Comparison of Muscle Activities between Two Unilateral Weight Bearing Exercises in Patellofemoral Pain Syndrome

Authors

  • Nopparat CHUPEERACH Faculty of Physical Therapy, Mahidol University, Nakhon Pathom 73170
  • Sirikarn SOMPRASONG Faculty of Physical Therapy, Mahidol University, Nakhon Pathom 73170
  • Sunee BOVONSUNTHONCHAI Faculty of Physical Therapy, Mahidol University, Nakhon Pathom 73170

Keywords:

Forward step up, wall single leg squat, patellofemoral pain syndrome, electromyography

Abstract

Patients with patellofemoral pain syndrome (PFPS) usually demonstrate gluteus medius (GMed), vastus medialis oblique (VMO), and vastus lateralis (VL) muscle weakness. An investigation of the different types of exercise needed for this population to stimulate proper muscle is required. This study aimed to compare muscle activities of GMed, VMO, and VL during eccentric and concentric phases between forward step up and wall single leg squat exercises in patients with PFPS. Ten females with PFPS participated in the study. Muscle activities of GMed, VMO, and VL were recorded by electromyography (EMG) during the forward step up, and wall single leg squat exercises. Paired t-test was used for analysis of muscle activities between types of exercises. Muscle activities of GMed, VMO, and VL during eccentric and concentric phases were significantly lower in the forward step up than the wall single leg squat. Both forward step up and wall single leg squat exercises were effective in order to activate works of GMed, VMO, and VL muscles in patients with PFPS.

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References

S Dixit, JP DiFiori, M Burton and B Mines. Management of patellofemoral pain syndrome. Am. Fam. Physician 2007; 75, 194-202.

F Halabchi, R Mazaheri and T Seif-Barghi. Patellofemoral pain syndrome and modifiable intrinsic risk factors; How to assess and address? Asian. J. Sports Med. 2013; 4, 85-100.

GR Waryasz and AY McDermott. Patellofemoral pain syndrome (PFPS): A systematic review of anatomy and potential risk factors. Dyn. Med. 2008; 7, 9.

LA Bolgla, SW Shaffer and TR Malone. Vastus medialis activation during knee extension exercises: Evidence for exercise prescription. J. Sport. Rehabil. 2008; 17, 1-10.

NE Lankhorst, SM Bierma-Zeinstra and M van Middelkoop. Risk factors for patellofemoral pain syndrome: A Systematic review. J. Orthop. Sports Phys. Ther. 2012; 42, 81-94.

CM Powers. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: A theoretical perspective. J. Orthop. Sports Phys. Ther. 2003; 33, 639-46.

TQ Lee, G Morris and RP Csintalan. The influence of tibial and femoral rotation on patellofemoral contact area and pressure. J. Orthop. Sports Phys. Ther. 2003; 33, 686-93.

CM Powers. The influence of abnormal hip mechanics on knee injury: A biomechanical perspective. J. Orthop. Sports Phys. Ther. 2010; 40, 42-51.

TH Nakagawa, TB Muniz, MB Rde, CD Maciel, RBM Reiff and FV Serrao. The effect of additional strengthening of hip abductor and lateral rotator muscles in patellofemoral pain syndrome: A randomized controlled pilot study. Clin. Rehabil. 2008; 22, 1051-60.

EP Santos, SNF Bessa, CAA Lins, AMF Marinho, KMP Silva and JS Brasileiro. Electromyographic activity of vastus medialis obliquus and vastus lateralis muscles during functional activities in subjects with patellofemoral pain syndrome. Rev. Bras. Fisioter 2008; 12, 304-10.

SF Tang, CK Chen, R Hsu, SW Chou, WH Hong and HL Lew. 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, 1441-5.

NW Ayotte, DM Stetts, G Keenan and EH Greenway. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. J. Orthop. Sports Phys. Ther. 2007; 37, 48-55.

SN Boudreau, MK Dwyer, CG Mattacola, C Lattermann, TL Uhl and JM McKeon. Hip-muscle activation during the lunge, single-leg squat, and step-up-and-over exercises. J. Sport Rehabil. 2009; 18, 91-103.

AI Beutler, LW Cooper, DT Kirkendall and WE Garrett. Electromyographic analysis of single-leg, closed chain exercises: Implications for rehabilitation after anterior cruciate ligament reconstruction. J. Athl. Train. 2002; 37, 13-8.

SM Cowan, KL Bennell and PW Hodges. The test-retest reliability of the onset of concentric and eccentric vastus medialis obliquus and vastus lateralis electromyographic activity in a stair stepping task. Phys. Ther. Sport 2000; 1, 129-36.

Cram JR Kasman GS, Holtz J. Introduction to Surface Electromyography. Vol I. Aspen Publishers, Gaithersburg MD, 1998, p. 352-4.

The ABC of EMG: A Practical Introduction to Kinesiological Electromyography, Available at: http://www.noraxon.com, accessed January 2015.

The Telemyo Direct Transmission System, Available at: http://www.noraxon.com/products/emg-electromyography/telemyo-dts/, accessed January 2015.

KJ Mohr, RS Kvitne, MM Pink, B Fideler and J Perry. Electromyography of the quadriceps in patellofemoral pain with patellar subluxation. Clin. Orthop. Relat. Res. 2003; 415, 261-71.

MK Dwyer, SN Boudreau, CG Mattacola, TL Uhl and C Lattermann. Comparison of lower extremity kinematics and hip muscle activation during rehabilitation tasks between sexes. J. Athl. Train 2010; 45, 181-90.

AJ Lubahn, TW Kernozek, TL Tyson, KW Merkitch, P Reutemann and JM Chestnut. Hip muscle activation and knee frontal plane motion during weight bearing therapeutic exercises. Int. J. Sports Phys. Ther. 2011; 6, 92-103.

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Published

2015-10-28

How to Cite

CHUPEERACH, N., SOMPRASONG, S., & BOVONSUNTHONCHAI, S. (2015). Comparison of Muscle Activities between Two Unilateral Weight Bearing Exercises in Patellofemoral Pain Syndrome. Walailak Journal of Science and Technology (WJST), 13(4), 243–250. Retrieved from https://wjst.wu.ac.th/index.php/wjst/article/view/1872

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Research Article

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