نوع مقاله : مقاله پژوهشی
نویسندگان
1 کارشناس ارشد آسیب شناسی ورزشی و حرکات اصلاحی، گروه حرکات اصلاحی و طب ورزش، دانشکده تربیت بدنی، دانشگاه علامه طباطبائی. تهران، ایران
2 استادیار گروه حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه علامه طباطبائی، تهران، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aims: Genu Varum is one of the most common malalignments of lower limb but not a lot of attention have been paid to the biomechanics of lower extremities and the muscle activities while performing the sport specific tasks in the persons. The aim of the present study was to compare the Electromyographic activity of trunk and hip muscles during the single leg jump-landing in men with and without Genu Varum.
Materials and Methods: A total of 30 athletes (15 with genu Verum and 15 without this malalignment) participated in the current cross-sectional study. Genu Varum was assessed using Bone Caliper with the accuracy of 0.01 mm. Participants performed the jump-landing on a forces Plate (Model ver 3.0.2, Danesh Salar Iranian Co.). The electromyography activities of muscles were recorded using the EMG and 100 milliseconds before and after the initial contact. MATLAB software was used for data analysis. For the statistical analysis, the independent t-test with the significance level of o≤0.05 was used.
Results: There were no significant differences in the activity of biceps femoris and semitendinosus muscles between the two groups, but there were significant differences in the mean values of gluteus Medius (P=0.001) and quadratus lumborum (P=0.002) activity between the groups (P<0.05).
Conclusion: According to the results, it seems that the Genu Varum is effective on the biomechanics of jump-landing and it is associated with reduced activity in the gluteus Medius and quadratus lumborum muscles. These changes may be associated with reduced lateral stability and increased risk of injuries in the athletes.
کلیدواژهها [English]
10. Marks R, Kumar S, Semple J, Percy JS. Quadriceps femoris activation in healthy women with genu varum and women with osteoarthrosis and genu varum. J Electromyography Kinesiology. 1994;4(3):153-60##.
11. Puckree T, Govender A, Govender K, Naidoo P. The quadriceps angle and the incidence of knee injury in Indian long-distance runners. Sports Med. 2007;19(1):9-11. ##
12. Emery C, Tyreman H. Sport participation, sport injury, risk factors and sport safety practices in Calgary and area junior high schools. Paediatrics & child health. 2009;14(7):439-44. ##
13. Sheikhhoseini R, Alizadeh MH, Salavati M, O'Sullivan K, Shirzad E, Movahed M.Altered Lower Limb Kinematics during Jumping among Athletes with Persistent Low Back Pain. Asian Exercise and Sport Science Association (AESA). 2018;6(1): ISSN (Online): 2322-4479. ##
14. Louw QA, Grimmer K. Biomechanical factors associated with the risk of knee injury when landing from a jump. Sports Med. 2006;18(1):18-23. ##
15. Ali N, Rouhi G, Robertson G. Gender, Vertical Height and Horizontal Distance Effects on Single-Leg Landing Kinematics: Implications for Risk of non-contact ACL Injury. J Hum Kinet. 2013;37:27-38. ##
16. Bruton MR, O'Dwyer N, Adams R. Sex differences in the kinematics and neuromuscular control of landing: biological, environmental and sociocultural factors. J Electromyography kinesiology. 2013;23(4):747-58. ##
17. Mahaki M, Shojaedin S, Memar R, Khaleghinazeji M. Comparison of electromyography activity of leg muscles and maximum vertical ground reaction forces in the single leg landing between patients with genu varum and normal men. Sport Med. 2013;4(9):87-106. ##
