Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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A Comparative of Knee Joint Instability and Muscle Activity Due to Medial or Lateral Deviation of Knee while Lunge Exercise

  • Sijin Lee (Department of physical therapy, graduate school of Kyungnam University) ;
  • Byeong-Jo Min (Department of Physical Therapy, Collage of Health Science, Kyungnam University) ;
  • Jin-A Park (Department of physical therapy, graduate school of Kyungnam University) ;
  • Hyeong-Geun Kim (Department of Physical Therapy, Collage of Health Science, Kyungnam University) ;
  • Doochul Shin (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2024.04.02
  • Accepted : 2024.05.21
  • Published : 2024.06.30
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Abstract

Objective: The purpose of this study was to compare the muscle activity of the vastus lateralis, vastus medialis, rectus femoris, and gluteus medius muscles according to the medial/lateral bias of the knee during lunge exercise. Design: Crossed-control group study Methods: This study recruited 20 healthy men and women in their 20s who were capable of lunge exercise and had no musculoskeletal or neurological abnormalities. All three postures were performed three times each during lunge exercise. In each posture, surface electromyography (EMG) equipment was used to measure muscle activity of the vastus lateralis, vastus medialis, rectus femoris, and gluteus medius during lunge exercise. Results: As a result of comparing lower extremity muscle activity in normal, medial and lateral knee-deviation postures according to lunge exercise, the muscle activity of the vastus medialis was 107.09±13.90% in the normal posture, 79.24±5.26% in the medial- deviation posture and 125.73±14.30% in the lateral- deviation posture, which was a statistically significant difference (p<0.05). However, In the case of the vastus lateralis, rectus femoris and gluteus medius there was no statistically significant difference in muscle activity in the medial and lateral deviation positions(p>0.05). Conclusions: As a result, it was found that the muscle activity of the vastus medialis during lunge exercise significantly increased in the lateral deviation posture compared to the normal and medial deviation postures. In the case of the vastus lateralis, rectus femoris and gluteus medius there was no significant difference in muscle activity for medial and lateral knee deviation.

