Quadriceps Activation during Knee Extension Exercises in Patients with ACL Pathologies

2001 ◽  
Vol 17 (2) ◽  
pp. 87-102 ◽  
Author(s):  
Esther Suter ◽  
Walter Herzog ◽  
Robert Bray
Keyword(s):  
Vastus Lateralis ◽  
Cruciate Ligament ◽  
Knee Extensor ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Knee Extensors ◽  
Muscle Inhibition ◽  
The Individual ◽  
Hip Extension ◽  
Acl Deficient

This study assessed muscle inhibition in patients with chronic anterior cruciate ligament (ACL) deficiency or ACL reconstruction. A series of protocols were tested for their effectiveness in increasing activity of the individual knee extensor muscles and decreasing muscle inhibition of the whole quadriceps group. Quadriceps muscle inhibition was measured by superimposing an electrical twitch onto the quadriceps muscle during a maximal voluntary knee extension. The level of activation of the individual knee extensor and knee flexor muscles was assessed via electromyography (EMG). Patients with ACL pathologies showed strength deficits and muscle inhibition in the knee extensors of the involved leg and the contralateral leg. Muscle inhibition was statistically significantly greater in ACL-deficient patients compared to ACL-reconstructed patients. When a knee extension was performed in combination with a hip extension, there was a significant increase,p< 0.05, in activation of the vastus medialis and vastus lateralis muscles compared to isolated knee extension. The use of an anti-shear device, designed to help stabilize the ACL-deficient knee, resulted in increased inhibition in the quadriceps muscle. Furthermore, a relatively more complete activation of the vasti compared to the rectus femoris was achieved during a fatiguing isometric contraction. Based on the results of this study, it is concluded that performing knee extension in combination with hip extension, or performing fatiguing knee extensor contractions, may be more effective in fully activating the vasti muscles than an isolated knee extensor contraction. Training interventions are needed to establish whether these exercise protocols are more effective than traditional rehabilitation approaches in decreasing muscle inhibition and achieving better functional recovery, including equal muscle strength in the injured and the contralateral leg.

scholarly journals Quadriceps Femoris and Hamstring Muscle Function in a Person With an Unstable Knee

1999 ◽  
Vol 79 (1) ◽  
pp. 66-75 ◽  
Author(s):  
Murray E Maitland ◽  
Stanley V Ajemian ◽  
Esther Suter
Keyword(s):  
Gait Analysis ◽  
Cruciate Ligament ◽  
Specific Treatment ◽  
Knee Extensor ◽  
Left Knee ◽  
Thigh Muscle ◽  
Knee Extensors ◽  
Term Outcome ◽  
Electromyographic Biofeedback ◽  
Muscle Inhibition

Abstract Background and Purpose. The purpose of this case report is to describe the evaluation, treatment, and short-term outcome for an individual with chronic, progressively worsening instability of the knee during gait associated with anterior cruciate ligament (ACL) insufficiency.Case Description. The patient was a 34-year-old man who sustained bilateral ACL injuries. Subsequently, an autograft reconstruction of the left knee ACL was performed. Eight months post-reconstruction, the left knee was unstable despite bracing. Gait analysis and tests to determine the presence of muscle inhibition were performed prior to and after 12 weeks of training. Isometric torque of the knee extensors and flexors was measured with the knee in 90 degrees of flexion. A training program primarily consisted of electromyographic biofeedback during thigh muscle exercises, balance exercises, and gait.Outcomes. Muscle inhibition decreased and maximal isometric knee flexion and extension torques increased during the 12-week training period. Gait analysis demonstrated a 50% decrease in the maximum knee extensor moment and an increase in walking speed.Discussion. Selected gait variables, torque production, and muscle inhibition may change in a person with an unstable knee. The measurement of variables that have previously been documented as mechanisms of knee instability during walking allows for the selection of a specific treatment approach.

scholarly journals Regional and muscle-specific adaptations in knee extensor hypertrophy using flywheel versus conventional weight-stack resistance exercise

2019 ◽  
Vol 44 (8) ◽  
pp. 827-833 ◽  
Author(s):  
Tommy R. Lundberg ◽  
Maria T. García-Gutiérrez ◽  
Mirko Mandić ◽  
Mats Lilja ◽  
Rodrigo Fernandez-Gonzalo
Keyword(s):  
Resistance Exercise ◽  
Muscle Hypertrophy ◽  
Vastus Lateralis ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Knee Extensors ◽  
Cross Sectional ◽  
Proximal Site ◽  
Before And After

