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Effects of Different Types of Isometric Hip Contraction on Gluteus Medius and Tensor Fasciae Latae Activity During Squat Exercises

  • Han, Hae-rim (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kim, Jeong-ah (Dept. of Biokinesiology and Physical Therapy, University of Southern California) ;
  • Lim, One-bin (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Cynn, Heon-seock (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Yi, Chung-hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • Received : 2015.07.16
  • Accepted : 2015.08.17
  • Published : 2015.09.17

Abstract

Hip muscle activation and strengthening exercise programs are often used to prevent and treat various lower extremity injuries. Common exercise programs include squat exercises. The purposes of this study were to investigate gluteus medius (GMED) and tensor fasciae latae (TFL) muscle activity, and to assess the GMED/TFL ratio during squat exercises involving different isometric hip contraction conditions. Different types of isometric hip contraction were standard squat without hip contraction, squats with isometric hip adduction, and squats with isometric hip abduction. Twenty (10 males and 10 females) healthy subjects ($23.7{\pm}2.8$ years old) were recruited. Subjects performed the squat exercises with the back supported by a wall and knees flexed to $60^{\circ}$. Surface electromyography (EMG) was used to measure GMED and TFL activity. One-way repeated analysis of variance was used to compare GMED and TFL muscle activity and the GMED/TFL ratio. GMED and TFL EMG activity was significantly higher during squats with isometric hip adduction and abduction compared with the standard squat without hip contraction (p<.05). Between the isometric hip adduction and abduction contraction conditions, only the TFL EMG activity was significantly higher during squats with isometric hip adduction than isometric hip abduction (p<.05). The GMED/TFL ratio was significantly higher during squats with isometric hip adduction than isometric hip abduction (p<.05). Squats with isometric hip adduction and abduction improved GMED and TFL muscle activity. Furthermore, the GMED/TFL ratio was higher during isometric hip adduction than isometric hip abduction. Our data indicate that squat exercises involving isometric hip adduction enhance GMED muscle activity.

