Journal of Research in Rehabilitation Sciences

The Comparison of Electromyographic Activity of Selected Shoulder Girdle Muscles in Elite Table Tennis Players with and without Shoulder Impingement Syndrome during Forehand Topspin

Document Type : Original Articles

Authors

1 PhD Student, Department of Sport Injuries and Biomechanics, School of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran

2 Associate Professor, Department of Sport Injuries and Biomechanics, School of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran

3 Assistant Professor, Department of Sport Injuries and Corrective Exercises, School of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran

10.22122/jrrs.v13i3.2940

Abstract

Introduction: Shoulder injuries are very common in sports such as table tennis in which the athletes’ upper limb operates higher than shoulder level. On the other hand, weak or inappropriate shoulder muscle activity can be related to incidence of an injury. The purpose of this study was to compare the activation of selected scapulohumeral muscles in table tennis athletes between healthy and shoulder impingement syndrome group during a strike of forehand topspin.Materials and Methods: Thirty national-level male table tennis players aged 20 to 28 years were selected purposefully and divided into shoulder impingement syndrome (n = 15), and healthy (n = 15) groups. The surface electromyographic activity of selected muscles from scapulothoracic and glenohumeral joints was recorded during the strike of forehand topspin.Results: The level of the activity of the serratus anterior muscle (P = 0.007) and supraspinatus muscle (P = 0.001) in the shoulder impingement syndrome group was significantly lower and the level of upper trapezius muscle activation in the shoulder impingement syndrome subjects was significantly higher (P = 0.009) in shoulder impingement syndrome group compared to the healthy group. However, no significant differences were observed in the activation level of lower trapezius (P = 0.301), anterior deltoid (P = 0.314), and biceps brachii (P = 0.291) muscles.Conclusion: The results of this study showed that patients with impingement syndrome demonstrated unnatural and changed levels of muscle activity in scapulohumeral articulation during the forehand topspin strike. The findings confirm the theories that shoulder impingement may be related to changes in the activity level of scapulothoracic and glenohumeral muscles.

