PNF and Movement

  • 제21권2호
  • /
  • Pages.231-241
  • /
  • 2023
  • /
  • 2508-6227(pISSN)
  • /
  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
권호 표지
DOI QR코드

DOI QR Code

테이핑 방법에 따른 보행 중 안쪽넓은근과 가쪽넓은근의 근활성도 변화

Changes of Vastus Medialis Oblique and Vastus Lateralis Muscle Activities During Walking by Different Taping Method

  • 이민형 (부산대학교병원 재활의학팀) ;
  • 김종순 (부산가톨릭대학교 보건과학대학 물리치료학과)
  • Min-Hyung Rhee (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Jong-Soon Kim (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2023.06.28
  • 심사 : 2023.07.25
  • 발행 : 2023.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Weakness of the vastus medialis oblique muscle (VMO), or the imbalance between VMO and vastus lateralis muscle (VL) activity, is one of the most important factors in knee joint problems. Rigid taping techniques, such as patellar inhibition taping and VL inhibition taping, are frequently used in clinical practice to treat knee joint problems. The purpose of this study was to compare the acute effect of three different types of taping (patellar inhibition taping (PIT), distal VL inhibition taping (DVLIT), and proximal VL inhibition taping (PVLIT)) on electromyography (EMG) activity of VMO, VL, and VMO:VL ratio during walking. Methods: Thirty-eight normal healthy subjects (38 males; mean age = 31.00 years) voluntarily participated in this study. EMG was applied to investigate muscle activation during walking. Repeated measures of ANOVA and one-way ANOVA compared the three different conditions (PIT, DVLIT, and PVLIT) for each variable. Results: VMO and VL activation were significantly increased after PTIT application, and VMO and VL activation were significantly decreased after DVLIT and PVLIT application. The VMO:VL ratio increased after the three types of taping application, but there were no significant differences among the three types of taping. Conclusion: Based on the results of this study, PTIT is more effective than DVLIT and PVLIT in increasing the muscle activation of the VMO and VL during walking. Also, DVLIT is more effective for increasing the VMO:VL ratio and has beneficial effects on the imbalance between VMO and VL activity.

