Volume 7, Issue 4 (Winter 2018)                   PTJ 2018, 7(4): 197-204 | Back to browse issues page


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Lotfi H, Nodehi Moghadam A, Shati M. Comparing Electromyographic Activity of Quadriceps Muscle During Straight Leg Raise in Individuals With and Without Patellofemoral Pain Syndrome. PTJ 2018; 7 (4) :197-204
URL: http://ptj.uswr.ac.ir/article-1-356-en.html
1- Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract:   (5327 Views)
Purpose: This study aimed to investigate the electromyographic activities and balance of Vastus Medialis Obliquus (VMO) and Vastus Lateralis (VL) muscles during Straight Leg Raise (SLR) in individuals with and without Patellofemoral Pain Syndrome (PFPS).
Methods: Through an analytical case-control study, 26 persons with PFPS and 26 healthy subjects were recruited by non-random and convenience sampling method. All subjects performed SLR movement. The EMG activity of VMO, VL and VMO/VL ratio were recorded and measured. The muscles activation level were compared between the 2 groups using the Independent t test. The obtained data were analyzed using SPSS. 
Results: The mean and maximum EMG activity of VMO, VL and VMO/VL ratio did not have any significant differences between the PFPS and healthy groups (P>0.05). In other words, during SLR, the VMO and VL muscles activation in the PFPS group were approximately the same as the healthy group. 
Conclusion: These data suggest that not all individuals with PFPS had weak quadriceps muscles. Many factors may contribute to PFPS that should be considered in the assessment and rehabilitation of individuals with PFPS.
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Type of Study: Research | Subject: Special
Received: 2017/08/26 | Accepted: 2017/11/23 | Published: 2018/01/1

References
1. [1] Kushion D, Rheaume J, Kopchitz K, Glass S, Alderink G, JinnJH. EMG activation of the vastus medialis oblique and vastus lateralis during four rehabilitative exercises. The Open Rehabilitation Journal. 2012; 5, 1-7. [DOI:10.2174/1874943701205010001]
2. [2] Choi SA, Cynn HS, Yoon TL, Choi WJ, Lee JH. Effects of ankle dorsiflexion on vastus medialis oblique and vastus lateralis muscle activity during straight leg raise exercise with hip external rotation in patellofemoral pain syndrome. Journal of Musculoskeletal Pain. 2014; 22(3):260-7. [DOI:10.3109/10582452.2014.907857] [DOI:10.3109/10582452.2014.907857]
3. [3] Hryvniak D, Magrum E, Wilder R. Patellofemoral pain syndrome: An update. Current Physical Medicine and Rehabilitation Reports. 2014; 2(1):16-24. [DOI:10.1007/s40141-014-0044-3] [DOI:10.1007/s40141-014-0044-3]
4. [4] Al-Hakim W, Jaiswal PK, Khan W, Johnstone D. The nonoperative treatment of anterior knee pain. The Open Orthopaedics
5. Journal. 2012; 6:320-6. [DOI:10.2174/1874325001206010320] [PMID] [PMCID] [DOI:10.2174/1874325001206010320]
6. [5] Coqueiro KRR, Bevilaqua-Grossi D, Bérzin F, Soares AB,Candolo C, Monteiro-Pedro V. Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome. Journal of Electromyography and Kinesiology. 2005; 15(6):596-603. [DOI:10.1016/j.jelekin.2005.03.001] [PMID] [DOI:10.1016/j.jelekin.2005.03.001]
7. [6] Dutton RA, Khadavi MJ, Fredericson M. Update on rehabilitation of patellofemoral pain. Current Sports Medicine Reports. 2014; 13(3):172-8. [DOI:10.1249/JSR.0000000000000056] [PMID] [DOI:10.1249/JSR.0000000000000056]
8. [7] Saltychev M, Dutton RA, Laimi K, Beaupré GS, Virolainen P, Fredericson M. Effectiveness of conservative treatment for patellofemoral pain syndrome: A systematic review controlled study and meta-analysis. Journal of Rehabilitation Medicine. 2018; 50(5):393-401. [DOI:10.2340/16501977-2295] [PMID] [DOI:10.2340/16501977-2295]
9. [8] Belli G, Vitali L, Botteghi M, Vittori LN, Petracci E, Maietta Latessa P. Electromyographic analysis of leg extension exercise during different ankle and knee positions. Journal of Mechanics in Medicine and Biology. 2015; 15(02):1540037. [DOI:10.1142/S0219519415400370] [DOI:10.1142/S0219519415400370]
