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http://dx.doi.org/10.13000/JFMSE.2015.27.1.63

The Effect of the Patellofemoral Pain Syndrome on EMG Activity During Step up Exercise  

Hwang, Il-Gyoon (Pukyong National University)
Lee, Hyo-Taek (Pukyong National University)
Heo, Bo-Seob (Pukyong National University)
Kim, Yong-Jae (Pukyong National University)
Publication Information
Journal of Fisheries and Marine Sciences Education / v.27, no.1, 2015 , pp. 63-73 More about this Journal
Abstract
The purpose of this study was to examine EMG activities and VMO/VL ratio of the vastus medialis oblique, and vastus lateralis during step up exercise according to ankle and knee positions in soccer players with patellofemoral pain syndrome. Methods: Subject(patellofemoral pain syndrome, PFPS: n=8 and without PFPS, non PFPS; NPFPS: n=8) perfomed step up exercise at each knee and ankle position(knee flexion $30^{\circ}$, $60^{\circ}$, and $90^{\circ}$, ankle internal rotation $30^{\circ}$, neutral, and external rotation $30^{\circ}$) while EMG activity was collected. The EMG signals were expressed by the % maximal voluntary isometric Contraction(%MVIC) values. Statistical analysis consisted of two way repeated measures analysis of variance with post hoc analysis. Results: Main results were as follows: 1) EMG of VMO, and VL was tend to be lower in PFPS compared to NPFPS. 2) EMG of VMO and VL with knee flexrion $60^{\circ}$ was significantly higher the results with knee flexion $30^{\circ}$, and $90^{\circ}$. VMO and VL with ankle external rotation $30^{\circ}$ was significantly higher the results with internal rotation $30^{\circ}$ and neutral position. Conclusion: Considering the EMG activity was reduced due to the to the PFPS and that performing step up with knee flexion $60^{\circ}$ with ankle external rotation $30^{\circ}$ position may provide the most effective condition for patients with patellofemoral pain syndrome.
Keywords
Patellofemoral pain syndrome; EMG activity; Step up Exercise;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Lee, Je-Hoon Lee, Wan-Hee(2010). Comparing Lower Extremity Biomechanics in Elite Athletes with & without Patellofemoral Pain Syndrome, Journal of coaching development, 12(4), 119-126.
2 Lee, Hyo-Taek & Kim, Yong-Jae(2012). A Computational Fluid Dynamic Study on the Sculling Motion for Water Safety, THe Korean Society for Fisheries and Marine Science Education 24(1), 19, 23.
3 McConell, Jenny(1996). Management of patellofemoral problems. Manual Therapy, 1(2), 60-66.   DOI
4 Nijs, J0. Van Geel, Catherine. Van der auwera, Cindy. Van de Velde, Bart.(2006). Diagnostic value of five clinical tests in patellofemoral pain syndrome. Physical Therapy, 11(1), 69-77.
5 Park, Sa-Ra Lee, man kyu Choi, Soon Mi(2010). Comparison of electromyographic activity during lunge according to ankle positions in ssierum players with patellofemoral pain syndrome. Exercise Science, 2010, Vol.19, No.3
6 Park, Seo-Yi Kim, Jung Won Nho, Ho Sung (2008). Vastus Medialis Oblique and Vastus Lateralis Electromyographic Activities during Closed Kinetic Chain Exercises in Male Athletes with and without Patellofemoral Pain Syndrome. The Korea Journal of Sports Science, 17(1), 487-495
7 Powers, C. M.(2000). Patellar kinematics. Part I: The influence of vastus muscle activity in subjects with and without patellofemoral pain. Physical Therapy, 80(10), 956-964.
8 Han, Sang Wan Yoon, Jae Ryang(2008). Effect of Rehabilitation Exercise and Backward Walking and Neuromuscular Electrical Stimulation on the Quadriceps Muscle Function in Patients with Patellofemoral Pain Syndrome. Exercise science, 17(4), 463-472   DOI
9 Byun, Yong-Hyun Lee, Hyun-Hee Han, Sang-Hwan (2007). Surface EMG analysis of quadriceps muscle during isokinetic exercise in patients with patellofemoral pain syndrome. Journal of coaching development , 9(1), 157-164.
10 Blond L. Hansen L.(1998). Patellofemoral pain syndrome in athletes; A 5.7 year retrospective follow up study of 250 athletes. Acta Orthop Belg. 64(4), 393-400.
