본문 바로가기
KERD
논문KCI 등재

통제된 한다리 스쿼트 동작시 슬개대퇴동통증후군 환자의 중간볼기근과 넙다리네갈래근에서 나타나는 근활성도와 근력 및 무릎 외반각도의 남녀 비교

Gender Comparison of Muscle Activity and Strength in Gluteus Medius and Quadriceps and Knee Valgus Angle During Controlled Single-Leg Squat in Individuals With Patellar Femoral Pain Syndrome

윤태림|김기송
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2016.02|한국전문물리치료학회지 (Physical Therapy Korea)|제23권 제1호|pp. 11-19|DOI http://dx.doi.org/10.12674/ptk.2016.23.1.011

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

ElectromyogramKnee exerciseVideo analysis.
주제분류물리치료학

초록

Background: Investigation in gender differences of kinetics and kinematics for individuals with patellar femoral pain syndrome (PFPS) was not sufficiently performed. Objects: The purpose of this study is that whether there is a difference depending on gender from muscle activity and strength and knee valgus angle during controlled single-leg squat which is widely used as clinical movement test for the patient with PFPS. Methods: 20 young adults (10 men, 20.0±2.1 years; 10 women, 20.4±2.1 years) with PFPS were voluntarily recruited in this study. Muscle activity and strength and knee valgus angle were collected during single-leg squat. Independent t-test and Mann-Whitney test were used to compare the differences between groups of male and female. Results: Rectus femoris (t=-2.204, p=.041) and vastus medialis oblique (t=-2.151, p=.045) muscle activity of women were significantly higher than male group. Normalized muscle strength of hip and knee muscles showed a significant difference between men and women (p<.05). Valgus angle of the knee in women (t=-2.450, p=.025) were increased significantly than men. Conclusion: The therapist would consider the characteristics of these gender differences during performing movement test, exercise, and education for the individuals with PFPS.

Abstract

Background: Investigation in gender differences of kinetics and kinematics for individuals with patellar femoral pain syndrome (PFPS) was not sufficiently performed. Objects: The purpose of this study is that whether there is a difference depending on gender from muscle activity and strength and knee valgus angle during controlled single-leg squat which is widely used as clinical movement test for the patient with PFPS. Methods: 20 young adults (10 men, 20.0±2.1 years; 10 women, 20.4±2.1 years) with PFPS were voluntarily recruited in this study. Muscle activity and strength and knee valgus angle were collected during single-leg squat. Independent t-test and Mann-Whitney test were used to compare the differences between groups of male and female. Results: Rectus femoris (t=-2.204, p=.041) and vastus medialis oblique (t=-2.151, p=.045) muscle activity of women were significantly higher than male group. Normalized muscle strength of hip and knee muscles showed a significant difference between men and women (p<.05). Valgus angle of the knee in women (t=-2.450, p=.025) were increased significantly than men. Conclusion: The therapist would consider the characteristics of these gender differences during performing movement test, exercise, and education for the individuals with PFPS.

참고문헌 (46)

