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Comparison of the Changes in the Activation of the Quadriceps Muscle based on the Plantar Flexion Degree of the Ankle Joint in Healthy Young Females during the Stand-to-Sit movement

  • Sung-Min Son (Department of Physical Therapy, College of Health Science, Cheongju University)
  • Received : 2023.03.20
  • Accepted : 2023.04.25
  • Published : 2023.04.30

Abstract

Purpose: The purpose of this study was to compare the changes in the muscle activation of the quadriceps muscle (rectus femoris, vastus lateralis, vastus medialis) during the stand-to-sit (StandTS) movement according to the plantar flexion angle of the ankle joint. Methods: A total of 22 healthy young females participated in this study. During the StandTS under the three conditions (plantarflexion angle 0°, 20°, and 45° of the ankle), electromyography (EMG) data (% maximum voluntary iso¬metric contraction) of the rectus femoris, vastus lateralis, and vastus medialis were recorded using a wireless surface EMG system. Results: There was a significant difference in the muscle activation of rectus femoris, vastus lateralis, and vastus medialis according to the plantar flexion angle (0°, 20°, and 45°) of the ankle. The muscle activation of the quadriceps was the highest at a 45° angle of plantarflexion and the lowest at 0°. One-way repeated ANOVA was used to analyze the muscle activation data of the lower extremity muscles according to the angle of the ankle joint. Conclusion: Based on the results of our study, it was confirmed that the muscle activity of the quadriceps can be increased even in the StandTS movement, which involves the eccentric contraction of the quadriceps muscle. This suggests that maintaining a plantar flexion posture for a long time, say by wearing high-heeled shoes, can quickly cause muscle fatigue in the lower-limb muscles, which can cause a decrease in balance ability leading to falls.

