1.EMG ANALYSIS OF UPPER EXTREMITY MUSCLES DURING ISOKINETIC TESTING OF THE SHOULDER JOINT
SIYOUNG PARK ; SHUMPEI MIYAKAWA ; HITOSHI SHIRAKI
Japanese Journal of Physical Fitness and Sports Medicine 2008;57(1):101-110
Purpose : This study was to investigate the patterns of electromyography (EMG) amplitude responses during maximal, eccentric muscle action with shoulder adduction and diagonal movement, at 6 different positions on the dynamometer.Methods : The participants for this investigation were 9 males and 5 females. Testing consisted of each subject performing eccentric muscle exercise of the dominant shoulder muscle at a velocity of 60°/sec and 180°/sec. Muscle activity values was recorded individually from six different muscles and peak torque values were extracted for each test from torque curves once. EMG data were normalized to the highest root mean square (RMS), and were expressed as a % maximum voluntary isometric contraction (%MVIC).Results : The posterior parts of upper extremity muscle complex generate overall high muscle activity (> 40%MVIC) during all testing for eccentric muscle activity with diagonal shoulder movement. Posterior deltoid (PD), upper trapezius (UT), and middle trapezius (MT) muscles show differences between eccentric muscle action with shoulder adduction and eccentric muscle action with diagonal shoulder movement.Conclusion : The present results show that an improved understanding of muscle activity patterns during different movement may benefit many fields of athletic trainers, coaches, and athletes, in addition to assisting in injury prevention for throwers, and even rehabilitation after injury.
2.THE RELATIONSHIPS BETWEEN SHOULDER'S FUNCTION AND DAMAGE FOR HANDBALL PLAYERS
MICHIKO HANAOKA ; YUTAKA MIYANAGA ; HITOSHI SHIRAKI ; NAOKI MUKAI ; SHUNPEI MIYAKAWA
Japanese Journal of Physical Fitness and Sports Medicine 2005;54(2):179-184
[Objective] The purpose of this study is to examine the relationships between shoulder's function and damage for handball players. Subjects were nine female handball players with dominant shoulder pain.[Methods] Clinical diagnosis was done from the medical doctor's opinion and MRI. Then, the shoulder joint movement was measured with X rays.[Results] Most of them had admitted a lot the impingement syndrome and the subacromial bursitis. The trunk rotation angle at zero-positions was significantly larger in the symptomatic shoulder (dominant shoulder) than in the asymptomatic shoulder (nondominant shoulder). That is, it was obvious that the damage of the shoulder changed tilting angle of scapula medially.[Conclusion] It is reported that the damage of the shoulder causes abnormality to the “scapulohumeral rhythm” by the previous research. But, these results, suggested to need to understand not only “scapulohumeral rhythm” but also movement to the position of the scapula, when the shoulder joint function was observed for the handball player mainly composed of throwing motion.
3.FRONTAL-PLANE KNEE DISPLACEMENT INDEX AS A SCREENING TOOL FOR RISK OF ANTERIOR CRUCIATE LIGAMENT INJURY
ISSEI OGASAWARA ; HITOSHI SHIRAKI ; NAOKI MUKAI ; MASAHIRO TAKEMURA ; SHUMPEI MIYAKAWA
Japanese Journal of Physical Fitness and Sports Medicine 2008;57(5):553-562
The aim of this study is to examine the potential of the two-dimensional posture evaluation method as a screening tool for detecting the high-risk population for anterior cruciate ligament injury.Eleven healthy adults participated in this study. They jumped from a 31 cm-high box and landed on their dominant leg. Three-dimensional knee flexion/extension, knee valgus/varus and hip adduction/abduction angle during single-legged landing were calculated. At the same time, the Frontal-plane Knee Displacement index (FKD)-the knee joint position relative to the line between the hip and ankle joint-was measured.FKD reflects the time variation of three-dimensional knee valgus and hip adduction angle very well.Our results suggest that FKD has potential as a screening tool particularly for movement occurring primarily in the frontal-plane.
