Preferential activation of the vastus medialis oblique, vastus lateralis, and hip adductor muscles during isometric exercises in females. 1997

D Zakaria, and K L Harburn, and J F Kramer
Physiotherapy Community Clinic, Stratford, Ontario, Canada.

Disagreement exists as to whether the individual components of the quadriceps femoris can be preferentially activated, i.e., that one muscle component is activated to a greater degree of its maximum voluntary contraction ability than the remaining components. Preferential activation of the vastus medialis (VM) might be useful in the treatment of knee patients demonstrating VM atrophy. The purpose of the present investigation was to determine if the vastus medialis oblique (VMO), vastus lateralis (VL), and hip adductor (HA) muscles were preferentially activated in females during the following maximal voluntary isometric exercises: 1) unilateral quadriceps setting (QS) with the ankle positioned in neutral, 2) unilateral quadriceps setting combined with ankle dorsiflexion (QS + D), and 3) maximal bilateral hip adduction. Integrated electromyography (IEMG in mV.sec) was determined for the VMO, VL, and HA muscles of the preferred leg (i.e., that used to kick a ball) of 20 healthy females. Data were normalized using QS exercise as the reference exercise. Nonnormalized IEMG (+/-SD) of the VMO and VL was similar during QS [i.e., VMO = 1050 (+/-802) mV.sec, VL = 1075 (+/-738) mV. sec] and QS + D exercises [i.e., VMO = 1191 (+/-738) mV.sec, VL = 1202 (+/-836) mV.sec], but significantly less than these values during hip adduction exercise [i.e., VMO = 174 (+/-62) mV. sec, VL = 194 (+/-70) mV.sec]. Nonnormalized IEMG of the HA muscles was similar during both QS and QS+D [i.e., 286 (+/-405) mV.sec and 195 (+/-432) mV.sec], but significantly higher than these values during hip adduction exercise [i.e., 413 (+/-235) mV.sec]. Normalized IEMG (+/-SD)(%) demonstrated similar patterns, i.e., the ratios for the VMO and the VL muscles did not differ from one another under either QS + D [i.e., VMO = 121 (+/-60)%, VL = 116 (+/-40)%] or hip adduction conditions [i.e., VMO = 33 (+/-24)%, VL = 36 (+/-25)%]. As a result, the degree of activation of the two muscles was considered the same. These results suggest no preferential activation of the quadriceps femoris component muscles during QS, QS + D, and hip adduction exercises in the nonweight-bearing position. The use of hip adduction to preferentially activate the VMO over the VL compared with QS exercises was not substantiated. A mean increase of 20% in the VMO and VL myoelectric activity during QS (as demonstrated by the normalized IEMG), by the addition of dorsiflexion, may be clinically significant. However, further study is required.

UI MeSH Term Description Entries
D007717 Knee A region of the lower extremity immediately surrounding and including the KNEE JOINT.
D009119 Muscle Contraction A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments. Inotropism,Muscular Contraction,Contraction, Muscle,Contraction, Muscular,Contractions, Muscle,Contractions, Muscular,Inotropisms,Muscle Contractions,Muscular Contractions
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D013696 Temperature The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms. Temperatures
D015444 Exercise Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure. Aerobic Exercise,Exercise, Aerobic,Exercise, Isometric,Exercise, Physical,Isometric Exercise,Physical Activity,Acute Exercise,Exercise Training,Activities, Physical,Activity, Physical,Acute Exercises,Aerobic Exercises,Exercise Trainings,Exercise, Acute,Exercises,Exercises, Acute,Exercises, Aerobic,Exercises, Isometric,Exercises, Physical,Isometric Exercises,Physical Activities,Physical Exercise,Physical Exercises,Training, Exercise,Trainings, Exercise
D018482 Muscle, Skeletal A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles. Anterior Tibial Muscle,Gastrocnemius Muscle,Muscle, Voluntary,Plantaris Muscle,Skeletal Muscle,Soleus Muscle,Muscle, Anterior Tibial,Muscle, Gastrocnemius,Muscle, Plantaris,Muscle, Soleus,Muscles, Skeletal,Muscles, Voluntary,Skeletal Muscles,Tibial Muscle, Anterior,Voluntary Muscle,Voluntary Muscles

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