مقایسه فعالیت الکترومیوگرافی عضلات زانو در زنان ورزشکار دارای ناهنجاری های کف پا حین پرش-فرود تک‌پا

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، گروه حرکات اصلاحی و طب ورزش، دانشکده تربیت بدنی، دانشگاه علامه طباطبایی، تهران، ایران

2 دانشیار طب ورزش، گروه بهداشت و طب ورزش، دانشکده تربیت بدنی و علوم ورزشی، تهران، ایران

3 کارشناس ارشد آسیب‌شناسی ورزشی و حرکات اصلاحی، گروه حرکات اصلاحی و طب ورزش، دانشکده تربیت بدنی، دانشگاه علامه طباطبایی، تهران، ایران

چکیده

مقدمه و اهداف
امروزه پرونیشن و سوپینیشن بیش‌ از حد مچ پا می‌تواند عملکرد بیومکانیکی و عصبی-عضلانی اندام تحتانی را تغییر دهد. هدف از انجام پژوهش حاضر بررسی میزان فعالیت الکترومیوگرافی عضلات چهارسررانی و همسترینگ حین پرش-فرود تک­پا در افراد دارای کف ‌پای صاف، گود و طبیعی می‌باشد.
مواد و روش ­ها
در مطالعه مقطعی حاضر، 30 زن با کف ‌پای سالم، کف ‌پای گود و دارای کف ‌پای صاف در محدوده سنی 20-30 سال انتخاب شدند. میزان قوس کف ‌پا توسط شاخص افتادگی استخوان ناوی اندازه‌گیری شد و سپس میزان فعالیت الکترومیوگرافی عضلات مورد نظر با استفاده از سیستم الکترومیوگرافی سطحی 16 کاناله ساخت شرکت بایامد حین پرش-فرود تک‌پا، سنجیده شد. از آزمون تحلیل واریانس یک­طرفه برای تحلیل داده­ها استفاده شد. سطح معناداری 95 درصد(05/0=α) در نظر گرفته شد.
یافته ­ها
یافته­ ها نشان داد میزان فعالیت فیدفورواردی عضلات وستوس لترالیس (018/0₌p)، رکتوس فموریس (026/0₌p) بین دو گروه کف پای صاف و گود و نیز میزان فعالیت فیدبکی عضلات رکتوس فموریس (018/0₌p)، بایسپس فموریس (046/0₌p) و سمی تندینوس (048/0₌p) بین دو گروه کف ‌پای سالم و گود و بایسپس فموریس (048/0₌p) و سمی تندینوس (02/0₌p) بین دو گروه کف ‌پای صاف و گود دارای اختلاف معناداری بود.
نتیجه ­گیری
به نظر می‌رسد ناهنجاری‌ کف پای گود و صاف ممکن است با تغییر الگوی فعالیت عضلات ثبات­دهنده زانو همراه ‌باشد و ممکن است احتمال آسیب­دیدگی زانو را افزایش دهد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of Electromyographic Activity of Knee Muscles in Women with Foot Deformities during Single Leg Jump-Landing

نویسندگان [English]

  • Farideh Babakhani 1
  • Rahman Sheikhhoseini 1
  • Hooman Minoonejad 2
  • Monireh Moosavi 3
1 Assistant Professor, Department of Sports Injury and Corrective Exercises, Allameh Tabatabai University. Tehran, Iran
2 Department of Corrective Exercises and Sport Injury, University of Tehran, Tehran, Iran.
3 MA student in Sport Injury and Corrective Exercises, Allameh Tabataba'i University, Tehran, Iran
چکیده [English]

Background and Aim: Hyper pronation/supination may change biomechanical and neuromuscular function of the lower extremities. The purpose of the present research was studying the Electromyographic activity of Quadriceps and Hamstring muscles during single leg jump-landing in people with high, flat or normal foot arches.
Materials and Methods: In the current cross-sectional study, 30 girls, aged 20-30 years old, with normal arch, high arch, and flat foot were recruited. The foot arch was measured using Navicular drop index, and then the amount of Electromyography activity of considered muscle was measured using wireless EMG (16 channels, Bayamed company) during single-leg jump landing. One-way ANOVA test was run to analyze the data with the significance level set at 95% (α=0.05).
Results: There were significant differences in feedforward activity of Vastus lateralis (P=0.018) and Rectus femoris (P=0.026) between groups with high arch and flat feet, and significant differences in feedback activity of Rectus femoris (P-0.018), Biceps femoris (P=0.046), and Semitendinosis (P=0.048) between groups with healthy and high arch feet, as well Biceps femoris (P=0.048) and Semotendinosis (P=0.02) between groups with high arch and flat feet.
Conclusion: According to the results, high arch and flat foot may be associated with altered activation pattern of knee stabilizers and may increase the risk of injuries in the knees.

کلیدواژه‌ها [English]

