Background: Scapular dyskinesis is characterized by altered scapular position and motion. Specifically, excess activation of the Upper trapezius (UT) combined with decreased Lower trapezius (LT) and Serratus anterior (SA) have been observed. The Standard push-up plus exercise (SPP) is considered as a therapeutic exercise for increasing SA activity and maintaining the scapular kinematics. In addition, Using the Sling surface can lead to higher muscle activity. However, the advantage of an unstable surface has been uncertatin. Objects: To compare the activation of the UT, LT, and lower serratus anterior (LSA) muscles during various push-up plus exercises with and without sling in subjects with scapular dyskinesis. Methods: Total 18 male subjects with scapular dyskinesis were recruited. The UT, LT, and LSA electromyographic activities and the UT/LSA and UT/LT EMG activity ratios were measured during three push-up plus exercises with and without sling. Two-way repeated of analysis of variance was used to determine the statistical significance. Results: The UT activity was significantly lower in all postures without sling than that with sling. In addition, the LSA activity was significantly greater without than with sling, and significantly large in SPP, Low back supported push-up plus (LSPP), and Quadruped push-up plus. Additionally, the UT/LSA and UT/LT activity ratios were lower in SPP and LSPP without sling than with the other four push-up plus exercises. Conclusion: The push-up plus without sling were considered to decrease UT and increase LSA activity compared with exercises with sling. Furthermore, SPP without sling seems to be a more effective exercise for increasing LSA activity and lowering the UT/LSA and UT/LT activity ratios in scapular dyskinesis subjects.
The magnetosphere is often perturbed by impulsive input such as interplanetary shocks and solar wind discontinuities. We study how these initial perturbations are propagating within the magnetosphere over various latitude regions by adopting a three-dimensional numerical dipole model. We examine the wave propagation on a meridional plane in a time-dependent manner and compare the numerical results with multi-satellite and ground observations. The dipole model is used to represent the plasmasphere and magnetosphere with a realistic Alfven speed profile. It is found that the effects of refraction, which result from magnetic field curvature and inhomogeneous Alfven speed, are' found to become important near the plasmapause. Our results show that, when the disturbances are assumed at the subsolar point of the dayside magnetosphere, the travel time becomes smaller to the polar ionosphere compared to the equatorial ionosphere.