Muscle Activation Differences Between CKCUEST and Modified CKCUEST: An EMG Analysis

Background/Objectives: The validity of shoulder orthopaedic test to establish a diagnosis has been recently challenged. For this reason, functional tests, such as the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) have commenced to be used in clinical settings. The aim of this study is to compare the electromyography (EMG) activity during the CKCUEST and the modified CKCUEST in healthy adult population. Methods: Ten male and 10 female participants were recruited from a University setting. Edinburgh Handedness Inventory, the International Physical Activity Questionnaire and the percentage of activation of the maximum voluntary contraction of the infraspinatus, anterior deltoid and upper trapezius, of both upper limbs, throughout the CKCUEST and modified CKCUEST were analysed. Results: The percentage of activation of infraspinatus (p<0.01), anterior deltoid (p<0.01) and upper trapezius (p<0.01) in both sides were significantly higher in the CKCUEST compared to the modified CKCUEST. No correlations were observed between laterality and the activation percentage of the infraspinatus (p>0,05), anterior deltoid (p>0,05) and upper trapezius (p>0,05) in both sides during the CKCUEST. Conclusions: The results of this research showed a higher percentage of EMG activation during the CKCUEST compared to the modified CKCUEST in all the muscular structures analysed, regardless of the participants' hemibody.