• Title, Summary, Keyword: Quadriceps-angle

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Effects of EMG-Biofeedback Using Closed Kinetic Chain Exercise on Q-angle and Quadriceps Muscle Activation in Patellofemoral Pain Syndrome

  • Kim, Je-Ho
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.65-70
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    • 2016
  • Purpose: The aim of this study was to determine the effects of electromyographic (EMG)-Biofeedback using closed kinetic chain exercise (EB-CKCE) on quadriceps angle (Q-angle) and quadriceps muscle activation and muscle activation ratio in subjects with patellofemoral pain syndrome and to provide fundamental information on rehabilitation exercise in patellofemoral pain syndrome. Methods: Thirty participants who met the criteria were included. The subjects were randomly divided into three groups: control group (Group I, n=10), semi-squat exercise group (Group II, n=10), and EMG-Biofeedback using closed kinetic chain exercise group (Group III, n=10). Intervention was provided to each group for eight weeks (three times per week; 30 minutes per day). Subjects were measured on Q-angle and quadriceps muscle activation. Results: Significant difference in Q-angle and quadriceps muscle activation was observed in groups II and III compared with control group I (p<0.01). Results of post-hoc analysis showed a significant difference in Q-angle and quadriceps muscle activation in on group III compared with groups I and II. Conclusion: Findings of this study suggest that closed kinetic chain exercise using EMG-Biofeedback that provides real-time biofeedback information on muscle contraction may have a beneficial effect on improvement of Q-angle and quadriceps muscle activation in patellofemoral pain syndrome.

Correlations Between Quadriceps Angle, Functional Leg Length Discrepancy and Lower Extremity Muscle Strength of Women University Students in Their Twenties (일부 20대 여대생의 넙다리네갈래근 각이 기능적 다리길이 차이 및 하지근력과의 상관관계)

  • Jung, Yeon-Woo;Kim, Yeo-Jin;Lee, Jae-Geun;Doo, Young-Taek
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.2
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    • pp.9-14
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    • 2014
  • Background: This study aims to examine correlations between quadriceps angle, lower extremity muscle strength and leg length discrepancy. Methods: This study selected 96 healthy women university students as the subjects of research. Quadriceps angle, lower extremity muscle strength and leg length discrepancy were measured. The statistical analysis of the data SPSS/window (version 12.0) were analyzed using the pearson correlation analysis. Results: There were negative correlations between the muscle strength of the right hamstring muscles and the right quadriceps angle in supine and standing positions. Functional leg length discrepancy of left and right quadriceps angle in supine and standing position showed positive correlations. Conclusions: The quadriceps angle affect the knee. An abnormal angle caused weakening of balance. Muscle strength, leg length discrepancy, and affected lower extremity alignment and knee function. These conclusions may prevent exercise limitation or disorders in the subjects and treating the patients with knee injury or patellofemoral pain syndrome with basic therapy intervention.

The Effect of Navicular Drop on The Clinical Measures of Lower Extremity Alignment (주상골 하강이 하지 배열의 임상적 평가에 미치는 영향)

  • Kim, Jun-Woo;Lee, Eun-Hee;Ko, Kyoung-Hee;Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.1
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    • pp.1-8
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    • 2010
  • Purpose : This study aimed to examine the relationships among five clinical measures for functional alignment of the lower extremity. Methods : Thirty healthy subjects (15 males and 15 females) were recruited for the study. The five clinical measures of functional alignment of the lower extremity included navicular drop, quadriceps angle, internal rotation of hip, and anterior and lateral pelvic tilt angles. The level of navicular drop was calculated by the difference between the height of the navicular bone in the sitting (non-weight bearing) and standing (weight bearing) positions. The quadriceps angle and internal rotation of hip were measured using a standard goniometer with photographic markers while the subjects were lying in a prone position on a table with their knee at $90^{\circ}$ flexion. Anterior and lateral pelvic tilt angles were determined using a inclinometer. Results : Correlation and a simple linear regression analysis were used to assess relationships between the clinical measures. There were significant correlations between navicular drop and quadriceps angle (p<.05), between navicular drop and internal rotation of hip (p<.05), and between quadriceps angle and internal rotation of hip (p<.01). In simple linear regression analysis, the navicular drop appeared to be a factor affecting the quadriceps angle and internal rotation of hip (p<.05). The findings suggest that navicular drop has a great impact on lower extremity alignment. Conclusion : This study might help us to examine lower extremity function and clarify its role as a potential injury risk factor.

