Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Lower Extremity Muscle Activity According to Ankle Angle during Sling Bridge Exercise in Patients with Patellofemoral Pain Syndrome

  • Jonghoon An (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Jihye Jung (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Jinhyung Choi (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Seungwon Lee (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2023.03.17
  • Accepted : 2023.03.30
  • Published : 2023.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study attempted to compare the effects of bridge exercise using a sling according to the angle of the ankle to confirm the effective lower extremity muscle activation posture of patients with patellofemoral pain syndrome(PFPS). Design: Cross-sectional study Methods: Seventeen patients with PFPS were recruited and the muscle activities of the vastus medialis, vastus lateralis, rectus femoris, and gluteus maximus were measured according to the ankle position (dorsiflexion, neutral, plantar flexion). After measuring the maximum number of isometric contractions of vastus medialis, vastus lateralis, rectus femoris, and gluteus maximus, bridging exercise using a sling according to each ankle posture was applied to measure lower extremity muscle activity. The evaluation was performed 3 times for 10 seconds. The three ankle postures were randomly performed and the average values were compared. Results: As a result of this study, the vastus medialis muscle showed high muscle activity in the order of dorsiflexion, plantar flexion, and neutral position bridge exercise (p<0.05). And the vastus lateralis showed high muscle activity in the order of dorsiflexion, neutral, and plantar flexion (p<0.05). However, rectus femoris and gluteus maximus did not show significant muscle activity according to the ankle posture, but muscle activity was highest in the dorsiflexion posture. Conclusions: As a result of this study, muscle activity was high in the order of vastus medialis and vastus lateralis during ankle dorsiflexion. This is thought to be a major factor that can be applied in various ways in clinical practice according to the ankle angle when treating PFPS patients.