Keywords

  1. Wortler K. Shoulder injuries in overhead sports. Radiologe 2010; 50(5): 453-9. [In German].
  2. Ayatollahi K, Okhovatian F, Kalantari KK, Baghban AA. A comparison of scapulothoracic muscle electromyographic activity in subjects with and without subacromial impingement syndrome during a functional task. J Bodyw Mov Ther 2017; 21(3): 719-24.
  3. Kondric M, Matkovic BR, Furjan-Mandic G, Hadzic V, Dervisevic E. Injuries in racket sports among Slovenian players. Coll Antropol 2011; 35(2): 413-7.
  4. Nodehi Moghadam A, Rouhbakhsh Z, Ebrahimi I, Salavati M, Jafari D, et al. Shoulder girdle muscles endurance in subjects with and without impingement syndrome. J Rehabil 2011; 12(1): 56-63. [In Persian].
  5. Struyf F, Cagnie B, Cools A, Baert I, Brempt JV, Struyf P, et al. Scapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability. J Electromyogr Kinesiol 2014; 24(2): 277-84.
  6. Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports 2007; 17(1): 25-33.
  7. Larsen CM, Sogaard K, Chreiteh SS, Holtermann A, Juul-Kristensen B. Neuromuscular control of scapula muscles during a voluntary task in subjects with Subacromial Impingement Syndrome. A case-control study. J Electromyogr Kinesiol 2013; 23(5): 1158-65.
  8. Phadke V, Ludewig PM. Study of the scapular muscle latency and deactivation time in people with and without shoulder impingement. J Electromyogr Kinesiol 2013; 23(2): 469-75.
  9. Bertuzzi R, Franchini E, Tricoli V, Lima-Silva AE, Pires FO, Okuno NM, et al. Fit-climbing test: A field test for indoor rock climbing. J Strength Cond Res 2012; 26(6): 1558-63.
  10. Kondric M, Furjan-Mandic G, Medved V. Myoelectric comparison of table tennis forehand stroke using different ball sizes. Acta Universitatis Palackianae Olomucensis Gymnica 2006; 36(4): 25-31.
  11. Reeser JC, Verhagen E, Briner WW, Askeland TI, Bahr R. Strategies for the prevention of volleyball related injuries. Br J Sports Med 2006; 40(7): 594-600.
  12. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39(2): 175-91.
  13. Mousavi SJ, Parnianpour M, Abedi M, Askary-Ashtiani A, Karimi A, Khorsandi A, et al. Cultural adaptation and validation of the Persian version of the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure. Clin Rehabil 2008; 22(8): 749-57.
  14. Zandi S, Rajabi R, Minoonejad H, Mohseni-Bandpei M. Upper quarter functional stability in female volleyball players with and without anterior shoulder instability, with consideration of arm dominance. J Rehab 2016; 16(4): 346-55. [In Persian].
  15. Zonnor Z, Farahpour N, Jafarnezhadgero AA. Timing and activation intensity of shoulder muscles during handball penalty throwing in subjects with and without shoulder impingement. J Res Rehabil Sci 2017; 13(1): 36-43. [In Persian].
  16. Diederichsen LP, Norregaard J, Dyhre-Poulsen P, Winther A, Tufekovic G, Bandholm T, et al. The activity pattern of shoulder muscles in subjects with and without subacromial impingement. J Electromyogr Kinesiol 2009; 19(5): 789-99.
  17. Merletti R, Rau G, Disselhorst-Klug C, Hagg G. Surface electromyography for the Non-invasive assessment of muscles (SENIAM). Biomedical Health and Research Program (BIOMED II) of the European Union. Enschede, The Netherlands: SENIAM; 2016.
  18. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 2000; 80(3): 276-91.
  19. Lin JJ, Hsieh SC, Cheng WC, Chen WC, Lai Y. Adaptive patterns of movement during arm elevation test in patients with shoulder impingement syndrome. J Orthop Res 2011; 29(5): 653-7.
  20. de Morais Faria CD, Teixeira-Salmela LF, de Paula Goulart FR, de Souza Moraes GF. Scapular muscular activity with shoulder impingement syndrome during lowering of the arms. Clin J Sport Med 2008; 18(2): 130-6.
  21. Bandholm T, Rasmussen L, Aagaard P, Jensen BR, Diederichsen L. Force steadiness, muscle activity, and maximal muscle strength in subjects with subacromial impingement syndrome. Muscle Nerve 2006; 34(5): 631-9.
  22. Yaghoubi M, Esfehani MM, Hosseini HA, Alikhajeh Y, Shultz SP. Comparative electromyography analysis of the upper extremity between inexperienced and elite water polo players during an overhead shot. J Appl Biomech 2015; 31(2): 79-87.
  23. Huang TS, Huang CY, Ou HL, Lin JJ. Scapular dyskinesis: Patterns, functional disability and associated factors in people with shoulder disorders. Man Ther 2016; 26: 165-71.
  24. Alizadehkhaiyat O, Roebuck MM, Makki AT, Frostick SP. Subacromial impingement syndrome: An electromyographic study of shoulder girdle muscle fatigue. J Electromyogr Kinesiol 2018; 38: 136-42.
  25. Myers JB, Hwang JH, Pasquale MR, Blackburn JT, Lephart SM. Rotator cuff coactivation ratios in participants with subacromial impingement syndrome. J Sci Med Sport 2009; 12(6): 603-8.
  26. Reddy AS, Mohr KJ, Pink MM, Jobe FW. Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg 2000; 9(6): 519-23.
  27. Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol, Avon) 2003; 18(5): 369-79.
Journal of Research in Rehabilitation Sciences
Volume 13, Issue 3 - Serial Number 3
September 2017
Pages 131-137
  • Receive Date: 26 November 2017
  • Revise Date: 25 April 2024
  • Accept Date: 22 May 2022