Keywords

References

  1. Andersen LL, Magnusson SP, Nielsen M, et al. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: Implications for rehabilitation. Phys Ther. 2006; 86(5):683-697.
  2. Baffa AP, Felicio LR, Saad MC, et al. Quantitative MRI of vastus medialis, vastus lateralis and gluteus medius muscle workload after squat exercise: Comparison between squatting with hip adduction and hip abduction. J Human Kinet. 2012;33:5-14. http://dx.doi.org/10.2478/v10078-012-0039-z
  3. Barton CJ, Kennedy A, Twycross-Lewis R, et al. Gluteal muscle activation during the isometric phase of squatting exercises with and without a swiss ball. Phys Ther Sport. 2014;15(1):39-46. http://dx.doi.org/10.1016/j.ptsp.2013.02.006
  4. Beers A, Ryan M, Kasubuchi Z, et al. Effects of multi-modal physiotherapy, including hip abductor strengthening, in patients with iliotibial band friction syndrome. Physiother Can. 2008;60(2):180-188. http://dx.doi.org/10.3138/physio.60.2.180
  5. Boling MC, Padua DA, Blackburn JT, et al. Hip adduction does not affect VMO EMG amplitude or VMO:VL ratios during a dynamic squat exercise. J Sport Rehab. 2006;15(3):195-205. https://doi.org/10.1123/jsr.15.3.195
  6. Coqueiro KR, Bevilaqua-Grossi D, Berzin F, et al. Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome. J Electromyogr Kinesiol. 2005;15(6):596-603. https://doi.org/10.1016/j.jelekin.2005.03.001
  7. Criswell E. Cram's Introduction to Surface Electromyography. 2nd ed, Sudlbury, Jones and Bartlett Publishers, 2011:358-360.
  8. Delp SL, Hess WE, Hungerford DS, et al. Variation of rotation moment arms with hip flexion. J Biomech. 1999;32(5):493-501. https://doi.org/10.1016/S0021-9290(99)00032-9
  9. Dierks TA, Manal KT, Hamill J, et al. Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys Ther. 2008;38(8):448-456. http://dx.doi.org/10.2519/jospt.2008.2490
  10. Distefano LJ, Blackburn JT, Marshall SW, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532-540. http://dx.doi.org/10.2519/jospt.2009.2796
  11. Escamilla RF, Zheng N, Macleod TD, et al. Patellofemoral joint force and stress during the wall squat and one-leg squat. Med Sci Sports Exerc. 2009;41(4):879-888. http://dx.doi.org/10.1249/MSS.0b013e31818e7ead
  12. Evans P. The postural function of the iliotibial tract. Ann R Coll Surg Engl. 1979;61(4):271-280.
  13. Fairclough J, Hayashi K, Toumi H, et al. Is iliotibial band syndrome really a friction syndrome? J Sci Med Sport. 2007;10(2):74-76. https://doi.org/10.1016/j.jsams.2006.05.017
  14. Felicio LR, Dias LA, Silva AP, et al. Muscular activity of patella and hip stabilizers of healthy subjects during squat exercises. Rev Bras Fisioter. 2011;15(3):206-211. https://doi.org/10.1590/S1413-35552011000300006
  15. Fredericson M, Cookingham CL, Chaudhari AM, et al. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000;10(3):169-175. https://doi.org/10.1097/00042752-200007000-00004
  16. Gottschalk F, Kourosh S, Leveau B. The functional anatomy of tensor fasciae latae and gluteus medius and minimus. J Anat. 1989;166:179-189.
  17. Hertel J, Earl JE, Tsang KK, et al. Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps emg activity. Br J Sports Med. 2004;38(2):210-213. https://doi.org/10.1136/bjsm.2002.003277
  18. 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. http://dx.doi.org/10.1519/JSC.0b013e3181cf749f
  19. Jacobs C, Uhl TL, Seeley M, et al. Strength and fatigability of the dominant and nondominant hip abductors. J Athl Train. 2005;40(3):203-206.
  20. Kendall FP, McCreary EK, Provance PG. Muscles: Testing and function with posture and pain. 5th ed, Baltimore, Williams & Wilkins, 2005:425, 433.
  21. Khayambashi K, Mohammadkhani Z, Ghaznavi K, et al. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: A randomized controlled trial. J Orthop Sports Phys Ther. 2012;42 (1):22-29. http://dx.doi.org/10.2519/jospt.2012.3704
  22. Koh EK, Lee KH, Jung DY. The effect of isometric hip adduction and abduction on the muscle activities of vastus medialis oblique and vastus lateralis during leg squat exercises. Korean J Sport Biomech. 2011;21(3):361-368. https://doi.org/10.5103/KJSB.2011.21.3.361
  23. Leetun DT, Ireland ML, Willson JD, et al. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004;36(6):926-934. https://doi.org/10.1249/01.MSS.0000128145.75199.C3
  24. Merican AM, Amis AA. Anatomy of the lateral retinaculum of the knee. J Bone Joint Surg Br. 2008;90(4):527-534. http://dx.doi.org/10.1302/0301-620X.90B4.20085
  25. Merican AM, Amis AA. Iliotibial band tension affects patellofemoral and tibiofemoral kinematics. J Biomech. 2009;42(10):1539-1546. http://dx.doi.org/10.1016/j.jbiomech.2009.03.041
  26. Nadler SF, Malanga GA, DePrince M, et al. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med. 2000;10(2):89-97. https://doi.org/10.1097/00042752-200004000-00002
  27. Niemuth PE, Johnson RJ, Myers MJ, et al. Hip muscle weakness and overuse injuries in recreational runners. Clin J Sport Med. 2005;15(1):14-21. https://doi.org/10.1097/00042752-200501000-00004
  28. Nyland J, Kuzemchek S, Parks M, et al. Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude: Composite hip abductor EMG amplitude ratios during isometric combined hip abduction-external rotation. J Electromyogr Kinesiol. 2004;14(2):255-261. https://doi.org/10.1016/S1050-6411(03)00078-6
  29. O'Dwyer C, Sainsbury D, O'Sullivan K. Gluteus medius muscle activation during isometric muscle contractions. J Sport Rehabil. 2011;20(2): 174-186. https://doi.org/10.1123/jsr.20.2.174
  30. O'Shea S, Grafton K. The intra and inter-rater reliability of a modified weight-bearing lunge measure of ankle dorsiflexion. Man Ther. 2013; 18(3):264-268. http://dx.doi.org/10.1016/j.math.2012.08.007
  31. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: A theoretical perspective. J Orthop Sports Phys Ther. 2003;33(11):639-646. https://doi.org/10.2519/jospt.2003.33.11.639
  32. Powers CM. The influence of abnormal hip mechanics on knee injury: A biomechanical perspective. J Orthop Sports Phys Ther. 2010;40(2):42-51. http://dx.doi.org/10.2519/jospt.2010.3337
  33. Robinson RL, Nee RJ. Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2007;37(5):232-238. https://doi.org/10.2519/jospt.2007.2439
  34. Selkowitz DM, Beneck GJ, Powers CM. Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes. J Orthop Sports Phys Ther. 2013; 43(2):54-64. http://dx.doi.org/10.2519/jospt.2013.4116
  35. Souza RB, Powers CM. Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain. J Orthop Sports Phys Ther. 2009;39(1):12-19. http://dx.doi.org/10.2519/jospt.2009.2885
  36. Vieira EL, Vieira EA, da Silva RT, et al. An anatomic study of the iliotibial tract. Arthroscopy. 2007;23(3):269-274. https://doi.org/10.1016/j.arthro.2006.11.019
  37. Willson JD, Kernozek TW, Arndt RL, et al. Gluteal muscle activation during running in females with and without patellofemoral pain syndrome. Clin Biomech (Bristol, Avon). 2011;26(7):735-740. http://dx.doi.org/10.1016/j.clinbiomech.2011.02.012
  38. Wu CC, Shih CH. The influence of iliotibial tract on patellar tracking. Orthopedics. 2004;27(2):199-203.
  39. Yoon TL, Kim KS. Effect of slowly forced expiration on abdominal muscle activity during cross knee curl-up exercise. Phys Ther Korea. 2014;21(1): 63-69. http://dx.doi.org/10.12674/ptk.2014.21.1.063