JOURNAL BROWSE
Search
Advanced SearchSearch Tips
EMG Activities of Vastus Muscles are Related to the Shoe-heel Heights in Female Patients with Patellofemoral Pain
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
EMG Activities of Vastus Muscles are Related to the Shoe-heel Heights in Female Patients with Patellofemoral Pain
Chon, Seung-Chul; Lee, Byung-Ki; Yoon, Tae-Hyung;
  PDF(new window)
 Abstract
The aim of this study was to investigate the effect of different shoe-heel heights on the surface electromyographic (EMG) activity of vastus medialis (VM) and vastus lateralis (VL) during treadmill walking in female patients with patellofemoral pain (PFP). Nineteen women with PFP participated in this research. EMG signals were recorded from the VM and VL of both sides and were compared during the treadmill walking. The subjects walked on a treadmill wearing shoes of three different heel heights: 1 cm, 3 cm and 7 cm. Each subject walked on a treadmill for five minutes at a speed of 2 km/hour with three minutes resting intervals between consecutive trials. The data were analyzed by one-way repeated-measures analysis of variance. The results of the present study indicate that EMG data of the VM and VL of female patients with PFP did improve with an increase in the height of the shoe heel, which were statistically significant. Additionally, the EMG activity of VM increased more dramatically than that of VL associated with the task of walking with high-heeled shoes on the treadmill. This study suggests that the type of high-heeled shoes is related to the VM and VL muscle activation patterns contributing to knee joint pathologies in female patients with PFP.
 Keywords
Electromyography;Patellofemoral pain;Shoe heel;Treadmill walking;
 Language
English
 Cited by
 References
1.
M.C. Boling, L.A. Bolgla, C.G. Mattacola, T.L. Uhi and R.G. Hosey, “Outcomes of a weight-bearing rehabilitation program for patients diagnosed with patellofemoral pain syndrome”, Archives of Physical Medicine and Rehabilitation, Vol. 87, No.11, 2006, pp. 1428-1435. crossref(new window)

2.
A.M. Burden, M. Trew and V. Baltzopoulos, “Normalisation of gait EMGs: are-examination” Journal of Electromyography and Kinesiology Vol. 13, No. 6, 2003, pp. 519-532. crossref(new window)

3.
S.M. Cowan, K.L Bennell, P.W. Hodges and J. McConnell, Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome”, Archives of Physical Medicine and Rehabilitation, Vol. 82, No. 2, 2001, pp. 183-189. crossref(new window)

4.
L. Edwards, J. Dixon, J.R. Kent, D. Hodgson and V.J. Whittaker, “Effect of shoe heel height on vastus medialis and vastus lateralis electromyographic activity during sit to stand”, The Journal of Orthopaedic Surgery, 2008;10:3:2. crossref(new window)

5.
V. Fagan and E. Delahunt. “Patellofemoral pain syndrome: a review on the associated neuromuscular deficits and current treatment options”, British Journal of Sports Medicine, Vol. 42, No. 10, 2008, pp. 489-495. crossref(new window)

6.
M.E. Franklin, T.C. Chenier, L. Brauninger, H. Cooka and S. Harris, “Effect of positive heel inclination on posture”, Journal of Orthopaedic and Sports Physical Therapy, Vol. 21, No. 2, 1995, pp. 94-99. crossref(new window)

7.
W. Gilleard, J. McConnell and D. Parsons, “The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain”, Physical therapy, Vol. 78, No. 1, 1998, pp. 25-32.

8.
G.M. Karst and G.M. Willett, “Onset timing of electromyographic activity in the vastus medialis oblique and vastus lateralis muscles in subjects with and without patellofemoral pain syndrome”, Physical therapy, Vol. 75, No. 9, 1995, pp. 813-823.

9.
D.C. Kerrigan, J.L. Johansson, M.G. Bryant, J.A. Boxer, U. D. Croce and P.O. Riley, “Moderate-heeled shoes and knee joint torques relevant to the development and progression of knee osteoarthritis”, Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 5, 2005, pp. 871-875. crossref(new window)

10.
E. Heintjes, M.Y. Berger, S.M. Bierma-Zeinstra, R.M. Bernsen, J.A. Verhaar and B.W. Koes, “Exercise therapy for patellofemoral pain syndrome”, Cochrane Database System Review, 2003;(4):CD003472.

11.
M.G. Horton and T.L. Hall, “Quadriceps femoris muscle angle: normal values and relationships with gender and selected skeletal measures”, Physical therapy, Vol. 69, No. 11, 1989, pp. 897-901.

12.
C.M. Lee, E.H. Jeong and A. Frievalds, “Biomechanical effects of wearing high-heeled shoes”, International Journal of Industrial Ergonomics. Vol. 28, No. 6, 2001, pp. 321-326. crossref(new window)

13.
P.P. Mariani and Caruso, “An electromyographic investigation of subluxation of the patella”, Journal of bone and joint surgery. British volume, Vol. 61, No. 2, 1979, pp. 169-171.

14.
A. Mundermann, B.M. Nigg, R.N. Humble, et al. “Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners”, Medicine & Science in Sports & Exercise, Vol. 35, No. 10, 2003, pp. 1710-1719. crossref(new window)

15.
K.A. Opila-Correia, “Kinematics of high-heeled gait”, Archives of Physical Medicine and Rehabilitation,Vol. 71, No. 5, 1990, pp. 304-309.

16.
S.R. Piva, G.K. Fitzgerald, J.J. Irrgang, J.M. Fritz, S. Wisniewski, G.T. McGinty, J.D. Childs, M.A. Domenech, S. Jones and A. Delitto, “Associates of physical function and pain in patients with patellofemoral pain syndrome”, Archives of Physical Medicine and Rehabilitation Vol. 90, No. 2, 2009, pp. 285-295. crossref(new window)

17.
C.M. Powers, R. Landel and J. Perry, “Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain”, Physical therapy, Vol. 76, No. 9, 1996, pp. 946-955.

18.
P. Sheehy, R.G Burdett, J.J. Irrgang, and J. VanSwearingen, “An electromyographic study of vastus medialis oblique and vastus lateralis activity while ascending and descending steps”, Journal of Orthopaedic and Sports Physical Therapy, Vol. 27, No. 6, 1998, pp. 423-429. crossref(new window)

19.
G.L. Soderberg and L.M. Knutson, “A guide for use and interpretation of kinesiologic electromyographic data”, Physical therapy, Vol. 80, No. 5, 2000, pp. 485-498.

20.
D.R. Souza and M.T. Gross, “Comparison of vastus medialis obliquus: vastus lateralis muscle integrated electromyographic ratios between healthy subjects and patients with patellofemoral pain”, Physical therapy, Vol. 71, No. 4, 1991, pp. :310-316.

21.
I.Y. Syed and B.L. Davis, “Obesity and osteoarthritis of the knee: hypotheses concerning the relationship between ground reaction forces and quadriceps fatigue in long-duration walking”, Medical Hypotheses, Vol. 54, No. 2, 2000, pp. 182-185. crossref(new window)

22.
W. Woodall and J. Welsh, “A biomechanical basis for rehabilitation program involving the patellofemoral joint”, Journal of Orthopaedic and Sports Physical Therapy, Vol. 11, No. 11, 1990, pp. 535-542 crossref(new window)