10. [9] Pal S, Draper CE, Fredericson M, Gold GE, Delp SL, Beaupre GS, et al. Patellar maltracking correlates with vastus medialis activation delay in patellofemoral pain patients. The American Journal of Sports Medicine. 2011; 39(3):590-8. [DOI:10.1177/0363546510384233] [PMID] [PMCID] [DOI:10.1177/0363546510384233]
11. [10] Tang SF, Chen CK, Hsu R, Chou SW, Hong WH, Lew HL. Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: an electromyographic study. Archives of Physical Medicine and Rehabilitation. 2001; 82(10):1441-5. [DOI:10.1053/apmr.2001.26252] [PMID] [DOI:10.1053/apmr.2001.26252]
12. [11] Chang WD, Huang WS, Lee CL, Lin HY, Lai PT. Effects of open and closed kinetic chains of sling exercise therapy on the muscle activity of the vastus medialis oblique and vastus lateralis. Journal of Physical Therapy Science. 2014; 26(9):1363-6. [DOI:10.1589/jpts.26.1363] [PMID] [PMCID] [DOI:10.1589/jpts.26.1363]
13. [12] McConnell J, Bennell K. Conservative management of anterior knee pain: The McConnell program. In: Sanchis-Alfonso V, editor. Anterior Knee Pain and Patellar Instability. London: Springer; 2011. [DOI:10.1007/978-0-85729-507-1_13] [DOI:10.1007/978-0-85729-507-1_13]
14. [13] Kooiker L, Van De Port IG, Weir A, Moen MH. Effects of Physical therapist–guided quadriceps-strengthening exercises for the treatment of Patellofemoral Pain Syndrome: A systematic review. Journal of Orthopaedic & Sports Physical Therapy. 2014; 44(6):391-B1. [DOI:10.2519/jospt.2014.4127] [PMID] [DOI:10.2519/jospt.2014.4127]
15. [14] Bakhtiary AH, Fatemi E. Open versus closed kinetic chain exercises for patellar chondromalacia. British Journal of Sports Medicine. 2007; 42(2):99-102. [DOI:10.1136/
16. bjsm.2007.038109]
17. [15] Machado W, Paz G, Mendes L, Maia M, Winchester JB, Lima V, et al. myoeletric activity of the quadriceps during leg press exercise performed with differing techniques. The Journal of Strength & Conditioning Research. 2017; 31(2):422-9. [PMID]
18. [16] Mikaili S, Khademi-Kalantari K, Rezasoltani A, Arzani P, Baghban AA. Quadriceps force production during straight leg raising at different hip positions with and without concomitant ankle dorsiflexion. Journal of Bodywork and Movement Therapies. 2017. [DOI:10.1016/j.jbmt.2017.11.006] [DOI:10.1016/j.jbmt.2017.11.006]
19. [17] Souza DR, Gross MT. Comparison of vastus medialis obliquus: Vastus lateralis muscle integrated electromyographic
20. ratios between healthy subjects and patients with patellofemoral pain. Physical Therapy. 1991; 71(4):310-6. [DOI:10.1093/ptj/71.4.310] [DOI:10.1093/ptj/71.4.310]
21. [18] Miller JP, Sedory D, Croce RV. Vastus medialis obliquus and vastus lateralis activity in patients with and without patellofemoral pain syndrome. Journal of Sport Rehabilitation. 1997; 6(1):1-10. [DOI:10.1123/jsr.6.1.1] [DOI:10.1123/jsr.6.1.1]
22. [19] Livecchi NM, Armstrong CW, Cordova ML, Merrick MA, Rankin JM. Vastus lateralis and vastus medialis obliquus activity during a straight-leg raise and knee extension with lateral hip rotation. Journal of Sport Rehabilitation. 2002; 11(2):120-6. [DOI:10.1123/jsr.11.2.120] [DOI:10.1123/jsr.11.2.120]
23. [20] O'sullivan SP, Popelas CA. Activation of vastus medialis obliquus among individuals with patellofemoral pain syndrome. Journal of Strength and Conditioning Research. 2005; 19(2):302-4. [DOI:10.1519/00124278-200505000-00011] [DOI:10.1519/00124278-200505000-00011]
24. [21] Syme G, Rowe P, Martin D, Daly G. Disability in patients with chronic patellofemoral pain syndrome: A randomised controlled trial of VMO selective training versus general quadriceps strengthening. Manual Therapy. 2009; 14(3):252-63. [DOI:10.1016/j.math.2008.02.007] [PMID] [DOI:10.1016/j.math.2008.02.007]
25. [22] Williams MR. Electromyographic analysis of hip and knee exercises: A continuum from early rehabilitation to enhancing
26. performance [MSc. thesis]. Hatfield: University of Hertfordshire;2014.
