The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of the VMO/VL EMG Activity Ratio According to Resistance Condition in Partial Lunge Exercise

  • Nam, Ki-Seok (Department of Physical Therapy, Yeungnam University College)
  • Received : 2020.03.05
  • Accepted : 2020.04.14
  • Published : 2020.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effects of the resistance conditions on the electromyography (EMG) activity ratio of vastus medialis oblique (VMO) and vastus lateralis (VL) muscle during partial lunge exercise in healthy subjects in order to suggest the basic data of exercise intervention for such as patients with patellofemoral pain syndrome (PFPS). Methods: The participants of this study were healthy twenty two people with no knee pain, limitation of motion and past history of operation at lower extremity. The participants performed three types of lunge 1) no resistance, 2) anterolateral 45° resistance and 3) lateral 90° respectively. The EMG activity of the VMO and VL were recorded by surface EMG and the measured data normalized by the %MVIC value was analyzed by repeated measured ANOVA. Results: The results showed that the VMO/VL EMG activity ratio during lunge with anterolateral 45° resistance was significantly higher than with no resistance and lateral 90° resistance (p<0.05). There was no significant difference in VMO, VL, and VMO/VL muscle activity between male and female subjects (p>0.05). Conclusion: This study suggests that partial lunge exercise with anterolateral 45° resistance can increase the VMO/VL muscle activity in healthy subjects. This result could be used as basic data to develop therapeutic exercise programs such as PFPS patients.

Keywords

References

  1. Boling M, Padua D, Marshall S et al. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010;20(5):725-30. https://doi.org/10.1111/j.1600-0838.2009.00996.x
  2. Chang WD, Chen FC, Lee CL et al. Effects of Kinesio taping versus McConnell taping for patellofemoral pain syndrome: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2015.
  3. Mohr KJ, Kvitne RS, Pink MM et al. Electromyography of the quadriceps in patellofemoral pain with patellar subluxation. Clin Orthop Relat Res. 2003;415:261-71. https://doi.org/10.1097/01.blo.0000093918.26658.6a
  4. Chang WD, Huang WS, Lai PT. Muscle activation of vastus medialis oblique and vastus lateralis in sling-based exercises in patients with patellofemoral pain syndrome: a cross-over study. Evid Based Complement Alternat Med. 2015.
  5. Clouthier A, Borschneck D, Thelen DG et al. Relationship between lateral patellar stability following tibial tubercle osteotomy for varying patellofemoral geometries. J Biomech Eng. 2019.
  6. Chen S, Chang WD, Wu JY et al. Electromyographic analysis of hip and knee muscles during specific exercise movements in females with patellofemoral pain syndrome: an observational study. Medicine (Baltimore). 2018;97(28):e11424. https://doi.org/10.1097/MD.0000000000011424
  7. Glaviano NR, Saliba S. Differences in gluteal and quadriceps muscle activation during weight-bearing exercises between female subjects with and without patellofemoral pain. J Strength Cond Res. 2019.
  8. Hodges P, Richardson C. The influence of isometric hip adduction on quadriceps femoris activity. Scand J Rehabil Med. 1993;25(2):57-62.
  9. Barton C, Balachandar V, Lack S et al. Patellar taping for patellofemoral pain: a systematic review and meta-analysis to evaluate clinical outcomes and biomechanical mechanisms. Br J Sports Med. 2014;48(6):417-24. https://doi.org/10.1136/bjsports-2013-092437
  10. Miao P, Xu Y, Pan C et al. Vastus medialis oblique and vastus lateralis activity during a double-leg semisquat with or without hip adduction in patients with patellofemoral pain syndrome. BMC Musculoskelet Disord. 2015;16:289. https://doi.org/10.1186/s12891-015-0736-6
  11. 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): 310-6. https://doi.org/10.1093/ptj/71.4.310
  12. 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. https://doi.org/10.1093/ptj/80.10.956
  13. Hanten WP, Schulthies SS. Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Phys Ther. 1990;70(9):561-5. https://doi.org/10.1093/ptj/70.9.561
  14. Song JE, Choi HS, Shin WS. Effect of applying resistance in various directions on lower extremity muscle activity and balance during squat exercise. Phys Ther Rehab Sci. 2019;8(2):61-6. https://doi.org/10.14474/ptrs.2019.8.2.61
  15. Hammer WI. Functional soft-tissue examination and treatment by manual methods. Jones & Bartlett Learning. 2007.
  16. Coqueiro KRR, 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
  17. Choi Y, Lee S. Changes in lower limb muscle activity based on angle of ankle abduction during lunge exercise. J Phys Ther Sci. 2017;29(11): 1947-9. https://doi.org/10.1589/jpts.29.1947
  18. Hung Y, Gross M. Effect of foot position on EMG activity of VMO and VL during lower-extremity weight bearing activities. Journal of Orthop Sports Phys Ther. 1999;29:93-105. https://doi.org/10.2519/jospt.1999.29.2.93
  19. Irish SE, Millward AJ, Wride J et al. The effect of closed-kinetic chain exercises and open-kinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis. J Strength Cond Res. 2010;24(5): 1256-62. https://doi.org/10.1519/JSC.0b013e3181cf749f
  20. Cram J, Kasman G, Holtz J. Introduction to surface electromyography, Ed. Gaithersburg. Maryland: Aspen $Publication^{(R)}$. 1998.
  21. Criswell E. Cram's Introduction to Surface Electromyography. Jones & Bartlett Learning. 1998.
  22. Newman S, Jones G, Newham D. Quadriceps voluntary activation at different joint angles measured by two stimulation techniques. Eur J Appl Physiol. 2003;89(5):496-9. https://doi.org/10.1007/s00421-003-0836-0
  23. Peng HT, Kernozek TW, Song CY. Muscle activation of vastus medialis obliquus and vastus lateralis during a dynamic leg press exercise with and without isometric hip adduction. Phys Ther Sport. 2013;14(1):44-9. https://doi.org/10.1016/j.ptsp.2012.02.006
  24. Laprade J, Culham E, Brouwer B. Comparison of five isometric exercises in the recruitment of the vastus medialis oblique in persons with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther. 1998;27(3):197-204. https://doi.org/10.2519/jospt.1998.27.3.197
  25. Hertel J, Earl J, Tsang K et al. Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps EMG activity. Br J Sports Med. 2004;38(2):210-3. https://doi.org/10.1136/bjsm.2002.003277
  26. Hammer W. Functional soft tissue examination and treatment by Manual methods, Ed 3. Gaithersburg, MD. Aspen Publishers Inc. 1999.