18. Hollman JH, Hohl JM, Kraft JL, Strauss JD, Traver KJ. Effects of hip extensor fatigue on lower extremity kinematics during a jump-landing task in women: a controlled laboratory study. Clinical Biomechanics. 2012;27(9):903-9. ##
19. Homan KJ, Norcross MF, Goerger BM, Prentice WE, Blackburn JT. The influence of hip strength on gluteal activity and lower extremity kinematics. J Electromyography kinesiology. 2013;23(2):411-5. ##
20. Iida Y, Kanehisa H, Inaba Y, Nakazawa K. Activity modulations of trunk and lower limb muscles during impact-absorbing landing. J Electromyography Kinesiology. 2011;21)4):602-9. ##
21. Sheikhhoseini R, O'Sullivan K, Alizadeh MH, Sadeghisani M. Altered Motor Control in Athletes with Low Back Pain: a Literature Review. Annals of Applied Sport Science. 2016;4(4):43-50. ##
22. Riemann BL, Lephart SM. The sensorimotor system, part I: the physiologic basis of functional joint stability. J Athl Train. 2002;37(1):71-9. ##
23. Sheikhhoseini R, Alizadeh M-H, Salavati M, O'Sullivan K, Shirzad E, Movahed M. Altered Lower Limb Kinematics during Jumping among Athletes with Persistent Low Back Pain. Ann-Appl-Sport-Sci. 2018;6(2):0-.##
24. Hollman JH, Ginos BE, Kozuchowski J, Vaughn AS, Krause DA, Youdas JW. Relationships between knee valgus, hip-muscle strength, and hip-muscle recruitment during a single-limb step-down. J Sport Rehabil. 2009;18(1):104-17. ##
25. Willson JD, Petrowitz I, Butler RJ, Kernozek TW. Male and female gluteal muscle activity and lower extremity kinematics during running. Clinical biomechanics. 2012;27(10):1052-7. ##
26. Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian L, Hewett TE. Gender comparison of hip muscle activity during single-leg landing. The Journal of orthopaedic and sports physical therapy. 2005;35(5):292-9. ##
27. Lee TQ, Morris G, Csintalan RP. The influence of tibial and femoral rotation on patellofemoral contact area and pressure. The Journal of orthopaedic and sports physical therapy. 2003;33(11):686-93. ##
28. Hewett TE, Myer GD, Ford KR, Heidt RS, Jr., Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American journal of sports medicine. 2005;33(4):492-501. ##
29. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports medicine. 2006;36(3):189-98. ##
30. Lee S-K, Lee S-Y, Jung J-M. Muscle activity of the gluteus medius at different gait speeds. J phy ther sci. 2014;26(12):1915-7. ##
31. Faul F, Erdfelder E, Lang AG, Buchner A. G. Power: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91. ##
32. Badi M, Wade AN, Collins DR, Nicolaou S, Kobza BJ, Kopec JA. Comparison of lifts versus tape measure in determining leg length discrepancy. J Rheumatology. 2014;41(8):1689-94. ##
33. McRoberts LB, Cloud RM, Black CM. Evaluation of the New York Posture Rating Chart for Assessing Changes in Postural Alignment in a Garment Study. CTRJ. 2013;31(2):81-96. ##
34. Samaei A, Bakhtiary A, Elham F, Rezasoltani A. Effects of genu varum deformity on postural stability. Inter j sports med. 2012;33(6):469-73. [In Persian]. ##
35. Fortin C, Feldman DE, Cheriet F, Labelle H. Clinical methods for quantifying body segment posture: a literature review. Disability rehabili. 2011;33(5):367-83. ##
36. Carcia CR, Martin RL. The influence of gender on gluteus medius activity during a drop jump. Phyl Ther Sport. 2007;8(4):169-76. ##
37. Carlo J, De Luca L, Gilmore D, Kuznetsov M, Roy S. Filtering the surface EMG signal Movement artifact and baseline noise contamination. J Biomechanics. 2010; 43:1573-9. ##
