Activation level of vastus medialis muscle in different rehabilitation exercises

Authors

  • Andressa Dupont Birck
  • Jonnas da Fontoura Zaleski Universidade Federal do Rio Grande do Sul
  • Rodrigo de Azevedo Franke
  • Cláudia Silveira Lima Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.5935/0104-7795.20160025

Keywords:

Patellofemoral Pain Syndrome, Quadriceps Muscle, Electromyography

Abstract

Excessive lateralization, which often occurs by the weakening of Vastus Medialis (VM) muscle of the patella, is one of the causes of Patellofemoral Pain Syndrome (PFPS) For prevention and rehabilitation of PFPS, the VM strength is essential. Objective: The aim of the study was to compare the VM activation level in four different exercises used in the prevention and rehabilitation of PFPS that are isometric knee extension at 30° and 60° and isometric squat at 60° with or without hip adduction. Methods: A sample of 14 sedentary healthy subjects, aged between 20 and 40 years was included. The EMG signal of VM muscle was collected during Maximal Voluntary Isometric Contraction with duration of five seconds for each exercise. From the captured EMG signal, a period of three seconds was cut and thereafter the Root Mean Square value for each exercise was obtained. Results: The results showed that there was significantly greater activation in VM extension exercises compared to squat exercises. However, there was no significant difference between the two extension exercises, as well as between squat exercises. Conclusion: It can be concluded that the best exercises to maximize the activation of the VM are the isometric knee extension, regardless of the rated angle, since they have greater VM activation level, essential for the prevention and rehabilitation of PFPS

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References

Biedert RM, Warnke K. Correlation between the Q angle and the patella position: a clinical and axial computed tomography evaluation. Arch Orthop Trauma Surg. 2001;121(6):346-9. DOI: http://dx.doi.org/10.1007/s004020000239

Wilk KE, Reinold MM. Principles of patellofemoral rehabilitation. Sports Med Arthrosc. 2001;9(4):325-36. DOI: http://dx.doi.org/10.1097/00132585-200110000-00010

Cowan SM, Bennell KL, Crossley KM, Hodges PW, McConnell J. Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome. Med Sci Sports Exerc. 2002;34(12):1879-85. DOI: http://dx.doi.org/10.1097/00005768-200212000-00004

Insall J. "Chondromalacia patellae": patellar malalignment syndrome. Orthop Clin North Am. 1979;10(1):117-27.

Wise HH, Fiebert I, Kates JL. EMG Biofeedback as Treatment for Patellofemoral Pain Syndrome. J Orthop Sports Phys Ther. 1984;6(2):95-103. DOI: http://dx.doi.org/10.2519/jospt.1984.6.2.95

Lieb FJ, Perry J. Quadriceps function. An anatomical and mechanical study using amputated limbs. J Bone Joint Surg Am. 1968 Dec;50(8):1535-48. DOI: http://dx.doi.org/10.2106/00004623-196850080-00003

Goodfellow J, Hungerford DS, Zindel M. Patello-femoral joint mechanics and pathology. 1. Functional anatomy of the patello-femoral joint. J Bone Joint Surg Br. 1976;58(3):287-90.

Grabiner MD, Koh TJ, Draganich LF. Neuromechanics of the patellofemoral joint. Med Sci Sports Exerc. 1994;26(1):10-21. DOI: http://dx.doi.org/10.1249/00005768-199401000-00004

Tobin S, Gill Robinson G. The effect of McConnell's vastus lateralis inhibition taping technique on vastus lateralis and vastus medialis obliquus activity. Physiother. 2000;86(4):173-83. DOI: http://dx.doi.org/10.1016/S0031-9406(05)60960-1

Cabral CMN, Melim AMO, Sacco ICN, Marques AP. Fisioterapia em pacientes com síndrome fêmoro-patelar: comparação de exercícios em cadeia cinética aberta e fechada. Acta Ortop Bras. 2008;16(3):180-5. DOI: http://dx.doi.org/10.1590/S1413-78522008000300012

Travnik L, Pernus F, Erzen I. Histochemical and morphometric characteristics of the normal human vastus medialis longus and vastus medialis obliquus muscles. J Anat. 1995;187(Pt 2):403-11.

Ribeiro DC, Loss JF, Cañeiro JPT, Lima CS, Martinez FG. Análise eletromiográfica do quadríceps durante a extensão de joelho em diferentes velocidades. Acta Ortop Bras. 2005;13(4):189-93. DOI: http://dx.doi.org/10.1590/S1413-78522005000400008

McConnell J. The management of chondromalacia patellae: a long term solution. Aust J Physiother. 1986;32(4):215-23. DOI: http://dx.doi.org/10.1016/S0004-9514(14)60654-1

Hanten WP, Schulthies SS. Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Phys Ther. 1990;70(9):561-5.

Sheehy P, Burdett RG, Irrgang JJ, VanSwearingen J. An electromyographic study of vastus medialis oblique and vastus lateralis activity while ascending and descending steps. J Orthop Sports Phys Ther. 1998;27(6):423-9. DOI: http://dx.doi.org/10.2519/jospt.1998.27.6.423

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. Arch Phys Med Rehabil. 2001;82(10):1441-5. DOI: http://dx.doi.org/10.1053/apmr.2001.26252

Stiene HA, Brosky T, Reinking MF, Nyland J, Mason MB. A comparison of closed kinetic chain and isokinetic joint isolation exercise in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther. 1996;24(3):136-41. DOI: http://dx.doi.org/10.2519/jospt.1996.24.3.136

Bevilaqua-Grossi D, Felicio LR, Simões R, Coqueiro KRR, Monteiro-Pedro V. Avaliação eletromiográfica dos músculos estabilizadores da patela durante exercício isométrico de agachamento em indivíduos com síndrome da dor femoropatelar. Rev Bras Med Esporte. 2005;11(3):159-63. DOI: http://dx.doi.org/10.1590/S1517-86922005000300001

Veiga PHA. Análise eletromiográfica como base para o tratamento das luxações recidivas da patela. Fisioter Mov. 2007;20(1):11-6.

