PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Electromyographic Analysis of Hamstrings and Quadriceps Coactivation During Single-limb-deadlift Exercises according to the Angle of the Knee Joint

무릎관절 각도에 따른 한 다리 데드리프트 운동시 뒤넙다리근과 넙다리네갈래근의 근활성도 비교

  • Moon, Sang-Jae (Department of Physical Therapy, Jinju Gyeongsang National University Hospital) ;
  • Kim, Jeong-Wook (Department of Physical Therapy, College of Health Science, Graduated school, Catholic University of Pusan) ;
  • Park, Min-Chull (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 문상재 (경상대학교병원 재활치료실) ;
  • 김정욱 (부산가톨릭대학교 대학원 물리치료학과) ;
  • 박민철 (부산가톨릭대학교 물리치료학과)
  • Received : 2020.12.18
  • Accepted : 2021.01.25
  • Published : 2021.04.30
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Abstract

Purpose: The purpose of this study was to investigate muscle activity according to knee flexion angle during single-limb-deadlift exercises. Methods: In total, 26 healthy volunteers participated. The single-limb-deadlift consisted of 0˚, 15˚, and 30˚ knee joint bending. The electromyography data were collected from the semitendinosus (SM), the biceps femoris (BF), the rectus femoris (RF), the vastus lateralis (VL), and the vastus medialis (VM). In addition, hamstrings and quadriceps (HQ) ratio was measured during the single-limb-deadlift using electromyography. Results: During the single-limb-deadlift, RF, VL, and VM were significantly higher at 30˚ bending angles compared to muscle activity of 0˚ and 15˚ knee-joint bending. The HQ ratio had significant differences in all three knee joint bending angles. In particular, the single-limb-deadlift carried out to a 30˚ knee-joint bend showed the closest value to 1. Conclusion: The most balanced coactivation ratios were observed during a single-limb-deadlift to a 30˚ knee-joint bend angle. A single-limb-deadlift at a knee-bend angle of less than 30˚ could be used as an exercise to prevent ACL injury. It could also be used for post-injury rehabilitation programs by increasing knee-joint stability.

Keywords

Acknowledgement

이 논문은 2020학년도 부산가톨릭대학교 교내 연구비로부터 연구 되었음.

