Muscle; Fatigue
Conditions
Keywords
sensorimotor system, scapular joint position sense, fatigue
Brief summary
The aims of this study are to investigate the effects of scapular muscle fatigue on scapular joint position sense and neuromuscular performance (scapular muscle strength, the kinematics data and muscle activity of shoulder during scaption (arm elevation in the scapular plane)). The investigators hypothesize that scapular muscle fatigue would increase scapular reposition error and affect neuromuscular performance of the scapular during scaption.
Interventions
Modified push-up plus exercise: the participants first supported by both knees and the single elbow, and then performed sustained scapular protraction for three minutes with ten repetitions in males and two minutes with five repetitions in females with forty-five seconds rest between.
Sponsors
Study design
Eligibility
Inclusion criteria
* no shoulder, cervical, and thoracic spine pain within six months * negative for subacromial impingement test * normal range of motion of glenohumeral joint
Exclusion criteria
* history of dislocation, fracture, or surgery of shoulder joint * history of central nervous system disorder, rheumatoid arthritis, shoulder osteoarthritis, or cervical radiculopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Scapular Proprioception | through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects | Test the ability of active re-position the scapula from neutral to 90% range of protraction, and elevation. |
| Change From Baseline in Muscle Activation During Scapular Proprioception | through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects | Test the ability of muscle activation (upper trapezius, lower trapezius, and serratus anterior) during active re-position the scapula from neutral to 90% range of protraction, and elevation. Muscle activation during active re-position would divide into muscle activation during maximum voluntary isometric contraction (MVIC), present in percent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Scapular Muscle Strength | through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects | use dynamometer to detect the force of maximum isometric voluntary contraction of upper trapezius, lower trapezius and serratus anterior |
| Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects | use Liberty to detect the motion of spine, humerus, and scapula during shoulder elevation in the scapular plane (scaption) |
| Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects | Test the ability of muscle activity (upper trapezius, lower trapezius, and serratus anterior) during shoulder elevation in the scapular plane (scaption). Muscle activation during scaption would divide into muscle activation during maximum voluntary isometric contraction (MVIC), present in percent. |
| Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects | Test the ability of muscle onset timing (upper trapezius, lower trapezius, and serratus anterior) during shoulder elevation in the scapular plane (scaption). Onset timing was determined by EMG signals bigger than resting signals plus 3 times standard deviations. Origin was set at onset of kinematics data of glenohumeral joint. |
Countries
Taiwan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Fatigued Group the only group in this study, and every subjects took the fatigued task | 30 |
| Total | 30 |
Baseline characteristics
| Characteristic | Fatigued Group | — |
|---|---|---|
| Age, Continuous | 23.5 years STANDARD_DEVIATION 1.8 | — |
| height | 167.57 centimeters STANDARD_DEVIATION 8.29 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 15 Participants | — |
| Sex: Female, Male Male | 15 Participants | — |
| weight | 59.30 kilograms STANDARD_DEVIATION 8.53 | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 30 |
| other Total, other adverse events | 0 / 30 |
| serious Total, serious adverse events | 0 / 30 |
Outcome results
Change From Baseline in Muscle Activation During Scapular Proprioception
Test the ability of muscle activation (upper trapezius, lower trapezius, and serratus anterior) during active re-position the scapula from neutral to 90% range of protraction, and elevation. Muscle activation during active re-position would divide into muscle activation during maximum voluntary isometric contraction (MVIC), present in percent.
Time frame: through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | serrates anterior during elevation: pre-test | 18.48 percentage of MVIC | Standard Deviation 11.05 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | serrates anterior during elevation: post-test | 26.34 percentage of MVIC | Standard Deviation 18.76 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | serrates anterior during protraction: pre-test | 15.22 percentage of MVIC | Standard Deviation 12.54 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | serrates anterior during protraction: post-test | 27.41 percentage of MVIC | Standard Deviation 38.03 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | upper trapezius during elevation: pre-test | 45.17 percentage of MVIC | Standard Deviation 20.18 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | upper trapezius during elevation: post-test | 52.46 percentage of MVIC | Standard Deviation 53.62 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | upper trapezius during protraction: pre-test | 8.28 percentage of MVIC | Standard Deviation 7.11 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | upper trapezius during protraction: post-test | 10.49 percentage of MVIC | Standard Deviation 13.77 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | lower trapezius during elevation: pre-test | 3.51 percentage of MVIC | Standard Deviation 1.97 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | lower trapezius during elevation: post-test | 3.51 percentage of MVIC | Standard Deviation 2.17 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | lower trapezius during protraction: pre-test | 6.41 percentage of MVIC | Standard Deviation 5.11 |
| Fatigued Group | Change From Baseline in Muscle Activation During Scapular Proprioception | lower trapezius during protraction: post-test | 5.59 percentage of MVIC | Standard Deviation 4.58 |
Change From Baseline in Scapular Proprioception
Test the ability of active re-position the scapula from neutral to 90% range of protraction, and elevation.
