Load-induced increase in muscle activity during 30° abduction in patients with rotator cuff tears and control subjects

Autor: Eleonora Croci, Fabian Warmuth, Cornelia Baum, Balazs Krisztian Kovacs, Corina Nüesch, Daniel Baumgartner, Andreas Marc Müller, Annegret Mündermann
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Orthopaedics and Traumatology, Vol 24, Iss 1, Pp 1-13 (2023)
Druh dokumentu: article
ISSN: 1590-9999
DOI: 10.1186/s10195-023-00720-8
Popis: Abstract Background Rotator cuff muscles stabilise the glenohumeral joint and contribute to the initial abduction phase with other shoulder muscles. This study aimed to determine if the load-induced increase in shoulder muscle activity during a 30° abduction test is influenced by asymptomatic or symptomatic rotator cuff pathologies. Materials and Methods Twenty-five patients with unilateral rotator cuff tears (age, 64.3 ± 10.2 years), 25 older control subjects (55.4 ± 8.2 years) and 25 younger control subjects (26.1 ± 2.3 years) participated in this study. Participants performed a bilateral 30° arm abduction and adduction movement in the scapular plane with handheld weights (0–4 kg). Activity of the deltoid, infraspinatus, biceps brachii, pectoralis major, latissimus dorsi and upper trapezius muscles was analysed at maximum abduction angle after normalisation to maximum voluntary contraction. Shoulders were classified into rotator cuff tendinopathy, asymptomatic and symptomatic rotator cuff tears, and healthy based on magnetic resonance images. A linear mixed model (loads, shoulder types) with random effects (shoulder identification) was applied to the log-transformed muscle activities. Results Muscle activity increased with increasing load in all muscles and shoulder types (P
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