Active stability of the glenohumeral joint decreases in the apprehension position.
BACKGROUND
Muscle forces that compress the glenohumeral joint during mid-ranges of motion may lead to increased translational forces in end-range positions, such as the apprehension position, where symptoms of anterior instability occur.


OBJECTIVE
The objective of this study was to quantify active stability provided by eight shoulder muscles in mid-range and end-range positions through muscle force vector analysis.


METHODS
Lines of action were derived from a geometric model and muscle force magnitudes were estimated with electromyography-based techniques. Resultant muscle force vectors were calculated by summing individual muscle force vectors.


RESULTS
Compared to mid-range positions, lines of action of resultant force vectors were more anteriorly directed in end-range positions compared to 15 degrees of abduction, up to 26 degrees. Consequently, anterior stability was lowest in the apprehension position. The magnitudes of the resultant force vectors were comparable to other studies. Based on a sensitivity analysis, lines of action of resultant force vectors vary up to 6 degrees within the population.


CONCLUSIONS
Data obtained from this model will improve conservative management, post-surgical rehabilitation, and strength training protocols.
Labriola
Joanne E
JE
Department of Orthopaedic Surgery, Musculoskeletal Research Center, University of Pittsburgh, 210 Lothrop Street, P.O. Box 71199, BST E1641, Pittsburgh, PA 15213, USA.
Jolly
John T
JT
McMahon
Patrick J
PJ
Debski
Richard E
RE
D003198:Computer Simulation; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis* / Q000503:physiopathology*; D008954:Models, Biological; D009068:Movement; D009119:Muscle Contraction; D018482:Muscle, Skeletal / Q000503:physiopathology*; D011187:Posture; D016059:Range of Motion, Articular; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012785:Shoulder Joint / Q000503:physiopathology*; D013314:Stress, Mechanical