• 국제물리치료학회지
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• 제4권1호
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• pp.516-522
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• 2013

The purpose of this study is to analysis of muscle fatigue in the upper trapezius and splenius capitis muscles according to therapy table height variation. The subjects were consisted of 15 healthy adults(10 males, 5 females) who had no medical history of neurological and musculoskeletal problems. In experiment, wireless electrode EMG system was measured for each the upper trapezius and splenius capitis muscles during the treatment performed on table. the differences in the muscle fatigue was compared for 4 types of table height(-6cm, -3cm, 0, +3cm from elbow in $90^{\circ}$ flexion position). Muscle fatigue according to therapy table height were significant difference except for left upper trapezius. And muscle fatigue of right upper trapezius and splenius capitis showed significant decrease in +3cm table height compared to -6cm table height(p<.05). Muscle fatigue of right upper trapezius and splenius capitis were the highest in -6cm table height, but those were the lowest in +3cm table height. This study propose to change therapy table height higher than +3cm from elbow in $90^{\circ}$ flexion position, if you hope to reduce muscle fatigue.

• 대한통합의학회지
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• 제4권2호
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• pp.29-36
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• 2016

Purpose : The purpose of this study was to find out the effects on muscle activations of serratus anterior and upper trapezius muscles when push-up plus exercise togu applied differently depending on the body part. Method : Thirty six volunteers took part in this study and we divided into three groups(upper arm togu group 12, leg togu group 12, upper arm-leg togu group 12). Each experimental group performed push-up plus exercise. All volunteers received a total of 18 exercise session over a 6 week period (three times per week). Exercise program was composed of serratus anterior and upper trapezius push-up plus exercise. Then we measured muscle activation of scapular stabilizer by electromyography. Repeated ANOVA was used to examine the effects of the intervention on each outcome measure. Result : After the six week intervention, there was a significant difference between the pre and 6 week in serratus anterior and upper trapezius muscle activity(p<0.05). After the six week intervention, there was a significant difference among the three group in serratus anterior muscle activity but no significant difference in upper trapezius muscle activity(p>.05). Conclusion : Serratus anterior and upper trapezius showed high muscle activity during push-up plus exercise. Therefore have a positive impact of scapular stabilizer. The larger the area of the unstable support surface, the larger muscle activity was larger of variation quantity.

• The Journal of Korean Physical Therapy
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• 제31권2호
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• pp.134-139
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• 2019

Purpose: This study examined the most effective exercise while performing shoulder abduction below ninety degrees. Methods: Thirty two healthy individuals (17 males, 15 females) participated and performed four exercises, 1) Posterior fly, 2) Prone row, 3) Modified prone cobra, and 4) External rotation in the prone position. Surface electromyography (sEMG) was used to measure the electrical activities for the lower, middle and upper fiber of trapezius and serratus anterior. Results: A significant difference in the muscle activities of the upper/middle/lower trapezius and serratus anterior was observed among the three different positions in terms of the PF (posterior fly), PR (prone row), and MPC (modified prone cobra) (p<0.05). In post-hoc analysis, the activities of the lower and upper trapezius were significantly higher than those of the upper trapezius and serratus anterior (p<0.05). In addition, in ERP (external rotation in prone), there was a significant difference in each activity of the muscles. Post-hoc results indicated that the upper trapezius showed greater EMG activity than the other three muscles. Conclusion: External rotation in the prone position revealed the highest activation of the lower trapezius compared to upper trapezius muscle activity. This may be particularly useful in isolating the lower trapezius in cases where excessive scapular elevation is noted. Therefore, the most effective lower trapezius exercise should be performed below ninety degrees of shoulder abduction.

• 대한통합의학회지
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• 제7권2호
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• pp.39-47
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• 2019

Purpose : This study was investigated effects of vibration on scapular winging of knee push-up plus exercise. Methods : Twenty-eight female subjects with scapular winging were evaluated after performing knee push-up plus exercise, with or without vibration, three times a week for four weeks. Muscle activation of the serratus anterior and upper trapezius, and the ratio of activation of the upper trapezius to serratus anterior were measured using surface EMG; and scapular winging length was measured by using the caliper. Results : The findings showed that knee push-up plus exercise -with and without- vibration induced a significant increase in muscle activation of serratus anterior (p<.05) and a significant decrease in muscle activation of the upper trapezius (p<.05), the ratio of muscle activation of the upper trapezius to the serratus anterior (p<.05) and scapular winging length (p<.05). There was also a significant difference in muscle activation of the serratus anterior (p<.05) and upper trapezius (p<.05) between control and experimental group at post-test. Conclusion : This study suggests positive clinical effects of knee push-up plus exercise with vibration which enhanced muscle activation of serratus anterior and reduced muscle activation of upper trapezius in person with scapular winging. However, vibration had no effectiveness to improve muscle imbalance between serratus anterior and upper trapezius, and reduce the scapular winging length.