Felício LR, Dias LA, Silva APMC, Oliveira AS, Bevilaqua-Grossi D. Ativação muscular estabilizadora da patela e do quadril durante exercícios de agachamento em indivíduos saudáveis. Rev Bras Fisioter.2011;15(3):206-11.

Gramani-Say K, Pulzatto F, Santos GM, Vassimon-Barroso V, Siriani de Oliveira A, Bevilaqua-Grossi D, et al. Efeito da rotação do quadril na síndrome da dor femoropatelar. Rev Bras Fisioter. 2006; 10(1):75-81. DOI: http://dx.doi.org/10.1590/S1413-35552006000100010

Bevilaqua-Grossi D, Monterio V, Bérzin F. Análise funcional dos estabilizadores patelares. Acta Ortop Bras. 2004;12(2):99-104. DOI: http://dx.doi.org/10.1590/S1413-78522004000200005

Stensdotter AK, Hodges PW, Mellor R, Sundelin G, Häger-Ross C. Quadriceps activation in closed and in open kinetic chain exercise. Med Sci Sports Exerc. 2003;35(12):2043-7. DOI: http://dx.doi.org/10.1249/01.MSS.0000099107.03704.AE

Ribeiro ACS, Bevilaqua-Grossi D, Foerster B, Candolo C, Monteiro-Pedro V. Avaliação eletromiográfica e ressonância magnética do joelho de indivíduos com síndrome da dor femoropatelar. Rev Bras Fisioter. 2010;14(3):221-8. DOI: http://dx.doi.org/10.1590/S1413-35552010000300008

Santos EP, Bessa SNF, Lins CAA, Marinho AMF, Silva KMP, Brasileiro JS. Atividade eletromiográfica do vasto medial oblíquo e vasto lateral durante atividades funcionais em sujeitos com síndrome da dor patelofemural. Rev Bras Fisioter. 2008;12(4):304-10. DOI: http://dx.doi.org/10.1590/S1413-35552008000400009

Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, et al. European recommendations for surface electromyography: results of the Seniam project. Enschede: Roessingh Research and Development;1999.

Grelsamer RP, Klein JR. The biomechanics of the patellofemoral joint. J Orthop Sports Phys Ther. 1998;28(5):286-98. DOI: http://dx.doi.org/10.2519/ jospt.1998.28.5.286

Coqueiro KR, 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. J Electromyogr Kinesiol. 2005;15(6):596-603. DOI: http://dx.doi.org/10.1016/j.jelekin.2005.03.001

Correa CS, Silva BGC, Alberton CL, Wilhelm EN, Moraes AC, Lima CS, Pinto RS. Análise da Força Isométrica Máxima e do Sinal de EMG em Exercícios para os Membros Inferiores. Rev Bras Cineantropom Desempenho Hum. 2011;13(6):429-35.

Nobre TL. Comparação dos exercícios em cadeia cinética aberta e cadeia cinética fechada na reabilitação da disfunção femoropatelar. Fisioter Mov. 2011;24(1):167-72. DOI: http://dx.doi.org/10.1590/S0103-51502011000100019

Fehr GL, Cliquet Junior A, Cacho EWA, Miranda JB. Efetividade dos exercícios em cadeia cinética aberta e cadeia cinética fechada no tratamento da síndrome da dor femoropatelar. Rev Bras Med Esporte. 2006;12(2):66-70. DOI: http://dx.doi.org/10.1590/S1517-86922006000200002

Escamilla RF. Knee biomechanics of the dynamic squat exercise. Med Sci Sports Exerc. 2001;33(1):127-41. DOI: http://dx.doi.org/10.1097/00005768-200101000-00020

Escamilla RF, Fleisig GS, Zheng N, Barrentine SW, Wilk KE, Andrews JR. Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises. Med Sci Sports Exerc. 1998;30(4):556-69. DOI: http://dx.doi.org/10.1097/00005768-199804000-00014

Nunes CV, Monteiro V. Efeito do exercício isométrico de extensão do joelho associado à adução isométrica do quadril na atividade elétrica dos músculos vasto medial oblíquo e vasto lateral oblíquo em indivíduos com disfunção fêmoro-patelar. Rev Bras Fisioter. 2003; 7(2):145-50.

Bessa SNF, Santos EP, Silveira RAG, Maia PHB, Brasileiro JS. Atividade eletromiográfica do vasto medial oblíquo em portadoras da síndrome da dor patelofemoral. Fisioter Pesq. 2008;15(2):157-63. DOI: http://dx.doi.org/10.1590/S1809-29502008000200008

Published

2016-08-09

Issue

Section

Original Article

How to Cite

1.
Birck AD, Zaleski J da F, Franke R de A, Lima CS. Activation level of vastus medialis muscle in different rehabilitation exercises. Acta Fisiátr. [Internet]. 2016 Aug. 9 [cited 2024 Jun. 20];23(3):130-4. Available from: https://journals.usp.br/actafisiatrica/article/view/137660