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The Evaluation of Overflow and Cross Training Effect after Isometric Quadriceps Training (대퇴사두근 등척성 훈련 후 오버플로우와 교차훈련효과의 평가)

  • Choi Jae-Cheong
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.9-13
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    • 2000
  • The purpose of this study was to determine the overflow effect and cross training effect of isometric quadriceps training that performed in specific angle of unilateral let. Ten healthy students with an average age of 24 years$(24.1\pm1.3)$, were participated in this study. Then 5 subjects in each group were chosen at random to train using only right quadriceps muscle two time per day(group 2), five times a week and the other 5 subjects(group 1) were chosen to train one times per day, five times a week for 2 weeks at only 50 degrees (contract 6 seconds, rest 10 seconds, 3 sets). Before and after the training, isometric quadriceps muscle testing of the both leg was Performed at three different angles, 60, 50 and 40 degrees respectively by BHN-COM (isokinetic dynamometer) in sitting position. The data was analyzed with paired t-test to determine significant difference between before and after training. In this study, we have found that the isometric quadriceps muscle training on specific angle of right side produced overflow effect In healthy subjects. However, increasing the peak torque of specific angle(training angle) of trained limb did not have an effect on increasing the peak torque of contralateral limb. These results demonstrate that the cross training effect did nut found in this study but a alight increase of peak torque of the untrained limb would recognized the possibility of cross training effect.

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The Effects of Hip Angle on Muscle Activity of Quadriceps during Q-Setting Exercise (고관절 각도에 따른 대퇴사두근의 Q-setting 운동 시 근활성도에 미치는 영향)

  • Lee, Geoncheol;Kim, Jongsu;Kim, Sunghun;Kim, Myungkeun;Kim, Jiwon;Chu, Seolhui;Kim, Bora
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.1
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    • pp.15-21
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    • 2014
  • Purpose : The aim of this study was to find out differences between muscle activity of quadriceps according to hip angle. Method : 40 healthy adults produced maximum isometric muscle contraction of quadriceps femoris and each part of the quadriceps femoris were measured with a surface EMG in hip joint angle of $90^{\circ}$, $135^{\circ}$, $180^{\circ}$. Result : There was no significant difference between muscle activity of vastus medialis and lateralis according to hip angle. But there was significant difference in muscle activity of rectus femoris and the muscle activity was maximum at 135 degrees of hip angle. Conclusion : In conclusion, maximum muscle activation of rectus femoris is affected by hip angle, and the findings from this study may be helpful for physical therapists in selecting hip position when instructing patients to do Q-setting exercise. So, we suggest that patients perform Q-setting exercise at 135 degrees of hip angle for the best result.

Factors Related to Q Angle in Healthy Adults (20대 정상성인의 대퇴사두근각(Q angle)에 영향을 미치는 요인)

  • Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.6 no.1
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    • pp.1-14
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    • 1999
  • The quadriceps angle (Q angle) has been used to reflect the quadriceps muscle's force on the patella in the frontal plane. Previous investigations of the Q angle and it's relationship to knee disorders have yield equivocal results. The purpose of this study was to analyze the factors related to the Q angle and it's relation to other variables such as leg length, body weight, CTA (calcaneus to tibia angle), TOA (toe out angle), and pelvic width in normal subjects. The participants were 60 students (30 men and 30 women) who had no orthopedic and neurological impairments, aged from 20 to 29 years of age, with an average age of 22.1 years. Prior to participation, each subject was informed of the procedures of the experiment from a researcher and assistant researchers. The equipment used in this study were modified standard goniometer, ruler, marking pen, and Martin apparatus for pelvic width. In order to determine the statistical significance of the experiment, regression analysis, independent t-test, and Pearson correlation were used at the 0.05 level. The results were as follows: 1) It was found that the Q angle of women is greater than that of men's from both knees. 2) There was no significant difference between right and left quadriceps angle. 3) The Q angle decreased as the body weight (leg length) shifted from low to high. 4) It seems that factors related to the Q angle were body weight, CTA, and pelvic width, but there was no significant difference at the 0.05 level.

