-ups: a systematic review and meta-analysis

Arghadeh,

Alizadeh,

Minoonejad

et al. 2023

Front. Physiol.

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Background: Push-up (PU) is widely considered an effective exercise to stabilize the scapular, especially if performed on unstable surfaces. However, available studies cover a wide range of exercise variations and differ according to exercise prescription, muscle selection and study design. Therefore, findings are contradictory, and conclusions for a proper application of the PU are difficult to draw.Objective: To synthesize the available literature on the changes in the activity of the periscapular muscles in individuals without scapular dyskinesis while performing different types of PU on unstable surfaces.Search procedure: Four online databases were searched from the earliest publications to 9 August 2023, using predefined keywords. Out of the 2,850 potential references identified in the primary search, 92 studies were reviewed in detail, of which 38 met the inclusion criteria and were included. Methodological quality was evaluated using a standardized form based on the Newcastle‒Ottawa scale for observational studies. Data combination was performed using CMA (v3), and the random-effects model was used to calculate the standardized mean difference (SMD) with a 95% confidence interval (CI).Results: The use of unstable surfaces in people without scapular dyskinesis led to increased activity of the upper trapezius during the PU (p = 0.017; I2 = 84.95%; SMD = 0.425 [95% CI 0.077, 0.773]) and knee PU (p = 0.023; I2 = 70.23%; SMD = 0.474 [95% CI 0.066, 0.882]) exercises and increased activity of the middle trapezius (MT) (p = 0.003; I2 = 64.50%; SMD = 0.672 [95% CI 0.225, 1.119]) and serratus anterior (SA) (p = 0.039; I2 = 4.25%; SMD = 0.216 [95% CI 0.011, 0.420]) muscles during the push-up plus (PUP) exercise.Conclusion: Using an unstable support base during PU does not necessarily increase the activity of all scapular stabilizers. The amount of muscle activity depends on the type of PU other than the type of support base. If an unstable surface is used, PUP exercise appears to be the most effective modality to increase the quality of training, improve performance, and prevent the occurrence of scapular dyskinesis due to the increase in the activity of the MT and SA muscles.Systematic Review Registration: http://www.crd.york.ac.uk/PROSPERO, CRD42021268465.

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Difference in the Electromyographic Activity of Serratus Anterior Between Two Preventive Exercise Programs for Swimmer’s Shoulder: Elastic Band Versus Weight

Tavares,

Vilas-Boas,

Castro

2023

Lecture Notes in Bioengineering

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EMG activity of the serratus anterior and trapezius muscles during elevation and PUSH UP exercises

Cited by 7 publications

References 43 publications

Electromyographic analysis of the serratus anterior and upper trapezius in closed kinetic chain exercises performed on different unstable support surfaces: a systematic review and meta-analysis

Electromyographic analysis of the serratus anterior and upper trapezius in closed kinetic chain exercises performed on different unstable support surfaces: a systematic review and meta-analysis

Electromyography of scapular stabilizers in people without scapular dyskinesis during push-ups: a systematic review and meta-analysis

Difference in the Electromyographic Activity of Serratus Anterior Between Two Preventive Exercise Programs for Swimmer’s Shoulder: Elastic Band Versus Weight

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