Effects of hip rotation on the electromyographic activity of the medial and lateral hamstrings and muscle force

2021 ◽  
pp. 1-7
Author(s):  
Wootaek Lim
Keyword(s):  
Prone Position ◽  
Supine Position ◽  
Knee Flexion ◽  
External Rotation ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Hamstring Muscles ◽  
Extension Force ◽  
Hip Rotation ◽  
Hip Extension

BACKGROUND: In clinical practice, knee flexion at the prone position for manual muscle testing of hamstrings and hip extension at the supine position for stretching of hamstring muscles are typically proposed. OBJECTIVE: Although different positions have been proposed for different purposes in hamstrings, the understanding of the changing the functional role of hamstrings with position changes is poorly understood. METHODS: The electromyographic (EMG) activity and hip extension force were compared among different postures; hip neutral, internal, and external rotation. EMG and force were measured in prone position during knee flexion and those were additionally measured in supine position during hip extension. In supine position, additional measurements were made in hip neutral, internal and external rotation. RESULTS: Hamstrings showed high EMG activity during knee flexion. Knee flexion force in prone position was significantly decreased at hip extension force in supine position. In supine position, EMG activity was significantly higher in semitendinosus (ST) than biceps femoris (BF) during internal rotation. CONCLUSIONS: It should be noted that bi-articular muscles may have different functional dependencies on the corresponding muscles for each joint. In addition, because the altered alignment of the hamstring muscles that was affected by hip rotation had a significant effect on muscle activity, and hip rotation may be helpful for selective training of medial or lateral hamstrings.

Influence of submaximal isometric contractions of the hamstrings on electromyography activity and force while functioning as hip extensors

2020 ◽  
pp. 1-8
Author(s):  
Dasom Oh ◽  
Wootaek Lim
Keyword(s):  
Prone Position ◽  
Supine Position ◽  
Isometric Contraction ◽  
Muscle Length ◽  
Biceps Femoris ◽  
Emg Activity ◽  
Isometric Contractions ◽  
Significant Difference ◽  
Extension Force ◽  
Long Head

BACKGROUND: Although the medial and lateral hamstrings are clearly distinct anatomically and have different functions in the transverse plane, they are often considered as one muscle during rehabilitation. OBJECTIVE: The purpose of the study was to compare the electromyographic (EMG) activity between the prone position and the supine position during maximal isometric contraction and to additionally confirm the effect of submaximal isometric contractions on EMG activity of medial and lateral hamstrings, and force. METHODS: In the prone position, EMG activities of the long head of biceps femoris (BFLH) and semitendinosus (ST) were measured during the maximal isometric contraction. In the supine position, hip extension force with EMG activity were measured during the maximal and the submaximal isometric contractions. RESULTS: EMG activity in the prone position was significantly decreased in the supine position. In the supine position, there was a significant difference between the BFLH and ST during the maximal isometric contraction, but not during the submaximal isometric contractions. CONCLUSIONS: The dependence on the hamstrings could be relatively lower during hip extensions. When the medial and lateral hamstrings are considered separately, the lateral hamstrings may show a more active response, with increased muscle length, in clinical practice.

Comparison of Electromyographic Activity During Hip Extension Exercises Under Gravitational or Inertial Loading Conditions

2021 ◽  
pp. 194173812110114
Author(s):  
Rodrigo Martín-San Agustín ◽  
Lorenzo Castillo-Ballesta ◽  
Javier Llobat Sancho ◽  
Rubén Esbri-Navarro ◽  
Mariana Sánchez-Barbadora
Keyword(s):  
Training Programs ◽  
Hamstring Injury ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Loading Conditions ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Hamstring Muscles ◽  
Inertial Loading ◽  
Hip Extension