4.UPPER EXTREMITY MUSCLE ACTIVITIES AND STRENGTHS IN OVERHEAD THROWER DURING ECCENTRIC MUSCLE ACTION
SIYOUNG PARK ; SHUMPEI MIYAKAWA ; HITOSHI SHIRAKI ; NAOKI MUKAI ; HYUNMIN CHOI
Japanese Journal of Physical Fitness and Sports Medicine 2009;58(1):143-154
PURPOSE : To determine the patterns of electromyographic (EMG) responses and torques of upper extremity muscles in overhead throwers during maximal, eccentric muscle action for shoulder flexion (FlexEcc), abduction (AbdEcc) and diagonal activities (DiaEcc) with full glenohumeral internal rotation, at 60, 120, and 180°/s on the dynamometer.METHODS : Seven asymptomatic subjects (7 men, 4 women) who participate in overhead sports at least three days a week volunteered to participate in this study. Subjects were randomly performed with the test procedure which consisted of at least 5 grade maximal-effort repetitions on the three different testing conditions, at 60, 120, and 180°/s on the dynamometer, while we assessed muscle activation of the anterior deltoid (AD), middle deltoid (MD), posterior deltoid (PD), upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), and biceps brachii (BB) muscles by surface electromyography. EMG data was expressed as a percentage of maximum voluntary isometric contraction (%MVIC) that was obtained from the highest root mean square (RMS, 50 ms) of each muscle and was normalized and averaged.RESULT : AD muscle elicited lower muscle activity during DiaEcc than FlexEcc and AbdEcc (P<0.05) while the MD, PD, UT, MT, and LT muscles elicited overall greater muscle activities during DiaEcc. MD and MT muscle activities were significantly greater for the faster speed than for the slower speed as 60°/s during AbdEcc (P<0.05). Peak torque generated greater muscle strength for DiaEcc than FlexEcc and AbdEcc, and it was significantly greater for the faster speed than slower speed during DiaEcc (P<0.05).CONCLUSION : Posterior upper extremity muscle activities and peak torque values were found to be dependent on eccentric muscle action for diagonal shoulder activity at the faster speed. This study provided evidence that isokinetic eccentric muscle strength testing of the posterior upper extremity muscle was effective to develop of a proper program for overhead sports athletes require forceful stability during deceleration phase.
5.Electromyographic analysis of shoulder muscles during shoulder external rotation with reference to load magnitude.
NORITOSHI SUZUKI ; TOMOHIRO KIZUKA ; HIROSHI NOGUCHI ; SHINOBU TANAKA ; HITOSHI SHIMOJO ; HITOSHI SHIRAKI ; NAOKI MUKAI ; YUTAKA MIYANAGA
Japanese Journal of Physical Fitness and Sports Medicine 2000;49(4):481-493
Electromyographic muscle activities of the shoulder muscles during shoulder external rotation with reference to load magnitude were studied in 8 healthy male subjects without history of shoulder injuries. In addition, we discussed the relationship between rotator cuff muscles and superficial muscles. The subjects performed shoulder external rotation from 60°internal rotation to 45° external rotation at 20° of shoulder abduction and 20° of flexion. A Cybex dynamometer used to prescribe angle and velocity of the shoulder movement. At the same time, intramuscular wire electrodes were inserted into the supraspinous, infraspinous and teres minor muscles, and then surface electrodes were placed over the posterior deltoid and middle trapezius muscles. The load magnitude ranged 2-18 Nm and the angle velocity was set at 15 deg/sec. The rotator cuff muscles became significantly to be activated from 2 Nm (the supraspinous and infraspinous m.) and from 4-5 Nm (the teres minor m.) compared with the muscle activity during non-load. The superficial muscles became significantly to be activated from 4-7 Nm (the posterior deltoid m.) and from 3-6 Nm (the middle trapezius m.) compared with the muscle activity during non-load. Within the load range (18 Nm 46.8% MVC), %iEMG of the rotator cuff muscles was always larger than that of the superficial muscles. Therefore, we concluded that the contribution of the rotator cuff muscles was larger than that of the superficial muscles up to 3-4 Nm, and activities of the superficial muscles increased gradually from 3-4 Nm during shoulder external rotation.