키워드

과제정보

이 논문은 2021년도 부산가톨릭학교 교내연구비에 의하여 연구되었음

참고문헌

  1. Ahmadi M, Yalfani A, Gandomi F , et al. The effect of twelve-week neurofeedback training on pain, proprioception, strength and postural balance in men with patellofemoral pain syndrome: A double-blind randomized control trial. Journal of Rehabilitation Sciences and Research. 2020;7(2):66-74.
  2. Ahmed AM, Shi S, Hyder A, et al. The effect of quadriceps tension characteristics on the patellar tracking pattern. Proceedings of the Orthopaedic Research Society 34th Annual Meeting. 1988.
  3. Alexander CM, Stynes S, Thomas A, et al. Does tape facilitate or inhibit the lower trapezius. Manual Therapy. 2003;8(1):37-41. https://doi.org/10.1054/math.2002.0485
  4. Alexander MA, McMullan M, Harrison PJ. What is the effect of taping along or across a muscle on a motorneurone exitability? A study using the triceps surae. Manual Therapy. 2008;13(1):57-62.
  5. Amis AA, Senavongse W, Bull AM. Patellofemoral kinematics during knee flexion-extension: an in vitro study. Journal of Orthopaedic Research. 2006;24(12):2201-2211. https://doi.org/10.1002/jor.20268
  6. Araujo CG, de Souza Guerino Macedo C, Ferreira D, et al. Mcconnell's patellar taping does not alter knee and hip muscle activation differences during proprioceptive exercises: A randomized placebo-controlled trial in women with patellofemoral pain syndrome. Journal of Electromyography and Kinesiology. 2016;31:72-80. https://doi.org/10.1016/j.jelekin.2016.09.006
  7. Ataabadi PA, Abbasi A, Shojaatian M, et al. The effects of facilitatory and inhibitory kinesiotaping of Vastus Medialis on the activation and fatigue of superficial quadriceps muscles. Scientific Reports. 2022;12(1):13451.
  8. Barton C, Balachandar V, Lack S, et al. Patellar taping for patellofemoral pain: a systematic review and meta-analysis to evaluate clinical outcomes and biomechanical mechanisms. British Journal of Sports Medicine. 2014;48(6):417-424. https://doi.org/10.1136/bjsports-2013-092437
  9. Bley AS, Correa JC, Dos Reis AC, et al. Propulsion phase of the single leg triple hop test in women with patellofemoral pain syndrome: A biomechanical study. PLoS ONE. 2014;9(5):e97606.
  10. Bolgla LA, Boling MC. An update for the conservative management of patellofemoral pain syndrome: a systematic review of the literature from 2000 to 2010. The International Journal of Sports Physical Therapy. 2011;6(2):112-25.
  11. Boling MC, Bolgla LA, Mattacola CG, et al. Outcomes of a weight-bearing rehabilitation program for patients diagnosed with patellofemoral pain syndrome. Archives of Physical Medicine and Rehabilitation. 2006;87(11):1428-1435. https://doi.org/10.1016/j.apmr.2006.07.264
  12. Boucher JP, King MA, Lefebvre R, et al. Quadriceps femoris muscle activity in patellofemoral pain syndrome. The American Journal of Sports Medicine. 1992;20(5):527-32. https://doi.org/10.1177/036354659202000507
  13. Chen SM, Lo SK, Cook J. The effect of rigid taping with tension on mechanical displacement of the skin and change in pain perception. Journal of Science and Medicine in Sport. 2018;21(4):342-346. https://doi.org/10.1016/j.jsams.2017.07.008
  14. Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. Journal of Electromyography and Kinesiology. 2004;14(4):495-504. https://doi.org/10.1016/j.jelekin.2003.10.007
  15. Cowan SM, Bennell KL, Hodges PW, et al. Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain. Archives of Physical Medicine and Rehabilitation. 2001;82(2):183-189. https://doi.org/10.1053/apmr.2001.19022
  16. Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clinical Journal of Sport Medicine. 2002;12(6):339-347. https://doi.org/10.1097/00042752-200211000-00004
  17. Criswell E. Cram's introduction to surface electromyography. Jones & Bartlett Publishers. 2010.
  18. Crossley K, Cowan SM, Bennell KL, et al. Patellar taping: is clinical success supported by scientific evidence? Manual Therapy. 2000;5(3):142-150. https://doi.org/10.1054/math.2000.0354
  19. Fulkerson JP. Diagnosis and treatment of patients with patellofemoral pain. American Journal of Sports Medicine. 2002;30(3):447-456. https://doi.org/10.1177/03635465020300032501