Background: Hamstring injury prevention programs include strengthening, especially eccentric exercises using both gravitational and inertial loading. Inertial exercises are characterized by eccentric contractions of high intensity and velocity. This study aimed to analyze the muscular activation of the biceps femoris (BF), semitendinosus (ST), gluteus maximus (GM), and gracilis (GC) muscles during hip extension (HE) exercises performed under both gravitational and inertial loading conditions. Hypothesis: Inertial training would generate a greater activation of HE muscles than gravitational training. Study Design: Cross-sectional study. Level of Evidence: Level 4. Methods: Fifteen resistance-trained men performed the unilateral straight knee bridge (SKB), 45° of HE, and stiff-leg deadlift (SDL) exercises under gravitational and inertial loading conditions. Concentric and eccentric phases were identified with a linear encoder. Differences between load types, exercises, and their interaction were examined to establish the electromyographic (EMG) activity of each muscle and BF/ST ratio. Results: In the concentric phase, inertial loading showed a higher normalized EMG than gravitational loading for BF, ST, and GM. SKB and HE activated BF and ST between 9.6% and 24.3% more than SDL. In the eccentric phase, the inertial modality achieved greater GM activation than the gravitational form (18.1%). BF activation was increased with HE and SKB as compared with SDL (24.4% and 16.4%, respectively), while ST activation was likewise enhanced with HE as compared with SDL (15.1%). Conclusion: Inertial training is more effective than gravitational training for the concentric activation of the hamstring muscles while SDL showed lower hamstring activation than HE and SKB. Therefore, HE and SKB with inertial loading should be taken into account in hamstring training programs. Clinical Relevance: Inertial training is more effective than gravitational training for the concentric activation of the hamstring muscles. HE and SKB with inertial loading should be taken into account in hamstring training programs.

Legal Update: North Dakota Supreme Court: Third Edition of Guides is “Most Current”

1999 ◽  
Vol 4 (1) ◽  
pp. 6-7
Author(s):  
James J. Mangraviti
Keyword(s):  
Internal Rotation ◽  
External Rotation ◽  
Measurement Techniques ◽  
Fourth Edition ◽  
Hip Motion ◽  
The Difference ◽  
The Right ◽  
Hip Flexion ◽  
Hip Rotation ◽  
Hip Extension

Abstract The accurate measurement of hip motion is critical when one rates impairments of this joint, makes an initial diagnosis, assesses progression over time, and evaluates treatment outcome. The hip permits all motions typical of a ball-and-socket joint. The hip sacrifices some motion but gains stability and strength. Figures 52 to 54 in AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, illustrate techniques for measuring hip flexion, loss of extension, abduction, adduction, and external and internal rotation. Figure 53 in the AMA Guides, Fourth Edition, illustrates neutral, abducted, and adducted positions of the hip and proper alignment of the goniometer arms, and Figure 52 illustrates use of a goniometer to measure flexion of the right hip. In terms of impairment rating, hip extension (at least any beyond neutral) is irrelevant, and the AMA Guides contains no figures describing its measurement. Figure 54, Measuring Internal and External Hip Rotation, demonstrates proper positioning and measurement techniques for rotary movements of this joint. The difference between measured and actual hip rotation probably is minimal and is irrelevant for impairment rating. The normal internal rotation varies from 30° to 40°, and the external rotation ranges from 40° to 60°.

scholarly journals Validity and reliability of smartphone applications for measurement of hip rotation, compared with three‐dimensional motion analysis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Phob Ganokroj ◽  
Nuchanun Sompornpanich ◽  
Pichitpol Kerdsomnuek ◽  
Bavornrat Vanadurongwan ◽  
Pisit Lertwanich
Keyword(s):  
Internal Rotation ◽  
Motion Analysis ◽  
Supine Position ◽  
External Rotation ◽  
Three Dimensional ◽  
Angle Measurement ◽  
Smartphone Applications ◽  
Rater Reliability ◽  
Link Type ◽  
Hip Rotation

Abstract Background Measurement of hip rotation is a crucial clinical parameter for the identification of hip problems and the monitoring of symptoms. The objective of this study was to determine whether the use of two smartphone applications is valid and reliable for the measurement of hip rotation. Methods An experimental, cross-sectional study was undertaken to assess passive hip internal and external rotation in three positions by two examiners. The hip rotational angles were measured by a smartphone clinometer application in the sitting and prone positions, and by a smartphone compass application in the supine position; their results were compared with those of the standard, three-dimensional, motion analysis system. The validities and inter-rater and intra-rater reliabilities of the smartphone applications were evaluated. Results The study involved 24 participants. The validities were good to excellent for the internal rotation angles in all positions (ICC 0.81–0.94), good for the external rotation angles in the prone position (ICC 0.79), and fair for the sitting and supine positions (ICC 0.70–0.73). The measurement of the hip internal rotation in the supine position had the highest ICC value of 0.94 (0.91, 0.96). The two smartphone applications showed good-to-excellent intra-rater reliability, but good-to-excellent inter-rater reliability for only three of the six positions (two other positions had fair reliability, while one position demonstrated poor reliability). Conclusions The two smartphone applications have good-to-excellent validity and intra-rater reliability, but only fair-to-good inter-rater reliability for the measurement of the hip rotational angle. The most valid hip rotational position in this study was the supine IR angle measurement, while the lowest validity was the ER angle measurement in the sitting position. The smartphone application is one of the practical measurements in hip rotational angles. Trial registration Number 20181022003 at the Thai Clinical Trials Registry (http://www.clinicaltrials.in.th) which was retrospectively registered at 2018-10-18 15:30:29.

