Smith, Michael ORCID: https://orcid.org/0000-0002-4199-3315, Sparkes, Valerie ORCID: https://orcid.org/0000-0003-4500-9327, Busse, Monica and Enright, Stephanie 2009. Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: Is there imbalance and can taping change it? Physical Therapy in Sport 10 (2) , pp. 45-50. 10.1016/j.ptsp.2008.12.002 |
Abstract
Objectives: To investigate (i) whether subacromial impingement symptoms (SIS) were associated with upper and lower trapezius muscle imbalance and (ii) the effect of a scapula taping technique on upper and lower trapezius muscle activity. Design: Cross-sectional study with nested within-subject intervention. Setting: University research laboratory. Participants: Subjects who demonstrated SIS (n = 16) on clinical testing and an age and gender matched group of asymptomatic subjects (n = 32). Main outcome measures: Surface electromyography (EMG) to measure activity in the upper (UFT) and lower (LFT) fibres of trapezius during repeated humeral elevation in the scapular plane. Results: Symptomatic subjects demonstrated a significantly (95% CI 2.13 to 4.17, p = 0.019) higher ratio of UFT:LFT activity than the asymptomatic subjects (95% CI 1.35 to 2.25). With tape in situ the symptomatic subjects demonstrated a significant (95% CI -8.6% to -17.3%, p < 0.001) reduction in UFT activity but no significant (95% CI +2.8% to -17.5%, p = 0.145) change in activity of LFT. No relationship (r= - 0.116, p = 0.669) was found between the degree of underlying muscle imbalance and the reduction in UFT under the taped condition for the symptomatic group. Conclusion: Subacromial impingement symptoms are associated with altered upper and lower trapezius muscle activity which can be partially addressed by the application of tape.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Healthcare Sciences |
Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC1200 Sports Medicine R Medicine > RM Therapeutics. Pharmacology |
Uncontrolled Keywords: | Taping ; Scapular rotator imbalance ; Subacromial impingement syndrome ; Physiotherapy |
Additional Information: | Identified as being one of the 'top 10 hottest downloads' for the Journal in Hudson Z. (2010) 'Ten year celebration - a decade of progress for Physical Therapy in Sport.' Physical Therapy in Sport. Volume 11, Issue 1, Pages 1-2. |
Publisher: | Elsevier |
ISSN: | 1466-853X |
Last Modified: | 03 Dec 2022 11:48 |
URI: | https://orca.cardiff.ac.uk/id/eprint/14451 |
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