6.Electromyographic Activity of Shoulder Muscle at Different Positions During External Rotation.
TAKASHI YASOJIMA ; TOMOHIRO KIZUKA ; HIROSHI NOGUCHI ; HITOSHI SHIRAKI ; NAOKI MUKAI ; HITOSHI SHIMOJO ; YUTAKA MIYANAGA
Japanese Journal of Physical Fitness and Sports Medicine 2003;52(1):43-50
Electromyographic activity of the shoulder muscle at 20 and 90°abduction (20 Abd, 90 Abd) during external rotation was investigated in seven healthy men with no history of injury or instability of the shoulder joint.
Electromyography (EMG) was recorded using intramuscular fine-wire electrodes inserted into the M. Supraspinatus, M. Infraspinatus and M. Teres minor, and with bipolar surface electrodes on the middle and posterior parts of M. Deltoid anti the upper and middle parts of M. Trapezius. To compare activity in different muscles, the integrated EMG (iEMG ) activity of each muscle was normalized.
M. Infraspinatus and M. Teres minor showed significantly higher activity at both the 20 Abd and 90Abd compared with the middle and posterior parts of M. Deltoid and upper parts of M. Trapezius. M. Supraspinatus, the middle and posterior parts of M. Deltoid, and upper and middle parts of M. Trapezius all showed a difference in activity level between the two positions.
These findings suggest that when M. Infraspinatus and M. Teres minor contribute to external rotation as a stabilizer and prime mover, consecutively, M. Supraspinatus, the middle and posterior parts of M. Deltoid, and upper and middle parts of M. Trapezius function according to the positions. Moreover, the activity of the upper and middle parts of M. Trapezius in 90Abd should influence stabilization, adduction and upward rotation of the scapula. Therefore, we conclude that the external rotation position is closely related to shoulder muscle activity and coordination.
7.A GENU VARUM EFFECTS ON EACH LOWER EXTREMITY MUSCLE ACTIVITY DURING LEGPRESS EXERCISE
AKITOSHI SOGABE ; NAOKI MUKAI ; HITOSHI SHIMOJO ; HITOSHI SHIRAKI ; SYUNPEI MIYAKAWA ; NOBORU MESAKI ; YUTAKA MIYANAGA
Japanese Journal of Physical Fitness and Sports Medicine 2003;52(3):275-284
[Purpose] A leg press generally included in a weight training program to develop the quadriceps. However little is known about the mechanism of the load in lower extremity by the different knee alignment. The purpose of this study is to compare the muscle activity in the different knee align ment during leg press exercise. [Methods] Four normal knee and Five gene varum performed the leg press using three stance of narrow, medium and wide stance with the load of 75%/1 RM. Surface EMG date were collected (1000Hz) from vastus medialis (VM), vastus lateralis (VL), rectus femoris (RF), adductor longus (AL), biceps lemons (HF), tibialis anterior (TA), gastrocnemius (GAS), soleus (SQL) . Integrated EMG (iEMG) values were calculated for each muscle during each rep. A video camera recorded the performing form during leg press from the frontal plane. [Results and Discussion] As the leg press was to strengthen of the thigh muscle, VM, VL and RF of both groups worked strongly. However SQL of genu varum worked as strong as the level of activity of the thigh, iEMG of the SQL showed low value significantly by using wide stance. When the genu varum group performed maximal knee flexion using the narrow, their ankle was valuus on the video screen. This result may become cause of SQL higher activity during leg press. From this we can derive the argument that it will be necessary to take that stance into consideration when athletes who are genu varum performs leg press.
8.Shoulder injuries caused by throwing during water polo.