• 대한통합의학회지
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• 제1권4호
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• pp.85-92
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• 2013

PURPOSE : The purpose of this study was to determine the effects of the length of the pectoralis minor on muscle activity of trapezius and pectoralis major in subjects in subjects with shortened pectoralis minor muscle. METHOD : The subjects was participated in 36 with shortened pectoralis minor muscle. All subjects was examined the length test of pectoralis minor muscle. we divided by 3 groups. group I(n=12) was for 4~5cm of length of pectoralis minor muscle, group II(n=12) was for 5~6cm, group III(n=12) was for above 6cm. The EMG activity of upper trapezius, middle trapezius, lower trapezius and pectoralis major muscle activity was measured by surface EMG while elevationg the right arm in sitting postion with head to the neutral, shoulder elevation $135^{\circ}$ with scaption. Data were analyed using one-way ANOVA with a Tukey post hoc test. RESULT : The EMG activity differed significantly among the three groups(p<.05). The group III had significantly greater EMG activity of upper trapezius and pectoralis major muscles than group I and II(p<.05). Also, The group III had significantly smaller EMG activity of lower trapezius muscle than group I and II(p<.05). But, these was no significant difference in the EMG activity of the middle trapezius muscle among the groups (p.05). CONCLUSION : Therefore, the result of this study should be suggested that the shortened pectoralis minor muscle was affected the EMG activity of the upper trapezius, lower trapezius and pectoralis major. Ultimately the length of the pectoralis minor muscle leads to the muscle imbalance in shoulder girdle.

• International journal of advanced smart convergence
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• 제8권2호
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• pp.211-217
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• 2019

This study is designed to reduce worker fatigue, improve efficiency and provide a functional working environment based on previous studies that pain occurs in the shoulder area, especially the upper trapezius muscle, when the keyboard height is not appropriate. In this study, the height of the keyboard is four, the height of the elbow and desk is the same height, the height of the desk is 3cm lower than the elbow, the height of the desk is 6cm high, and the height is 9cm high. When working on the keyboard, the wrist and forerunner were organized into four groups of 10 people so that the height was different for each group. When the height of the keyboard is given in various ways compared to the height of the elbow of the subject, it is verified whether there is a difference in the RMS (Root Mean Square) of the upper trapezius muscle. The results of this study showed that the muscle activity of the upper trapezius muscle cap was significant only in the left and right keyboard height -4cm, 0cm, +4cm, +8cm group, but the difference in muscle activity was not significant in the rest group. The first study will require a study of the control of the factors affecting the tension of the subjects, the measurement of muscle activity against various muscles, and whether the length of the shoulder and fingertips of the subject affect muscle activity according to the keyboard type.

• 대한통합의학회지
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• 제7권3호
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• pp.109-115
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• 2019

Purpose : The purpose of this study was to investigate the activity of muscles around the scapulothoracic muscles according to the angle of shoulder joint abduction in the prone position. Methods : The participants included 15 adult males who had not undergone orthopedic surgery and did not have shoulder joint impairments. We measured the muscle activity of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior at $120^{\circ}$, $90^{\circ}$, and $60^{\circ}$ shoulder joint abduction angles. Results : There was a significant difference in the comparison of muscle activity in the upper trapezius, middle trapezius, and serratus anterior muscles according to the shoulder joint abduction angle (p<.05). The results of the post test showed that the upper trapezius was significantly different between $120^{\circ}$ and $60^{\circ}$ (p<.01), and the middle trapezius was significantly different between $90^{\circ}$ and $120^{\circ}$, and between $90^{\circ}$ and $60^{\circ}$ (p<.05). There was a significant difference in the serratus anterior between $120^{\circ}$ and $90^{\circ}$ (p<.01), and $120^{\circ}$ and $60^{\circ}$ (p<.01). Conclusion : The results of this study could be used to determine an effective shoulder joint abduction angle to reduce muscle activity of the upper trapezius and increase muscle activity of the middle trapezius, lower trapezius, and serratus anterior.

