
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
More infoThe intersegmental coordination between humerus and scapula and its variability are inherent to the functional movements of the shoulder. The literature is vast in the characterization of this relationship in discrete angles such as 30, 60, 90 and 120 degrees. Despite the great importance of these specific points of arm elevation amplitude, it is possible to describe coordination by another approach that provides information on the entire time series of arm elevation to the maximum amplitude, as well as on the intra and inter subject variability of the arm elevation coordination pattern. Therefore, exploring the pattern of coordination between humerus and scapula might be relevant to better understand motor variability of the individual and throughout the arc of arm movement.
ObjectivesExplore the coordination pattern between humerus and scapula and its variability in asymptomatic individuals during arm elevation movement.
MethodsThis is an observational cross-sectional study, in which the coordination between humerus and scapula was evaluated in fifteen individuals without shoulder pain during the maximum arm elevation movement in the self-selected plane. The evaluation was performed by 3D analysis of the scapular kinematics in a laboratory environment, using the hardware (Ascension Technology Corporation, Burlington, VT) TrakSTAR (miniBird®ฏ) integrated with the software MotionMonitor™ฏ (Innovative Sports Training, Inc. Chicago, IL).
ResultsThe angle diagrams with the relationship between the humerus and the scapula during the entire time series with 3 trials for each subject of the arm raise in a self-selected plane show different patterns of coordination. Some subjects have a linear and continuous relationship between the two segments throughout the movement, while others have a greater contribution from a specific segment at different amplitudes. This difference was identified mainly in the last degrees of movement. A variability between the three attempts was also observed in some subjects, while others showed great consistency between the trials. Finally, different patterns of coordination were observed between the up and down movements of the arm among the subjects.
ConclusionThe observation of coordination between humerus and scapula throughout the time series suggests that there are different patterns of coordination between attempts, between individuals and between the phases of the arm raising movement.
ImplicationsThe intersegmental coordination between humerus and scapula during arm elevation shows important information for the characterization of the individual's motor behavior that go beyond discrete points of arm elevation movement. The variability observed in the motor pattern may be related to the inherent variability of shoulder movement and the individual's ability to adapt their motor strategies to functional demands, which possibly has repercussions on cases of shoulder dysfunction, its management and prognosis.
Conflict of interest: The authors declare no conflict of interest.
Acknowledgment: Special thanks to the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) for their support.
Ethics committee approval: UFSCar Research Ethics Committee nº 63256222.3.0000.5504.