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A female breast can be a potential source of musculoskeletal problems, especially if it is disproportionately large. The purpose of the present study was to examine the effect of artificially induced breast volume on the EMG activity of neck and trunk musculature during common everyday movements. The EMG activity of the sternocleidomastoid (SCM), the upper trapezius (UT), and the thoracic and lumbar erector spinae (TES, LES) were recorded during 45° trunk inclination from the upright standing and sitting postures (TIST45°, TISI45°) as well as during stand-to-sit and sit-to-stand (STSI, SIST) in 24 healthy females with minimal and ideal breast volume (M-NBV, I-NBV). All movements were performed before and after increasing M-NBV and I-NBV by 1.5-, 3.0-, 4.5-, and 6-times using silicone-gel implants. Significantly higher EMG activity for TES and LES were found at 6.0- and ≥4.5-times increase the I-NBV, respectively, compared to smaller breast volumes during TIST45°. EMG activity of UT was higher, and TES was lower in M-NBV females compared to I-NBV females in all movements but were significantly different only during SIST. The female breast can affect the activity of neck and trunk muscles only when its volume increases above a certain limit, potentially contributing to muscle dysfunction.

Effects of Artificially Induced Breast Augmentation on the Electromyographic Activity of Neck and Trunk Muscles during Common Daily Movements