This study compared the effects of the most frequently employed protocols of flywheel (FW) versus weight-stack (WS) resistance exercise (RE) on regional and muscle-specific adaptations of the knee extensors. Sixteen men (n = 8) and women (n = 8) performed 8 weeks (2–3 days/week) of knee extension RE employing FW technology on 1 leg (4 × 7 repetitions), while the contralateral leg performed regular WS training (4 × 8–12 repetitions). Maximal strength (1-repetition maximum (1RM) in WS) and peak FW power were determined before and after training for both legs. Partial muscle volume of vastus lateralis (VL), vastus medialis (VM), vastus intermedius (VI), and rectus femoris (RF) were measured using magnetic resonance imaging. Additionally, quadriceps cross-sectional area was assessed at a proximal and a distal site. There were no differences (P > 0.05) between FW versus WS in muscle hypertrophy of the quadriceps femoris (8% vs. 9%), VL (10% vs. 11%), VM (6% vs. 8%), VI (5% vs. 5%), or RF (17% vs. 17%). Muscle hypertrophy tended (P = 0.09) to be greater at the distal compared with the proximal site, but there was no interaction with exercise method. Increases in 1RM and FW peak power were similar across legs, yet the increase in 1RM was greater in men (31%) than in women (20%). These findings suggest that FW and WS training induces comparable muscle-specific hypertrophy of the knee extensors. Given that these robust muscular adaptations were brought about with markedly fewer repetitions in the FW compared with WS, it seems FW training can be recommended as a particularly time-efficient exercise paradigm.

Can Hip Joint Position affect Quadriceps Muscle Responses during Knee Extension Exercise?

2020 ◽  
Vol 41 (13) ◽  
pp. 929-935
Author(s):  
Denis César Leite Vieira ◽  
Marco Aurélio Araujo Dourado ◽  
Lucas Ugliara ◽  
Joao Luiz Quagliotti Durigan ◽  
Brad J. Schoenfeld ◽  
...  
Keyword(s):  
Vastus Lateralis ◽  
Muscle Thickness ◽  
Rectus Femoris ◽  
Peak Torque ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Knee Extensors ◽  
Work Output ◽  
Before And After ◽  
Knee Extension Exercise

AbstractThis study investigated the acute effects of seated and supine knee extension exercise on muscle swelling, torque, and work output. Twelve resistance-trained men performed two isokinetic concentric-only knee-extension training protocols at different hip positions in a counter-balanced order. They completed the knee extension exercise in the seated (hip angle at 85°) and supine (hip angle at 180°) positions. The torque and work output were assessed during each set. Moreover, muscle thickness of the middle and proximal vastus lateralis and rectus femoris were evaluated before and after each protocol and used as an indicator of muscle swelling. Middle rectus femoris and proximal vastus lateralis thickness increased significantly (p=0.01) with no difference between exercise variations. However, the middle vastus lateralis thickness increased (p=0.01) only after the seated knee extension exercise (~7%). Knee extensors’ peak torque and work output were approximately 8% higher (p=0.04) in the seated when compared to the supine hip position. There was a similar decrease in torque and work output throughout both protocols (p=0.98). In conclusion, seated knee extension exercises produced greater torque, work output, and muscle swelling in the vastus lateralis when compared to the supine knee extension exercise.

Alternate muscle activity observed between knee extensor synergists during low-level sustained contractions

2002 ◽  
Vol 93 (2) ◽  
pp. 675-684 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Kei Masani ◽  
Hiroaki Kanehisa ◽  
Tetsuo Fukunaga
Keyword(s):  
Muscle Activity ◽  
Vastus Lateralis ◽  
Force Production ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Low Level ◽  
Integrated Emg

To determine quantitatively the features of alternate muscle activity between knee extensor synergists during low-level prolonged contraction, a surface electromyogram (EMG) was recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) in 11 subjects during isometric knee extension exercise at 2.5% of maximal voluntary contraction (MVC) for 60 min ( experiment 1). Furthermore, to examine the relation between alternate muscle activity and contraction levels, six of the subjects also performed sustained knee extension at 5.0, 7.5, and 10.0% of MVC ( experiment 2). Alternate muscle activity among the three muscles was assessed by quantitative analysis on the basis of the rate of integrated EMG sequences. In experiment 1, the number of alternations was significantly higher between RF and either VL or VM than between VL and VM. Moreover, the frequency of alternate muscle activity increased with time. In experiment 2, alternating muscle activity was found during contractions at 2.5 and 5.0% of MVC, although not at 7.5 and 10.0% of MVC, and the number of alternations was higher at 2.5 than at 5.0% of MVC. Thus the findings of the present study demonstrated that alternate muscle activity in the quadriceps muscle 1) appears only between biarticular RF muscle and monoarticular vasti muscles (VL and VM), and its frequency of alternations progressively increases with time, and 2) emerges under sustained contraction with force production levels ≤5.0% of MVC.

