VARIATION IN MEDIAL AND LATERAL GASTROCNEMIUS MUSCLE ACTIVITY WITH FOOT POSITION. 2017

Michael Cibulka, and April Wenthe, and Zach Boyle, and Dylan Callier, and Adam Schwerdt, and Deidra Jarman, and Michael J Strube
Maryville University, St. Louis, MO, USA.

BACKGROUND The gastrocnemius has two heads, medial gastrocnemius (MG) and lateral gastrocnemius (LG); little is known how they contract with different foot positions. The MG is more frequently strained than the LG; and gastrocnemius activation pattern altered by foot position may play a role in injury. Leg exercises often use a toe-in versus toe-out foot position to isolate one gastrocnemius head over another. OBJECTIVE The purpose of this study was to determine the electromyographic gastrocnemius muscle activity in the toe-out and toe-in foot positions during weight bearing and non-weight bearing activities. The hypothesis was that a toe-out foot position would elicit greater MG than LG activity; while the toe-in position would elicit greater activity in LG than MG in both weight bearing and non-weight bearing (NWB) positions. METHODS A cross-sectional study of young adults. METHODS Thirty-three participants were recruited. Surface electrodes were placed on the bellies of the MG and LG. The gastrocnemius muscle was tested in toe-in and toe-out foot positions using two different tests: a standing heel-rise and resisted knee flexion while prone. Electromyographic activity was normalized against a MVIC during a heel raise with a neutral foot position. A 2x2x2 (Foot Position x Test Position x Muscle) ANOVA was used to determine if differences exist in activity between the MG and LG for toe-in versus toe-out standing and prone test positions. RESULTS Significant test position main effect (F [1,32] = 86.9; p < .01), significant muscle main effect (F [1,32]=5.5; p < .01), and significant foot position x muscle interaction (F [1,32] = 14.58; p < .01) were found. Post hoc tests showed differences between MG and LG in toe-out position (t = 3.10; p < .01) but not in the toe-in for both test positions (t = 1.27; p = 0.21). CONCLUSIONS With toe-out, the MG was more active than LG in standing and prone; no difference was noted between MG and LG in toe-in for either position. METHODS Level 2.

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