• The Journal of Korean Physical Therapy
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• 제35권5호
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• pp.151-155
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• 2023

Purpose: This study examined the effect of the degree of neck flexion on the muscle activity of the upper trapezius and sternocleidomastoid muscles in the sitting position. Methods: Twenty-five healthy young adults participated in this study. The study was designed to compare the muscle activity of the upper trapezius and sternocleidomastoid muscles according to the neck flexion angle under the three conditions (neutral position, 15° neck flexion, and 45° neck flexion) in the sitting position. During the neck position of three conditions in sitting, the electromyography (EMG) data (% maximum voluntary isometric contraction) of the muscles were recorded using a wireless surface EMG system. Results: The muscle activity of the upper trapezius muscle and the sternocleidomastoid muscles showed a significant difference according to the three-neck position conditions (p<0.05), and in the post-hoc test results, both muscles showed significant differences between the neutral position and 15° flexion, the neutral position and 45° flexion, and the 15° flexion and 45° flexion, respectively. Conclusion: The load on the muscles around the neck and shoulders increased as the neck flexion angle increased. This suggests that performing various daily activities and tasks with the neck as neutral as possible can prevent muscle fatigue or musculoskeletal disorders.

• PNF and Movement
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• 제16권1호
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• pp.33-42
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• 2018

Purpose: The aim of this study was to investigate the effects of trapezius and serratus anterior strengthening exercise on the shoulder pain and muscle activation of patients with spinal cord injury and functional shoulder impingement syndrome. Methods: The study consisted of 10 patients with spinal cord injury who were hospitalized in Rehabilitation Hospital U, Uijeongbu, South Korea. The exercise was implemented three times a week for 10 weeks. In each session, the subjects performed one of a total of five types of exercise at mid-level intensity. The shoulder pain and disability index (SPADI) was used to evaluate the patients before and after the intervention. The muscle activation of the upper trapezius, middle trapezius, lower trapezius, and anterior serratus muscle was assessed by surface electromyography (EMG) at the beginning of the experiment and 10 weeks later. Wilcoxon's singed-rank test was conducted to determine differences in the pain index and muscle activation before and after the exercise. The level of statistical significance was set at ${\alpha}=0.05$. Results: SPADI scores significantly decreased after the exercise (p<0.05). In comparisons of muscle activation, there was a significant improvement in the upper trapezius at $60^{\circ}$ shoulder joint flexion (p<0.05). There was no significant improvement at $90^{\circ}$ shoulder joint flexion. The middle trapezius showed a significant improvement at $120^{\circ}$ shoulder joint flexion (p<0.05). Conclusion: Trapezius and serratus anterior strengthening exercise reduced pain in spinal cord injury patients with functional shoulder impingement syndrome. The decreased muscle activation of upper trapezius and increased muscle activation of the anterior serratus muscle at $60^{\circ}$ shoulder joint flexion point to positive effects of the exercise on supraduction of the scapula.

• 국제물리치료학회지
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• 제10권3호
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• pp.1840-1848
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• 2019

Background : There is lack of studies on the effects of the bag-carrying style on the shoulder muscles and body alignment in adults with rounded shoulder posture (RSP). Objective: The purpose of this study was to investigate the effects of various bag-carrying styles on muscle tone, muscle stiffness and spinal alignment in 20 adults with RSP as they were walking on a treadmill. Design : Crossover Study Design. Methods: A subject performed treadmill walking for 15 minutes at a speed of 4 ㎞/ｈ while carrying three different types of bags: a backpack, a cross bag, and a shoulder bag. Results : The results showed that the main effect of timing was observed in the muscle tone for all the variables and in muscle stiffness only for the upper and lower trapezius muscles. As for the main effect of timing, the muscle tone of the upper trapezius and the pectoralis major significantly increased in all conditions, while the muscle tone of the lower trapezius significantly decreased in all conditions. The muscle stiffness of the upper trapezius significantly increased in all conditions, while the muscle stiffness of the lower trapezius significantly decreased in all conditions. As for the spinal alignment, the dimple distance data values significantly decreased for the cross-bag style. Conclusions : This study demonstrated that walking with a heavy bag, regardless of the bag-carrying style, increased muscle stiffness around the shoulders in adults with rounded shoulder posture, and walking with a cross-bag also induced changes in spinal alignment.