  • Electromyography
  • Pronation
  • Supination
  • Lower extremity

مراجع

  1.  Khamis S, Yizhar Z. Effect of feet hyperpronation on pelvic alignment in a standing position. Gait & posture. 2007; 25(1): 127-34.##
  2. Lusardi MM, Jorge M, Nielsen C. Orthotics and prosthetics in rehabilitation: Elsevier Health Sciences, 2013. ##
  3. Billis E, Katsakiori E, Kapodistrias C, Kapreli E. Assessment of foot posture: Correlation between different clinical techniques. The Foot. 2007; 17(2): 65-72. ##
  4. Everitt BS, Skronadal A. The Cambridge Dictionary of Statistics. 4th Edition. Cambridge University Press, New York, 2010. ##
  5. Williams DS, Davis IM, Scholz JP, Hamill J, Buchanan TS. High-arched runners exhibit increased leg stiffness compared to low-arched runners. Gait & posture. 2004; 19(3): 263-69. ##
  6. Floyd RT, Thompson CW. Manual of structural kinesiology: McGraw-Hill New York, 2004.  ##
  7.  Kaufman KR, Brodine SK, Shaffer RA, Johnson CW, Cullison TR. The effect of foot structure and range of motion on musculoskeletal overuse injuries. Am J Sports Med. 1999; 27(5): 585-93. ##
  8. Schwend RM, Drennan JC. Cavus foot deformity in children. J Am Acad Orthop Surg. 2003; 11(3): 201-11. ##
  9. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005; 60(12):1546-52. ##
  10. Williams DS 3rd, McClay IS, Hamill J. Arch structure and injury patterns in runners. Clin Biomech. 2001;16(4):341-47. ##
  11. Hunt AE, Smith RM. Mechanics and control of the flat versus normal foot during the stance phase of walking. Clin Biomech. 2004;19(4):391-97. ##
  12. Cote KP, Brunet ME, Gansneder BM, Shultz, SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train. 2005; 40(1): 41-6. ##
  13. Hewett T, Zazulak B, Myer G, Ford K. A review of electromyographic activation levels, timing differences, and increased anterior cruciate ligament injury incidence in female athletes. Br J Sports Med. 2005; 39(6): 347- 50. ##
  14. Beynnon B, Howe J, Pope MH, Johnson RJ, Fleming B. The measurement of anterior cruciate ligament strain in vivo. Int Orthop. 1992; 16(1): 1-12. ##
  15. Hodges PW, Bui BH. A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol. 1996; 101(6): 511-19. ##
  16. Murley GS, Landorf KB, Menz HB, Bird AR. Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: a systematic review. Gait & posture. 2009; 29(2):172- 87. ##
  17. Brody DM. Techniques in the evaluation and treatment of the injured runner. Orthop Clin North Am. 1982; 13(3): 541-58. ##
  18. Sell KE, Verity TM, Worrell TW, Pease BJ. Wigglesworth J. Two measurement techniques for assessing subtalar joint position: a reliability study. J Orthop Sports Phys Ther. 1994; 19(3): 162-7. ##
  19. Hannigan-Downs K, Harter R, Smith G. Radiographic validation and reliability of selected clinical measures of pronation 2000; J Ath Tr. 35: 12-30. ##
  20. Caulfield B, Garrett M. Changes in ground reaction force during jump landing in subjects with functional instability of the ankle joint. Clin Biomech. 2004; 19(6):617-21. ##
  21. Gribble PA, Mitterholzer J, Myers AN. Normalizing considerations for time to stabilization assessment. J Sci Med Sport. 2012;15(2):159-63. ##
  22. Javdaneh N, Minonejad H, Shirzad E, Javdaneh N. Investigating Knee Flexion Angle and Quadriceps to Hamstring Co- Activation in Athletes with Ankle Pronation Deformity and Healthy. Sjimu. 2015;23(4) :158-67. ##
  23. Adigozali H, Ebrhimi E. Neuromuscular Rehabilitation in manual and physical Therapy: Setayeshpress, 2011. ##
  24. kalantariyan M, minoonejad H, rajabi R. The Comparison of the onset of the activity of selected ankle muscles in athletes with and without ankle dorsiflexion range of motion limitations during single-leg jump landing. PTJ. 2013; 3(2):41- 8. ##
  25. Witvrouw E, Danneels L, Thijs Y, Cambier D, Bellemans J. Does soccer participation lead to genu varum? Knee Surg Sports Traumatol Arthrosc. 2009; 17(4):422-27. ##
  26. Kernozek TW, Ragan RJ. Estimation of anterior cruciate ligament tension from inverse dynamics data and electromyography in females during drop landing. Clin Biomech. 2008; 23(10):1279-86. ##
  27. Riemann BL, Lephart SM. The sensorimotor system, part II: the role of proprioception in motor control and functional joint stability. J Athl Train. 2002; 37(1): 80- 4. ##
  28. Myer GD, Ford KR, Barber Foss KD, Liu C, Nick TG, Hewett TE. The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clin J Sport Med. 2009; 19(1): 3-8. ##
  29. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation: Elsevier Health Sciences, 2013. ##
  30.  Daneshmandi H, Saki F, Shahheidari S, Khoori A. Lower extremity Malalignment and its linear relation with Q angle in female athletes. Procedia-Social and Behavioral Sci 2011;15, 3349-54. [In Persian] ##
  31. Russell K. A, Palmieri, RM, Zinder SM, Ingersoll CD. Sex differences in valgus knee angle during a single-leg drop jump. J Athl Train 2006; 41(2):166-71. ##
  32. Peng HT, Kernozek TW, Song CY. Quadricep and hamstring activation during drop jumps with changes in drop height. Phys Ther Sport. 2011; 12(3):127-32. ##
  33. Tsakoniti AE, Stoupis CA, Athanasopoulos SI. Quadriceps cross-sectional area changes in young healthy men with different magnitude of Q angle. J Appl Physiol. 2008; 105(3):800-4.  ##
  34. Fatahi M, Farajollah F. The comprasion of prevalance, type and severity of injury in professional and amateur freestyles’ wrestlers. J Res Rehabil Sci. 2013; 9(4):715-25. [In Persian] ##

فایل ها

سابقه مقاله

  • تاریخ دریافت: 29 فروردین 1397
  • تاریخ بازنگری: 23 مرداد 1397
  • تاریخ پذیرش: 10 شهریور 1397
  • تاریخ اولین انتشار: 01 فروردین 1398

هم رسانی

ارجاع به این مقاله

آمار