Comparison of the Muscle Activities in the Lower Extremities during Weight-bearing Exercises

  • 투고 : 2012.05.16
  • 심사 : 2012.06.11
  • 발행 : 2012.06.26

초록

Purpose: Weight-bearing exercise is a type of physical exercise that is widely performed for rehabilitation after acquiring nervous-system diseases or sports-related injuries. It is one of the most commonly prescribed rehabilitation programs for strengthing of the lower extremities. Weight-bearing exercise is important for the conduct of such activity of daily living (ADLs) as walking, and up and down the stairs. The purpose of this study was to investigate the muscle activities during one-leg standing and one-leg squatting, the two most representative weight-bearing exercises. Methods: A total of 43 elderly (60~70 years old) males who could perform weight-bearing exercises were included in the study. During the one-leg standing and one-leg squatting, the electromyographic (EMG) signals were quantified as maximum voluntary isometric contraction (%MVIC) using surface EMG, and then the muscle activities of the lower extremities during the two exercises were compared. For statistical analysis, an independent sample t-test and one-way ANOVA were performed. Results: The results of the study are as follows: (1) in the one-leg standing, the activity of the gluteus medius was the greatest among the vastus medialis, vastus lateralis, bicep femoris, (2) in the one-leg squatting, the activity of the vastus medialis was the greatest; and (3) the activity was greater in the one-leg squatting than in the single-leg standing exercise. Conclusion: The one-leg standing and squatting exercises are suitable for strengthening the muscles for the prevention of and recovery from lower-extremity injury, and for functional ADL in elderly people. In addition, dynamic exercise was shown to be more effective than static exercise for strengthening the muscles.

키워드

참고문헌

  1. Fitzgerald GK. Open versus closed kinetic chain exercise: issues in rehabilitation after anterior cruciate ligament reconstructive surgery. Phys Ther. 1997;77(12):1747-54. https://doi.org/10.1093/ptj/77.12.1747
  2. Sherrington C, Lord SR, Herbert RD. A randomised trial of weightbearing versus non-weight-bearing exercise for improving physical ability in inpatients after hip fracture. Aust J Physiother. 2003;49(1):15-22. https://doi.org/10.1016/S0004-9514(14)60184-7
  3. Olivetti L, Schurr K, Sherrington C et al. A novel weight-bearing strengthening program during rehabilitation of older people is feasible and improves standing up more than a non-weight-bearing strengthening program: a randomised trial. Aust J Physiother. 2007;53(3):147-53. https://doi.org/10.1016/S0004-9514(07)70021-1
  4. Parkkari J, Kujala UM, Kannus P. Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work. Sports Med. 2001;31(14):985-95. https://doi.org/10.2165/00007256-200131140-00003
  5. Madhavan S, Shields RK. Weight-bearing exercise accuracy influences muscle activation strategies of the knee. J Neurol Phys Ther. 2007;31(1):12-9. https://doi.org/10.1097/01.NPT.0000260569.69863.0c
  6. Schmitz RJ, Riemann BL, Thompson T. Gluteus medius activity during isometric closed-chain hip rotation. J Sport Rehab. 2002;11(3):179-88. https://doi.org/10.1123/jsr.11.3.179
  7. Ayotte NW, Stetts DM, Keenan G et al. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weightbearing exercises. J Orthop Sports Phys Ther. 2007;37(2):48-55. https://doi.org/10.2519/jospt.2007.2354
  8. Distefano LJ, Blackburn JT, Marshall SW et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532-40. https://doi.org/10.2519/jospt.2009.2796
  9. Serrao FV, Cabral CM, Berzin F et al. Effect of tibia rotation on the electromyographical activity of the vastus medialis oblique and vastus lateralis longus muscles during isometric leg press. Physical Therapy in sport. 2005;6:15-23 https://doi.org/10.1016/j.ptsp.2004.03.001
  10. Kim HH, Song CH. The effect of knee and foot position on EMG activity and ratio of vastus medialis oblique and vastus lateralis during squat exercise. J Muscle Joint Health. 2010;17(2):142-50. https://doi.org/10.5953/JMJH.2010.17.2.142
  11. Kim HR. Causality analysis of muscle activation physical strength and daily living abilities change among the elderly due to a health promotion exercise program. Korean Soc Phys Ther. 2010;22(4):73-81.
  12. Cram JR, Kasman GS, Holtz J. Introduction to Surface Eltromyography. Maryland, Aspen Pub. (1998).
  13. O'Sullivan K, Smith SM, Sainsbury D. Electromyographic analysis of the three subdivisions of gluteus medius during weightbearing exercises. Sports Med Arthrosc Rehabil Ther Technol. 2010;2(17):1758-2555.
  14. Madhavan S, Burkart S, Baggett G et al. Influence of age on neuromuscular control during a dynamic weight-bearing task. J Aging Phys Act. 2009;17(3):327-43. https://doi.org/10.1123/japa.17.3.327
  15. Park S, Park JW. The relationship between dynamic balance measures and center of pressure dispacement time in older adults during an obstacle crossing. J Korean Soc Phys Ther. 2011;23(3):1-5
  16. Earl JE. Gluteus medius activity during three variations of isometricsingle-leg stance. J Sport Rehab. 2005;14(1):1-11. https://doi.org/10.1123/jsr.14.1.1
  17. Bolgla LA, Uhl TL. Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects. J Orthop Sports Phys Ther. 2005;35(8):487-94. https://doi.org/10.2519/jospt.2005.35.8.487
  18. Irish SE, Millward AJ, Wride J et al. The effect of closed-kinetic chain exercises and open-kinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis. J Strength Cond Res. 2010;24(5):1256-62. https://doi.org/10.1519/JSC.0b013e3181cf749f
  19. Oh JS, Kwon OY, Yi CH et al. Effects of hip internal rotation on knee extensor and hip abductor electromyographic activity during stair up and down. Phys Ther Korea. 2008;15(2):54-63.
  20. Day L, Fildes B, Gordon I et al. Randomised factorial trial of falls pre vention among older people living in their own homes. BMJ. 2002;325(7356):128. https://doi.org/10.1136/bmj.325.7356.128
  21. Mercer VS, Gross MT, Sharma S et al. Comparison of gluteus medius muscle electromyographic activity during forward and lateral stepup exercises in older adults. Phys Ther. 2009;89(11):1205-14. https://doi.org/10.2522/ptj.20080229
  22. Krause DA, Jacobs RS, Pilger KE et al. Electromyographic analysis of the gluteus medius in five weight-bearing exercises. J Strength Cond Res. 2009;23(9):2689-94. https://doi.org/10.1519/JSC.0b013e3181bbe861