Keywords

References

  1. Lou SZ, Chou YL, Chou PH et al. Sit-to-stand at different periods of pregnancy. Clin Biomech. 2001;16(3):194-8. https://doi.org/10.1016/S0268-0033(00)00114-5
  2. Cahill BM, Carr JH, Adams R. Inter-segmental co-ordination in sit-to-stand: an age cross-sectional study. Physiother Res Int. 1999;4(1):12-27. https://doi.org/10.1002/pri.1999.4.1.12
  3. Catena RD, Bailey JP, Campbell N et al. Stand-to-sit kinematic changes during pregnancy correspond with reduced sagittal plane hip motion. Clin Biomech. 2019;67:107-14. https://doi.org/10.1016/j.clinbiomech.2019.05.014
  4. Chen, HB, Wei TS, Chang LW. Postural influence on stand-to-sit leg load sharing strategies and sitting impact forces in stroke patients. Gait Posture. 2010;32(4):576-80. https://doi.org/10.1016/j.gaitpost.2010.08.005
  5. Pourahmadi MR, Ebrahimi TI, Jaberzadeh S et al. Test-retest reliability of sit-to-stand and stand-to-sitanalysis in people with and without chronic non-specific low back pain. Musculoskelet Sci Pract. 2018;35:95-104. https://doi.org/10.1016/j.msksp.2017.11.001
  6. Shum GL, Crosbie J, Lee RY. Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit. Spine. 2005;30(17):1998-2004. https://doi.org/10.1097/01.brs.0000176195.16128.27
  7. Kerr KM, White JA, Barr DA et al. Analysis of the sit-stand-sit movement cycle in normal subjects. Clin Biomech. 1997;12(4):236-45. https://doi.org/10.1016/S0268-0033(96)00077-0
  8. Kralj A, Jaeger RJ, Munih M. Analysis of standing up and sitting down in humans: definitions and normative data presentation. J Biomech. 1990; 23(11):1123-38. https://doi.org/10.1016/0021-9290(90)90005-N
  9. Lovering RM, Brooks SV. Eccentric exercise in aging and diseased skeletal muscle: good or bad? J Appl Physiol. 2014;116(11):1439-45. https://doi.org/10.1152/japplphysiol.00174.2013
  10. Sadeghisani M, Manshadi FD, Kalantari KK. Kinematics of the lumbar spine and hip joints in people with persistent low back pain during sit to stand and stand to sit activities. Med J Islam Repub Iran. 2021;35:165.
  11. Shum GL, Crosbie J, Lee RY. Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit. Spine. 2005;30:1998-2004. https://doi.org/10.1097/01.brs.0000176195.16128.27
  12. Macaluso A, Vito GD. Muscle strength, power and adaptations to resistance training in older people. Eur J Appl Physiol. 2004;91(4):450-72. https://doi.org/10.1007/s00421-003-0991-3
  13. Lin CH, Faisal AA. Decomposing sensorimotor variability changes in ageing and their connection to falls in older people. Sci Rep. 2018;8:14546.
  14. Seidler RD, Bernard JA, Burutolu TB et al. Motor control and aging: links to age-related brain structural. Neurosci Biobehav Rev. 2010;34(5):721-33. https://doi.org/10.1016/j.neubiorev.2009.10.005
  15. Chang SR, Kobetic R, Triolo RJ. Understanding stand-to-sit maneuver: implications for motor system neuroprostheses after paralysis. J Rehabil Res Dev. 2014;51(9):1339-51. https://doi.org/10.1682/JRRD.2013.12.0264
  16. Mourey F, Pozzo T, Rouhier-Marcer I et al. A kinematic comparison between elderly and young subjects standing up from and sitting down in a chair. Age Ageing. 1998;27(2):137-46. https://doi.org/10.1093/ageing/27.2.137
  17. Naik GR, Al-Ani A, Gobbo M et al. Does heel height cause imbalance during sit-to-stand task: surface EMG perspective. Front Physiol. 2017;8:626.
  18. Cho YH, Choi JH. Muscle activities of the lower extremity based on ankle plantar-flexion in elderly women. J Kor Soc Ther. 2009;21(4):57-63.
  19. Tiedemann A, Shimada H, Sherrington C et al. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008;37(4):430-5. https://doi.org/10.1093/ageing/afn100
  20. Cram JR, Kasman GS, Holtz J. Cram's introduction to surface electromyography. 2th ed. Boston, Jones and Barlett Publishers, 1998;363-7.
  21. Kim SN. Survey on shoes wearing and a proposal regarding shoes size and shape improvement: focused on women in their teens and twenties. Ewha Women's University. Dissertation of Master's Degree. 2000.
  22. Sung HR, Oh SJ, Ryu JN et al. Muscle activities of lower extremity and erector spinae muscles according to ankle joint position during squat exercise. J Back Musculoskelet Rehabil. 2021;34(4):671-6. https://doi.org/10.3233/BMR-191807
  23. Macrum E, Bell DR, Boling M et al. Effect of limiting ankle-dorsiflexion range of motion on lower extremity kinematics and muscle-activation patterns during a squat. J Sport Rehabil. 2012;21(2):144-50. https://doi.org/10.1123/jsr.21.2.144
  24. Matijevich ES, Branscombe LM, Zelik KE. Ultrasound estimates of achilles tendon exhibit unexpected shortening during ankle plantar flexion. J Biomech. 2018;72:200-6. https://doi.org/10.1016/j.jbiomech.2018.03.013
  25. Jaberzadeh S, Yeo D, Zoghi M. The effect of altering knee position and squat depth on VMO: VL EMG ratio during squat exercises. Physiother Res Int. 2016;21(3):164-73. https://doi.org/10.1002/pri.1631
  26. Zawadka M, Smolka J, Skublewska-Paszkowska M et al. How are squat timing and kinematics in the sagittal plane related to squat depth? J Sports Sci Med. 2020;19(3):500-7.
  27. Fox JT, Hefzy MS. Knee and ankle biomechanics during squatting with heels on and off of the ground, with and without weight shifting. Bone Muscle. 2019;2(1):1-9.