  20. Grabiner MD, Koh TJ, Draganich LF. Neuromechanics of the patellofemoral joint. Medicine & Science in Sports & Exercise. 1994;26(1):10-21. https://doi.org/10.1249/00005768-199401000-00004
  21. Hasan S, Alonazi A, Anwer S, et al. Efficacy of patellar taping and electromyographic biofeedback training at various knee angles on quadriceps strength and functional performance in young adult male athletes with patellofemoral pain syndrome: A randomized controlled trial. Pain Research and Management. 2022;2022:8717932.
  22. Herrington L. The effect of patellar taping on quadriceps peak torque and perceived pain: a preliminary study. Physical Therapy in Sport. 2001;2(1):23-28. https://doi.org/10.1054/ptsp.2000.0034
  23. Janwantanakul P, Gaogasigam C. Vastus lateralis and vastus medialis obliquus muscle activity during the application of inhibition and facilitation taping techniques. Clinical Rehabilitation. 2005;19(1):12-19. https://doi.org/10.1191/0269215505cr834oa
  24. Jun HP, Chang E. The effect of Mcconell tape on patients with patellofemoral pain. Exercise Science. 2019;28(4):324-329. https://doi.org/10.15857/ksep.2019.28.4.324
  25. Kaya D, Callaghan M, Ozkan H, et al. The effect of an exercise program in conjunction with short-period patellar taping on pain, electromyogram activity, and muscle strength in patellofemoral pain syndrome. Sports Health. 2010;2(5):410-418. https://doi.org/10.1177/1941738110379214
  26. Kim HH, Song CH. Comparison of the VMO/VL EMG ratio and onset timing of VMO relative to VL in subjects with and without patellofemoral pain syndrome. Journal of Physical Therapy Science. 2012;24(12):1315-1317. https://doi.org/10.1589/jpts.24.1315
  27. Lee SE, Cho SH. The effect of McConnell taping on vastus medialis and lateralis activity during squatting in adults with patellofemoral pain syndrome. Journal of Exercise Rehabilitation. 2013;9(2):326-330. https://doi.org/10.12965/jer.130018
  28. McCarthy Persson U, Fleming HF, Caulfield B. The effect of a vastus lateralis tape on muscle activity during stair climbing. Manual Therapy. 2009;14(3):330-337. https://doi.org/10.1016/j.math.2008.05.002
  29. McConnell J. The management of chondromalacia patellae: a long-term solution. Australian Journal of Physiotherapy. 1986;32(4):215-223. https://doi.org/10.1016/S0004-9514(14)60654-1
  30. Mohr KJ, Kvitne RS, Pink MM et al. Electromyography of the quadriceps in patellofemoral pain with patellar subluxation. Clinical Orthopaedics and Related Research. 2003;415:261-271. https://doi.org/10.1097/01.blo.0000093918.26658.6a
  31. Morrissey D. Proprioceptive shoulder taping. Journal of Bodywork and Movement Therapies. 2000;14(3):189-194. https://doi.org/10.1054/jbmt.2000.0156
  32. Mostamand J, Bader DL, Hudson Z. The effect of patellar taping on EMG activity of vasti muscles during squatting in individuals with patellofemoral pain syndrome. Journal of Sports Sciences. 2011;29(2):197-205. https://doi.org/10.1080/02640414.2010.531751
  33. Nagakawa TH, Moriya ETU, Maciel CD, et al. Trunk, pelvis, hip, and knee kinematics, hip strength, and gluteal muscle activation during a single-leg squat in males and females with and without patellofemoral pain syndrome. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(6):491-501. https://doi.org/10.2519/jospt.2012.3987
  34. Ng GY, Wong PY. Patellar taping affects vastus medialis obliquus activation in subjects with patellofemoral pain before and after quadriceps muscle fatigue. Clinical Rehabilitation. 2009;23(8):705-713. https://doi.org/10.1177/0269215509334835
  35. Nimon G, Murray D, Sandow M, et al. Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management. Journal of Pediatric Orthopaedics. 1998;18(1):118-122. https://doi.org/10.1097/01241398-199801000-00021
  36. Pal S, Draper CE, Fredericson M, et al. Patellar maltracking correlates with vastus medialis activation delay in patellofemoral pain patients. The American Journal of Sports Medicine. 2011;39(3):590-598. https://doi.org/10.1177/0363546510384233
  37. Paoloni M, Fratocchi G, Mangone M, et al. Long-term efficacy of a short period of taping followed by an exercise program in a cohort of patients with patellofemoral pain syndrome. Clinical Rheumatology. 2012;31(3):535-539. https://doi.org/10.1007/s10067-011-1883-2
