The Effect of Electromyographic Biofeedback Training on the VMO/VL Electromyographic Activity Ratio and Onset Timing in Women without Knee Pathology

건강한 여성에 대한 근전도를 이용한 생체되먹이기 훈련이 안쪽빗넓은근과 가쪽넓은근의 근활성비와 개시시간에 미치는 영향

  • Kim, Hyun-Hee (Department of Physical Therapy, Sahmyook University) ;
  • Song, Chang-Ho (Department of Physical Therapy, Sahmyook University)
  • 김현희 (삼육대학교 물리치료학과) ;
  • 송창호 (삼육대학교 물리치료학과)
  • Received : 2010.10.02
  • Accepted : 2010.11.17
  • Published : 2010.11.30

Abstract

Purpose : The purpose of this study was to investigate the VMO/VL ratio and onset timing using EMG biofeedback training over a 5-day period. Methods : Twenty-one healthy female college students with no known right knee musculoskeletal dysfunction were recruited this study. Muscle activity was measured by surface electromyography(Myosystem 1400A, Noraxon Inc., U.S.A). Statistical analysis was used two-way repeated ANOVA to know difference between the vastus lateralis and vastus medialis oblique onset timing differences, VMO/VL ratio. Results : Biofeedback training group significantly improved VMO/VL ratio and EMG activity of the vastus medialis oblique after intervention. Conclusion : These result indicate that biofeedback training on the vastus medialis oblique has effect on the VMO/VL ratio. EMG biofeedback can be recommended for the facilitation of VMO muscular recruitment.

Keywords

References

  1. 남기석. 동적 스쿼트 운동시 탄력밴드를 이용한 저항방향이 내측광근/외측광근 근전도 활성비에 미치는 영향. J Kor Soc Phys Ther. 2008;20(3):29-34.
  2. Boling MC, Bolgla LA, Mattacola CG, et al. Outcomes of a 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
  3. Coqueiro KR, Bevilaqua-Grossi D, Berzin F, et al. Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome. J Electromyogr Kinesiol. 2005;15(6):596-603. https://doi.org/10.1016/j.jelekin.2005.03.001
  4. 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 syndrome. Arch Phys Med Rehabil. 2001;82(2):183-9. https://doi.org/10.1053/apmr.2001.19022
  5. Cowan SM, Bennell KL, Hodges PW, et al. Simultaneous feedforward recruitment of the vasti in untrained postural tasks can be restored by physical therapy. J Orthop Res. 2003;21(3):553-8. https://doi.org/10.1016/S0736-0266(02)00191-2
  6. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Maryland, Aspen. 1998.
  7. Crossley KM, Cowan SM, Bennell KL, et al. Knee flexion during stair ambulation is altered in individuals with patellofemoral pain. J Orthop Res. 2004;22(2):267-74. https://doi.org/10.1016/j.orthres.2003.08.014
  8. Davlin CD, Holcomb WR, Guadagnoli MA. The effect of hip position and electromyographic biofeedback training on the vastus medialis oblique: vastus lateralis ratio. J Athl Train. 1999; 34(4):342-6.
  9. de Looze MP, Toussaint HM, van Dieen JH, et al. Joint moments and muscle activity in the lower extremities and lower back in lifting and lowering tasks. J Biomech. 1993;26(9):1067-76. https://doi.org/10.1016/S0021-9290(05)80006-5
  10. Dursun N, Dursun E, Kili Z. Electromyographic biofeedback[ndash] controlled exercise versus conservative care for patellofemoral pain syndrome. Arch Phys Med Rehabil. 2001;82(12):1692-5. https://doi.org/10.1053/apmr.2001.26253
  11. Ficat RP, Hungerford DS. Disorders of the patello- femoral joint. Baltimore, Williams & Wilkins. 1997.
  12. Grabiner MD, Koh TJ, Draganich LF. Neurome-chanics of the patellofemoral joint. Med Sci Sports Exerc. 1994;26(1):10-21.
  13. Grelsamer RP, Klein JR. The biomechanics of the patellofemoral joint. J Orthop Sports Phys Ther. 1998;28(5):286-98.
  14. Herrington L, Pearson S. Does level of load affect relative activation levels of vastus medialis oblique and vastus laterialis? J Electromyogr Kinesiol. 2006;16(4):379-83. https://doi.org/10.1016/j.jelekin.2005.08.003
  15. Kisner C, Colby LA. Therapeutic Exercise Foundations and Techniques (4th ed.). Philadelphia, The F.A. Davis. 2002.
  16. Krebs DE. Clinical electromyographic feedback following meniscectomy. A multiple regression experimental analysis. Phys Ther. 1981;61(7): 1017-21.
  17. LaBella C. Patellofemoral pain syndrome: evaluation and treatment. Prim Care. 2004;31(4):977-1003. https://doi.org/10.1016/j.pop.2004.07.006
  18. Makhsous M, Lin F, Koh JL, et al. In vivo and noninvasive load sharing among the vasti in patellar malalignment. Med Sci Sports Exerc. 2004;36(10):1768-75. https://doi.org/10.1249/01.MSS.0000142302.54730.7F
  19. Neptune RR, Wright IC, van den Bogert AJ. The influence of orthotic devices and vastus medialis strength and timing on patellofemoral loads during running. Clin Biomech (Bristol, Avon). 2000;15 (8):611-8. https://doi.org/10.1016/S0268-0033(00)00028-0
  20. Ng GYF, Zhang AQ, Li CK. Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. J Electromyogr Kines. 2008;18(1):128-33. https://doi.org/10.1016/j.jelekin.2006.08.010
  21. Owings TM, Grabiner MD. Motor control of the vastus medialis oblique and astus lateralis muscles is disrupted during eccentric contractions in subjects with patellofemoral pain. Am J Sports Med. 2002;30(4):483-7.
  22. Powers CM. Patellar Kinematics, Part I: The Influence of Vastus Muscle Activity in Subjects With and Without Patellofemoral Pain. Phys Ther. 2000; 80(10):956-64.
  23. 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):946-55; discussion 956-67.
  24. Serrrao FV, Cabral CMN, Berzin F, et al. Effect of tibia rotation on the electromyographical activity of the vastus medialis oblique and vastis lateralis longus muscles during isometric leg press. Phys Ther Sport. 2005;6(1):15-23. https://doi.org/10.1016/j.ptsp.2004.03.001
  25. Souza DR, Gross MT. Comparison of vastus medialis obliquus: vastus lateralis muscle integrated electromyographic ratios between healthy subjects and patients with patellofemoral pain. Phys Ther. 1991;71(4):310-16; discussion 317-20.
  26. 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. Arch Phys Med Rehabil. 2001;82(10): 1441-5. https://doi.org/10.1053/apmr.2001.26252
  27. Travnik L, Pernus F, Erzen I. Histochemical and morphometric characteristics of the normal human vastus medialis longus and vastus medialis obliquus muscles. J Anat. 1995;187(Pt 2):403-11.
  28. Voight ML, Wieder DL. Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction. An electromyographic study. Am J Sports Med. 1991;19(2): 131-7. https://doi.org/10.1177/036354659101900207
  29. Witvrouw E, Cambier D, Danneels L, et al. 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
  30. Wong YM, Ng GYF. Surface electrode placement affects the EMG recordings of the quadriceps muscles. Phys Ther Sport. 2006;7(3):122-7. https://doi.org/10.1016/j.ptsp.2006.03.006