한국전문물리치료학회지 (Physical Therapy Korea)

  • 제16권3호
  • /
  • Pages.24-31
  • /
  • 2009
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지

신발 뒤굽 높이가 계단 올라가기 및 내려오기 동안 내측광근과 외측광근의 근 활성도에 미치는 영향

Effect of Shoe Heel Height on Vastus Medialis and Vastus Lateralis Electromyographic Activity During Stair Ascending and Descending

  • 오덕원 (대전대학교 보건스포츠과학대학 물리치료학과) ;
  • 김선엽 (대전대학교 보건스포츠과학대학 물리치료학과)
  • Oh, Duck-Won (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University)
  • 투고 : 2009.05.18
  • 심사 : 2009.08.07
  • 발행 : 2009.09.17
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study aimed to investigate the effect of differing heel heights on the electromyographic (EMG) activity in vastus medialis (VM) and vastus lateralis (VL) during stair ascending and descending activities. A total of 26 healthy women volunteered to perform stair-ascending and stair-descending tasks with 3 heel heights: barefoot, 3 cm, and 7 cm. The EMG activities of the VM and VL were recorded during the tasks. During the stair ascending and descending tasks, the EMG activities of both VM and VL significantly changed with differing the heel heights (p<.05). Moreover, the EMG activities of VM and VL during the stair ascending task were significantly higher than the corresponding values during the stair-descending task (p<.05). However, there were no significant differences between the VM:VL EMG ratios for the 3 heel heights (p>.05). The VM:VL EMG ratios between the 2 tasks differed significantly in the 7 cm high heel condition (p<.05). Despite an increase in the EMG activities in both VM and VL during stair ascending and descending tasks, there was no change in the relative EMG intensities of VM and VL, which was measured by calculating the VM:VL ratio this result indicates that no VM:VL imbalances were elicited. The relative EMG intensities of VM and VL during stair descent were lower than the corresponding values during the ascent, suggesting that VM and VL may show an imbalance in the eccentric activation during the weight-acceptance phase. This study provides useful information that will facilitate future research on how heel height affects muscle activity around the knee joint.