Keywords

References

  1. Freddolini M, Placella G, Gervasi GL, Morello S, Cerulli G. Quadriceps muscles activity during gait: comparison between PFPS subjects and healthy control. Musculoskelet Surg. 2017;101:181-7. https://doi.org/10.1007/s12306-017-0469-9
  2. Fagan V, Delahunt E. Patellofemoral pain syndrome: a review on the associated neuromuscular deficits and current treatment options. Br J Sports Med. 2008;42:789-95. https://doi.org/10.1136/bjsm.2008.046623
  3. Yildiz Y, Aydin T, Sekir U, Cetin C, Ors F, Alp Kalyon T. Relation between isokinetic muscle strength and functional capacity in recreational athletes with chondromalacia patellae. Br J Sports Med. 2003;37:475-9. https://doi.org/10.1136/bjsm.37.6.475
  4. Chang WD, Huang WS, Lee CL, Lin HY, Lai PT. Effects of open and closed kinetic chains of sling exercise therapy on the muscle activity of the vastus medialis oblique and vastus lateralis. J Phys Ther Sci. 2014;26:1363-6. https://doi.org/10.1589/jpts.26.1363
  5. Nascimento LR, Teixeira-Salmela LF, Souza RB, Resende RA. Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2018;48:19-31. https://doi.org/10.2519/jospt.2018.7365
  6. van der Heijden RA, Lankhorst NE, van Linschoten R, Bierma-Zeinstra SM, van Middelkoop M. Exercise for treating patellofemoral pain syndrome. Cochrane Database Syst Rev. 2015;1:Cd010387.
  7. Martimbianco ALC, Torloni MR, Andriolo BN, Porfirio GJ, Riera R. Neuromuscular electrical stimulation (NMES) for patellofemoral pain syndrome. Cochrane Database Syst Rev. 2017;12:Cd011289.
  8. Logan CA, Bhashyam AR, Tisosky AJ, Haber DB, Jorgensen A, Roy A, et al. Systematic Review of the Effect of Taping Techniques on Patellofemoral Pain Syndrome. Sports Health. 2017;9:456-61. https://doi.org/10.1177/1941738117710938
  9. Hwang YT, Hwang KO. The Effect of Isometric Exercise and Active Stretching on Joint Function in Patient with Osteoarthritis. J Kor Phys Ther. 2006;18:35-45.
  10. Zappala FG, Taffel CB, Scuderi GR. Rehabilitation of patellofemoral joint disorders. Orthop Clin North Am. 1992;23:555-66. https://doi.org/10.1016/S0030-5898(20)31771-5
  11. Park SR, Lee MG, Choi SM. Comparison of electromyographic activity of quadriceps during Lunge according to ankle positions in ssireum players with patellofemoral pain syndrome. ES. 2010;19:219-30.
  12. O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation: FA Davis; 2019.
  13. Kim MC, Huh J, Kim HI. Muscle Elasticity Changes in the Presence or Absence of Elastic Band Resistance During Bridge Exercise Using Gymball. KSIM. 2021;9:145-53. https://doi.org/10.15268/KSIM.2021.9.3.145
  14. Jeong ED, Chae CW, Yun HK, Woo KS, Kim DH, Kim SM. The Effects of Sling Bridging Exercise to Pain Scale and Trunk Muscle Activity in Low Back Pain Patients. JIAPTR. 2013;4:523-31. https://doi.org/10.5854/JIAPTR.2013.05.25.523
  15. Kim TY. Effects of the bridge exercises on the responses of the obliques internal, external, and quadratus lumborum muscles: Yong-in University; 2004.
  16. Maeo S, Chou T, Yamamoto M, Kanehisa H. Muscular activities during sling- and ground-based push-up exercise. BMC Res Notes. 2014;7:192.
  17. Lee DH, Park JS, Lee SY. Effects of bridge exercise on trunk core muscle activity with respect to sling height and hip joint abduction and adduction. J Phys Ther Sci 2015;27:1997-9. https://doi.org/10.1589/jpts.27.1997
  18. Kirkesola G. Neurac-a new treatment method for long-term musculoskeletal pain. Fysioterapeuten. 2009;76:16-25.
  19. Miyachi R. Comparison of muscle activity based on ankle position during hip abduction. Journal of AOMPT. 2020;1:10-7.
  20. Lee H. The effects of ankle joint position on hip extensor muscle activity when bridging exercise in sagittal plane. Seoul: Sahmyook University; 2018.
  21. Han SW, Yoo YD, Cho HJ. The effect of ankle position on the electromyographic activity during isometric quadriceps exercise for patellofemoral pain syndrome. Journal of Coaching Development. 2006;8:261-8.
  22. Nijs J, Van Geel C, Van der auwera C, Van de Velde B. Diagnostic value of five clinical tests in patellofemoral pain syndrome. Man Ther. 2006;11:69-77. https://doi.org/10.1016/j.math.2005.04.002
  23. Kang SY, Choung SD, Jeon HS. Modifying the hip abduction angle during bridging exercise can facilitate gluteus maximus activity. Man Ther. 2016; 22:211-5. https://doi.org/10.1016/j.math.2015.12.010
  24. Kwon O, Shin W-S. Effects of closed and open kinetic chain exercises on knee extensor strength and balance in patients with early stroke. Journal of the Korean Society of Physical Medicine. 2014;9:223-31. https://doi.org/10.13066/kspm.2014.9.2.223
  25. Conroy VM, Murray Jr BN, Alexopulos QT, McCreary J. Kendall's Muscles: Testing and Function with Posture and Pain: Lippincott Williams & Wilkins; 2022.
  26. Kim KS, Shin HK. The effects of the sling strap height on trunk and hip muscle activation during the bridging exercise with sling. J Kor Phys Ther. 2016;28:59-63. https://doi.org/10.18857/jkpt.2016.28.1.59
  27. Lee DH, Lee SY, Park JS, Han SK. The Effect of Height of Hip Joint Abduction-Adduction and Sling on Transverse Abdominis, Rectus Abdominis, and Erector Spinae Muscles Activities during Bridging Exercise with Sling. J Kor Soi Neurotherapy. 2016;20:23-6.
  28. Choi SA, Cynn HS, Yoon TL, Choi WJ, Lee JH. Effects of ankle dorsiflexion on vastus medialis oblique and vastus lateralis muscle activity during straight leg raise exercise with hip external rotation in patellofemoral pain syndrome. J Musculoskelet Pain. 2014;22:260-7. https://doi.org/10.3109/10582452.2014.907857
  29. Mikaili S, Khademi-Kalantari K, Rezasoltani A, Arzani P, Baghban AA. Quadriceps force production during straight leg raising at different hip positions with and without concomitant ankle dorsiflexion. J Bodyw Mov Ther. 2018;22:904-8. https://doi.org/10.1016/j.jbmt.2017.11.006
  30. Park J, Lee S, Hwangbo G. The effects of a bridge exercise with vibration training and an unstable base of support on lumbar stabilization. J Phys Ther Sci 2015;27:63-5. https://doi.org/10.1589/jpts.27.63
  31. Kim SY, Kwon JH. Lumbar stabilization exercises using the sling system. Kor Acad Ortho Man Phys Ther. 2001;7:23-39.
  32. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation: Elsevier Health Sciences; 2016.
  33. Kim SB, Park Q. Effects of various bridge exercises using the sling on the core muscle activation. A J Kinesiol. 2016;18:63-9. https://doi.org/10.15758/jkak.2016.18.4.63