38. Stegeman D, Hermens H. Standards for surface electromyography: The European project Surface EMG for non-invasive assessment of muscles (SENIAM). Enschede: Roessingh Research and Development. 2007:108-12. ##
39. Webber M. Cytopathic effects in primary epithelial cultures derived from the human prostate. Investigative urology. 1976;13(4):259-70. ##
40. Lieberman DE, Raichlen DA, Pontzer H, Bramble DM, Cutright-Smith E. The human gluteus maximus and its role in running. Jf Experimental Biology. 2006;209(11):2143-55. ##
41. Hadadnezhad M, Rajabi R, Ashraf Jamshidi A, Shirzad E. The Effect of Plyometric Training on Trunk Muscle Pre-activation in Active Females with Trunk Neuromuscular Control Deficit. SSU_Journals. 2014;21(6):705-15. [In Persian]. ##
42. Botter A, Oprandi G, Lanfranco F, Allasia S, Maffiuletti NA, Minetto MA. Atlas of the muscle motor points for the lower limb: implications for electrical stimulation procedures and electrode positioning. Eur J Appl Physiol. 2011;111(10):2461-71. ##
43. Gribble PA, Mitterholzer J, Myers AN. Normalizing considerations for time to stabilization assessment. J sci med sport. 2012;15(2):159-63. ##
44. Ross SE, Guskiewicz KM, Yu B. Single-leg jump-landing stabilization times in subjects with functionally unstable ankles. J athletic training. 2005;40(4):298. ##
45. Ross SE, Guskiewicz KM, Gross MT, Yu B. Assessment tools for identifying functional limitations associated with functional ankle instability. J athletic training. 2008;43(1):44-50. ##
46. Hosseini SM, Telikani F, Rahimi A, Ebrahim Abadi Z, Akbarzadeh Baghban A. The study of prophylactic athletic ankle taping on vertical ground reaction force during. landing. J Rehab Med. 2016; 5(2): 106-114. ##
47. Rutherford D, Hubley-Kozey C, Stanish W. The neuromuscular demands of altering foot progression angle during gait in asymptomatic individuals and those with knee osteoarthritis. Osteoarthritis cartilage. 2010;18(5):654-61. ##
48. Santello M, McDonagh MJ, Challis JH. Visual and non‐visual control of landing movements in humans. J Physiology. 2001;537(1):313-27. ##
49. McDonagh MJ, Duncan A. Interaction of pre‐programmed control and natural stretch reflexes in human landing movements. J physiology. 2002;544(3):985-94. ##
50. Russell KA, Palmieri RM, Zinder SM, Ingersoll CD. Sex differences in valgus knee angle during a single-leg drop jump. J athletic training. 2006;41(2):166. ##
51. Lee S-P, Souza RB, Powers CM. The influence of hip abductor muscle performance on dynamic postural stability in females with patellofemoral pain. Gait & posture. 2012;36(3):425-9. ##
52. Huber FE, Wells CL. Therapeutic exercise: Treatment planning for progression: Elsevier Saunders; 2006. ##
53. Ambegaonkar JP, Mettinger LM, Caswell SV, Burtt A, Cortes N. Relationships between core endurance, hip strength, and balance in collegiate female athletes. Inte j sports physical therapy. 2014;9(5):604. ##
54. Nguyen A-D, Shultz SJ, Schmitz RJ, Luecht RM, Perrin DH. A preliminary multifactorial approach describing the relationships among lower extremity alignment, hip muscle activation, and lower extremity joint excursion. J athletic training. 2011;46(3):246-56. ##
55. Peterson-Kendall F, Kendall-McCreary E, Geise-Provance P ,McIntyre-Rodgers M, Romani W. Muscles testing and function with posture and pain. Philadelphia: Lippincott Williams & Wilkins; 2005. ##
56. 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. ##
57. Mosavi S, Bazvand M, Memar R, Sadeghi H. Comparison of leg muscles electromyography during gait in pescavus and planus in men aged 20-28 years. Scientific J Kur Uni Med Sci. 2015;20(1). [In Persian]. ##