Avoiding high-risk rotator cuff loading: Muscle force during three pull-up techniques.
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Published version
Author(s)
Urbanczyk, Caryn A
Prinold, Joseph AI
Reilly, Peter
Bull, Anthony MJ
Type
Journal Article
Abstract
Heavily loaded overhead training tasks, such as pull-ups are an effective strength training and rehabilitation exercise requiring high muscle forces maintained over a large range of motion. This study used experiments and computational modeling to examine loading patterns during three different pull-up variants and highlighted risks to vulnerable musculoskeletal structures. Optical motion tracking and a force platform captured kinematics and kinetics of 11 male subjects with no history of shoulder pathology, during performance of three pull-up variants-pronated front grip, pronated wide grip, and supinated reverse grip. UK National Shoulder model (UKNSM) simulated biomechanics of the shoulder girdle. Muscle forces and activation patterns were analyzed by repeated measures ANOVA with post-hoc comparisons. Motor group recruitment was similar across all pull-up techniques, with upper limb depression occurring secondary to torso elevation. Stress-time profiles show significant differences in individual muscle patterns among the three pull-up variants, with the most marked differences between wide grip and reverse grip. Comparing across techniques, latissimus dorsi was relatively more active in wide pull-ups (P < .01); front pull-ups favored activation of biceps brachii and brachialis (P < .02); reverse pull-ups displayed higher proportional rotator cuff activation (P < .01). Pull-ups promote stability of the shoulder girdle and activation of scapula stabilizers and performing pull-ups over their full range of motion is important as different techniques and phases emphasize different muscles. Shoulder rehabilitation and strength & conditioning programs should encourage incorporation of all three pull-up variants with systematic progression to provide greater global strengthening of the torso and upper limb musculature.
Date Issued
2020-11
Date Acceptance
2020-07-14
Citation
Scandinavian Journal of Medicine and Science in Sports, 2020, 30 (11), pp.2205-2214
ISSN
0905-7188
Publisher
John Wiley and Sons
Start Page
2205
End Page
2214
Journal / Book Title
Scandinavian Journal of Medicine and Science in Sports
Volume
30
Issue
11
Copyright Statement
© 2020 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original
work is properly cited.
work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32715526
Subjects
athletic training
biomechanics
motion analysis
musculoskeletal modeling
rehabilitation
shoulder
Publication Status
Published online
Coverage Spatial
Denmark
Date Publish Online
2020-07-26