11 Bruno, B.(1995). The Stairmaster: Fitiness Handbook. Champaign, IL: Sagamore Publishing, Inc.
12 Chae, Woen-Sik(2005). Electromyographic Analyses of the effects of different foot positions during exercise on a stair-climbing machine, Korean Journal of Sport Biomechanics. 15(1), 207-219.   DOI
13 Cerny, Kay(1995). Vastus medialis oblique/ vastus lateralis muscle activity ratios for selected exercises in persons with and without patellofemoral pain syndrome. Physical Therapy, 75, 672-683.
14 Ekstrom, Richard. A. Donatelli, Robert. A. & Carp, Kenji C.(2007). Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. Journal of Orthopaedic and Sports Physical Therapy, 37(12): 754-762.   DOI   ScienceOn
15 Grabiner Mark D. Koh Timothy J. Draganich Louis F.(1994). Neuromechanics of the patellofemoral joint. Med Sci Sports Exerc, 26(1), 10.
16 Taunton, J. E..Ryan, M. B..Clement, D. B.. McKenzie, D. C..Lloyd-Smith, D. R. & Zumbo, B. D.(2002). A retrospective case-control analysis of 2002 running injuries. Br J Sports Med, 36(2), 95-101.   DOI
17 Souza, D. R. & Gross, M. T.(1991). Comparison of Vastus Medialis 0bliquus:Vastus laterdis Muscle Integrated Electromyographic Ratios Between Healthy Subjects and Patients with Patellofemoral Pain. Physical Therapy, 71(4), 310-316; discussion, 317-320.
18 Sousa, Andreia Macedo, Rui(2010). Effect of the contraction of medial rotators of the tibia on the electromyographic activity of vastus medialis and vastus lateralis. Journal of Electromyography and Kinesiology, 20, 967-972.   DOI
19 Tang, S. F..Chen, C. K..Hsu, R..Chou, S.. Hong, W. & Lew, H.(2001). Vastus Medialis Obliquus and Vastus Lateralis Activity in open and closed kinetic chain exercise in patients with patellofemoral pain syndrome: An electromyographic study. Arch Phys Med Rehabil, 82(10), 1441-1445.   DOI
20 WON, Hyo-Heon KIM, Min-Wook BAE, Yeong-Hun KIM, Yong-Jae(2013). A Study on Impact of Squat Exercise on Foot Pressure with different loads. JFM SE, 25(4), 891-89
21 Han, Sang-Wan Yoo, Young-Dae Cho, Hyun-Jeong (2006). The effect of ankle position on the electromyographic activity during isometric quadriceps exercise for patellofemoral painsyndrome. Journal of coaching development, 8(3), 261-268.
22 Grelsamer Ronald P. MD; Weinstein Craig H. MPH. (2001). Applied biomechanics of the patella. Clin Orthop Relat Res, 389, 9-14.   DOI
23 Hanten, William P. & Schulthies, S. Schulthies. (1990). Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Physical Therapy, 70(9): 561-565.
24 Han, Sang-Wan(2003). Effects of backward walking and neuromusclar electrical stimulation on muscle function, functional capacity and pain in patient with patellofemoral pain syndrome. Korea University. doctorate thesis.
25 Jang, Jae-Hoon Hur, Sun(2007). Effects of step exercise on metabolic syndrome markers, insulin resistance and plasma metabolism-related hormones in obese middle-aged women. The Korean Journal of Physical Education. 46(2), 337-346.
26 Kim, Hyun-Hee Song, Chang Ho(2010). Effects of Knee and Foot Position on EMG Activity and Ratio of the Vastus Medialis Oblique and Vastus Lateralis during Squat Exercise. J Muscle Joint Health Vol. 17(2), 142-150.   DOI
27 Lam, Priscillia L, Ng, Gabriel Y.(2001). Activation of the quadriceps muscle during semisquatting with different hip and knee positions in patients with anterior knee pain. AM J Phys Med Rehabil. 80(11), 804-808.   DOI
28 Lutz, Gregory E, Palmitier Randal A, An, Kai-Nan, Chao Edmond Y. S.(1993). Comparison of tibiofemoral joint forces during open-kinetic-chain and closed-kinetic-chain exercises. J Bone Joint Surg Am, 75(5), 732-739.