Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Effects of elevation on shoulder joint motion: comparison of dynamic and static conditions

  • Takaki Imai (Department of Rehabilitation, Kyushu University of Nursing and Social Welfare) ;
  • Takashi Nagamatsu (Department of Rehabilitation, Kyushu University of Nursing and Social Welfare) ;
  • Junichi Kawakami (Department of Physical Therapy, Kyushu Nutrition Welfare University) ;
  • Masaki Karasuyama (Department of Rehabilitation, Minamikawa Orthopedic Hospital) ;
  • Nobuya Harada (Department of Rehabilitation, Fukuoka Shion Hospital) ;
  • Yu Kudo (Department of Rehabilitation, Fukuoka Shion Hospital) ;
  • Kazuya Madokoro (Department of Physical Therapy, Technical School of Medical and Welfare Ryokuseikan)
  • Received : 2022.10.19
  • Accepted : 2023.01.02
  • Published : 2023.06.01
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Abstract

Background: Although visual examination and palpation are used to assess shoulder motion in clinical practice, there is no consensus on shoulder motion under dynamic and static conditions. This study aimed to compare shoulder joint motion under dynamic and static conditions. Methods: The dominant arm of 14 healthy adult males was investigated. Electromagnetic sensors attached to the scapular, thorax, and humerus were used to measure three-dimensional shoulder joint motion under dynamic and static elevation conditions and compare scapular upward rotation and glenohumeral joint elevation in different elevation planes and angles. Results: At 120° of elevation in the scapular and coronal planes, the scapular upward rotation angle was higher in the static condition and the glenohumeral joint elevation angle was higher in the dynamic condition (P<0.05). In scapular plane and coronal plane elevation 90°-120°, the angular change in scapular upward rotation was higher in the static condition and the angular change in scapulohumeral joint elevation was higher in the dynamic condition (P<0.05). No differences were found in shoulder joint motion in the sagittal plane elevation between the dynamic and static conditions. No interaction effects were found between elevation condition and elevation angle in all elevation planes. Conclusions: Differences in shoulder joint motion should be noted when assessing shoulder joint motion in different dynamic and static conditions.

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References

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