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The Effect of Changes in Patellar Height Using Infra-Patellar Strap on the EMG Activity of Quadriceps Muscles During a Squat Exercise in Adults With Patellar Baja

하위 무릎뼈를 지닌 성인들을 대상으로 쪼그려 앉기 운동 시 하위 무릎뼈 스트랩을 이용한 무릎뼈 높이 변화가 넙다리네갈래근의 근 활성도에 미치는 영향

  • Kang, Min-Hyeok (Dept. of Physical Therapy, The Graduate School, Inje University) ;
  • Kim, Ji-Won (Dept. of Rehabilitation Science, The Graduate School, Inje University) ;
  • Yoon, Ji-Yeon (Dept. of Rehabilitation Science, The Graduate School, Inje University) ;
  • Jang, Jun-Hyeok (Dept. of Physical Therapy, Haeundae Jaseng Hospital of Oriental Medicine) ;
  • Oh, Jae-Seop (Dept. of Physical Therapy, College of Biomedical Science and Engineering, Inje University)
  • 강민혁 (인제대학교 대학원 물리치료학과) ;
  • 김지원 (인제대학교 대학원 재활과학과) ;
  • 윤지연 (인제대학교 대학원 재활과학과) ;
  • 장준혁 (해운대 자생한방병원 물리치료실) ;
  • 오재섭 (인제대학교 의생명공학대학 물리치료학과)
  • Received : 2012.01.07
  • Accepted : 2012.02.03
  • Published : 2012.02.19

Abstract

The purpose of this study was to assess the influence of patellar height on quadriceps muscles' electromyography (EMG) activity during a squat exercise in adults with patella baja. For the study, we recruited 15 volunteers who had patella baja on the right side. We measured the EMG activity of the right rectus femoris, vastus medialis oblique, and vastus lateralis muscles during squat exercises under two conditions, specifically with and without an infra-patellar strap. The infra-patellar strap was applied below the tested patella to elevate the patella to a normal height. A paired t-test was used to compare the effects of patella height on EMG activity of the quadriceps muscles. The EMG activity of the rectus femoris (RF), vastus medialis oblique (VMO), and vastus lateralis (VL) muscles were significantly decreased during the squat exercise with the infra-patellar strap compared to the same exercise without the infra-patellar strap (p<.05), while the VMO/VL ratio was not different significantly between two conditions (p>.05). The findings of this study suggest that an infra-patellar strap may benefit people with patellar baja, as changes in patellar height could improve the efficiency of the quadriceps muscles.

