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. 2025 Jun 18:1-13.
doi: 10.1080/24725838.2025.2517026. Online ahead of print.

Arm Differences in Muscle Activity Characteristics During a Bilateral Simulated Overhead Work in Right-Handed and Ambidextrous Individuals

Affiliations

Arm Differences in Muscle Activity Characteristics During a Bilateral Simulated Overhead Work in Right-Handed and Ambidextrous Individuals

Erika Renda et al. IISE Trans Occup Ergon Hum Factors. .

Abstract

Occupational ApplicationsIn this study, healthy adults performed repetitive bilateral overhead shoulder flexion to fatigue-failure while we measured electromyography of shoulder muscles. We found that ambidextrous and right-handed individuals, especially females, exhibit asymmetrical muscle activation patterns during the task. To enhance worker health and safety, handedness and sex should be considered when implementing workplace changes. For instance, our results may imply that job rotation strategies that alternate use of hands would be easier to implement for males. Moreover, to minimize risk of injury, bilateral asymmetry in muscle activity could be monitored using wearable technology. In our experiment, the mean time to fatigue-failure was under 5 min, which was enough to elicit asymmetry of muscle activation. Therefore, we recommend frequent breaks after a few minutes of work when feasible, in order to avoid asymmetrical loadings during bilateral manual work, especially among females, who both have higher injury risk and more bilateral asymmetry.

Keywords: Handedness; bilateral; electromyography; fatigue; symmetry; upper limb.

Plain language summary

Background: Many work tasks use both arms to execute in-phase bilateral movements above shoulders. However, bilateral limb asymmetries have been proposed to be a possible cause for injuries. Additionally, the dominant arm is more predisposed to musculoskeletal injuries. Should we assume that both arms’ exposure to injury risk factors is the same during a bilateral task, and is not impacted by handedness and sex?. Purpose: We measured the effects of sex and fatigue on activity of bilateral shoulder muscle activity during a bilateral fatiguing overhead shoulder flexion task, among right-handed or ambidextrous individuals. Methods: Twenty-five healthy adults (13 males) completed a bilateral overhead fatiguing task with repetitive shoulder flexions from 90° to 135°. Exposure was measured using electromyographic data from six bilateral shoulder muscles, and their activation amplitude (RMS) and movement-to-movement variability (SD) were quantified. Data were analyzed separately for right-handed (n = 18) and ambidextrous (n = 6) males and females. One male participant was left-handed. Results: With fatigue, right-handed females had greater anterior deltoid activation in the dominant arm, whereas ambidextrous females showed increased activation of their right infraspinatus. All females had greater middle deltoid activation variability in the left arm compared to the right. In contrast, right-handed males had more middle deltoid activation amplitude and variability in their left arm, but otherwise had fewer arm differences. Conclusion: Our results indicate more impact of a bilateral fatiguing task on arm electromyographic asymmetries among females. Thus, job rotation such as alternating arms may pose a greater injury risk for females, since their shoulders show a clearer side dominance. Thus, to enhance human health and safety in a workplace, handedness and sex should be considered, and muscle activity measured, when implementing job/task rotation for exposure variation at work.

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