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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Hip abductors versus knee extensors strengthening on quadriceps isometric strength in patients with knee osteoarthritis

Aalaa M. Sweelam, Mohammed M. Hegazy, Ahmad H. Azzam, Mohammed S. Abdelsalam


Aalaa M. Sweelam, Mohammed M. Hegazy, Ahmad H. Azzam, Mohammed S. Abdelsalam – Hip abductors versus knee extensors strengthening on quadriceps isometric strength in patients with knee osteoarthritis. Fizjoterapia Polska 2022; 22(4); 16-20

DOI: https://doi.org/10.56984/8ZG1A6HN3

Abstract
Purpose. To detect effect of hip abductors against quadriceps exercises on quadriceps isometric strength in Knee OA individuals.
Methods. Seventy patients with bilateral knee OA were recruited , ages ranged between 50-70 years. They were randomized into equal groups; hip abductors strengthening exercises (HAS) group and knee extensors strengthening (KES) group. Both groups received hamstring stretch. Duration was 6 weeks (2 sessions per week). Baseline and 6 weeks assessments of quadriceps isometric strength were done using hand held dynamometer.
Results. there wasn’t any statistical significant difference between the two groups.
Conclusion. Both forms of exercises have the same effect on quadriceps isometric strength.

Key words:
knee osteoarthritis, hip abductors, quadriceps

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Electromyographic responses of the quadriceps muscles to fast and slow perturbations after fatiguing exercise

Nosratollah Hedayatpour,  Zahra Izanloo

N. Hedayatpour,  Z. Izanloo – Electromyographic responses of the quadriceps muscles to fast and slow perturbations after fatiguing exercise. FP 2017; 17(1); 24-27

Abstract

Introduction. An appropriate postural response of the quadriceps muscle to an unexpected perturbation reduces the risk of knee injuries. The aim of this study was to investigate the effect of fatigue on postural response of the quadriceps to fast and slow perturbations.
Material and method. Fatigue induced to the quadriceps muscle using a KinCom Isokinetic Dynamometer (Chattanooga, TN). Bipolar surface electromyographic (EMG) signals were simultaneously recorded from quadriceps components (vastus medialis, rectus femoris, and vastus lateralis) during pre- and post-fatigue postural perturbation performed at two different velocities of 120 ms and 250 mes.
Results. Maximal voluntary knee extension force and time to task failure were significantly reduced after fatiguing knee exercise (P < 0.05). The ARV of EMG during fast-perturbation was significantly higher than slow-perturbation (P < 0.05). Moreover, The ARV of EMG was significantly reduced during post fatigue perturbation, with a largest reduction identified for fast-perturbation compared with slow perturbation (P < 0.05).
Conclusion. Reduction in quadriceps muscle activity during post fatigue fast-perturbation was significantly larger than post fatigue slow- perturbation, most likely due to preferential recruitment of fast twitch muscle fiber which is more susceptible to fatigue. This may partly explain that why knee injuries is common after fast ballistic movement.

Key words:
Electromyography, Perturbation, Fatigue, Quadriceps, Velocity

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