Evidence-Based Strength Training: Scapulothoracic Musculature, Part 2

As previously mentioned in Part 1 of this series for MedBridge, weakness or poor neuromuscular control of the periscapular muscles has been implicated in subacromial impingement1,2, lateral epicondylalgia3,4,5, cervicogenic headache6, and neck pain7,8. More specifically, alterations in serratus anterior activity has been found in individuals suffering from whiplash associated disorder (WAD) and individuals with insidious onset of neck pain. Subjects with insidious onset of neck pain and those with WAD demonstrated significantly delayed onset and reduced duration of serratus anterior activity bilaterally during arm elevation compared to asymptomatic control subjects9. Further, a similar study found decreased serratus anterior activation in individuals with acromioclavicular osteoarthritis and rotator cuff disease10. While a cause and effect relationship cannot be confirmed, this preliminary evidence still lends support for targeting the peri-scapular musculature in individuals with neck and/or shoulder pain. [CONTINUE READING]

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