Keywords

References

  1. 정진우, 오경환, 임인혁, 등. 보조기 의지학. 서울, 대학서림, 2009:145.
  2. Ahmad CS, Kwak SD, Ateshian GA, et al. Effects of patellar tendon adhesion to the anterior tibia on knee mechanics. Am J Sports Med. 1998;26(5):715-724. https://doi.org/10.1177/03635465980260051901
  3. Aminaka N, Gribble PA. A systematic review of the effects of therapeutic taping on patellofemoral pain syndrome. J Athl Train. 2005;40(4):341-351.
  4. Callaghan MJ, Selfe J, Bagley PJ, et al. The effects of patellar taping on knee joint proprioception. J Athl Train. 2002;37(1):19-24.
  5. Chapman AE. Biomechanical Analysis of Fundamental Human Movements. Champaign, IL, Human Kinetics, 2008:43-46.
  6. Chew KT, Lew HL, Date E, et al. Current evidence and clinical applications of therapeutic knee braces. Am J Phys Med Rehabil. 2007;86(8):678-686. https://doi.org/10.1097/PHM.0b013e318114e416
  7. Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. J Electromyogr Kinesiol. 2004;14(4):495-504. https://doi.org/10.1016/j.jelekin.2003.10.007
  8. Criswell E. Cram's Introduction to Surface Electromyography. 2nd ed. Sudbury, MA, Jones and Bartlett Publishers, 2010:363-367.
  9. Derasari A, Brindle TJ, Alter KE, et al. McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: A dynamic magnetic resonance imaging study. Phys Ther. 2010;90(3):411-419. https://doi.org/10.2522/ptj.20080365
  10. Fagan V, Delahunt E. Patellofemoral pain syndrome: A review on the associated neuromuscular deficits and current treatment options. Br J Sports Med. 2008;42(10):789-795.
  11. Holtzman GW, Harris-Hayes M. Treatment of patella alta with taping, exercise, mobilization, and functional activity modification: A case report. Physiother Theory Pract. 2012;28(1):71-83. https://doi.org/10.3109/09593985.2011.566910
  12. Insall J, Salvati E. Patella position in the normal knee joint. Radiology. 1971;101(1):101-104. https://doi.org/10.1148/101.1.101
  13. Irish SE, Millward AJ, Wride J, et al. The effect of closed-kinetic chain exercises and open-kinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis. J Strength Cond Res. 2010;24(5):1256-1262. https://doi.org/10.1519/JSC.0b013e3181cf749f
  14. Kaufer H. Mechanical function of the patella. J Bone Joint Surg Am. 1971;53(8):1551-1560. https://doi.org/10.2106/00004623-197153080-00007
  15. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and pain. 5th ed. Baltimore, MD, Williams & Wilkins, 2005:420-421.
  16. Levangie PK, Norkin CC. Joint Structure and Function: A comprehensive analysis. 4th ed. Philadelphia, PA, F.A. Davis Co., 2005:393-426.
  17. Lin CF, Wu JJ, Chen TS, et al. Comparison of the insall-salvati ratio of the patella in patients with and without an ACL tear. Knee Surg Sports Traumatol Arthrosc. 2005;13(1):8-11. https://doi.org/10.1007/s00167-004-0515-7
  18. Morshed S, Ries MD. Patella infera after nonoperative treatment of a patellar fracture. A case report. J Bone Joint Surg Am. 2002;84-A(6):1018-1021.
  19. Mostamand J, Bader DL, Hudson Z. The effect of patellar taping on joint reaction forces during squatting in subjects with Patellofemoral Pain Syndrome (PFPS). J Bodyw Mov Ther. 2010;14(4):375-381. https://doi.org/10.1016/j.jbmt.2009.07.003
  20. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for physical rehabilitation. 2nd ed. St Louis, MO, Mosby, 2010:520-549.
  21. Nourbakhsh MR, Kukulka CG. Relationship between muscle length and moment arm on EMG activity of human triceps surae muscle. J Electromyogr Kinesiol. 2004;14(2):263-273. https://doi.org/10.1016/S1050-6411(03)00076-2
  22. Noyes FR, Wojtys EM, Marshall MT. The early diagnosis and treatment of developmental patella infera syndrome. Clin Orthop Relat Res. 1991;(265):241-252.
  23. Richards J, Thewlis D, Selfe J, et al. A biomechanical investigation of a single-limb squat: Implications for lower extremity rehabilitation exercise. J Athl Train. 2008;43(5):477-482. https://doi.org/10.4085/1062-6050-43.5.477
  24. Sahrmann SA. Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines. St. Louis, MO, Mosby, 2010:386-392.
  25. Seymour R. Prosthetics and Orthotics: Lower limb and spinal. Baltimore, MD, Williams & Wilkins, 2002:355-356.
  26. Shabshin N, Schweitzer ME, Morrison WB, et al. MRI criteria for patella alta and baja. Skeletal Radiol. 2004;33(8):445-450.
  27. Tang SF, Chen CK, Hsu R, et al. Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: An electromyographic study. Arch Phys Med Rehabil. 2001;82(10):1441-1445. https://doi.org/10.1053/apmr.2001.26252
  28. Ward SR, Terk MR, Powers CM. Patella alta: Association with patellofemoral alignment and changes in contact area during weight-bearing. J Bone Joint Surg Am. 2007;89(8):1749-1755. https://doi.org/10.2106/JBJS.F.00508
  29. Yoon JY, Kang MH, Oh JS. Effects of visual biofeedback using a laser beam on the EMG ratio of the medial and lateral vasti muscles and kinematics of hip and knee joints during a squat exercise. J Phys Ther Sci. 2011;23(4):559-563. https://doi.org/10.1589/jpts.23.559

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