Time frame: through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Fatigued Group | Change From Baseline in Scapular Proprioception | elevation task: post-test | -0.19 centimeters | Standard Deviation 1.05 |
| Fatigued Group | Change From Baseline in Scapular Proprioception | protraction task: pre-test | -0.37 centimeters | Standard Deviation 0.61 |
| Fatigued Group | Change From Baseline in Scapular Proprioception | protraction task: post-test | -0.32 centimeters | Standard Deviation 0.73 |
| Fatigued Group | Change From Baseline in Scapular Proprioception | elevation task: pre-test | -0.48 centimeters | Standard Deviation 0.88 |
Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane
Test the ability of muscle activity (upper trapezius, lower trapezius, and serratus anterior) during shoulder elevation in the scapular plane (scaption). Muscle activation during scaption would divide into muscle activation during maximum voluntary isometric contraction (MVIC), present in percent.
Time frame: through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior ascending 30~60: pre-test | 40.65 percentage of MVIC | Standard Deviation 26.74 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior ascending 60~90: pre-test | 48.62 percentage of MVIC | Standard Deviation 38.33 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior ascending 90~120: pre-test | 65.91 percentage of MVIC | Standard Deviation 34.51 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior ascending 30~60: post-test | 51.38 percentage of MVIC | Standard Deviation 27.85 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior ascending 60~90: post-test | 62.70 percentage of MVIC | Standard Deviation 38.43 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior ascending 90~120: post-test | 84.61 percentage of MVIC | Standard Deviation 30.36 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior descending 120~90: pre-test | 30.88 percentage of MVIC | Standard Deviation 18.29 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior descending 90~60: pre-test | 23.03 percentage of MVIC | Standard Deviation 18.35 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior descending 60~30: pre-test | 13.99 percentage of MVIC | Standard Deviation 11 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior descending 120~90: post-test | 41.05 percentage of MVIC | Standard Deviation 17.06 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior descending 90~60: post-test | 29.09 percentage of MVIC | Standard Deviation 18.26 |
| Fatigued Group | Change From Baseline in Scapular Muscle Activity During Shoulder Elevation in the Scapular Plane | serratus anterior descending 60~30: post-test | 16.91 percentage of MVIC | Standard Deviation 12.04 |
Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane
Test the ability of muscle onset timing (upper trapezius, lower trapezius, and serratus anterior) during shoulder elevation in the scapular plane (scaption). Onset timing was determined by EMG signals bigger than resting signals plus 3 times standard deviations. Origin was set at onset of kinematics data of glenohumeral joint.
Time frame: through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Fatigued Group | Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | upper trapezius: pre-test | -0.035 millisecond | Standard Deviation 0.326 |
| Fatigued Group | Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | lower trapezius: pre-test | 0.420 millisecond | Standard Deviation 0.563 |
| Fatigued Group | Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | serratus anterior: pre-test | -0.081 millisecond | Standard Deviation 0.204 |
| Fatigued Group | Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | upper trapezius: post-test | 0.004 millisecond | Standard Deviation 0.278 |
| Fatigued Group | Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | lower trapezius: post-test | 0.406 millisecond | Standard Deviation 0.56 |
| Fatigued Group | Change From Baseline in Scapular Muscle Recruitment Timing During Arm Elevation in Scapular Plane | serratus anterior: post-test | -0.05 millisecond | Standard Deviation 0.197 |
Change From Baseline in Scapular Muscle Strength
use dynamometer to detect the force of maximum isometric voluntary contraction of upper trapezius, lower trapezius and serratus anterior
Time frame: through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Fatigued Group | Change From Baseline in Scapular Muscle Strength | serrates anterior muscle: pre-test | 10.42 kilograms | Standard Deviation 3.92 |
| Fatigued Group | Change From Baseline in Scapular Muscle Strength | serrates anterior muscle: post-test | 8.40 kilograms | Standard Deviation 3.6 |
| Fatigued Group | Change From Baseline in Scapular Muscle Strength | upper trapezius muscle: pre-test | 23.39 kilograms | Standard Deviation 10.99 |
| Fatigued Group | Change From Baseline in Scapular Muscle Strength | upper trapezius muscle: post-test | 20.87 kilograms | Standard Deviation 10.48 |
| Fatigued Group | Change From Baseline in Scapular Muscle Strength | lower trapezius muscle: pre-test | 4.47 kilograms | Standard Deviation 2.08 |
| Fatigued Group | Change From Baseline in Scapular Muscle Strength | lower trapezius muscle: post-test | 4.31 kilograms | Standard Deviation 1.89 |
Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane
use Liberty to detect the motion of spine, humerus, and scapula during shoulder elevation in the scapular plane (scaption)
Time frame: through fatigue intervention completion, an average of 20 minutes in female subjects and 40 minutes in male subjects
