DOI QR코드

DOI QR Code

Joint Position Effects on Biceps Femoris and Peroneal Muscle Activation and Ankle Evertor Strength

  • Do-eun Lee (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jun-hee Kim (Kinetic Ergocise Based on Movement Analysis Laboratory) ;
  • Seung-yoon Han (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Oh-yun Kwon (Kinetic Ergocise Based on Movement Analysis Laboratory)
  • Received : 2024.02.04
  • Accepted : 2024.03.07
  • Published : 2024.08.20

Abstract

Background: The peroneus longus (PL) and peroneus brevis (PB) function as the primary muscles of eversion, a movement closely associated with tibial external rotation for ankle mortise stability. Ankle motion and tibial rotation vary based on different ankle and knee positions. Objects: This study aimed to investigate the PL, PB, and biceps femoris (BF) muscle activation and eversion strength during side-lying isometric eversion exercise based on different ankle positions (neutral [N] and plantarflexion [PF]) and knee positions (90° flexion [KF] and extension [KE]). Methods: Thirty healthy adults with an Ankle Joint Functional Assessment Tool score of ≥ 22 were recruited (mean age = 24.8 ± 3.1 years). Maximal isometric eversion strength and submaximal muscle activation of the PL, PB and BF were measured during isometric eversion exercise in side-lying. A 2 × 2 repeated measures analysis of variance was performed to investigate differences in muscle activation and strength. Results: The PL and PB muscle activation showed significant main effects with the knee and ankle positions (p < 0.05); activation was greater in the KE and PF positions than in the KF and N positions. The BF muscle activation showed a significant interaction effect with knee and ankle positions, which was greater in knee extension and ankle plantarflexed (KEPF) position than in knee flexion and ankle plantarflexed (KFPF) position (p < 0.05). Eversion strength showed a significant main effect only in ankle position (p < 0.05) and was greater in the N position than in the PF position. Conclusion: The results of this study indicate that the KEPF position can be recommended to facilitate contraction of the PL and PB during side-lying eversion exercise. Furthermore, the effects of the knee-ankle positions should be considered for measuring ankle eversion strength and implementing the isometric submaximal side-lying eversion exercise.

