• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.24 no.1
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• pp.31-37
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• 2018

Background: The purpose of this study was to identify the comparison of the muscle contractile properties on lower extremity between non-injury and injury in subjects with anterior cruciate ligament reconstruction (ACLR). Methods: Twenty-four subjects on the post-operative ACLR participated in this study. Measurement method were using tensiomygraphy to analyze the displacement maximum(Dm) and contraction time(Tc) on the both quadriceps. Results: Compared difference of the Dm between non-injury and injury, the rectus femoris (RF) and vastus lateralis (VL) increased significantly (p<.01). However, vastus medialis (VM) no significantly difference between non-injury and injury. Compared difference of the Tc between non-injury and injury, the RF increased significantly (p<.01) but VL and VM no significantly difference between non-injury and injury. Conclusions: These findings suggest that occurred muscle atrophy of the RF and VL and change properties of muscle fibers on the RF from fast muscle fibers to slow muscle fibers on the injury side of post-operative ACLR. Therefore, when apply to rehabilitation of lower extremity for post-operative ACLR, we should consider the enhance of RF and VL on injury side.

• Physical Therapy Rehabilitation Science
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• v.11 no.2
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• pp.119-126
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• 2022

Objective: This study aimed to investigate the effect of the application of abdominal brace techniques on muscle activity of the trunk and lower extremities when walking. Design: Cross-sectional study Methods: This study was conducted on 26 healthy adults in their 20s, and the subjects performed two conditions in random order: walking with the abdominal bracing technique and walking in an abdominal relaxation state (normal gait). Muscle activity was measured on the dominant side of all subjects using surface electromyography, and the attachment sites were the erector spinae, external oblique, internal oblique, vastus lateralis, and vastus medialis oblique muscles. Each condition was measured three times to calculate and analyze the average value. Results: When walking using the abdominal brace technique, the muscle activity of the erector spinae, external oblique, internal oblique, and vastus lateralis increased significantly (p<0.05), and the muscle activity of the vastus medialis increased as well but was not significant. Conclusions: The results of this study indicate that it is possible to be used as an effective guide to increasing the muscle activity and stability of the trunk and lower extremities through the application of the abdominal bracing technique during walking.

• Journal of the Korean Society of Physical Medicine
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• v.7 no.4
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• pp.541-550
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• 2012

PURPOSE: The purpose of this study was compare quadriceps femoris muscle activity while performing wall slide squats of four methods. METHODS: Forty subjects, with no history of patellofemoral pain, quadriceps injury, or other knee injury volunteered for this study. Muscle activation of the vastus medialis obliquus, rectus femoris, vastus lateralis muscles were recorded while subjects performed 10 consecutive wall slide squats. Subjects performed the wall slide squats during four different methods: (1) basic wall slide squat, (2) keep back upright against fitness ball, (3) standing of unstable surface, (4) squeezing ball between both knees. Statistical analysis were accomplished by utilizing the one-way ANOVA(Bonferroni's post-hoc test) by SPSS 20.0 program. Significance level was set at p<.05. RESULTS: Muscle activations induced wall slide squats of four methods compared and results showed that there was significant difference only in vastus medialis obliquus and rectus femoris but there was no significant difference in vastus lateralis. The vastus medialis obliquus was significantly different only keep back upright against fitness ball at post-hoc test. The rectus femoris was significantly different keep back upright against fitness ball and standing of unstable surface at post-hoc test. CONCLUSION: Based on these results, we conclude that quadriceps femoris muscle activations are differenced by performing wall slide squats of four different methods in healthy subjects. These data suggest that for quadriceps muscle strengthening, exercise professionals can perform the wall slide squats by altering several task variables. Further research is needed to determine the exact mechanism by which quadriceps function is altered.

• Journal of muscle and joint health
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• v.17 no.2
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• pp.142-150
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• 2010

Purpose: The purpose of this study was to examine EMG activities and VMO/VL ratio of the vastus medialis oblique, vastus lateralis, and rectus femoris during squat exercise (knee angle: 15, 45, and 60 degrees; tibial rotation: internal rotation, neutral, and external rotation). Methods: Twelve subjects performed squat exercise at each knee angle and tibial rotation while electromyographic (EMG) activity was collected. Statistical analysis consisted of two-way repeated measures analysis of variance with post hoc analysis. Results: There were significant main effects of knee angles and foot positions and interaction effect on EMG activities of vastus medialis oblique and vastus lateralis. VMO/VL ratios were significantly different by tibial rotations and there was an interaction effect. A neutral position produced significantly more VMO/VL activity ratio than that from internally rotated position and externally rotated position at 60 degrees. Conclusion: Considering the interaction effects for EMG activity across quadriceps muscles tested, the 60 degrees knee angle with a neutral foot position may provide the most effective condition for patients with acute patellofemoral syndrome.

