계단 오르고 내리기시 엉덩관절 내회전이 무릎관절 폄근과 엉덩관절 벌림근 근활성도에 미치는 영향
Effects of Hip Internal Rotation on Knee Extensor and Hip Abductor Electromyographic Activity During Stair Up and Down
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The purpose of this study was to examine the effect of the hip internal rotation on knee extensor and hip abductor electromyographic (EMG) activity during stair up and stair down mobility. Eighteen healthy subjects were recruited. All subjects performed stair up and down movements on a step of 30 ㎝ height while maintaining the hip in neutral (condition 1) and hip in internal rotation (condition 2). Surface EMG activity was recorded from five muscles (gluteus maximus, vastus lateralis (VL), vastus medialis oblique (VMO), posterior gluteus medius (Gmed), and tensor fascia latae (TFL)) and hip internal rotation angle was measured using a three dimensional motion analysis system. The time period for stair up and down was normalized using the MatLab 6.5 program, and EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). The EMG activities according to the hip rotation (neutral or internal rotation) during the entire time period of stair up and down in each phase were compared using a paired t-test. During the entire period of stair up, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). During the entire period of stair down, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). However, the EMG activities of the other muscles were not significantly different between the conditions (p>.05). These results suggest that the stair up and down maintaining hip internal rotation was could be a contributing factor on patellar lateral tracking.
Abstract
The purpose of this study was to examine the effect of the hip internal rotation on knee extensor and hip abductor electromyographic (EMG) activity during stair up and stair down mobility. Eighteen healthy subjects were recruited. All subjects performed stair up and down movements on a step of 30 ㎝ height while maintaining the hip in neutral (condition 1) and hip in internal rotation (condition 2). Surface EMG activity was recorded from five muscles (gluteus maximus, vastus lateralis (VL), vastus medialis oblique (VMO), posterior gluteus medius (Gmed), and tensor fascia latae (TFL)) and hip internal rotation angle was measured using a three dimensional motion analysis system. The time period for stair up and down was normalized using the MatLab 6.5 program, and EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). The EMG activities according to the hip rotation (neutral or internal rotation) during the entire time period of stair up and down in each phase were compared using a paired t-test. During the entire period of stair up, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). During the entire period of stair down, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). However, the EMG activities of the other muscles were not significantly different between the conditions (p>.05). These results suggest that the stair up and down maintaining hip internal rotation was could be a contributing factor on patellar lateral tracking.
참고문헌 (23)
- Andriacchi TP, "A study of lower-limb mechanics during stair-climbing", J Bone Joint Surg Am, 62(5), pp.749~757 (1980)
- Blauth M, "Stressing on the human femoro-patellar joint. I. Components of a vertical and horizontal tensile bracing system", Anat Embryol (Berl), 168(1), pp.117~123 (1983)
- Blond L, "Patellofemoral pain syndrome in athletes: A 5.7-year retrospective follow up study of 250 athletes", Acta Orthop Belg, 64(4), pp.393~400 (1998)
- Brechter JH, "Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain", Gait Posture, 16(2), pp.115~123 (2002)
- Cram JR, "Introduction to Surface Electromyography" (1998), Aspen Pub
- Crossley K, "Patellar taping: Is clinical success supported by scientific evidence?", Man Ther, 5(3), pp.142~150 (2000)
- Delp SL, "Variation of rotation moment arms with hip flexion", J Biomech, 32(5), pp.493~501 (1999)
- Eng JJ, "The effect of soft foot orthotics on three dimensional lower limb kinematics during walking and running", Phys Ther, 74(9), pp.836~844 (1994)
- Federico DJ, "Results of isolated patellar debridement for patellofemoral pain in patients with normal patellar alignment", Am J Sports Med, 25(5), pp.663~669 (1997)
- Hanten WP, "Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles", Phys Ther, 70(9), pp.561~565 (1990)
- Karst GM, "Onset timing of electromyographic activity in the vastus medialis oblique and vastus lateralis muscles in subjects with and without patellofemoral pain syndrome", Phys Ther, 75(9), pp.813~823 (1995)
- Lam PL, "Activation of the quadriceps muscle during semisquatting with different hip and knee positions in patients with anterior knee pain", Am J Phys Med Rehabil, 80(11), pp.804~808 (2001)
- Lin F, "In vivo and noninvasive three‐dimensional patellar tracking induced by individual heads of quadriceps", Med Sci Sports Exerc, 36(1), pp.93~101 (2004)
- McConnell J, "Management of patellofemoral problems", Man Ther, 1(2), pp.60~66 (1996)
- Mueller MJ, "Tissue adaptation to physical stress: A proposed "Physical Stress Theory" to guide physical therapist practice, education, and research", Phys Ther, 82(4), pp.383~403 (2002)
- Neumann DA, "Kinesiology of the Musculoskeletal System: Foundations for physical rehabilitation. 1st ed" (2002), Mosby
- Nordander C, "Muscular rest and gap frequency as EMG measures of physical exposure: The impact of work tasks and individual related factors", Ergonomics, 43(11), pp.1904~1919 (2000)
- Nyland J, "Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude: Composite hip abductor EMG amplitude ratios during isometric combined hip abduction-external rotation", J Electromyogr Kinesiol, 14(2), pp.255~261 (2004)
- Powers CM, "Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain", Phys Ther, 76(9), pp.946~955 (1996)
- Quilty B, "Physiotherapy, including quadriceps exercises and patellar taping, for knee osteoarthritis with predominant patello-femoral joint involvement: Randomized controlled trial", J Rheumatol, 30(6), pp.1311~1317 (2003)
- Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndromes" (2001), Mosby
- Schamberger W, "The Malalignment Syndrome: Implications for medicine and sport" (2002), Churchill Livingstone
- Tang SF, "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, 82(10), pp.1441~1445 (2001)
