Article

A well-constructed rehabilitation
program of the shoulder complex is critical to stabilizing the scapulothoracic
and scapulohumeral joints while encouraging normal scapulohumeral rhythm. Review
of the literature demonstrates a variety of scapulothoracic and glenohumeral
conditioning exercises. PURPOSE: To assist the occupational and physical
therapist in prioritizing exercises for a shoulder conditioning program based on
a narrative review of electromyographic (EMG) studies of the shoulder. METHODS:
The authors performed a comprehensive literature search of approximately 250
articles describing shoulder (EMG) testing of the rotator cuff and periscapular
musculature. Twenty-two articles were selected based on the author's inclusion
criteria. The authors developed a flow sheet outlining each exercise, starting
and ending positions, principle muscle(s), and description of exercise. Exercises
were assigned to two different muscle groups: rotator cuff or periscapular
depending on the principle muscles activated. RESULTS: The 22 included articles
provided an evidenced-based list of exercises aimed to efficiently and maximally
recruit specific rotator cuff and periscapular musculature. Based on these 22
articles, the authors were able to establish a useful series of exercises to
promote glenohumeral stability and foster normal scapulohumeral rhythm. Those
exercises that elicited the highest maximum voluntary isometric contraction
recruitment and were cited to be critical for stability and scapulohumeral rhythm
were selected for the exercise flow sheet. CONCLUSIONS: This review provides a
useful evidence-based tool to establish a practical shoulder exercise program.
LEVEL OF EVIDENCE: Level 5.
CI - Copyright (c) 2011 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS