Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Strength Training Targeting Medial Quadriceps and Hamstrings on Dynamic Balance

내측 사두거근 및 햄스트링근 강화 훈련이 동적 균형 능력에 미치는 영향

  • Jiyoung Jeong (Department of Mechanical Engineering, Sogang University) ;
  • Choongsoo S. Shin (Department of Mechanical Engineering, Sogang University)
  • Received : 2023.03.14
  • Accepted : 2023.04.10
  • Published : 2023.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The aim of this study was to examine the effect of strength training targeting medial quadriceps/hamstrings and non-targeting strength training on dynamic balance. Method: A total of 51 healthy subjects were randomly assigned to control, targeting strength training, or non-targeting training groups. To measure the dynamic balance, the star excursion balance test (SEBT) was performed before and after training. The SEBT parameters were compared using repeated measures ANOVA, and post-hoc paired t test at a significance level of 0.05. Results: Greater anterior (p= .011), anteromedial (p= .001), medial (p< .001), lateral (p< .001), and anterolateral (p= .001) reach distances were found between pre- and post-training in the strength training targeting medial thigh muscles group. Only greater lateral reach distance was found after non-targeting strength training (p= .029). In addition, no differences were found for any SEBT scores in the control group. Conclusion: Strength training targeting medial quadriceps and hamstrings can improve the dynamic balance, thereby it positively affected in lower extremity injury risk, whereas non-targeting strength training rarely changes the dynamic balance.

Keywords

Acknowledgement

This work was supported by the Ministry of Education of Republic of Korea and the National Research Foundation of Korea (NRF-2018S1A5A2A01035058).

