Skip to content

The effect of load and exercise speed on activation pattern of middle trapezius and posterior deltoid muscles in prone fly position.

The Effect of Load and Repetition Velocity on Recruitment Timing of Middle Trapezius and Posterior Deltoid Muscles in Prone Shoulder Horizontal Abduction with External Rotation.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619000755134
Enrollment
24
Registered
2019-05-21
Start date
2019-08-26
Completion date
2019-08-30
Last updated
2019-09-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Studies have shown that individuals experiencing shoulder pain display delayed recruitment of the trapezius muscle in relation to the deltoid muscle during arm movements. Prone shoulder horizontal abduction with external rotation is a commonly prescribed shoulder rehabilitation exercise that may be beneficial in the treatment of timing disorders of the trapezius muscle. Our research team would like to better understand how variations in dumbbell weight and repetition speed impact activity of selected back and shoulder muscles in healthy adults during this exercise. Our goal is to contribute to developing safer and more effective exercises for individuals suffering from various shoulder injuries.

Interventions

After Maximum Voluntary Isometric Contraction (MVIC) Testing, there should be a five-minute rest for each subject before proceeding. In the starting position, subjects lay prone on the treatment table with neutral shoulders resting in 90° forward flexion (to confirm with goniometer measurements). Prone Horizontal Abduction in External Rotation (PHAER) is performed by extending elbows and horizontally abducting shoulders to a horizontal position, adding external rotation of the shoulder towards t

After Maximum Voluntary Isometric Contraction (MVIC) Testing, there should be a five-minute rest for each subject before proceeding. In the starting position, subjects lay prone on the treatment table with neutral shoulders resting in 90° forward flexion (to confirm with goniometer measurements). Prone Horizontal Abduction in External Rotation (PHAER) is performed by extending elbows and horizontally abducting shoulders to a horizontal position, adding external rotation of the shoulder towards the end of the movement. Subjects will undergo a dynamic warm-up of shoulder movements in all directions within their available range. Skin impedance will be reduced by shaving any hair on the skin and thorough cleaning with an alcohol swab. Proper electrode placement will be confirmed by monitoring EMG signals during specific muscle testing. First, subjects will complete 3 trials of 5 PHAER exercises (progressive load from 0.5 to 2 kg), with a 2-minute rest between exercises. Repetition velocity will be kept consistent at two seconds concentric to two seconds eccentric using a metronome. Second, subjects will complete 3 trials of 5 PHAER exercise (progressive velocity from 4 to 0.5 seconds), with a 2-minute rest between exercises. The study will be administered by the Principal Investigator and Co-Investigators approved by the ethics committee. The trial is conducted through direct participant engagement. Each participant is expected to spend 2 hours in the trial and will be remunerated with cash vouchers. The trial is conducted in the Singapore Institute of Technology and opened to the public. Each participant is involved in 1 session.

Sponsors

Singapore Institute of Technology
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Primary purpose
Diagnosis

Eligibility

Sex/Gender
All
Age
21 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

- 21 to 30 years of age - Able to perform PHAER in a pain-free range of motion - Males with a bodyweight of 50kg to 85kg - Females with a bodyweight of 50kg to 75kg

Exclusion criteria

- History of shoulder dislocation or surgery - Current symptoms related to the cervical spine - Documented structural injuries to the shoulder complex - Participation in competitive overhead sports or high-level upper extremity strength training on a regular basis - On-going orthopaedic follow-up appointment - Body weight that does not fall within the inclusion criteria

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026