Spatial dependency of shoulder muscle demand during dynamic unimanual and bimanual pushing and pulling.

Work involving extensive pushing and pulling is associated with higher frequency of shoulder complaints. While reports of shoulder muscle demand during submaximal isometric tasks are abundant, dynamic submaximal push-pull exertions are not well understood. We evaluated how muscle demand (weighted EMG average) of surface glenohumeral muscles varies with task type and target. Seventeen healthy young adults performed seated unimanual and bimanual pushes and pulls to 3 thoracohumeral elevations (20°, 90°, 170°) and 4 elevation planes (0°, 45°, 90°, 135°) with loading at 15% of isometric push-pull capacity. Pulling required less demand than pushing (p < 0.0001). Muscle demand varied more with elevation than elevation plane. The lowest target had highest demand for pulling (p < 0.01), and the most elevated target had highest demand for pushing (p < 0.0001). Working above the shoulder is known to increase demand during isometric tasks, however, these results suggest that for dynamic tasks working against gravity has a larger effect on demand than task target.