References

  1. Bates, N. A., Schilaty, N. D., Nagelli, C. V., Krych, A. J. & Hewett, T. E. (2019). Multiplanar Loading of the Knee and Its Influence on Anterior Cruciate Ligament and Medial Collateral Ligament Strain During Simulated Landings and Noncontact Tears. American Journal of Sports Medicine, 47(8), 1844-1853. https://doi.org/10.1177/0363546519850165
  2. Besier, T. F., Lloyd, D. G. & Ackland, T. R. (2003). Muscle activation strategies at the knee during running and cutting maneuvers. Medicine and Science in Sports and Exercise, 35(1), 119-127.
  3. Boden, B. P., Dean, C. S., Feagin, J. A. & Garrett, W. E. (2000). Mechanisms of anterior cruciate ligament injury. Orthopedics, 23(6), 573-578. https://doi.org/10.3928/0147-7447-20000601-15
  4. Bottaro, M., Machado, S. N., Nogueira, W., Scales, R. & Veloso, J. (2007). Effect of high versus low-velocity resistance training on muscular fitness and functional performance in older men. European Journal of Applied Physiology, 99(3), 257-264. https://doi.org/10.1007/s00421-006-0343-1
  5. Earl, J. E. & Hertel, J. (2001). Lower-extremity muscle activation during the star excursion balance tests. Journal of Sport Rehabilitation, 10(2), 93-104.
  6. Filipa, A., Byrnes, R., Paterno, M. V., Myer, G. D. & Hewett, T. E. (2010). Neuromuscular training improves performance on the star excursion balance test in young female athletes. The Journal of Orthopaedic and Sports Physical Therapy, 40(9), 551-558. https://doi.org/10.2519/jospt.2010.3325
  7. Giles, L. S., Webster, K. E., McClelland, J. A. & Cook, J. (2015). Can ultrasound measurements of muscle thickness be used to measure the size of individual quadriceps muscles in people with patellofemoral pain? Physical Therapy in Sport, 16(1), 45-52. https://doi.org/10.1016/j.ptsp.2014.04.002
  8. Gribble, P. A., Hertel, J. & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339-357. https://doi.org/10.4085/1062-6050-47.3.08
  9. Hesari, A. F., Maoud, G., Ortakand, S. M., Nodehi, M. A. & Nikolaidis, P. (2013). The Relationship Between Star Excursion Balance Test and Lower Extremity Strength, Range of Motion and Anthropometric Characteristics. Medicina Sportiva, 17(1), 24-28.
  10. Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S., Colosimo, A. J., McLean, S. G., Van Den Bogert, A. J., Paterno, M. V. & Succop, P. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A prospective study. American Journal of Sports Medicine, 33(4), 492-501. https://doi.org/10.1177/0363546504269591
  11. Jeong, J., Choi, D. H. & Shin, C. S. (2023). Association Between the Medial-Lateral Quadriceps and Hamstring Muscle Thickness and the Knee Kinematics and Kinetics During Single-leg Landing. Sports Health, 19417381231152476.
  12. Jeong, J., Choi, D. H., Kim, P. & Shin, C. S. (2020). The effect of strength training of medial quadricep and hamstring on muscle thickness and quality. Transactions of the Korean Society of Mechanical Engineers, B, 44(9), 575-582. https://doi.org/10.3795/KSME-B.2020.44.9.575
  13. Krosshaug, T., Nakamae, A., Boden, B. P., Engebretsen, L., Smith, G., Slauterbeck, J. R., Hewett, T. E. & Bahr, R. (2007). Mechanisms of anterior cruciate ligament injury in basketball: Video analysis of 39 cases. American Journal of Sports Medicine, 35(3), 359-367. https://doi.org/10.1177/0363546506293899
  14. LeVeau, B. F. & Rogers, C. (1980). Selective training of the vastus medialis muscle using EMG biofeedback. Physical Therapy, 60(11), 1410-1415.
  15. Lynn, S. K. & Costigan, P. A. (2009). Changes in the medial-lateral hamstring activation ratio with foot rotation during lower limb exercise. Journal of Electromyography and Kinesiology, 19(3), e197-205. https://doi.org/10.1016/j.jelekin.2008.01.007
  16. McGuine, T. A., Greene, J. J., Best, T. & Leverson, G. (2000). Balance as a predictor of ankle injuries in high school basketball players. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 10(4), 239-244. https://doi.org/10.1097/00042752-200010000-00003
  17. Newton, R. U., Hakkinen, K., Hakkinen, A., McCormick, M., Volek, J. & Kraemer, W. J. (2002). Mixed-methods resistance training increases power and strength of young and older men. Medicine and Science in Sports and Exercise, 34(8), 1367-1375. https://doi.org/10.1097/00005768-200208000-00020
  18. Norris, B. & Trudelle-Jackson, E. (2011). Hip- and thigh-muscle activation during the star excursion balance test. Journal of Sport Rehabilitation, 20(4), 428-441. https://doi.org/10.1123/jsr.20.4.428
  19. Olsen, O. E., Myklebust, G., Engebretsen, L. & Bahr, R. (2004). Injury mechanisms for anterior cruciate ligament injuries in team handball: A systematic video analysis. American Journal of Sports Medicine, 32(4), 1002-1012.
  20. Palmer, T. B., Akehi, K., Thiele, R. M., Smith, D. B. & Thompson, B. J. (2015). Reliability of panoramic ultrasound imaging in simultaneously examining muscle size and quality of the hamstring muscles in young, healthy males and females. Ultrasound in Medicine and Biology, 41(3), 675-684. https://doi.org/10.1016/j.ultrasmedbio.2014.10.011
  21. Plisky, P. J., Rauh, M. J., Kaminski, T. W. & Underwood, F. B. (2006). Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. The Journal of Orthopaedic and Sports Physical Therapy, 36(12), 911-919. https://doi.org/10.2519/jospt.2006.2244
  22. Shin, C. S., Chaudhari, A. M. & Andriacchi, T. P. (2009). The effect of isolated valgus moments on ACL strain during single-leg landing: A simulation study. Journal of Biomechanics, 42(3), 280-285. https://doi.org/10.1016/j.jbiomech.2008.10.031
  23. Strasser, E. M., Draskovits, T., Praschak, M., Quittan, M. & Graf, A. (2013). Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly. Age, 35(6), 2377-2388. https://doi.org/10.1007/s11357-013-9517-z
  24. Thorpe, J. L. & Ebersole, K. T. (2008). Unilateral balance performance in female collegiate soccer athletes. Journal of Strength and Conditioning Research, 22(5), 1429-1433. https://doi.org/10.1519/JSC.0b013e31818202db
  25. Watanabe, Y., Yamada, Y., Fukumoto, Y., Ishihara, T., Yokoyama, K., Yoshida, T., Miyake, M., Yamagata, E. & Kimura, M. (2013). Echo intensity obtained from ultrasonography images reflecting muscle strength in elderly men. Clinical Interventions in Aging, 8, 993-998.
  26. Zhang, L. Q., Xu, D., Wang, G. & Hendrix, R. W. (2001). Muscle strength in knee varus and valgus. Medicine and Science in Sports and Exercise, 33(7), 1194-1199.