• PNF and Movement
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• v.18 no.1
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• pp.35-44
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• 2020

Purpose: The purpose of this study was to investigate the effect of the simultaneous abdominal drawing-in maneuver (ADIM) on the muscle activity of the ipsilateral trunk and leg during proprioceptive neuromuscular facilitation (PNF) leg flexion, adduction, and external rotation with knee flexion (D1) patterns. Methods: The participants were 20 healthy adult males and females (18 males and 2 females). The maneuvers were performed by a physical therapist who fully understands the PNF leg patterns (D1) and their application in clinical practice. The participants were trained and allowed to practice for 15 minutes prior to applying ADIM, to ensure adequate learning as evidenced by the pressure biofeedback unit. In this study, we measured the muscle activity of the trunk and leg when the PNF leg pattern (D1) was performed by the physical therapist either sustaining or releasing the ADIM. Muscle activity was measured on the right transverse abdominis muscle (TRA), the external abdominal oblique muscle (EO), the internal abdominal oblique muscle (IO), the erector spinae muscle (ES), the vastus medialis oblique muscle (VMO), the vastus lateralis oblique muscle (VLO), and the tibialis anterior muscle (TA) and compared using the mean values from averaging three repeated measurements. Results: The muscle activity of the transversus abdominis, the external abdominal oblique, the internal abdominal oblique, the vastus medialis oblique, and the vastus lateralis oblique was significantly greater (p < 0.05), and the muscle activity of the erector spinae was significantly less (p < 0.05) during PNF leg pattern (D1) when the ADIM contraction was sustained compared to when it was not. Conclusion: These results suggest that sustaining ADIM during PNF leg pattern (D1) training increases the trunk and leg muscle activity, resulting in more effective training.

• PNF and Movement
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• v.21 no.1
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• pp.107-117
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• 2023

Purpose: The aim of this study is to compare the immediate effects of weight-assisting methods on vastus medialis oblique (VMO) and vastus lateralis (VL) muscle activation, on the VMO/VL muscle activation ratio, and on muscle onset time in healthy subjects when ascending stairs. Methods: Healthy participants were randomly assigned to the belt group (n = 11), hand group (n = 11), and control group (n = 11). In the belt group, a belt was wrapped around the sacrum and pulled forward with both hands, moving the center of weight forward, while ascending stairs. The hand group grasped the hips with both hands and climbed stairs, assisting their weight from the rear and moving the center of weight backward, and the control group climbed the stairs without any intervention. Results: Muscle activation of the VMO decreased significantly after the intervention in the belt and hand groups, and activation of the VL muscle in both groups showed a greater decrease than that of the VMO muscle. Further, the VMO/VL muscle activation ratio increased significantly, with an improvement shown in the order of the belt group, hand group, and control group, while muscle onset time also improved in the order of the belt group, hand group, and control group. Conclusion: The belt group demonstrated the greatest effect across all dependent variables, confirming that in clinical practice, these two weight-assisting methods are more effective interventions during stair ascent for patients with knee joint instability, pain, and imbalance than no assistance.

• Journal of International Academy of Physical Therapy Research
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• v.3 no.1
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• pp.406-411
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• 2012

This study aims to examine the effect of patellar taping common to patients with patellofemoral pain syndrome on the change of knee joint location. The total number of participants is 12 patients with no pain in their knee. There are three different experiments: no-taping, placebo taping, and patellar taping. After application, they squat on their hams. As a result, both the muscle activity of vastus medialis and that of vastus lateralis increased in placebo taping compared to no-taping, which wasn't statistically significant. However, the muscle activity of vastus medialis and that of vastus lateralis decreased in patellar taping compared to no-taping, which was statistically significant. This suggests that patellar taping causing the lateral attraction of knee joint is more influential to the dynamics of knee joint than skin afferent input in placebo taping. Therefore, patellar taping is effective to change the location of knee joint, affect the muscle activity of quadriceps muscle of thigh, and thus correct the misalignments of the knee joint.

• Journal of the Korean Institute of Navigation
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• v.20 no.4
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• pp.81-98
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• 1996