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Effects of Calcaneus Fixation Taping on Quadriceps Angle and Lower Limb Muscles During Stairway Gait of a Patient with Patellofemoral Pain (무릎넙다리통증증후군 환자의 계단보행 시 발뒤꿈치뼈 교정 테이핑이 슬개대퇴각과 하지근육에 미치는 영향)

  • Oh, Kang-O;Lee, Sang-Yeol
    • PNF and Movement
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    • v.17 no.2
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    • pp.311-319
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    • 2019
  • Purpose: This study was conducted to determine the structural change in knees caused by quadriceps angle and the muscle activity in lower limbs. Indirect intervention was provided by using taping for stability in the ankle joints, which affected patellofemoral pain. Methods: The subjects in this study were 20 patients with patellofemoral pain who visited ${\bigcirc}{\bigcirc}{\bigcirc} $ Hospital in Busan. The visual analogue scale measured the dynamic quadriceps angle and the degree of pain felt by the patients while walking down stairs, which was a known factor of patellofemoral pain. In addition, muscle activities in the rectus femoris, vastus lateralis, vastus medialis, tibialis anterior, peroneus longus, and biceps femoris, which affect the knees and ankles, were measured using surface electromyography. The muscle activities were converted into %RVC for this study. The data obtained in this study were analyzed with the Wilcoxon signed-rank test using the SPSS Ver. 25.0 statistical program. The significance level ${\alpha}$ was 0.05. Results: The study results showed that the pain and dynamic quadriceps angle were significantly reduced statistically when applying the calcaneus fixation taping (p<0.05). Muscle activity in the lower limbs was significantly decreased in the vastus medialis, vastus lateralis, and tibialis anterior (p<0.05). Conclusion: The summary of the study results verified that the calcaneus fixation taping reduced the pain and dynamic quadriceps angle by providing stability in the ankle joints. It also produced efficient movement due to the difference in lower-limb muscle activity.

Muscle Strength Ratio and Q-angle in Patients With Osteoarthritis of The Knee: A Comparative Study With Healthy Persons (슬관절 골관절염 환자의 슬관절 주위근의 근력비와 Q-각과의 관계)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.45-54
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    • 2005
  • The quadriceps-angle (Q-angle) and the ratio of hamstring/quadriceps (H/Q) are important for the stability of the knee and for protection from excessive stress. The aim of this study was to examine the association between Q-angle and H/Q ratio with and without knee osteoarthritis. We compared knee osteoarthritis patients with symptom-free women. The mean age of the patients in the arthritis group (25 women, osteoarthritis) was 59.7 years. The non-arthritis group consisted of 25 women with a mean age of 55.2 years. Of the 25 women with osteoarthritis, 5 had the condition in their left knee, 5 had it in their right knee, and 15 had it on both sides. There was no significant difference in the knee Q-angle of the left and right knees of the arthritis group and the non-arthritis-group (p>.05). The strength of all the muscles around the involved right knee in the arthritis group was significantly weaker than that of the non-arthritis group (p<.05). However, in the left knee, only the strength of the knee extensors and internal rotators was significantly weaker than that of the non-arthritis group (p<.05). The Q-angle was not associated with the H/Q ratio and internal rotators/external rotators ratio of the involved knee in the arthritis group (p>.05). Neither was the Q-angle associated with the pain level of an involved knee in the arthritis group (p>.05). The knee pain was not associated with the H/Q ratio of the involved knee in the arthritis group (p>.05). The Q-angle was not associated with the ratio of H/Q and pain level of the involved knee in the osteoarthritis women.