Hip Rotations’ Influence of Electromyographic Activity of Gluteus Medius Muscle During Pelvic-Drop Exercise

2017 ◽  
Vol 26 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Renan Lima Monteiro ◽  
Joana Hoverter Facchini ◽  
Diego Galace de Freitas ◽  
Bianca Callegari ◽  
Sílvia Maria Amado João
Keyword(s):  
Outcome Measures ◽  
Random Order ◽  
Gluteus Medius ◽  
Emg Activity ◽  
Neutral Position ◽  
Electromyographic Activity ◽  
Medial Rotation ◽  
Lateral Rotation ◽  
Tensor Fasciae Latae ◽  
Hip Rotation

Context:Pelvic-drop exercises are often used to strengthen the gluteus medius (GM) muscle with the aim of increasing or prioritizing its recruitment. However, the effect of hip rotation on the performance of the action of the GM is unknown.Objective:To evaluate the effect of hip rotation on the recruitment of the GM, tensor fasciae latae (TFL), and quadratus lumborum (QL).Method:Seventeen healthy subjects performed 2 sets of 4 repetitions of pelvic-drop exercise in random order with pelvic-drop lateral, medial, and neutral rotation of the hip.Main Outcome Measures:The electromyographic (EMG) activity of the GM, TFL, and QL was evaluated using surface electromyography.Results:There were significant increases in the activation of the GM with medial and neutral rotation compared with lateral rotation (P = .03, P = .01, respectively), and there was no difference between medial and neutral rotation (P = 1.00). There was no difference in EMG activity of the TFL and QL in any of the positions. The GM:TFL ratio was the same in all analyzed positions. Regarding the GM:QL ratio, there was a significant increase with medial rotation compared with lateral rotation (P = .02).Conclusions:Pelvic-drop exercises are more efficient for activating the GM when the hip is in medial rotation and neutral position.

Differences in the electromyographic activity of the hamstring muscles during maximal eccentric knee flexion

2009 ◽  
Vol 108 (2) ◽  
pp. 355-362 ◽  
Author(s):  
Ayako Higashihara ◽  
Takashi Ono ◽  
Jun Kubota ◽  
Toru Fukubayashi
Keyword(s):  
Knee Flexion ◽  
Electromyographic Activity ◽  
Hamstring Muscles

The Relationship Between Surface Electromyographic Activity and Torque Production of the Infraspinatus Muscle in Shoulder Rehabilitation Exercises

2020 ◽  
Vol 36 (3) ◽  
pp. 141-147
Author(s):  
Bill Stodart ◽  
Maria Cup ◽  
Curtis Kindel
Keyword(s):  
Inverse Relationship ◽  
External Rotation ◽  
Surface Emg ◽  
Joint Torque ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Maximum Voluntary Isometric Contraction ◽  
Relative Value ◽  
Torque Values ◽  
The Relationship

In current rehabilitation practice, exercise selection is commonly based on the amount of muscle recruitment demonstrated by electromyographic (EMG) analysis. A preponderance of evidence supports the concept that EMG of a muscle and torque output are positively correlated. This study was designed to investigate the relationship between surface EMG activity of the infraspinatus and torque production during exercises involving shoulder external rotation (ER). A total of 30 participants (average age = 24.6 y) performed maximum voluntary isometric contraction of ER at 5 points within the range of motion of 3 shoulder exercise positions with concomitant surface EMG recording. As a maximal internally rotated position was approached, maximum ER torque and minimum or near-minimum EMG recruitment were demonstrated. Conversely, at maximally externally rotated positions, EMG activity was greatest and torque values were lowest. An inverse relationship between joint torque output and EMG activity was established in each of the 3 exercises. The inverse relationship between EMG activity and torque output during Shoulder ER suggests that there may be additional factors warranting consideration during exercise selection. Further research may be needed to determine the relative value of electrical activity versus torque output to optimize the selection of rehabilitative exercises.

Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions

2013 ◽  
Vol 18 (4) ◽  
pp. 303-307 ◽  
Author(s):  
Sun-Young Kang ◽  
Hye-Seon Jeon ◽  
Ohyun Kwon ◽  
Heon-seock Cynn ◽  
Boram Choi
Keyword(s):  
Knee Flexion ◽  
Gluteus Maximus ◽  
Hamstring Muscles ◽  
Hip Abduction ◽  
Hip Extension

Prone vs Supine Positioning for Femoral Derotation Osteotomy: Kinematic and Physical Examination Outcomes Suggest Both Can Achieve Desired Results

2021 ◽  
pp. 155633162199706
Author(s):  
Uri Givon ◽  
Lisa Drefus ◽  
Mary Murray-Weir ◽  
Mark Lenhoff ◽  
Jayme C. Burket-Koltsov ◽  
...  
Keyword(s):  
Supine Position ◽  
Primary Outcome ◽  
Patient Positioning ◽  
Knee Extension ◽  
Hip Abduction ◽  
Spatial Parameters ◽  
Derotation Osteotomy ◽  
Hip Rotation ◽  
Hip Extension ◽  
Gmfcs Level

Background: Femoral derotation osteotomy (FDO) for correction of internal rotation gait resulting from cerebral palsy (CP) can be performed with the patient in the prone or supine position. It is not known whether patient positioning during FDO affects the change in hip rotation. Purpose/Questions: We sought to compare the change in hip rotation following FDO performed on patients with CP in the prone or supine position through kinematic analysis. Methods: We conducted a consecutive retrospective cohort study of children with CP, ages 3 to 18 years and with Gross Motor Function Classification System (GMFCS) levels I to III, who underwent prone or supine FDO and pre- and postoperative motion analysis. The prone group included 37 patients (68 limbs) between 1990 and 1995. The supine group included 26 patients (47 limbs) between 2005 and 2015. The groups were matched for gender, age, and GMFCS level. The primary outcome was hip rotation in degrees during stance phase. Secondary outcomes included temporal-spatial parameters, hip abduction, hip and knee extension, and hip and knee passive range of motion (ROM). Results: The prone group had more bilateral patients (100%) than the supine group (81%). The supine group underwent more concomitant procedures. There was no difference between the prone and supine groups in postoperative stance hip rotation; both groups had significantly improved stance hip rotation, step width, and hip rotation passive ROM, pre- to postoperatively. Prone patients had improved postoperative hip extension, pelvic tilt, velocity, and cadence. Conclusions: There was no significant different in stance hip rotation between supine and prone FDO groups. Advocates of prone positioning for FDO suggest it allows more accurate assessment of rotation. Supine positioning may be more convenient when additional procedures are required. Based on our findings, either approach can achieve the desired result.

scholarly journals Hamstring Torque, Velocity and Power Elastic Band Measurements during Hip Extension and Knee Flexion

2021 ◽  
Vol 11 (22) ◽  
pp. 10509
Author(s):  
Dario Santos ◽  
Fernando Massa ◽  
Jorge Dominguez ◽  
Isabel Morales ◽  
Juan Del Castillo ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Peak Torque ◽  
Dynamic Monitoring ◽  
Normative Values ◽  
Elastic Band ◽  
Open Chain ◽  
Elastic Resistance ◽  
Hamstring Muscles ◽  
The Difference ◽  
Hip Extension

The quantitative dynamic monitoring of the performance of hamstring muscles during rehabilitation and training cannot currently be undertaken using elastic resistance bands. Hip extension with a fully extended knee involves hamstring agonists, while knee flexion involves only the hamstring. The purpose of this study is to provide normative values of torque, velocity and power involving hamstring muscles opposing elastic bands. Twenty amateur athletes aged 25.7 ± 4.9, were studied during two motor tasks—hip extension and knee flexion, both isometric & dynamic—with an elastic resistance band and DINABANG portable instrument. We compared the peak isometric torque in hip extension with agonists (2.93 Nm/kg) and without them (1.21 Nm/kg): the difference is significant. The peak angular limb velocity—starting at 50% of the maximum torque—is smaller in hip extension with agonists (215.96°/s) than in a knee flexion without them (452.56°/s). The combination of peak torque and peak velocity estimates power and there is no difference (p = 0.051) with and without agonists: 452.56°Nm/s.kg without agonists and 542.13°Nm/s.kg with them. This study opens the possibility of monitoring torque–velocity–power profiles for hamstring exercise in open chain.

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