Exaggerated kyphosis and protracted shoulder postures increase scapular anterior tilt, abduction and lateral rotation compromising shoulder function. Excessive posterior tilt increases spinal flexion and shoulder protraction altering the arthrokinematics of the intervertebral joints. Shoulder motion combined with trunk rotation is thus likely affected by spinal posture which has implications for sport performance, injury and shoulder dysfunction. PURPOSE: To determine the effect of trunk posture on arm flexion, abduction, and trunk rotation ranges of motion (ROM). Method: Twenty-two healthy college students free of recent shoulder or spinal injury gave written informed consent. An 8 segment model of the upper body: head, spine, pelvis and both scapulae, clavicles, and humeri, was created. Three movement tasks (arm abduction, flexion, and trunk rotation) in 3 sitting trunk postures (neutral (N), full posterior tilt (P), and full anterior tilt (A)) were recorded using Vicon Nexus and analyzed in Visual3D. Movements were repeated right and left. Differences in arm abduction, flexion, and trunk rotation ROM were assessed across postures with one-way repeated measures ANOVAs. RESULTS: Average pelvic tilt and trunk flexion, respectively, were -1 ± 7° and 4 ± 7° for A, -10 ± 7° and 4 ± 8° for N, and -21 ± 7°and 21 ± 15° for P; positive values are anterior tilt/flexion. Arm abduction, flexion, and right trunk rotation ROM were all reduced in P as compared to N and A with arm abduction decreasing the most (Table). CONCLUSIONS: Sitting trunk posture does effect active arm ROM and trunk rotation in healthy subjects. Future research should examine the effect of trunk postures on similar movements performed during sports such as a golf drive.Table: Arm and Trunk ROM.
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