“…27,30,41 The contribution of the middle trapezius may also be important to reduce clavicle elevation, as it has been demonstrated that a voluntary reduction of the upper trapezius activity, when the arm is elevated, increases mainly the activity of the rhomboids, the middle trapezius, and the serratus anterior. 40 The reduced posterior tilt is considered to be associated with short overactive pectoralis minor. 41 However, increased activity in the levator scapulae and the rhomboid muscles 28 may explain the increased scapular posterior tilt observed in the IONP group (FiGurE 5).…”