LATENCY DELAY OF THE VASTUS MEDIALIS OBLIQUE AND VASTUS LATERALIS IN INDIVIDUALS WITH PATELLOFEMORAL PAIN SYNDROME
DOI:
https://doi.org/10.15359/mhs.13-2.1Keywords:
Patellofemoral pain syndrome, muscle latency, muscle reaction time, electromyographyAbstract
Purpose: To determine the onset latency of the vastus medialis oblique (VMO) and vastus lateralis (VL) muscles in individuals with patellofemoral pain syndrome (PFPS). Methodology: A case-control study. Fourteen female participants with PFPS and fifteen female participants without PFPS performed a sudden lower extremity perturbation test in anterior and posterior directions. The electromyographic onset latency of the VMO and VL were measured during this test. A student’s t-test was used to compare muscle latency between the groups. Significance level was established a priori at P < 0.05. Results: During sudden anterior perturbation a significant latency delay of the VMO (p < 0.001) and VL muscles (p = 0.019) was observed in participants with PFPS. In the sudden posterior perturbation a delayed response in the activation of VMO (p = 0.023) and VL (p < 0.038) muscles was observed in individuals with PFPS. Conclusions: The results of this study indicate that individuals with PFPS have a motor deficit reflected in the latency delay of VMO and VL muscles during a sudden perturbation in the sagittal plane.References
Boling, M., Padua, D., Marshall, S., Guskiewicz, K., Pyne, S., & Beutler, A. (2010). Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scandinavian Journal of Medicine & Science in Sports, 20(5), 725-730. doi:10.1111/j.1600-0838.2009.00996.x
Cavazzuti, L., Merlo, A., Orlandi, F., & Campanini, I. (2010). Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome. Gait & Posture, 32(3), 290-295. doi:10.1016/j.gaitpost.2010.06.025
Chen, H. Y., Chien, C. C., Wu, S. K., Liau, J. J., & Jan, M. H. (2012). Electromechanical Delay of the Vastus Medialis Obliquus and Vastus Lateralis in Individuals With Patellofemoral Pain Syndrome. Journal of Orthopaedic & Sports Physical Therapy, 42(9), 791-796. doi:10.2519/jospt.2012.3973
Coqueiro, K. R. R., Bevilaqua-Grossi, D., Berzin, F., Soares, A. B., Candolo, C., & Monteiro-Pedro, V. (2005). 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, 15(6), 596-603. doi:10.1016/j.jelekin.2005.03.001
Cresswell, A. G., Oddsson, L., & Thorstensson, A. (1994). The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Experimental Brain Research, 98(2), 336-341.
Crossley, K., Bennell, K., Green, S., & McConnell, J. (2001). A systematic review of physical interventions for patellofemoral pain syndrome. Clinical Journal of Sport Medicine, 11(2), 103-110. doi:10.1097/00042752-200104000-00007
de Oliveira Menacho, M., Pereira, H. M., de Oliveira, B. I. R., Chagas, L. M. P. M., Toyohara, M. T., & Cardoso, J. R. (2010). The peroneus reaction time during sudden inversion test: systematic review. Journal of Electromyography and Kinesiology, 20(4), 559-565. doi: 10.1016/j.jelekin.2009.11.007
Earl, J. E., Schmitz, R. J., & Amold, B. L. (2001). Activation of the VMO and VL during dynamic mini-squat exercises with and without isometric hip adduction. Journal of Electromyography and Kinesiology, 11(6), 381-386. doi:10.1016/s1050-6411(01)00024-4
Flynn, T. W., & Soutaslittle, R. W. (1995). Patellofemoral joint compressive forces in forward and backward running. Journal of Orthopaedic & Sports Physical Therapy, 21(5), 277-282.
Fukuda, T. Y., Rossetto, F. M., Magalhaes, E., Bryk, F. F., Lucareli, P. R. G., & Carvalho, N. A. D. (2010). Short-Term Effects of Hip Abductors and Lateral Rotators Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Controlled Clinical Trial. Journal of Orthopaedic & Sports Physical Therapy, 40(11), 736-742. doi:10.2519/jospt.2010.3246
Hermens, H. J., Freriks, B., Disselhorst-Klug, C., & Rau, G. (2000). Development of recommendations for SEMG sensors and sensor placement procedures. Journal of Electromyography and Kinesiology, 10(5), 361-374. doi:10.1016/s1050-6411(00)00027-4
Hodges, P. W., & Richardson, C. A. (1996). Inefficient muscular stabilization of the lumbar spine associated with low back pain - A motor control evaluation of transversus abdominis. Spine, 21(22), 2640-2650. doi:10.1097/00007632-199611150-00014
Konishi, Y. (2013). Tactile stimulation with Kinesiology tape alleviates muscle weakness attributable to attenuation of Ia afferents. Journal of Science and Medicine in Sport, 16(1), 45-48. doi:10.1016/j.jsams.2012.04.007
Konishi, Y., Fukubayashi, T., & Takeshita, D. (2002). Possible mechanism of quadriceps femoris weakness in patients with ruptured anterior cruciate ligament. Medicine and Science in Sports and Exercise, 34(9), 1414-1418. doi:10.1249/01.mss.0000027628.04801.27
Lankhorst, N. E., Bierma-Zeinstra, S. M. A., & van Middelkoop, M. (2012). Risk Factors for Patellofemoral Pain Syndrome: A Systematic Review. Journal of Orthopaedic & Sports Physical Therapy, 42(2), 81-94. doi:10.2519/jospt.2012.3803
Leib, F., & Perry, J. (1968). Quadriceps function: An anatomical and mechanical study using amputated limb. The Journal of the Bone and Joint Surgery, 50, 749-758.