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References

  1. Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Rouben R. Aging of skeletal muscle: A 12-yr longitudinal study. J Applied Phys. 2000;88(4):1321-1326.  https://doi.org/10.1152/jappl.2000.88.4.1321
  2. Macaluso A, De Vito G. Muscle strength, power and adaptations to resistance training in older people. Eur J App Physiol. 2004;91(4):450-472.  https://doi.org/10.1007/s00421-003-0991-3
  3. Lord SR, Castell S. Physical activity program for older persons: effect on balance, strength, neuromuscular control, and reaction time. Arch Phys Med Rehabil. 1994;75(6):648-652.  https://doi.org/10.1016/0003-9993(94)90187-2
  4. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of running injuries. British Journal of Sports Medicine. 2002;36(2):95-101.  https://doi.org/10.1136/bjsm.36.2.95
  5. Neumann, DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. 1st edition. St. Lous: Mosby. 2002. 
  6. Zhai G, Cicuttini F, Ding C, Scott F, Garnero P, Jones G. Correlates of knee pain in younger subjects. Clinical Rheumatology. 2007;26(1):75-80.  https://doi.org/10.1007/s10067-006-0248-8
  7. Wilson T. The Measurement of Patellar Alignment in Patellofemoral Pain Syndrome: Are We Confusing Assumptions With Evidence?. Journal of Orthopaedic & Sports Physical Therapy. 2007;37(6):330-341.  https://doi.org/10.2519/jospt.2007.2281
  8. Tang SF, Chen CK, Hsu R, Hsu R., Chou SW, Hong WH. 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. 2001;82(10):1441-1445.  https://doi.org/10.1053/apmr.2001.26252
  9. Choi JH. Effect of taping on a home program of hip abductor exercise on pain and quadriceps muscle strength in elderly women with knee osteoarthritis. J Korean Soc Phys Med. 2018;13(3):61-6.  https://doi.org/10.13066/kspm.2018.13.3.61
  10. Coburn SL, Barton CJ, Filbay SR, Hart F, Rathleff MS, Crossley KM. Quality of life in individuals with patellofemoral pain: A systemic review including meta-analysis. Phys Ther Sport. 2018;33(9):33-96.  https://doi.org/10.1016/j.ptsp.2018.06.010
  11. Dixit S, Difiori JP, Burton M, Mines B. Management of patellofemoral pain syndrome. Am Fam Physician. 2007;75(2):194-202. 
  12. Witvrouw E, Cambier D, Danneels L, Bellemans S, Almqvist WF, Verdink R. The effect of exercise regimens on reflex response time of the vasti muscles in patients with anterior knee pain: A prospective randomized intervention study. Scand J Med Sci Sports. 2003;13(4):251-8.  https://doi.org/10.1034/j.1600-0838.2003.00311.x
  13. Gryzlo SM, Patek RM, Pink M, Perry J. Electromyographic analysis of knee rehabilitation exercises. J Orthop Sports Phys Ther. 1994;20(1):36-43.  https://doi.org/10.2519/jospt.1994.20.1.36
  14. Kwon SB, Yi YJ, Han HJ, Cho KS, Lim NY, Lee EH et al. Leg length inequality, habitual posture, and pain in women's college students. J Muscle Joint Health. 
  15. Prentice WE. Techniques in musculoskeletal rehabilitation. New York, McGrawHill. 2005. 
  16. Iwasaki T, Shiba N, Matsuse H, Nago T, Umezu Y, Tagawa Y et al. Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. Tohoku J. Exp. Med. 2006;209:33-40.  https://doi.org/10.1620/tjem.209.33
  17. Yeo SJ. Analysis of lower-limb muscle by leg limb exercise for men in their 20s: kettle bell swing, squat, lunge. Daegu: Kyungpook national university; 2015. 
  18. Kulig K, Andrews JG, Hay JG. Human strength curves. Exerc Sport Sci Rev. 1984;12(1):417-66.  https://doi.org/10.1249/00003677-198401000-00014
  19. Boling MC, Bolgla LA, Mattacola CG, Hosey RG. Outcome sofa weight-bearing rehabilitation program for patients diagnosed with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2006;87(11): 1428-35.  https://doi.org/10.1016/j.apmr.2006.07.264
  20. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007;37(12):754-62.  https://doi.org/10.2519/jospt.2007.2471
  21. Lee JW, Koo HM. Effects of Fatigue in the Non-paretic Plantarflexor on the Activities of the Lower Leg Muscles during Walking in Chronic Stroke Patients. J Korean Soc Phys Med, 2019; 14(3): 127-133.  https://doi.org/10.13066/kspm.2019.14.3.127
  22. Park HY, Kim NH, Cha YJ. Comparison of Muscle Activity in Proximal Muscle of Lower Extremities during Lunge according to the Anterior-posterior Distance of Foot Position. J Korean Soc Phys Med, 2018; 13(4): 131-138.  https://doi.org/10.13066/kspm.2018.13.4.131
  23. Hwang SJ, Lee, SY, Kim JW, Shim JH. Effects of Knee Joint Angle on EMG Activities and Ratio of the Vastus Medialis Oblique and Vastus Lateralis During Lunge Exercise in Patellofemoral Pain Syndrome. J Holistic Health Association, 2012;2(2). 
  24. Kwon SB, Yi YJ, Han HJ, Cho KS, Lim NY, Lee EH, et al.. Leg length inequality, habitual posture, and pain in women's college students. J Muscle Joint Health. 2012;19(1):27-36.  https://doi.org/10.5953/JMJH.2012.19.1.027
  25. Park SH. Biomechanics and Motor control of Forward and Backward Lunge Movements. Seoul: Seoul national university; 2019. 
  26. Cheng PT, Chen CL, Wang CM, Hong WH. Leg Muscle Activation Patterns of Sit-to-Stand Movement in Stroke Patients. Am J Phys Med Rehabil. 2004;83(1):10-16.  https://doi.org/10.1097/01.PHM.0000104665.34557.56
  27. Kendall FP, McCreary EK, Provance G, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain. Philadelphia, Lippincott Willams & Wilkins. 2005. 
  28. Clarkson, H.M. Musculoskeletal assessment: Joint range of motion and manual muscle strength. Philadelphia, Lippincott Williams & Wilkins. 2000 
  29. Yoon JU, Yoo KT, Lee HS. Evaluation of Muscle Activity and Foot Pressure during Gait, and Balance Test in Patients with GenuValgum. Korean Soc Phys Med. 2022;17(1):127-137.  https://doi.org/10.13066/kspm.2022.17.1.127
  30. Kisner C, Colby LA. Therapeutic Exercise: Foundations and techniques. 4th ed. Philadelphia, F.A. Davis, 2002:477-494. 
  31. Kim JW, Yu SH, Jang WS, Sung GS, Nam HJ, Choi HH. Dynamic electromyography analysis and comparison of the knee isometric exercise according to angles. J Korea Walking Sci Assoc. 2005;4. 
  32. Palmieri-Smith RM, Wojtys EM, Ashton-Miller JA. Association between preparatory muscle activation and peak valgus knee angle. J Electromyogr Kinesiol. 2008;18(6):973~9.  https://doi.org/10.1016/j.jelekin.2007.03.007
  33. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007;37(12):754-62.  https://doi.org/10.2519/jospt.2007.2471
  34. Kuntze G, Mansfield N, Sellers WA. Biomechanical analysis of commonlunge tasks in badminton. J Sports Sci. 2009;28(2):183-91. https://doi.org/10.1080/02640410903428533