The Association of Obesity With Quadriceps Activation During Sit-to-Stand

2020 ◽  
Vol 100 (12) ◽  
pp. 2134-2143
Author(s):  
Lance M Bollinger ◽  
Amanda L Ransom
Keyword(s):  
Vastus Lateralis ◽  
Knee Extensor ◽  
Quadriceps Muscle ◽  
Knee Extensors ◽  
Emg Activity ◽  
Vastus Medialis ◽  
Trunk Flexion ◽  
Maximal Voluntary Isometric Contraction ◽  
Sit To Stand ◽  
The Mean

Abstract Objective Obesity reduces voluntary recruitment of quadriceps during single-joint exercises, but the effects of obesity on quadriceps femoris muscle activation during dynamic daily living tasks, such as sit-to-stand (STS), are largely unknown. The purpose of this study was to determine how obesity affects quadriceps muscle recruitment during STS. Methods In this cross-sectional study, 10 women who were lean and 17 women who were obese completed STS from a chair with arms crossed over the chest. Three-dimensional motion analysis was used to define 3 distinct phases (I–III) of the STS cycle. The electromyographic (EMG) activity of the vastus medialis, vastus lateralis, and semitendinosus was measured. Results STS duration was greater (3.02 [SD = 0.75] seconds vs 1.67 [SD = 0.28] seconds) and peak trunk flexion angle was lower (28.9 degrees [SD = 10.4 degrees] vs 35.8 degrees [SD = 10.1 degrees]) in the women who were obese than in the women who were lean. The mean EMG activity of the knee extensors increased from phase I to phase II in both groups; however, the mean EMG activities of both the vastus medialis (32.1% [SD = 16.6%] vs 47.3% [SD = 19.6%] maximal voluntary isometric contraction) and the vastus lateralis (31.8% [SD = 19.4%] vs 47.5% [SD = 19.6%] maximal voluntary isometric contraction) were significantly lower during phase II in the women who were obese. The mean EMG activity of the semitendinosus increased throughout STS but was not significantly different between the 2 groups. Coactivation of the semitendinosus and knee extensors tended to be greater in the women who were obese but failed to reach statistical significance. Conclusions Knee extensor EMG amplitude was reduced in women who were obese during STS, despite reduced trunk flexion. Impact Reduced knee extensor recruitment during STS in obesity may redistribute forces needed to complete this task to other joints. Functional movement training may help improve knee extensor recruitment during STS in people who are obese. Lay Summary People with obesity often have low quadriceps muscle strength and impaired mobility during daily activities. This study shows that women who are obese have lower voluntary recruitment of quadriceps when rising from a chair than women who are lean do, which could increase workload on hip or ankle muscles during this important daily task. Quadriceps strengthening exercises might improve the ability to rise from sitting to standing.

scholarly journals Comparison of quadriceps muscle activation in exercises with different duration of concentric and eccentric contractions

2020 ◽  
Vol 37 (5) ◽  
pp. 291-297
Author(s):  
G Freire da Silva ◽  
F Douglas Tourino ◽  
RC Ribeiro Diniz ◽  
L Túlio de Lacerda ◽  
HC Martins Costa ◽  
...  
Keyword(s):  
Degrees Of Freedom ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Muscle Action ◽  
Emg Signal ◽  
Knee Extension Exercise