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A SEMG analysis of knee joint angle during close kinetic chain exercise and open kinetic chain exercises in quadriceps muscle (단일관절운동과 복합관절운동 시 슬관절 각도에 따른 대퇴사두근의 표면 근전도 비교 분석)

  • Han Sang-Wan
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.192-204
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    • 2004
  • The surface electromyographic(sEMG) analyses were knee joint angle during open kinetic chain exercise (OKC) and close kinetic chain exercise (CKC) in vastus medialis (VM), vastus lateralis (VL), and rectus femoralis (RF). Ten subjects with normal , aged 20 to 30(X=27.4, SD=3.23), were randomized Statistical techniques for data analysis were applied paired t-test. The 0.05 level of significane was used as the critical level for rejection of the null hypotheses for the study. And the results were: 1) Both OKC and CKC improved the strength of quadriceps muscle as the knee joint flexion was increased. 2) In OKC, the strength of VM was improved the most at the 30 degree angle. 3) In CKC, the strength of VM was improved the most at the 30 degree angle. 4) The VM/VL ratio was the largest at the 10 and 20 degree angles in OKC and CKC. 5) The VM/VL ratio at 10, 20, and 30 degree angles was significantly different between OKC and CKC (P < 0.05). Base on the results, the OKCE is recommended for the knee joint patients, especially for the patellofemoral pain syndrome patients, during the early phase of rehabilitation. In order to improve strength of the quadriceps, muscle strength training at 30 degree angle is recommended. In order to improve VM/VL ratio, 10 and 20 degree angles are recommended during OKCE and CKCE, respectively. Future researches are warranted comparing electromyographic analysis between OKCE and CKCE in the quadriceps at a certain work lead, and muscle strength performance in the quadriceps at different positions of foot.

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A Comparison of Knee and Ankle Coronal Plane Alignment According to Quadriceps Exercise Method in Early Phase of Total Knee Arthroplasty: Lower Extremity Isometric Co-Contraction and Quadriceps Isolated Isometric Contraction (슬관절 전치환술 초기의 대퇴사두근 운동 방법에 따른 슬관절과 족관절의 관상면 정렬 비교: 하지 등척성 동시수축과 대퇴사두근 단독 등척성 수축)

  • Kim, Hyung-soo;Jeong, Young-hee
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.20-30
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    • 2016
  • Background: Total knee arthroplasty (TKA) recovers the alignment of the knee joint, but fails to automatically restore the alignment and function of the hip and ankle joints. It may affect the alignment and stability of the knee joint, therefore therapeutic intervention in hip and ankle joint is necessary for the rehabilitation process after TKA. Objects: The aim of this study was to comparison of the effects of the two exercise methods on the coronal plane alignment after TKA. This study conducted an experiment by dividing subjects into a lower extremity isometric co-contraction group (LEIC) and a quadriceps isolated isometric contraction (QIIC) group. Methods: A total of 37 subjects were randomly assigned to the LEIC ($n_1$=19) or the QIIC ($n_2$=18). Exercise was applied to five times per week for three weeks, starting on the eighth day after surgery. Range of motion exercises were performed as a common intervention and then each group performed quadriceps isometric contraction exercises with 10 sets of 5 repetitions. Radiological imaging was performed prior to surgery, one month and six months after surgery. In addition, the hip-knee-ankle angle (HKA) and tibiotalar angle (TTA) were measured. Results: The HKA was close to neutral in the LEIC rather than the QIIC (p<.05). The LEIC showed varus and the QIIC exhibited valgus TTA (p<.05). In a comparison of HKA and TTA over time, there was no significant change in either group (p>.05). According to the comparison of the TTA before surgery, the LEIC showed significant changes in the varus direction (p<.05), while there was no significant change in the QIIC (p>.05). Conclusion: The LEIC method triggered changes in the TTA and brought the HKA close to the neutral. Thus, LEIC is more effective than QIIC in creating stability in the coronal plane alignment of the knee and ankle joints after TKA.