Keywords

References

  1. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 3rd ed. Elsevier; 2016.
  2. Muscolino JE. The muscular system manual. 4th ed. Elsevier; 2016.
  3. Ellis SJ, Williams BR, Wagshul AD, Pavlov H, Deland JT. Deltoid ligament reconstruction with peroneus longus autograft in flatfoot deformity. Foot Ankle Int 2010;31(9):781-9.
  4. Heckman DS, Reddy S, Pedowitz D, Wapner KL, Parekh SG. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am 2008;90(2):404-18.
  5. Knight AC, Weimar WH. Effects of previous lateral ankle sprain and taping on the latency of the peroneus longus. Sports Biomech 2012;11(1):48-56.
  6. Lentell G, Cashman PA, Shiomoto KJ, Spry JT. The effect of knee position on torque output during inversion and eversion movements at the ankle. J Orthop Sports Phys Ther 1988;10(5):177-83.
  7. Brunnstrom S, Dickinson R. Clinical kinesiology. 3rd ed. F.A. Davis; 1972.
  8. Osternig LR, Bates BT, James SL. Patterns of tibial rotary torque in knees of healthy subjects. Med Sci Sports Exerc 1980;12(3):195-9.
  9. Kubo K, Tsunoda N, Kanehisa H, Fukunaga T. Activation of agonist and antagonist muscles at different joint angles during maximal isometric efforts. Eur J Appl Physiol 2004;91(2-3):349-52.
  10. Nordin M, Frankel VH. Basic biomechanics of the musculoskeletal system. Lippincott Williams & Wilkins; 2001.
  11. Hintermann B, Nigg BM. Influence of arthrodeses on kinematics of the axially loaded ankle complex during dorsiflexion/plantarflexion. Foot Ankle Int 1995;16(10):633-6.
  12. Lee DE, Kim JH, Han SY, Kwon OY. Peroneal muscle and biceps femoris muscle activation during eversion with and without plantarflexion in sitting and side-lying postures. Phys Ther Korea 2024;31(1):18-28.
  13. Ahn S, Kim H, Kim J, Kwak K, Kwon O. Ankle evertor strength of healthy subjects in different ankle and toe positions. Phys Ther Korea 2019;26(3):84-90.
  14. Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train 2002;37(4):413-29.
  15. Rodrigues KA, Soares RJ, Tomazini JE. The influence of fatigue in evertor muscles during lateral ankle sprain. Foot (Edinb) 2019;40:98-104.
  16. Hagen M, Schwiertz G, Landorf KB, Menz HB, Murley GS. Selective activation of lower leg muscles during maximum voluntary isometric contractions. Hum Mov Sci 2016;50:30-7.
  17. Donnelly L, Donovan L, Hart JM, Hertel J. Eversion strength and surface electromyography measures with and without chronic ankle instability measured in 2 positions. Foot Ankle Int 2017;38(7):769-78.
  18. Ahn SH, Hwang UJ, Gwak GT, Yoo HI, Kwon OY. Comparison of the strength and electromyography of the evertor muscles with and without toe flexion in patients with chronic ankle instability. Foot Ankle Int 2020;41(4):479-85.
  19. Mendez-Rebolledo G, Guzman-Venegas R, Valencia O, Watanabe K. Contribution of the peroneus longus neuromuscular compartments to eversion and plantarflexion of the ankle. PLoS One 2021;16(4):e0250159.
  20. Wikstrom EA, Fournier KA, McKeon PO. Postural control differs between those with and without chronic ankle instability. Gait Posture 2010;32(1):82-6.
  21. Webster CA, Nussbaum MA. Localized ankle fatigue development and fatigue perception in adults with or without chronic ankle instability. J Athl Train 2016;51(6):491-7.
  22. Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty CL, Fourchet F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Orthop Sports Phys Ther 2013;43(8):585-91.
  23. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Aspen Publishers; 1998.
  24. Ahn SH, Hwang UJ, Jung SH, Kim HA, Kim JH, Kwon OY. Hip external rotator strength and compensatory movement in three different positions. Health 2018;10(1):132-44.
  25. Kim HA, Hwang UJ, Jung SH, Ahn SH, Kim JH, Kwon OY. Comparison of shoulder strength in males with and without myofascial trigger points in the upper trapezius. Clin Biomech (Bristol, Avon) 2017;49:134-8.
  26. Kim Y, Kim T, Yang M, Yon Y, Lee J. Comparison of activities of tibialis anterior, peroneus longus, and tibialis posterior muscles according to lunge squats and Bulgarian split squats in a healthy population. J Musculoskelet Sci Technol 2017;1(1):26-30.
  27. Feger MA, Donovan L, Hart JM, Hertel J. Lower extremity muscle activation during functional exercises in patients with and without chronic ankle instability. PM R 2014;6(7):602-11; quiz 611.
  28. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Lawrence Erlbaum; 1988.
  29. Hintermann B, Nigg BM, Sommer C. Foot movement and tendon excursion: an in vitro study. Foot Ankle Int 1994;15(7):386-95.
  30. Witvrouw E, Borre KV, Willems TM, Huysmans J, Broos E, De Clercq D. The significance of peroneus tertius muscle in ankle injuries: a prospective study. Am J Sports Med 2006;34(7):1159-63.
  31. Cawthorn M, Cummings GS, Walker JR, Donatelli RA. Isokinetic measurement of foot invertor and evertor force in three positions of plantarflexion and dorsiflexion. J Orthop Sports Phys Ther 1991;14(2):75-81.
  32. Lunnen JD, Yack J, LeVeau BF. Relationship between muscle length, muscle activity, and torque of the hamstring muscles. Phys Ther 1981;61(2):190-5.
  33. Souza TR, Mancini MC, Araujo VL, Carvalhais VO, Ocarino JM, Silva PL, et al. Clinical measures of hip and foot-ankle mechanics as predictors of rearfoot motion and posture. Man Ther 2014;19(5):379-85.
  34. Patel VV, Hall K, Ries M, Lotz J, Ozhinsky E, Lindsey C, et al. A three-dimensional MRI analysis of knee kinematics. J Orthop Res 2004;22(2):283-92.
  35. Ishii Y, Terajima K, Terashima S, Koga Y. Three-dimensional kinematics of the human knee with intracortical pin fixation. Clin Orthop Relat Res 1997;(343):144-50.
  36. Floyd RT. Manual of structural kinesiology. 22nd ed. McGraw Hill; 2024.
  37. Fischer KM, Willwacher S, Arndt A, Bruggemann GP. Calcaneal adduction and eversion are coupled to talus and tibial rotation. J Anat 2018;233(1):64-72.
  38. Ayotte NW, Stetts DM, Keenan G, Greenway EH. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. J Orthop Sports Phys Ther 2007;37(2):48-55.
  39. Digiovine NM, Jobe FW, Pink M, Perry J. An electromyographic analysis of the upper extremity in pitching. J Shoulder Elbow Surg 1992;1(1):15-25.
  40. Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard P. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther 2006;86(5):683-97.
  41. Bavdek R, Zdolsek A, Strojnik V, Dolenec A. Peroneal muscle activity during different types of walking. J Foot Ankle Res 2018;11:50.