키워드

참고문헌

  1. Brecht JS, Chang MW, Price R et al. Decreased balance performance in cowboy boots compared with tennis shoes. Arch Phys Med Rehabil. 1995;76(10):940-946. https://doi.org/10.1016/S0003-9993(95)80071-9
  2. Callaghan MJ, Oldham JA. The role of quadriceps exercise in the treatment of patellofemoral pain syndrome, Sports Med. 1996;21(5);384-391. https://doi.org/10.2165/00007256-199621050-00005
  3. Cerny K. Vastus medialis oblique/vastus lateralis muscle activity ratios for selected exercises in persons with and without patellofemoral pain syndrome. Phys Ther. 1995;75(8):672-683. https://doi.org/10.1093/ptj/75.8.672
  4. Cimmino MA, Parodi M. Risk factors for osteoarthritis. Semin Arthritis Rheum. 2005;34(6 Suppl 2):29-34. https://doi.org/10.1016/j.semarthrit.2004.03.009
  5. Cowan SM, Bennell KL. Hodges PW, et al. Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects vvith patellofemoral pain syndrome. Arch Phys Med Rehabil. 2001;82(2):183-189. https://doi.org/10.1053/apmr.2001.19022
  6. DeHaven KE, Lintner DM. Athletic injuries: Comparison by age, sport, and gender. Am J Sports Med. 1986;14(3):218-224. https://doi.org/10.1177/036354658601400307
  7. Edwards L, DixonJ Kent JR et al. Effect of shoe heel height on vastus medialis and vastus lateralis electromyographic activity during sit to stand. J Orthop Surg. 2008;10;3:2.
  8. Ficat RP, Hungerford DS. Disorder of the Pattelo-Fomoral Joint. Baltimore. Lippincott Williams & Wilkins. 1977.
  9. Franklin ME, Chenier TC, Brauinger L, et al. Effect of positive heel inclination on posture. J Orthop Sports Phys Ther. 1995;21(2):94-99. https://doi.org/10.2519/jospt.1995.21.2.94
  10. Gilleard W, McConnell J, Parsons D. The effect of patellar taping on the onset. of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Phys Ther. 1998;78(1):25-32. https://doi.org/10.1093/ptj/78.1.25
  11. Grabiner MD, Koh TJ, Miller GF. Fatigue rates of vastus medialis oblique and vastus lateralis during static and dynamic knee extension. J Orthop Res. 1991;9(3):391-397. https://doi.org/10.1002/jor.1100090311
  12. Guccione AA, Felson DT, Anderson JJ. Defining arthritis and measuring functional status in elders: Methodological issues in thc study of disease and physical disability. Am J Public Health. 1990;80(8):945-949. https://doi.org/10.2105/AJPH.80.8.945
  13. Guccione AA, Felson DT, Anderson JJ, et al. The effects of specific medical conditions on the functional limitations of elders in the framingham study. Am J Public Health. 1994;84(3):351-358. https://doi.org/10.2105/AJPH.84.3.351
  14. Hertel J. Sloss BR, Earl JE. Effect of foot orthotics on quadriceps and gluteus medius electromyographic activity during selected exercises. Arch Phys Med Rehabil. 2005;86(1):26-30. https://doi.org/10.1016/j.apmr.2004.03.029
  15. Hinman RS, Bennell KL, Metcalf BR, et al. Delayed onset of quadriceps activity and altered knee joint kinematics during stair stepping in individuals with knee osteoarthritis. Arch Phys Med Rehabil. 2002;83(8):1080-1086. https://doi.org/10.1053/apmr.2002.33068
  16. Horton MG, Hall TL. Quadriceps femoris muscle angle: Normal values and relationships with gender and selected skeletal measures. Phys Ther. 1989;69(11):897-901. https://doi.org/10.1093/ptj/69.11.897
  17. Janwantanakul P, Gaogasigam C. Vastus lateralis and vastus medialis obliquus muscle activity during the application of inhibition and facilitation taping techniques. Clin Rehabil. 2005;19(1):12-19. https://doi.org/10.1191/0269215505cr834oa
  18. Karst, GM, Willett GM. Onset timing of electromyographic activity in the vastus medialis oblique and vastus lateralis muscles in subjects with and without patellofemoral pain syndrome. Phys Ther. 1995:75(9):813-823. https://doi.org/10.1093/ptj/75.9.813
  19. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and Function with Posture and Pain. 5th ed. Baltimore, Lippincott Williams & Wilkins, 2005.
  20. Kerrigan DC, Johansson JL, Bryant MG, et al. Moderate-heeled shoes and knee joint torques relevant to the development and progression of knee osteoarthritis. Arch Phys Med Rehabil. 2005;86(5):871-875. https://doi.org/10.1016/j.apmr.2004.09.018
  21. Lawrence RC, Helmick CG, Arnett FC, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998;41(5):778-799. https://doi.org/10.1002/1529-0131(199805)41:5<778::AID-ART4>3.0.CO;2-V
  22. Lee CM, Jeong EH, Freivalds A. Biomechanical effects of wearing high-heeled shoes. Int J Ind Ergon. 2001;28(6):321-326. https://doi.org/10.1016/S0169-8141(01)00038-5
  23. Lehman GJ, Macmillan B, MacIntyre I. et. al. Shoulder muscle EMG activity during push up variations on and off a Swiss ball. Dyn Med. 2006;5:7. https://doi.org/10.1186/1476-5918-5-7
  24. McFadyen BJ, Winter DA. An integrated bio-mechanical analysis of normal stair accent and descent. J Biomech. 1988;21(9):733-744. https://doi.org/10.1016/0021-9290(88)90282-5
  25. McPoil TG Jr. Footwear. Phys Ther. 1988;68:1857-1865. https://doi.org/10.1093/ptj/68.12.1857
  26. Menz HB, Lord SR. Footwear and postural stability in older people. J Am Podiatr Med Assoc. 1999;89(7):346-357. https://doi.org/10.7547/87507315-89-7-346
  27. Opila-Correia KA. Kinematics of high-heeled gait. Arch Phys Med Rehabil. 1990;71(5):304-309.
  28. Portney LG, Watkins MP. Foundations of Clinical Research: Applications to practice. 2nd ed. New Jersey, Prentice-Hall, 2000:565.
  29. Powers CM, Landel R, Perry J. Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain. Phys Ther. 1996;76(9):946-955. https://doi.org/10.1093/ptj/76.9.946
  30. Ryan CG, Rowe PJ. An electromyographical study to investigate the effects of patellar taping on the vastus medialis/vastus lateralis ratio in asymptomatic subjects. Physiother Theory Prac. 2006;22(6):309-315. https://doi.org/10.1080/09593980601023739
  31. Sheehy P, Burdett RG, Irrgang JJ, et al. An electromyographic study of vastus medialis oblique and vastus lateralis activity while ascending and descending steps. J Orthop Sports Pbys Ther. 1998;27(6):423-429. https://doi.org/10.2519/jospt.1998.27.6.423
  32. Snow RE, Williams KR. High heeled shoes: Their effect on center of mass position, posture, three-dimensional kinematics. rearfoot motion, and ground reaction forces. Arch Phys Med Rehabil. 1994:75(5):568-576.
  33. Stefanyshyn DJ, Nigg BM, Fisher V, et al. The influence of high heeled shoes on kinematics, kinetics, and muscle EMG of normal female gait. J Appl Biomech. 2000;16(3):309-319. https://doi.org/10.1123/jab.16.3.309
  34. Syed IY, Davis BL. Obesity and osteoarthritis of the knee: Hypotheses concerning the relationship between ground reaction forces and quadriceps fatigue in long-duration walking. Med Hypotheses. 2000;54(2):182-185. https://doi.org/10.1054/mehy.1999.0013
  35. Tang SF, Chen CK, Hsu R, et al. Vastus rnedialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: An electrmyographic study. Arch Phys Med Rehabil. 2001:82(10):1441-1445. https://doi.org/10.1053/apmr.2001.26252
  36. Verbrugge LM. Women, men, and osteoarthritis. Arthritis Care Res. 1995;8(4):212-220. https://doi.org/10.1002/art.1790080404