Background: Serratus anterior strengthening is used in prevention and treatment programs for poor scapular control. In certain clinical cases, exercises substantially activating the serratus with minimal upper trapezius activation are preferred.
Hypothesis: The standard push-up plus would show both the highest serratus anterior activation and lowest upper trapezius/ serratus ratios for both groups and all phases.
Study Design: Controlled laboratory study.
Methods: Thirty subjects, grouped as healthy or with mild shoulder dysfunction, were evaluated performing standard push-up plus exercises and modifications on elbows, knees, and against a wall. Surface electromyography of the serratus anterior and upper trapezius was compared between exercises.
Results: Both groups responded similarly across exercises. The standard push-up plus demonstrated the highest activation of the serratus (to 123%) and lowest trapezius/serratus ratios (<0.2) during plus phases. The wall push-up plus and phases of other exercises demonstrated higher upper trapezius/serratus ratios (to 2.0).
Conclusions: In clinical cases where excess upper trapezius activation or imbalance of serratus and trapezius activation occurs, the push-up plus is an optimal exercise. Other cases may benefit from a progression of modified push-up exercises.
Clinical Relevance: Clinical selection of exercises for improving scapular control should consider both maximum serratus activation and upper trapezius/serratus anterior ratios.
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http://dx.doi.org/10.1177/0363546503258911 | DOI Listing |
BMC Musculoskelet Disord
December 2024
Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, People's Republic of China.
Background: While it is well-stablished that scoliosis can lead to neuromuscular control disorders, the specific characteristics of these impairments remain unclear. This study aimed to explore the neuromuscular features of scapula stabilizers in adolescents with idiopathic scoliosis (AIS) through an analysis of anticipatory muscle activations (AMAs).
Methods: A cross-sectional observational study was conducted with 17 AIS and 19 age-matched healthy subjects.
J Anesth Analg Crit Care
December 2024
Dow University of Health Sciences, Karachi, Pakistan.
Background: Mastectomy and breast-conserving surgery are key interventions for breast cancer, a leading cause of cancer-related mortality in women. Many undergoing breast surgery experience postoperative pain compromising their functionality and quality of life. While multiple pain management strategies are available, evidence comparing the erector spinae (ESPB) and serratus anterior plane blocks (SAPB) for improving post-surgical pain management in breast cancer surgery patients is limited.
View Article and Find Full Text PDFPain Physician
December 2024
Department of Anesthesiology, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, NJ.
Background: Poorly controlled acute breast surgery postoperative pain is associated with delayed recovery, increased morbidity, impaired quality of life, and prolonged opioid use during and after hospitalization. Recently, ultrasound-guided pectoralis nerve (PECS) I block and serratus anterior plane (SAP) block, together or individually, have emerged as a potential method to relieve pain, decrease opioid requirements, and improve patient outcomes.
Objective: The aim of this study was to assess if the addition of a PECS I/SAP block in patients undergoing bilateral mastectomies provides more effective perioperative analgesia compared to standard analgesia.
J Cardiothorac Vasc Anesth
September 2024
Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Objectives: This study compared the postoperative analgesic efficacy of serratus anterior plane block (SAPB) and thoracic paravertebral block (PVB) in children undergoing video-assisted thoracoscopic surgery.
Setting: Operating room and intensive care unit of a tertiary care hospital.
Design: A single-center, randomized, comparative, open-labeled study.
Turk Gogus Kalp Damar Cerrahisi Derg
October 2024
Department of Anesthesiology, Pain, and Healing Center, MetroHealth Vice Chair for Anesthesiology Research, Ohio, USA.
Background: The study aimed to compare the analgesic efficacy of single-shot serratus anterior plane block (SAPB) for video-assisted thoracoscopic surgery (VATS) with other regional block techniques.
Methods: In this meta-analysis, randomized controlled trials published in the PubMed, Scopus, Web of Science, ClinicalKey, and PROSPERO electronic databases between March 24, 2014 and March 24, 2024 comparing the analgesic efficacy of SABP with other regional blocks in adult patients undergoing VATS were reviewed.
Results: Nine randomized controlled trials consisting of a total of 537 participants (287 males, 250 females; mean age: 55.
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