Shoulder Impingement Syndrome, Shoulder Pain
Conditions
Keywords
Sport climbing, Shoulder kinematics, Electromyography, Shoulder pain
Brief summary
Sport climbing has recently become a highly popular sport and was included in the Summer Olympic Games 2021. Shoulder injury accounts for 15 to 20 percent of all sport climbing injuries, and it is the third most common problems, only surpassed by wrist and hand injuries. Sport climbing involves both open and closed chain movements of upper limbs. These prolonged and repetitive movements on vertical or overhanging terrain may lead to overuse and fatigue, which result in injuries. Sport climbing consists of multiple movement elements. Pull up with small holds is a basic movement in sport climbing, and activates many shoulder muscles, including trapezius, serratus anterior, latissimus dorsi. Studies related to sport climbing have focused on observing difference between sport climbers and non-sport climbers. Altered posture, increased scapulohumeral rhythm during arm elevation, and decreased shoulder angle during one-arm hanging have been observed in sport climbers. However, little studies have investigated whether climbers with shoulder injuries demonstrate different shoulder kinematics and muscle activation during tasks related to sport climbing. Therefore, the purpose of this study is to investigate the shoulder kinematics and muscle activation during pull-up with small holds in sport climbers with and without shoulder pain. Methods. Thirty sport climbers with shoulder pain and 30 healthy control subjects matched with gender, age, dominant hand and experience will be recruited in this study. All subjects will undertake physical examinations such as shoulder range of motion (ROM). Shoulder kinematics and muscle activation will be collected during arm elevation in the scapular plane and pull-up with gym-bar and 20mm depth small climbing holds. An electromagnetic tracking system will be used to measure bilateral scapular and humerothoracic kinematics. Surface electromyography (EMG) will be used to record muscle activation of bilateral upper trapezius, lower trapezius, serratus anterior and latissimus dorsi. Demographic data and physical examination will be analyzed by independent t test or Chi-square test. Two-way ANOVA will be used to test differences between groups in kinematics and EMG data at different phases of tasks. If significant interaction effect is found, Post-hoc pairwise comparison with Bonferroni correction will be used. The significant level is set at 0.05.
Interventions
OTHERArm elevation in the scapular plane
Lift the arm up in the scapular plane
OTHERPull up with gymbar
Grasp the gymbar with both hands and pull up as high as the subject can
OTHERPull up with fingerboard
The width of the fingerboar is 20 mm. Pull up with fingers on the fingerboard.
Sponsors
National Yang Ming Chiao Tung University
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
of Patients with Shoulder Pain: 1. Ages ranges from 20-40 years old 2. At least one year of experience of sport climbing 3. Sport Climbing frequency ≥ 6 hours per week in the last one month 4. Shoulder pain ≥ 1 month 5. Minimum of 3/10 on the numerical rating scale (NRS) in the last one month Inclusion Criteria of Healthy Subjects in the control group: 1. Ages ranges from 20-40 years old 2. Gender, age, dominant hand and experience matching to shoulder pain climbers group 3. At least one year of experience of sport climbing 4. Sport Climbing at least 6 hours per week in the last one month 5. No history of shoulder pain in the last six months
Exclusion criteria
of Patients with Shoulder Pain and All Healthy Subjects 1. History of upper limb surgery or fracture 2. History of shoulder dislocation 3. History of neck pain, back pain, or elbow injuries in the last one year 4. Wrist or finger pain during sport climbing \> 3/10 on the numerical rating scale (NRS) 5. Shoulder pain during pull-up \> shoulder pain during sport climbing 6. Intensive exercise within 12 hours or any delay onset muscle soreness 7. Systemic autoimmune disease 8. Cancer 9. Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder kinematics during arm elevation | Immediately during the experiment | Scapular kinematics, including anterior/posterior tilt, upward/downward rotation, and internal/external rotation in scapular plane elevation at 30°, 60°, 90°, and 120°, and will be described with degree (°). |
| Shoulder kinematics during pull-up with gym-bar | Immediately during the experiment | Scapular kinematics, including anterior/posterior tilt, upward/downward rotation, and internal/external rotation in pull-up, and will be described with degree (°). |
| Shoulder kinematics during pull-up with finger board | Immediately during the experiment | Scapular kinematics, including anterior/posterior tilt, upward/downward rotation, and internal/external rotation in pull-up, and will be described with degree (°). |
| Scapular muscles activation during arm elevation | Immediately during the experiment | The root mean square of electromyography (EMG) data of the upper trapezius, lower trapezius, serratus anterior, and latissimus dorsi will be normalized by the maximum voluntary contraction amplitude (percentage of maximal voluntary contraction, %) and calculated over three 30° increments of motion during arm elevation from 30° to 120°, including 30° - 60°, 60° - 90°, and 90° - 120°. |
| Scapular muscles activation during pull-up with gym-bar | Immediately during the experiment | The root mean square of electromyography (EMG) data of the upper trapezius, lower trapezius, serratus anterior, and latissimus dorsi will be normalized by the maximum voluntary contraction amplitude (percentage of maximal voluntary contraction, %). |
| Scapular muscles activation during pull-up with finger board | Immediately during the experiment | The root mean square of electromyography (EMG) data of the upper trapezius, lower trapezius, serratus anterior, and latissimus dorsi will be normalized by the maximum voluntary contraction amplitude (percentage of maximal voluntary contraction, %). |
Countries
Taiwan
Outcome results
None listed