Aim: The objective of the present study was to compare the amplitude of the electromyographic (EMG) signal of the quadriceps muscle portions vastus medialis (VM), vastus lateralis (VL) and rectus femoris (RF) and the activation ratio (VM/VL, VM/RF and VL/RF) in protocols with different durations of concentric and eccentric muscular actions. Material and method: Twelve female volunteers performed the knee extensor exercise with two different protocols [1s for concentric muscle action and 5s for eccentric muscle action (1:5); 5s of concentric muscle action and 1s of eccentric muscle action (5:1)] and 3 sets of 6 repetitions, 180s of pause between each sets and a intensity of 50% of 1RM. The root mean square of the amplitude of the normalized EMG signal was calculated for each repetition in each series. Results: it was observed an increase in the activation of the VM and VL portions in equivalent repetitions of each series and for the VL portion, the 1: 5 protocol provided greater activation compared to the other protocol. No differences were found for muscles activation ratios VM/RF and VL/RF, being that for the VM/VL ratio there was only change at one repetition. Conclusion: The results suggest that the portions of the quadriceps muscle may present different EMG responses in similar protocols, but this fact may not interfere in the synergism between them. The reduced degrees of freedom of the knee extension exercise and the characteristics of the protocols adopted may be the elements that contributed to the limited alterations that occurred in the present study.

scholarly journals Acute effect of tendon vibration applied during isometric contraction at two knee angles on maximal knee extension force production

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242324
Author(s):  
Jonathan Harnie ◽  
Thomas Cattagni ◽  
Christophe Cornu ◽  
Peter McNair ◽  
Marc Jubeau
Keyword(s):  
Isometric Contraction ◽  
Vastus Lateralis ◽  
Force Production ◽  
Knee Extensor ◽  
Acute Effect ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Tendon Vibration ◽  
Knee Angle

The aim of the current study was to investigate the effect of a single session of prolonged tendon vibration combined with low submaximal isometric contraction on maximal motor performance. Thirty-two young sedentary adults were assigned into two groups that differed based on the knee angle tested: 90° or 150° (180° = full knee extension). Participants performed two fatigue-inducing exercise protocols: one with three 10 min submaximal (10% of maximal voluntary contraction) knee extensor contractions and patellar tendon vibration (80 Hz) another with submaximal knee extensor contractions only. Before and after each fatigue protocol, maximal voluntary isometric contractions (MVC), voluntary activation level (assessed by the twitch interpolation technique), peak-to-peak amplitude of maximum compound action potentials of vastus medialis and vastus lateralis (assessed by electromyography with the use of electrical nerve stimulation), peak twitch amplitude and peak doublet force were measured. The knee extensor fatigue was significantly (P<0.05) greater in the 90° knee angle group (-20.6% MVC force, P<0.05) than the 150° knee angle group (-8.3% MVC force, P = 0.062). Both peripheral and central alterations could explain the reduction in MVC force at 90° knee angle. However, tendon vibration added to isometric contraction did not exacerbate the reduction in MVC force. These results clearly demonstrate that acute infrapatellar tendon vibration using a commercial apparatus operating at optimal conditions (i.e. contracted and stretched muscle) does not appear to induce knee extensor neuromuscular fatigue in young sedentary subjects.

Force fluctuations are modulated by alternate muscle activity of knee extensor synergists during low-level sustained contraction

2004 ◽  
Vol 97 (6) ◽  
pp. 2121-2131 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Kei Masani ◽  
Tetsuo Fukunaga
Keyword(s):  
Correlation Coefficient ◽  
Muscle Activity ◽  
High Frequency ◽  
Vastus Lateralis ◽  
Frequency Component ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
High Frequency Component ◽  
Knee Extensors ◽  
Force Fluctuations

The study examined the hypothesis that altered synergistic activation of the knee extensors leads to cyclic modulation of the force fluctuations. To test this hypothesis, the force fluctuations were investigated during sustained knee extension at 2.5% of maximal voluntary contraction force for 60 min in 11 men. Surface electromyograms (EMG) were recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) muscles. The SD of force and average EMG (AEMG) of each muscle were calculated for 30-s periods during alternate muscle activity. Power spectrum of force was calculated for the low- (≤3 Hz), middle- (4–6 Hz), and high-frequency (8–12 Hz) components. Alternate muscle activity was observed between RF and the set of VL and VM muscles. The SD of force was not constant but variable due to the alternate muscle activity. The SD was significantly greater during high RF activity compared with high VL and VM activity ( P < 0.05), and the correlation coefficient between the SD and AEMG was significantly greater in RF [0.736 (SD 0.095), P < 0.05] compared with VL and VM. Large changes were found in the high-frequency component. During high RF activity, the correlation coefficient between the SD and high-frequency component [0.832 (SD 0.087)] was significantly ( P < 0.05) greater compared with other frequency components. It is suggested that modulations in knee extension force fluctuations are caused by the unique muscle activity in RF during the alternate muscle activity, which augments the high-frequency component of the fluctuations.

