Article Text

other Versions

Download PDFPDF
“Electromyographic analysis of knee push up plus variations: what’s the influence of the kinetic chain on scapular muscle activity?”
  1. Annelies Maenhout (annelies.maenhout{at}
  1. Ghent University, Belgium
    1. Kristiaan Van Praet
    1. Private Practice, Belgium
      1. Luigi Pizzi
      1. Private Practice, Belgium
        1. Maarten Van Herzeele
        1. Ghent University, Belgium
          1. Ann Cools
          1. Ghent University, Belgium


            Objective: Firstly, we wanted to look for appropriate closed kinetic chain exercises to restore intramuscular imbalance between upper trapezius (UT) and serratus anterior (SA) in overhead athletes. Secondly, we wanted to determine the influence of using diagonal pattern muscle recruitment during knee push up plus (KPP) exercises on scapular EMG activity.

            Design: Single group repeated-measures design.

            Setting: Controlled laboratory study.

            Participants: Thirty-two physically active individuals in good general health, who did not have a history of neck and/ or shoulder injury or surgery, nor participated in high level overhead sports or performed upper limb strength training for more than 5 hours per week.

            Interventions: Subjects performed the standard KPP and 6 variations.

            Main outcome measurements: Electromyographic activity of the 3 trapezius parts and the SA.

            Results: Four exercises with a low UT/SA can be selected for rehabilitation of intramuscular balance: standard KPP, KPP with homolateral leg extension, KPP with a wobble board and homolateral leg extension, and one handed KPP. The use of a wobble board during KPP exercises and performance on one hand has no influence on SA EMG activity.

            Heterolateral leg extension during KPP stimulates LT activity, while homolateral leg extension stimulates SA activity.

            Conclusions: In case of intramuscular scapular imbalance, some exercises are preferable over others because of their low UT/SA ratio. The use of a kinetic chain approach during KPP exercises influences scapular muscle activity.

            Statistics from

            Request Permissions

            If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.