The purpose of this study was analysis of the muscle action in physical exercise in the rolling machine. The rolling machine moved by eletric power-driven was made to keep the constant cycle and size of rolling. The subjects of this study consist of 4 seaman(SM) and 4 landman (LM). The experiment analyzed the muscle power of lower and upper limbs by Intergrated Electromyogram(IEMG). The measurement was made on the ground, and 6 and 8 degrees of rolling separately. This study concludes as follows ; including analysis of IEMG of heavy exercise in two hands curl, a standstill walking and just standing. 1. IEMG of the lower limbs when standing. 1) In 6 degrees of rolling, for the landman(LM), vastus medialis m.(9.73), vastus lateralis m.(9.55), and rectus femores m.(8.73) acted more. As for the seaman(SM), tibialis anterior m.(5.38), biceps femores m.(5.05), and gastrocnemius m.(4.47) acted more. 2) In 8 degrees of rolling, in common, for both LM and SM, it were vastus medialis m.(11.20 and 8.97), vastus lateralis m.(16.20 and 4.63), and tibialis anterior m.(5.13 and 4.47). 3) It was showed that IEMG of LM was larger than that of SM. 2. IEMG of the lower limbs when walking. 1) On the ground, for the LM, gastrocnemius m.(7.08), vastus medialis m.(6.65), and vastus latralis m.(6.60) acted more. As for the SM, vastus lateralis m.(7.08), vastus medialis m.(6.58) and restus femores m.(5.10) acted more. 2) In both 8 and 6 degrees of rolling, vastus medials m.(14.50 and 11.98), vastus lateralis m.(10.10 and 14.10), and gastrocnemius m.(11.75 and 7.10) acted more in two groups. 3) It was showed that IEMG of LM was larger than that of SM. 3. IEMG of the lower limbs when heavy exercise(two hands curl). 1) On the ground, for the LM, vastus lateralis m.(21.68), vastus medialis m.(16.08), and rectus femores m.(14.08) acted more. As for the SM, tibialis anterior m.(16.08), vastus medialis m.(14.58), and vastus lateralis m.(8.78) acted more. 2) In 8 and 6 dgrees of rolling, it were vastus medialis m.(17.05 and 12.45), vastus lateralis m.(37.98 and 17.08), and tibialis anterior m.(19.83 and 13.20). 3) It was showed that IEMG of LM was larger than that of SM. 4. IEMG of the upper limbs when heavy exercise. 1) On the ground, the brachialis m.(44.30 and 17.80), and biceps brachii m.(13.40 and 25.10) acted more in two groups. 2) In both 6 and 8 degrees of rolling, the brachialis m.(37.60 and 24.35), and biceps brachii m.(11.38 and 7.97) acted more in two groups. 3) It was showed that IEMG of SM was larger than that of LM.

• PNF and Movement
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• v.12 no.3
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• pp.167-171
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• 2014

Purpose: The purpose of this study was to show the effects of voluntary change of weight bearing on the vastus medialis oblique and the vastus lateralis ratio during squat exercise. Methods: Twenty-four healthy adults were recruited for this study. The subjects performed squat exercise with median weight bearing, lateral weight bearing and non-changed weight bearing. The muscle activities of the vastus medialis oblique and the vastus lateralis were measured during the squat for all three conditions. The measured data were analyzed using one-way ANOVA to investigate the effect of muscle activation on the each condition. The statistical analyses were performed using SPSS ver. 17.0, and a p-value of less than 0.05 was considered significant for all cases. A post-hoc test was performed using Tukey's test. Results: The study showed that the vastus medialis oblique and the vastus lateralis ratio significantly changed according to the voluntary change of weight bearing during a squat. The vastus medialis oblique and the vastus lateralis ratio significantly decreased under the condition of voluntary lateral weight bearing. Conclusion: We suggest squat exercise on median weight bearing to increase the vastus medialis oblique and the vastus lateralis ratio. If your patient has.

• Physical Therapy Korea
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• v.23 no.2
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• pp.75-83
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• 2016

Background: Several studies have discussed diverse exercise methods considered to be useful for the selective contraction of the vastus medialis oblique (VMO) muscle for the treatment of patellofemoral pain syndrome. Some studies have reported that exercise methods, including hip adduction, in closed kinetic chain exercises are more effective in terms of the muscle activation of the VMO and the timing of the muscle's initial contraction. We focused on isometric contraction during a closed kinetic chain exercise with hip adduction. Objects: The purpose of this study was to examine muscle activation in the VMO and the vastus lateralis (VL) and the onset time difference between their initial contractions via closed kinetic chain isometric quadriceps femoris exercises including hip adduction. Methods: In total, 36 healthy subjects adopted two hip positions during isometric contraction of the quadriceps femoris in a closed kinetic chain exercise (hip neutral and hip adduction position). Statistical analyses were conducted using a paired t-test (${\alpha}=.05$). Results: Isometric contraction of the quadriceps femoris in a closed kinetic chain exercise caused a greater increase in VMO muscle activity in the hip adduction position [$52.68{\pm}22.21$ percentage of maximal voluntary isometric contraction (%MVIC)]than the hip neutral position ($43.43{\pm}19.85%MVIC$). The onset time difference (VL-VMO) decreased more in the hip adduction position ($-82.14{\pm}34.2ms$) than the hip neutral position ($73.94{\pm}2.94ms$). Conclusion: We recommend this exercise as a clinically useful therapeutic method for patients with patellofemoral pain syndrome due to weakening of the VMO muscle and lateral inclination of the patella.