Background: Shoulder horizontal abduction in the prone position (SHAP) has been reported as an effective exercise to strengthen the lower trapezius. However, the effects of pre-emptive scapular posterior tilt on scapular muscle activity and scapulohumeral movements during SHAP have not been examined.
Objectives: To examine the effect of the addition of scapular posterior tilt on muscle activity of the trapezius and posterior deltoid, and scapular posterior tilt and shoulder horizontal abduction, during SHAP.
Design: Cross-sectional study.
Methods: Fifteen healthy male subjects performed two types of SHAP: general and modified SHAP (SHAP combined with pre-emptive scapular posterior tilt). To perform modified SHAP, pre-emptive scapular posterior tilt training was performed prior to the modified SHAP. Muscle activity of the middle and lower trapezius and posterior deltoid, and the amount of scapular posterior tilt and shoulder horizontal abduction, were measured during two types of SHAP.
Results: Muscle activity of the lower trapezius and scapular posterior tilt was significantly increased during the modified SHAP, while muscle activity of the posterior deltoid and the amount of shoulder horizontal abduction were significantly decreased. However, the middle trapezius muscle activity did not change during the modified SHAP.
Conclusion: The SHAP with pre-emptive scapular posterior tilt can be useful to strengthen the lower trapezius.

INTRODUCTION
SUBJECTS AND METHODS
    Subjects
    Outcome Measures
    Kinematics of Scapulohumeral Movements
    Pre-Emptive Scapular Posterior Tilt Training
    Shoulder Horizontal Abduction in the Prone Position
    Data and Statistical Analysis
RESULTS
DISCUSSION
CONCLUSION
REFERENCES

• Sujung Kim(KEMA Healing Center)
• Minhyeok Kang(Department of Physical Therapy, Catholic University of Pusan) Corresponding author