  38. Persson UM, Hooper ACB, Fleming HE. Repeatability of skin displacement and pressure during "inhibitory" vastus lateralis muscle taping. Manual Therapy. 2007;12(1):17-21. https://doi.org/10.1016/j.math.2005.12.002
  39. Persson UM, Fleming HF, Caulfield B. The effect of a vastus lateralis tape on muscle activity during stair climbing. Manual Therapy. 2009;14(3):330-337. https://doi.org/10.1016/j.math.2008.05.002
  40. Powers CM, Ward SR, Fredericson M, et al. Patellofemoral kinematics during weight-bearing and non-weight-bearing knee extension in persons with lateral subluxation of the patella: a preliminary study. Journal of Orthopaedic & Sports Physical Therapy. 2003;33(11):677-685. https://doi.org/10.2519/jospt.2003.33.11.677
  41. Powers CM. Patellar kinematics, part I: the influence of vastus muscle activity in subjects with and without patellofemoral pain. Physical Therapy. 2000;80(10):956-964. https://doi.org/10.1093/ptj/80.10.956
  42. Ryan CG, Rowe PJ. An electromyographical study to investigate the effects of patellar taping on the vastus medialis/vastus lateralis ratio in asymptomatic participants. Physiotherapy Theory and Practice. 2006;22(6):309-315. https://doi.org/10.1080/09593980601023739
  43. Salsich GB, Brechter JH, Farwell D, et al. The effects of patellar taping on knee kinetics, kinematics, and vastus lateralis muscle activity during stair ambulation in individuals with patellofemoral pain. Journal of Orthopaedic & Sports Physical Therapy. 2002;32(1):3-10. https://doi.org/10.2519/jospt.2002.32.1.3
  44. Salsich GB Perman WH. Patellofemoral joint contact area is influenced by tibiofemoral rotation alignment in individuals who have patellofemoral pain. Journal of Orthopaedic & Sports Physical Therapy. 2007;37(9):521-528. https://doi.org/10.2519/jospt.2007.37.9.521
  45. Sinaei E, Foroozantabar V, Yoosefinejad AK, et al. Electromyographic comparison of vastus medialis obliquus facilitatory versus vastus lateralis inhibitory kinesio taping in athletes with patellofemoral pain: A randomized clinical trial. Journal of Bodywork and Movement Therapies. 2021;28:157-163. https://doi.org/10.1016/j.jbmt.2021.07.017
  46. Smith TO, Davies L, Donell ST. The reliability and validity of assessing medio-lateral patellar position: a systematic review. Manual Therapy. 2009;14(4):355-362. https://doi.org/10.1016/j.math.2008.08.001
  47. Souza DR, Gross MT. Comparison of vastus medialis obliquus: vastus lateralis muscle integrated electromyographic ratios between healthy subjects and patients with patellofemoral pain. Physical Therapy. 1991;71(4):310-316. https://doi.org/10.1093/ptj/71.4.310
  48. Tang SF, Chen CK, Hsu R, et al. Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: an electromyographic study. Archives of Physical Medicine and Rehabilitation. 2001;82(10):1441-1445. https://doi.org/10.1053/apmr.2001.26252
  49. Tobin S, Robinson G. The effect of McConnell's vastus lateralis inhibition taping technique on vastus lateralis and vastus medialis obliquus activity. Physiotherapy. 2000; 86(4):173-183. https://doi.org/10.1016/S0031-9406(05)60960-1
  50. Van Tiggelen D, Cowan S, Coorevits P, et al. Delayed vastus medialis obliquus to vastus lateralis onset timing contributes to the development of patellofemoral pain in previously healthy men: a prospective study. American Journal of Sports Medicine. 2009;37(6):1099-1105. https://doi.org/10.1177/0363546508331135
  51. Witvrouw E, Danneels L, Van Tiggelen D, et al. Open versus closed kinetic chain exercises in patellofemoral pain: a 5-year prospective randomized study. American Journal of Sports Medicine. 2004;32(5):1122-1130. https://doi.org/10.1177/0363546503262187
  52. Witvrouw E Lysens R Bellemans J Cambier D Vanderstraeten G. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. American Journal of Sports Medicine. 2000;28(4):480-489. https://doi.org/10.1177/03635465000280040701
  53. Zimmermann F, Milinkovic DD, Bortlein J, et el. Revision surgery for failed medial patellofemoral ligament reconstruction results in better disease-specific outcome scores when performed for recurrent instability than for patellofemoral pain or limited range of motion. Knee Surgery, Sports Traumatology, Arthroscopy. 2022;30(5):1718-1724. https://doi.org/10.1007/s00167-021-06734-1