McNulty, P. A., & Cresswell, A. G. (2004). Recruitment of single human low-threshold motor units with increasing loads at different muscle lengths. Journal of Electromyography and Kinesiology, 14(3), 369-377. doi:10.1016/j.jelekin.2003.10.003
Mendez-Rebolledo, G., Guzman-Munoz, E., Gatica-Rojas, V., & Zbinden-Foncea, H. (2015). Longer reaction time of the fibularis longus muscle and reduced postural control in basketball players with functional ankle instability: A pilot study. Physical Therapy in Sport, 16(3), 242-247. doi:10.1016/j.ptsp.2014.10.008
Mizner, R. L., Petterson, S. C., Stevens, J. E., Vandenborne, K., & Snyder-Mackler, L. (2005). Early quadriceps strength loss after total knee arthroplasty - The contributions of muscle atrophy and failure of voluntary muscle activation. Journal of Bone and Joint Surgery-American Volume, 87A(5), 1047-1053. doi:10.2106/jbjs.d.01992
Ng, G. Y. F., Zhang, A. Q., & Li, C. K. (2008). Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. Journal of Electromyography and Kinesiology, 18(1), 128-133. doi:10.1016/j.jelekin.2006.08.010
Park, S., Horak, F. B., & Kuo, A. D. (2004). Postural feedback responses scale with biomechanical constraints in human standing. Experimental Brain Research, 154(4), 417-427. doi:10.1007/s00221-003-1674-3
Powers, C. M. (2000). Patellar kinematics, part I: The influence of vastus muscle activity in subjects with and without patellofemoral pain. Physical Therapy, 80(10), 956-964.
Sterling, M., Jull, G., & Wright, A. (2001). The effect of musculoskeletal pain on motor activity and control. Journal of Pain, 2(3), 135-145. doi:10.1054/jpai.2001.19951
Tang, S. F. T., Chen, C. K., Hsu, R., Chou, S. W., Hong, W. H., & Lew, H. L. (2001). 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, 82(10), 1441-1445. doi:10.1053/apmr.2001.26252
Voight, M. L., & Wieder, D. L. (1991).Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction. An electromyographic study. American Journal of Sports Medicine, 19(2), 131-137. doi:10.1177/036354659101900207
Waryasz, G. R., & McDermott, A. Y. (2008). Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dynamic medicine, 7(1), 1.
Winter, D. A., Prince, F., Frank, J. S., Powell, C., & Zabjek, K. F. (1996). Unified theory regarding A/P and M/L balance in quiet stance. Journal of Neurophysiology, 75(6), 2334-2343.
Witvrouw, E., Cambier, D., Danneels, L., Bellemans, J., Werner, S., Almqvist, F., & Verdonk, R. (2003). The effect of exercise regimens on reflex response time of the vasti muscles in patients with anterior knee pain: a prospective randomized intervention study. Scandinavian Journal of Medicine & Science in Sports, 13(4), 251-258. doi: 10.1034/j.1600-0838.2003.00311.x
Yoo, W. G. (2015). Effects of the slow speed-targeting squat exercise on the vastus medialis oblique/vastus lateralis muscle ratio. Journal of Physical Therapy Science, 27(9), 2861-2862. doi: 10.1589/jpts.27.2861
Downloads
Published
How to Cite
Issue
Section
License
General conditions
MHSalud: Journal in Human Movement Sciences and Health by the Universidad Nacional is cover under a Creative Commons Atribución-NoComercial-SinDerivadas 3.0 Costa Rica license.
The journal is hosted in open access repositories such as the Institutional Repository of the Universidad Nacional, the Kimuk Repository of Costa Rica and La Referencia.
The editorial source of the journal must be recognized. Use the doi identifier for this purpose.
Self-archiving policy: The journal allows the self-archiving of the articles in their peer-reviewed version, edited and approved by the Editorial Board of the Journal to be available in Open Access through the Internet. More information in the following link: https://v2.sherpa.ac.uk/id/publication/25815