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 120 degree: pre-test | 13.81 degree | Standard Deviation 12.22 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 30 degree: pre-test | 0.68 degree | Standard Deviation 4.79 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 60 degree: pre-test | 7.60 degree | Standard Deviation 5.75 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 90 degree: pre-test | 10.84 degree | Standard Deviation 7.43 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 30 degree: post-test | 0.05 degree | Standard Deviation 4.98 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 60 degree: post-test | 6.77 degree | Standard Deviation 5.93 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 90 degree: post-test | 9.53 degree | Standard Deviation 8.04 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt ascending 120 degree: post-test | 10.33 degree | Standard Deviation 13.4 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 120 degree: pre-test | 11.44 degree | Standard Deviation 14 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 90 degree: pre-test | 8.54 degree | Standard Deviation 7.96 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 60 degree: pre-test | 4.02 degree | Standard Deviation 5.89 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 30 degree: pre-test | -2.47 degree | Standard Deviation 5.09 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 120 degree: post-test | 7.63 degree | Standard Deviation 14.24 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 90 degree: post-test | 6.64 degree | Standard Deviation 8.61 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 60 degree: post-test | 2.72 degree | Standard Deviation 6.63 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | posterior tilt descending 30 degree: post-test | -3.55 degree | Standard Deviation 5.41 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 30 degree: pre-test | 11.37 degree | Standard Deviation 5.44 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 60 degree: pre-test | 11.02 degree | Standard Deviation 5.89 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 90 degree: pre-test | 10.68 degree | Standard Deviation 7.52 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 120 degree: pre-test | 10.21 degree | Standard Deviation 13.57 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 30 degree: post-test | 10.84 degree | Standard Deviation 5.23 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 60 degree: post-test | 10.63 degree | Standard Deviation 5.75 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 90 degree: post-test | 11.29 degree | Standard Deviation 8.03 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation ascending 120 degree: post-test | 13.25 degree | Standard Deviation 14.52 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 120 degree: pre-test | 12.52 degree | Standard Deviation 15.17 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 90 degree: pre-test | 12.66 degree | Standard Deviation 8.76 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 60 degree: pre-test | 11.95 degree | Standard Deviation 6.05 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 30 degree: pre-test | 11.28 degree | Standard Deviation 5.36 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 120 degree: post-test | 15.87 degree | Standard Deviation 14.88 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 90 degree: post-test | 13.66 degree | Standard Deviation 9.07 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 60 degree: post-test | 11.69 degree | Standard Deviation 6.5 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | internal rotation descending 30 degree: post-test | 10.86 degree | Standard Deviation 5.56 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 30 degree: pre-test | 6.42 degree | Standard Deviation 3.66 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 60 degree: pre-test | 18.88 degree | Standard Deviation 4.11 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 90 degree: pre-test | 35.54 degree | Standard Deviation 4.84 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 120 degree: pre-test | 52.78 degree | Standard Deviation 6.63 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 30 degree: post-test | 6.29 degree | Standard Deviation 4.04 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 60 degree: post-test | 19.34 degree | Standard Deviation 4.4 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 90 degree: post-test | 36.51 degree | Standard Deviation 5.21 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation ascending 120 degree: post-test | 54.35 degree | Standard Deviation 6.33 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 120 degree: pre-test | 53.92 degree | Standard Deviation 6.21 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 90 degree: pre-test | 38.10 degree | Standard Deviation 4.84 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 60 degree: pre-test | 21.18 degree | Standard Deviation 4.34 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 30 degree: pre-test | 7.34 degree | Standard Deviation 4.12 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 120 degree: post-test | 54.84 degree | Standard Deviation 6.29 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 90 degree: post-test | 38.44 degree | Standard Deviation 5.2 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 60 degree: post-test | 21.40 degree | Standard Deviation 4.73 |
| Fatigued Group | Change From Baseline in Shoulder Kinematics Data During Shoulder Elevation in the Scapular Plane | upward rotation descending 30 degree: post-test | 7.01 degree | Standard Deviation 4.21 |