References

  1. Aagaard P, Simonsen E, Magnusson S, et al. A new concept for isokinetic hamstring: quadriceps muscle strength ratio. The American journal of sports medicine. 1998;26(2):231-237. https://doi.org/10.1177/03635465980260021201
  2. Begalle R, DiStefano L, Blackburn T, et al. Quadriceps and hamstrings coactivation during common therapeutic exercises. Journal of athletic training. 2012;47(4): 396-405. https://doi.org/10.4085/1062-6050-47.4.01
  3. Borque K, Gold J, Incavo S, et al. Anteroposterior knee stability during stair descent. The Journal of arthroplasty. 2015;30(6):1068-1072. https://doi.org/10.1016/j.arth.2015.01.011
  4. Brumitt J, Gilpin H, Brunette M, et al. Incorporating kettlebells into a lower extremity sports rehabilitation program. North American Journal of Sports Physical Therapy: NAJSPT. 2010;5(4):257.
  5. Coombs R, Garbutt G. Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. Journal of sports science & medicine. 2002;1(3):56.
  6. Ebben W. Hamstring activation during lower body resistance training exercises. International journal of sports physiology and performance. 2009;4(1):84-96. https://doi.org/10.1123/ijspp.4.1.84
  7. Ervilha U, Graven-Nielsen T, Duarte M. A simple test of muscle coactivation estimation using electromyography. Brazilian Journal of Medical and Biological Research. 2012;45(10):977-981. https://doi.org/10.1590/S0100-879X2012007500092
  8. Frey-Law L, Avin K. Muscle coactivation: a generalized or localized motor control strategy? Muscle & nerve. 2013;48(4):578-585. https://doi.org/10.1002/mus.23801
  9. Graham L, Gehlsen M, Edwards A. Electromyographic evaluation of closed and open kinetic chain knee rehabilitation exercises. Journal of athletic training. 1993;28(1):23.
  10. Graham-Smith P, Jones P, Comfort P, et al. Assessment of knee flexor and extensor muscle balance. International Journal of Athletic Therapy and Training. 2013;18 (5):1-5. https://doi.org/10.1123/ijatt.18.5.1
  11. Hermens H, Freriks B, Disselhorst-Klug C, et al. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of electromyography and Kinesiology. 2000;10(5):361-374. https://doi.org/10.1016/S1050-6411(00)00027-4
  12. Hohmann E, Tetsworth K, Glatt V. The hamstring/quadriceps ratio is an indicator of function in ACL-deficient, but not in ACL-reconstructed knees. Archives of orthopaedic and trauma surgery. 2019;139(1):91-98. https://doi.org/10.1007/s00402-018-3000-3
  13. Kulas A, Hortobagyi T, DeVita P. Trunk position modulates anterior cruciate ligament forces and strains during a single-leg squat. Clinical biomechanics. 2012;27(1):16-21. https://doi.org/10.1016/j.clinbiomech.2011.07.009
  14. Kulas A, Hortobagyi T, DeVita P. The interaction of trunk-load and trunk-position adaptations on knee anterior shear and hamstrings muscle forces during landing. Journal of athletic training. 2010;45(1): 5-15. https://doi.org/10.4085/1062-6050-45.1.5
  15. Marieswaran M, Jain I, Garg B, et al. A review on biomechanics of anterior cruciate ligament and materials for reconstruction. Applied bionics and biomechanics. 2018:1-14.
  16. More R, Karras B, Neiman R, et al. Hamstrings-an anterior cruciate ligament protagonist: an in vitro study. The American journal of sports medicine. 1993;21(2):231-237. https://doi.org/10.1177/036354659302100212
  17. Myer G, Ford K, Di Stasi S, et al. High knee abduction moments are common risk factors for patellofemoral pain (PFP) and anterior cruciate ligament (ACL) injury in girls: is PFP itself a predictor for subsequent ACL injury? British journal of sports medicine.2015;49(2):118-122. https://doi.org/10.1136/bjsports-2013-092536
  18. Noyes F, Barber-Westin S. ACL injuries in the female athlete: causes, impacts, and conditioning programs. Berlin. Springer. 2018.
  19. Ruas C, Pinto R, Haff G, et al. Alternative methods of determining hamstrings-to-quadriceps ratios: a comprehensive review. Sports medicine-open. 2019;5 (1):11. https://doi.org/10.1186/s40798-019-0185-0
  20. Segal N, Glass N. Is quadriceps muscle weakness a risk factor for incident or progressive knee osteoarthritis? The Physician and sportsmedicine. 2011;39(4):44-50. https://doi.org/10.3810/psm.2011.11.1938
  21. Shimokochi Y, Shultz S. Mechanisms of noncontact anterior cruciate ligament injury. Journal of athletic training. 2008;43(4):396-408. https://doi.org/10.4085/1062-6050-43.4.396
  22. Weaver A, Kerksick C. Implementing landmine single-leg romanian deadlift into an athlete's training program. Strength & Conditioning Journal. 2017;39(1):85-90. https://doi.org/10.1519/SSC.0000000000000279
  23. Wright J, Ball N, Wood L. Fatigue, H/Q ratios and muscle coactivation in recreational football players. Isokinetics and exercise science. 2009;17(3):161-167. https://doi.org/10.3233/IES-2009-0348
  24. Wu R, Delahunt E, Ditroilo M, et al. Effect of knee joint angle and contraction intensity on hamstrings coactivation. Medicine & Science in Sports & Exercise. 2017;49(8):1668-1676. https://doi.org/10.1249/MSS.0000000000001273
  25. Youdas W, Hollman H, Hitchcock R, et al. Comparison of hamstring and quadriceps femoris electromyographic activity between men and women during a single-limb squat on both a stable and labile surface. Journal of Strength and Conditioning Research. 2007;21 (1):105. https://doi.org/10.1519/00124278-200702000-00020