27. [23] Bevilaqua-Grossi D, Monteiro-Pedro V, Sousa G, Silva Z, Bérzin F. Contribution to the anatomical study of the oblique portion of the vastus lateralis muscle. Brazilian Journal of Morphological Sciences. 2004; 21(1):47-52.
28. [24] Karst GM, Willett GM. Onset timing of electromyographic activity in the vastus medialis oblique and vastus
29. lateralis muscles in subjects with and without patellofemoral pain syndrome. Physical Therapy. 1995; 75(9):813-23. [DOI:10.1093/ptj/75.9.813] [DOI:10.1093/ptj/75.9.813]
30. [25] Powers CM, Landel R, Perry J. Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain. Physical Therapy.1996; 76(9):946-55. [DOI:10.1093/ptj/76.9.946] [PMID] [DOI:10.1093/ptj/76.9.946]
31. [26] Voight ML, Wieder DL. Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction: An electromyographic study. The American Journal of Sports Medicine. 1991; 19(2):131-7. [DOI:10.1177/036354659101900207] [PMID] [DOI:10.1177/036354659101900207]
32. [27] Shelton G. Conservative management of patellofemoral dysfunction. Primary Care. 1992; 19(2):331-50. [PMID] [PMID]
33. [28] Kannus P, NiittymÄki S. Which factors predict outcome in the nonoperative treatment of patellofemoral pain syndrome? A prospective follow-up study. Medicine & Science in Sports & Exercise. 1994; 26(3):289-96. [DOI:10.1249/00005768-199403000-00004] [PMID] [DOI:10.1249/00005768-199403000-00004]
34. [29] McMullen W, Roncarati A, Koval P. Static and isokinetic treatments of chondromalacia patella: A comparative investigation. Journal of Orthopaedic & Sports Physical Therapy. 1990; 12(6):256-66. [DOI:10.2519/jospt.1990.12.6.256] [DOI:10.2519/jospt.1990.12.6.256]
35. [30] Bolgla LA, Shaffer SW, Malone TR. Vastus medialis activation during knee extension exercises: Evidence for exercise
36. prescription. Journal of Sport Rehabilitation. 2008; 17(1):1- 10. [DOI:10.1123/jsr.17.1.1] [PMID] [DOI:10.1123/jsr.17.1.1]
37. [31] Greenfield BH. Rehabilitation of the Knee: A Problem Solving Approach. Philadelphia, Pennsylvania: F.A. Davis Company;1993.
38. [32] Soderberg GL, Cook TM. An electromyographic analysis of quadriceps femoris muscle setting and straight leg raising. Physical Therapy. 1983; 63(9):1434-8. [DOI:10.1093/ ptj/63.9.1434] [DOI:10.1093/ptj/63.9.1434] [PMID]
39. [33] Sykes K, Wong YM. Electrical activity of vastus medialis oblique muscle in straight leg raise exercise with different angles of hip rotation. Physiotherapy. 2003; 89(7):423-30.[DOI:10.1016/S0031-9406(05)60076-4] [DOI:10.1016/S0031-9406(05)60076-4]
40. [34] Karst GM, Jewett PD. Electromyographic analysis of exercises proposed for differential activation of medial and lateral quadriceps femoris muscle components. Physical Therapy. 1993; 73(5):286-95. [DOI:10.1093/ptj/73.5.286] [DOI:10.1093/ptj/73.5.286]
41. [35] Wong Y, Ng G. Resistance training alters the sensorimotor control of vasti muscles. Journal of Electromyography and Kinesiology. 2010; 20(1):180-4. [DOI:10.1016/j.jelekin. 2009.02.006] [PMID] [DOI:10.1016/j.jelekin.2009.02.006] [PMID]
42. [36] Prins MR, Van Der Wurff P. Females with patellofemoral pain syndrome have weak hip muscles: A systematic review. Australian Journal of Physiotherapy. 2009; 55(1):9-15. [DOI:10.1016/S0004-9514(09)70055-8] [DOI:10.1016/S0004-9514(09)70055-8]

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