  1. Aglietti P, "Patellar pain and incongruence. I: Measurements of incongruence", Clin Orthop Relat Res, (176), pp.217~224 (1983)
  2. Agre J, "Strength testing with a portable dynamometer: Reliability for upper and lower extremities", Arch Phys Med Rehabil, 68(7), pp.454~458 (1987)
  3. Andrews AW, "Normative values for isometric muscle force measurements obtained with hand-held dynamometers", Phys Ther, 76(3), pp.248~259 (1996)
  4. Askling C, "Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level", Br J Sports Med, 40(1), pp.40~44 (2006)
  5. Barber-Westin SD, "Jump-land characteristics and muscle strength development in young athletes: A gender comparison of 1140athletes 9 to 17 years of age", Am J Sports Med, 34(3), pp.375~384 (2006)
  6. Christian J. Barton, "Gluteal muscle activation during the isometric phase of squatting exercises with and without a Swiss ball", Physical Therapy in Sport, 15(1), pp.39~46 (2014), Elsevier BV[DOI]
  7. Boldt AR, "Effects of medially wedged foot orthoses on knee and hip joint running mechanics in females with and without patellofemoral pain syndrome", J Appl Biomech, 29(1), pp.68~77 (2013)
  8. Lori A. Bolgla, "Hip Strength and Hip and Knee Kinematics During Stair Descent in Females With and Without Patellofemoral Pain Syndrome", Journal of Orthopaedic & Sports Physical Therapy, 38(1), pp.12~18 (2008), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  9. Boucher JP, "Quadriceps femoris muscle activity in patellofemoral pain syndrome", Am J Sports Med, 20(5), pp.527~532 (1992)
  10. Claiborne TL, "Relationship between hip and knee strength and knee valgus during a single leg squat", J Appl Biomech, 22(1), pp.41~50 (2006)
  11. Collins N, "Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: Randomised clinical trial", BMJ, 337, pp.a1735~ (2008)[DOI]
  12. Cowan SM, "Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome", Arch Phys Med Rehabil, 82(2), pp.183~189 (2001)
  13. Cram J, "Introduction to Surface Electromyography", pp.356~367 (1998), Aspen Publishers
  14. Crossley K, "Physical therapy for patellofemoral pain: A randomized, double-blinded, placebo-controlled trial", Am J Sports Med, 30(6), pp.857~865 (2002)
  15. Devereaux MD, "Patello-femoral arthralgia in athletes attending a Sports Injury Clinic", Br J Sports Med, 18(1), pp.18~21 (1984)
  16. Tracy A. Dierks, "Proximal and Distal Influences on Hip and Knee Kinematics in Runners With Patellofemoral Pain During a Prolonged Run", Journal of Orthopaedic & Sports Physical Therapy, 38(8), pp.448~456 (2008), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  17. Earl JE, "Activation of the VMO and VL during dynamic mini-squat exercises with and without isometric hip adduction", J Electromyogr Kinesiol, 11(6), pp.381~386 (2001)
  18. William P Ebben, "Gender-Based Analysis of Hamstring and Quadriceps Muscle Activation During Jump Landings and Cutting", Journal of Strength and Conditioning Research, 24(2), pp.408~415 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
  19. Ford KR, "Valgus knee motion during landing in high school female and male basketball players", Med Sci Sports Exerc, 35(10), pp.1745~1750 (2003)
  20. Heino Brechter J, "Patellofemoral stress during walking in persons with and without patellofemoral pain", Med Sci Sports Exerc, 34(10), pp.1582~1593 (2002)
  21. Lee Herrington, "Does the change in Q angle magnitude in unilateral stance differ when comparing asymptomatic individuals to those with patellofemoral pain?", Physical Therapy in Sport, 14(2), pp.94~97 (2013), Elsevier BV[DOI]
  22. Hewett TE, "Plyometric training in female athletes. Decreased impact forces and increased hamstring torques", Am J Sports Med, 24(6), pp.765~773 (1996)
  23. Hollman JH, "Relationships between knee valgus, hip-muscle strength, and hip-muscle recruitment during a single-limb step-down", J Sport Rehabil, 18(1), pp.104~117 (2009)
  24. Horton MG, "Quadriceps femoris muscle angle:Normal values and relationships with gender and selected skeletal measures", Phys Ther, 69(11), pp.897~901 (1989)
  25. Ireland ML, "Hip strength in females with and without patellofemoral pain", J Orthop Sports Phys Ther, 33(11), pp.671~676 (2003)
  26. Isear JA Jr, "EMG analysis of lower extremity muscle recruitment patterns during an unloaded squat", Med Sci Sports Exerc, 29(4), pp.532~539 (1997)
  27. Kendall FP, "Muscles: Testing and function with posture and pain", pp.420~433 (2005), Williams & Wilkins
  28. Leetun DT, "Core stability measures as risk factors for lower extremity injury in athletes", Med Sci Sports Exerc, 36(6), pp.926~934 (2004)
  29. Lephart SM, "Gender differences in strength and lower extremity kinematics during landing", Clin Orthop Relat Res, (401), pp.162~169 (2002)
  30. Levinger P, "Femoral medial deviation angle during a one-leg squat test in individuals with patellofemoral pain syndrome", Phys Ther Sport, 8(4), pp.163~168 (2007)
  31. Eduardo Magalhães, "A Comparison of Hip Strength Between Sedentary Females With and Without Patellofemoral Pain Syndrome", Journal of Orthopaedic & Sports Physical Therapy, 40(10), pp.641~647 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  32. Kirsty McKenzie, "Lower Extremity Kinematics of Females With Patellofemoral Pain Syndrome While Stair Stepping", Journal of Orthopaedic & Sports Physical Therapy, 40(10), pp.625~632 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  33. Mizuno Y, "Q-angle influences tibiofemoral and patellofemoral kinematics", J Orthop Res, 19(5), pp.834~840 (2001)
  34. Munro A, "Reliability of two-dimensional video assessment of frontal plane dynamic knee valgus during common athletic screening tasks", J Sport Rehabil, 21(1), pp.7~11 (2012)
  35. Theresa H. Nakagawa, "Trunk, Pelvis, Hip, and Knee Kinematics, Hip Strength, and Gluteal Muscle Activation During a Single-Leg Squat in Males and Females With and Without Patellofemoral Pain Syndrome", Journal of Orthopaedic & Sports Physical Therapy, 42(6), pp.491~501 (2012), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  36. Pincivero DM, "Angleand gender-specific quadriceps femoris muscle recruitment and knee extensor torque", J Biomech, 37(11), pp.1689~1697 (2004)
  37. Pollard CD, "Influence of gender, estrogen and exercise on anterior knee laxity", Clin Biomech, 21(10), pp.1060~1066 (2006)
  38. Reese NB, "Muscle and Sensory Testing", pp.437~486 (2013), Saunders
  39. Robinson RL, "Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome", J Orthop Sports Phys Ther, 37(5), pp.232~238 (2007)
  40. Schulthies SS, "Does the Q angle reflect the force on the patella in the frontal plane?", Phys Ther, 75(1), pp.24~30 (1995)
  41. Sigward SM, "The influence of gender on knee kinematics, kinetics and muscle activation patterns during side-step cutting", Clin Biomech, 21(1), pp.41~48 (2006)
  42. Souza DR, "Comparison of vastus medialis obliquus: Vastus lateralis muscle integrated electromyographic ratios between healthy subjects and patients with patellofemoral pain", Phys Ther, 71(4), pp.310~316 (1991)
  43. Thijs Y, "Relationship between hip strength and frontal plane posture of the knee during a forward lunge", Br J Sports Med, 41(11), pp.723~727 (2007)
  44. Wang CY, "Test-retest strength reliability: Hand-held dynamometry in community-dwelling elderly fallers", Arch Phys Med Rehabil, 83(6), pp.811~815 (2002)
  45. Richard W. Willy, "The Effect of a Hip-Strengthening Program on Mechanics During Running and During a Single-Leg Squat", Journal of Orthopaedic & Sports Physical Therapy, 41(9), pp.625~632 (2011), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  46. Zeller BL, "Differences in kinematics and electromyographic activity between men and women during the single-legged squat", Am J Sports Med, 31(3), pp.449~456 (2003)

