Scapular Muscle Activity in Overhead Athletes With Symptoms of Secondary Shoulder Impingement During Closed Chain Exercises W. Steven Tucker, PhD, ATC,

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Scapular Muscle Activity in Overhead Athletes With Symptoms of Secondary Shoulder Impingement During Closed Chain Exercises W. Steven Tucker, PhD, ATC, Charles W. Armstrong, PhD, Phillip A. Gribble, PhD, ATC, Mark K. Timmons, PhD, ATC, Richard A. Yeasting, PhD Archives of Physical Medicine and Rehabilitation Volume 91, Issue 4, Pages 550-556 (April 2010) DOI: 10.1016/j.apmr.2009.12.021 Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Cuff Link exercise. Archives of Physical Medicine and Rehabilitation 2010 91, 550-556DOI: (10.1016/j.apmr.2009.12.021) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Standard push-up exercise. Archives of Physical Medicine and Rehabilitation 2010 91, 550-556DOI: (10.1016/j.apmr.2009.12.021) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Push-up on the BOSU Sport Balance Trainer exercise. Archives of Physical Medicine and Rehabilitation 2010 91, 550-556DOI: (10.1016/j.apmr.2009.12.021) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 Group × exercise interaction for the middle trapezius (F2,56=3.856; P=.027). *Shoulder impingement BOSU Sport Balance Trainer > all other conditions. †Shoulder impingement standard push-up > shoulder impingement Cuff Link, nonpathology Cuff Link, nonpathology standard push-up. ‡Nonpathology BOSU Sport Balance Trainer > nonpathology Cuff Link, shoulder impingement Cuff Link. §Nonpathology standard push-up > nonpathology Cuff Link, shoulder impingement Cuff Link. Abbreviations: BPU, BOSU Sport Balance Trainer; CL, Cuff Link; NP, no shoulder pathologies; PU, standard push-up; SI, shoulder impingement. Archives of Physical Medicine and Rehabilitation 2010 91, 550-556DOI: (10.1016/j.apmr.2009.12.021) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions