The impact of knee pain on body balance and electromyographic activity of the quadriceps muscle in fencers during the lunge movement

Nurruddin Priya Budi Santoso, Mahendra Wahyu Dewangga, Shodiq Hutomono, Joko Sulistyono, Herywansyah, Yulian Muhammad Adhitama, Adhy Kurniawan


Nurruddin Priya Budi Santoso, Mahendra Wahyu Dewangga, Shodiq Hutomono, Joko Sulistyono, Herywansyah, Yulian Muhammad Adhitama, Adhy Kurniawan – The impact of knee pain on body balance and electromyographic activity of the quadriceps muscle in fencers during the lunge movement. Fizjoterapia Polska 2023; 23(3); 26-31

DOI: https://doi.org/10.56984/8ZG143F33

Abstract
Introduction. The lack of research on fencing in Indonesia and the absence of analysis on muscle activation in the lower leg muscles, especially the quadriceps muscles, during fencing movements, such as lunges, is a significant gap in the existing literature. This knowledge gap is especially pronounced for athletes with knee pain and quadriceps angle differences. Knee pain causes athletes to experience a decrease in performance, one of which is caused by a decrease in balance. Purpose: This study aims to determine the difference in balance in athletes with knee pain and without knee pain and to determine the activation of the rectus femoris muscle, vastus medialis muscle, and vastus lateralis muscle in the lunge movement in athletes participating in fencing with sable and floret numbers. in the Fencing Sports Activity Unit at Tunas Pembangunan University (UTP) Surakarta. Methods. A descriptive and analytical observational research design was employed for this cross-sectional study, using purposive sampling to recruit seven fencing athletes of UTP. Stork balance test was used to check the balance score and surface electromyography records were used to collect data, and the data analysis was conducted using the nonparametric Mann-Whitney U test. Results. The results of this study prove that the body balance scores of athletes who have complaints of knee pain are significantly worse (p < 0.05) compared to fencers who do not have complaints of knee pain. Knee pain also significantly reduced the activation of the rectus femoris, vastus medialis, and vastus lateralis muscles (p < 0.05). Conclusion. Based on the results and discussion above, knee pain significantly decreases body balance and quadriceps muscle activity.

Keywords
knee pain, body balance, quadriceps, muscle activity, electromyography

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Thermovisual imaging in diagnostics and outcome monitoring in disorders of the knee

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Joanna Błaszczyk-Suszyńska, Mirosław Janiszewski

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Joanna Błaszczyk-Suszyńska, Mirosław Janiszewski – Thermovisual imaging in diagnostics and outcome monitoring in disorders of the knee. Fizjoterapia Polska 2004; 4(4); 323-330

Abstract

Background. This article presents an analysis of prospective studies completed to date on the application of thermovisual imaging in the diagnosis and outcome monitoring of disorders of the knee joint. Material and methods. Three prospective studies were analyzed. Thermovisual exams were performed on the knees in a group of 170 patients with pain symptoms and 45 patients without knee pain. The intensity of the pain and joint dysfunction were evaluated on the basis of results from the Visual Analogue Scale (VAS), a specially developed patient chart, and the Knee-Leg Temperature Index (KLTI). Results. In the control group, the KLTI ranged from -1.5°C to -0.1°C. In the experimental group, the KLTI was between -1.8°C and +1.8°C before treatment, as compared to a range from -1.6°C to +1°C after treatment. Statistical analysis showed that the level of perceived pain and degree of dysfunction correlated with changes in the KLTI.Conclusions. The application of thermovisual examination with calculation of the KLTI is a valuable supplement in the evaluation of outcome in knee disorders. The sensitivity and specificity of the KLTI is high in knee pain syndrome. The method used to analyze the thermovisual image should be modified when there are disease conditions that may alter the skin surface temperature distribution in the lower extremity.

Key words:
knee pain, Visual Analogue Scale, Knee-Leg Temperature Index (KLTI)
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