Serratus Anterior and Latissimus Dorsi Muscle Activation in Hypopressive Exercises Performed in Open Versus Closed Kinetic Chain: A Cross-Sectional Study

Abstract

This study aimed to describe and compare the serratus anterior (SA) and latissimus dorsi (LD) muscle activity during six hypopressive exercise (HE) positions performed in open and closed kinetic chains. While previous studies analyzed abdominal and pelvic muscle activity during HE, research on scapular stabilizers like SA and LD remains underreported. Twenty-five healthy adults (mean age, 42.9 ± 8.4 years; BMI, 22.1 ± 2.4 kg/m2) with prior HE experience performed three open and three closed-chain HE positions. Surface electromyography recorded bilateral SA and LD activity, normalized to maximum voluntary isometric contraction (MVIC). SA showed greater activation than LD across all positions, with moderate activation levels (20–40% MVIC), while LD activation remained mild (<20% MVIC). Significant differences were found across positions and kinetic chain conditions. SA activation was higher during closed-chain standing (W = 41; p < 0.001; r = −0.74) and kneeling (W = 9; p < 0.001; r = −0.94), while LD activity increased significantly in the seated closed-chain position (left LD: W = 26; p < 0.001; r = −0.84; right LD: W = 20; p < 0.001; r = −0.87). These findings suggest body and kinetic chain positioning influence scapular muscle recruitment during HE. Further research is warranted to determine clinical applications