Author:
Bevilaqua-Grossi Débora,Monteiro-Pedro Vanessa,de Vasconcelos Rodrigo Antunes,Arakaki Juliano Coelho,Bérzin Fausto
Abstract
Abstract
Study design
Controlled laboratory study.
Objectives
The purposes of this paper were to investigate (d) whether vastus medialis obliquus (VMO), vastus lateralis longus (VLL) and vastus lateralis obliquus (VLO) EMG activity can be influenced by hip abduction performed by healthy subjects.
Background
Some clinicians contraindicate hip abduction for patellofemoral patients (with) based on the premise that hip abduction could facilitate the VLL muscle activation leading to a VLL and VMO imbalance
Methods and measures
Twenty-one clinically healthy subjects were involved in the study, 10 women and 11 men (aged X = 23.3 ± 2.9). The EMG signals were collected using a computerized EMG VIKING II, with 8 channels and three pairs of surface electrodes. EMG activity was obtained from MVIC knee extension at 90° of flexion in a seated position and MVIC hip abduction at 0° and 30° with patients in side-lying position with the knee in full extension. The data were normalized in the MVIC knee extension at 50° of flexion in a seated position, and were submitted to ANOVA test with subsequent application of the Bonferroni multiple comparisons analysis test. The level of significance was defined as p ≤ 0.05.
Results
The VLO muscle demonstrated a similar pattern to the VMO muscle showing higher EMG activity in MVIC knee extension at 90° of flexion compared with MVIC hip abduction at 0° and 30° of abduction for male (p < 0.0007) and MVIC hip abduction at 0° of abduction for female subjects (p < 0.02196). There were no statistically significant differences in the VLL EMG activity among the three sets of exercises tested.
Conclusion
The results showed that no selective EMG activation was observed when comparison was made between the VMO, VLL and VLO muscles while performing MVIC hip abduction at 0° and 30° of abduction and MVIC knee extension at 90° of flexion in both male and female subjects. Our findings demonstrate that hip abduction do not facilitated VLL and VLO activity in relation to the VMO, however, this study included only healthy subjects performing maximum voluntary isometric contraction contractions, therefore much remains to be discovered by future research
Publisher
Springer Science and Business Media LLC
Subject
Health Informatics,Rehabilitation
Reference43 articles.
1. Dye SF: The pathophysiology of patellofemoral pain. Presented at 48th Annual National Athletic Trainers Association Meeting; June 19, 1997; Salt Lake City, US
2. Wilk KE, Reinold MM: Principles of patellofemoral rehabilitation. Sports Medicine and Arthroscopy Review 2001, 9: 325-36. 10.1097/00132585-200110000-00010
3. Stokes M, Young A: Investigation of quadriceps inhibition: implications for clinical practice. Physiotherapy 1984, 70: 425-28.
4. Hertel J, Earl JE, Tsang KKW, Miller SJ: Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps EMG activity. Br J Sports Med 2004, 38: 210-13. 10.1136/bjsm.2002.003277
5. Moller BN, Krebs B, Tidemand-Dal C, et al.: Isometric contractions in the patellofemoral pain syndrome. An electromyographic study. Arch Orthop Trauma Surg 1986, 105: 24-7. 10.1007/BF00625655
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献