SHIGEHIRO SUZUKI ; YUKINORI TOMODA ; YUTAKA MIYANAGA ; GORO TAKAHASHI ; ISAO SAKATA ; HITOSHI SHIRAKI
Japanese Journal of Physical Fitness and Sports Medicine 1990;39(1):60-68
A study was conducted to investigate the influence on the shoulder joint of throwing during water polo. One hundred sixty-seven water polo players were interviewed about injuries caused by water polo, and 70 players claimed to have had shoulder pain.
In 21 players, clinical examinations were performed, and in 31 players, assessment of external rotation stability was made. Then three-dimensional analysis of hand-to-hand shoot motion was performed in 7 players.
The results were as follows;
1. The painful phases of the throwing motion were the take-back phase and the acceleration phase, the pain being present at the anterior and lateral portions of the shoulder joint,
2. Assessment of stability revealed that the external rotation displacement on the affected side was significantly larger than that on the control side in the injured players.
3. Analysis of hand-to-hand shoot motion revealed that the external rotation angle in the acceleration phase was significantly larger in non-injured subjects than in the injured.
4. The external rotation angle after ball contact was increased in the injured, but decreased in the non-injured.
5. To prevent injury, it appears important to catch and throw the ball using the upper extremity and rotation of the trunk in a high body position in the water, and to strengthen the muscles of the shoulder.
9.EFFECT OF POSITION AND CHANGE OF ANGLE ON ACTIVITY OF SHOULDER MUSCLES DURING SCAPULAR PLANE ABDUCTION
TAKASHI YASOJIMA ; TOMOHIRO KIZUKA ; HIROSHI NOGUCHI ; HITOSHI SHIRAKI ; NAOKI MUKAI ; YUTAKA MIYANAGA
Japanese Journal of Physical Fitness and Sports Medicine 2003;52(5):491-498
The purpose of this study is to identify the effect of position (full can, empty can) and change of angle on the activity of shoulder muscles during scapular plane abduction ; and also to examine its application to exercises used for rehabilitation of shoulder muscles. Seven healthy subjects (23.4±1.4 yr) with normal shoulder function performed scapular plane abduction with external rotation (full can) and scapular plane abduction with internal rotation (empty can) . An electromyogram was recorded with a fine wire intramuscular electrode at the supraspinatus, deltoid anterior, middle, posterior and trapezius upper with bipolar surface. The EMG activity (RMS) of each muscle was normalized by the highest EMG activity (100%RMS) during a maximum manual muscle test for each muscle (%RMS) . The %RMS of each muscle remarkably increased with a change of the angle for empty can, whereas it showed a slight increase with a change of the angle for full can. This finding suggests that the position of full can and empty can in scapular plane abduction affects the function of shoulder muscles. In addition, full can exercise is recommended in order to improve function of the supraspinatus and the muscular activity balance between the supraspinatus and the deltoid. Empty can exercise is applied to sport-specific exercise for rehabilitation of shoulder muscles.
10.GENDER DIFFERENCES OF LOWER EXTREMITY KINEMATICS DURING SINGLE LEG LANDING
ISSEI OGASAWARA ; YUTAKA MIYANAGA ; HITOSHI SHIRAKI ; NAOKI MUKAI ; MASAHIRO TAKEMURA ; TAKASHI YASOJIMA ; SHUMPEI MIYAKAWA
Japanese Journal of Physical Fitness and Sports Medicine 2006;55(4):403-412
The higher anterior cruciate ligament (ACL) injury rate of females is one of the most sever athletic-related problems today. The purpose of this study is to compare the lower extremity kinematics between male and female during single leg landing.Six male and four female healthy subjects participated in this study. They jumped from a 32 cm high box and landed with the dominant leg. The landing action was filmed with three video cameras. The knee flexion, knee valgus/varus, and hip adduction/abduction angle and angle velocity were calculated.In female subjects, the knee flexion angle and hip adduction angle were greater compared to males. Also, the knee valgus velocity and hip adduction velocity were higher in females.Our results suggest that knee valgus kinematics may be related to hip adduction. It is important to evaluate hip kinematics when considering knee kinematics to prevent knee ligament injuries.