scholarly journals Muscle pain from an intramuscular injection of hypertonic saline increases variability in knee extensor torque reproduction

2020 ◽  
Author(s):  
Samuel Andrew Smith ◽  
Dominic Micklewright ◽  
Samantha Lee Winter ◽  
Alexis R. Mauger
Keyword(s):  
Hypertonic Saline ◽  
Muscle Pain ◽  
Intramuscular Injection ◽  
Vastus Lateralis ◽  
Isotonic Saline ◽  
Knee Extensor ◽  
Knee Extensors ◽  
Saline Control ◽  
Reproduction Task ◽  
Extensor Torque

Purpose: The intensity of exercise-induced pain (EIP) reflects the metabolic environment in the exercising muscle, so during endurance exercise this may inform the intelligent regulation of work rate. Conversely, the acute debilitating effects of EIP on motor unit recruitment could impair the estimation of force produced by the muscle and impair judgement of current exercise intensity. This study investigated whether muscle pain that feels like EIP, administered via intramuscular injection of hypertonic saline, interferes with the ability to accurately reproduce torque in a muscle group relevant to locomotive exercise. Methods: On separate days, fourteen participants completed an isometric torque reproduction task of the knee extensors. Participants were required to produce torque at 15 and 20% maximal voluntary torque (MVIT), without visual feedback before (Baseline), during (Pain/No Pain), and after (Recovery) an injection of 0.9% isotonic saline (Control) or 5.8% hypertonic saline (Experimental) into the vastus lateralis of the right leg. Results: An elevated reported intensity of pain, and a significantly increased variance in mean contraction torque at both 15% (P=0.049) and 20% (P=0.002) MVIT was observed in the Experimental compared to the Control condition. Both 15 and 20% target torques were performed at a similar pain intensity in the Experimental condition (15% MVIT, 4.2 ± 1.9; 20% MVIT, 4.5 ± 2.2; P>0.05). Conclusion: These findings demonstrate that the increased muscle pain from the injection of hypertonic saline impeded accurate reproduction of knee extensor torque. These findings have implications for the detrimental impact of EIP on exercise regulation and endurance performance.

Knee angle-dependent oxygen consumption during isometric contractions of the knee extensors determined with near-infrared spectroscopy

2005 ◽  
Vol 99 (2) ◽  
pp. 579-586 ◽  
Author(s):  
C. J. de Ruiter ◽  
M. D. de Boer ◽  
M. Spanjaard ◽  
A. de Haan
Keyword(s):  
Oxygen Consumption ◽  
Near Infrared ◽  
Vastus Lateralis ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Knee Extensors ◽  
Isometric Contractions ◽  
Knee Angle ◽  
Extensor Muscles ◽  
Knee Extensor Muscles

Fatigue resistance of knee extensor muscles is higher during voluntary isometric contractions at short compared with longer muscle lengths. In the present study we hypothesized that this would be due to lower energy consumption at short muscle lengths. Ten healthy male subjects performed isometric contractions with the knee extensor muscles at a 30, 60, and 90° knee angle (full extension = 0°). At each angle, muscle oxygen consumption (mV̇o2) of the rectus femoris, vastus lateralis, and vastus medialis muscle was obtained with near-infrared spectroscopy. mV̇o2 was measured during maximal isometric contractions and during contractions at 10, 30, and 50% of maximal torque capacity. During all contractions, blood flow to the muscle was occluded with a pressure cuff (450 mmHg). mV̇o2 significantly ( P < 0.05) increased with torque and at all torque levels, and for each of the three muscles mV̇o2 was significantly lower at 30° compared with 60° and 90° and mV̇o2 was similar ( P > 0.05) at 60° and 90°. Across all torque levels, average (± SD) mV̇o2 at the 30° angle for vastus medialis, rectus femoris, and vastus lateralis, respectively, was 70.0 ± 10.4, 72.2 ± 12.7, and 75.9 ± 8.0% of the average mV̇o2 obtained for each torque at 60 and 90°. In conclusion, oxygen consumption of the knee extensors was significantly lower during isometric contractions at the 30° than at the 60° and 90° knee angle, which probably contributes to the previously reported longer duration of sustained isometric contractions at relatively short muscle lengths.

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