관련 논문AI추천

슬개대퇴통증증후군 환자의 체중부하운동 유형별 하지 근활성량의 차이안근옥, 조지훈대한운동학회 · 아시아 운동학 학술지2015 · 제17권 제4호슬개대퇴 통증 증후군이 있는 씨름선수의 런지 시 발목위치에 따른 대퇴사두근의 근활성도 비교박사라, 이만균, 최순미한국운동생리학회 · 운동과학2010 · 제19권 제3호닫힌사슬운동 형태에 따른 내측광근, 외측광근 및 중둔근의 근활성도 비교송상협대한운동학회 · 아시아 운동학 학술지2013 · 제15권 제3호대퇴사두근 근력 운동 시 고관절 중립 자세와 내전 자세에 따른 내측광근과 외측광근의 근수축 개시 시간 차이 비교김민희, 전혜선, 최보람한국전문물리치료학회 · 한국전문물리치료학회지2009 · 제16권 제3호무릎뼈 테이핑이 계단보행 시 안쪽빗넓은근과 가쪽넓은근의 근활성에 미치는 효과김현희대한근관절건강학회 · 근관절건강학회지2011 · 제18권 제2호Effect of Hip Adduction Position on the Vastus Medialis Oblique and Vastus Lateralis During Closed Kinetic Chain Exercise in Sitting Posture권오윤, 이충휘, 전혜선, 차용수, 최보람한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제2호

이 간행물의 다른 논문 (10건)

부분적 체중부하를 통한 트레드밀 훈련이 만성요통환자의 균형능력과 기능장애, 통증에 미치는 영향김대현, 김선엽pp. 1-10슬관절 전치환술 초기의 대퇴사두근 운동 방법에 따른 슬관절과 족관절의 관상면 정렬 비교: 하지 등척성 동시수축과 대퇴사두근 단독 등척성 수축정영희, 김형수pp. 20-30한국어판 플러턴 어드밴스드 균형 척도의 신뢰도와 타당도 연구김경모pp. 31-37회귀분석을 이용한 만성요통환자의 통증 및 기능장애수준과 심리사회학적 요인의 상관성 연구최임순, 김선엽, 장현정pp. 38-45한국어판 플러턴 어드밴스드 균형 척도의 라쉬분석김경모pp. 46-54
원문 보기