scholarly journals One Session Effects of Knee Motion Visualization Using Immersive Virtual Reality in Patients with Hemophilic Arthropathy

2021 ◽  
Vol 10 (20) ◽  
pp. 4725
Author(s):  
Roberto Ucero-Lozano ◽  
Raúl Pérez-Llanes ◽  
José Antonio López-Pina ◽  
Rubén Cuesta-Barriuso
Keyword(s):  
Muscle Activation ◽  
Vastus Lateralis ◽  
Joint Damage ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Post Intervention ◽  
Specific Protocol ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

(1) Background: Hemophilic knee arthropathy is characterized by a loss of muscle mass and decreased strength of the quadriceps muscle. The visualization of movement aims to favor the recruitment of the motor system in the same premotor and parietal areas, as would happen with the active execution of the observed action. The aim was to evaluate changes in quadriceps activation in patients with hemophilic knee arthropathy following immersive VR visualization of knee extension movements. (2) Methods: We recruited 13 patients with severe hemophilia A and knee arthropathy. Patients underwent a 15 min session of immersive VR visualization of knee extension movements. The quadriceps muscle activation was evaluated by surface electromyography. (3) Results: After the intervention, there were no changes in the muscle activation of vastus medialis, vastus lateralis, or rectus femoris muscles. There was a large effect size of changes in rectus femoris muscle activation. Age and knee joint damage did not correlate with changes in quadriceps activation. Dominance, inhibitor development, and type of treatment were not related with post-intervention muscle activation. (4) Conclusions: A session of immersive VR visualization of knee extension movement does not modify quadriceps muscle activation. A specific protocol for patients with hemophilic knee arthropathy may be effective in improving the activation of the rectus femoris muscle.

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.

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.

scholarly journals Evaluation of the Lower Limb Muscles’ Electromyographic Activity during the Leg Press Exercise and Its Variants: A Systematic Review

2020 ◽  
Vol 17 (13) ◽  
pp. 4626
Author(s):  
Isabel Martín-Fuentes ◽  
José M. Oliva-Lozano ◽  
José M. Muyor
Keyword(s):  
Muscle Activation ◽  
Vastus Lateralis ◽  
Muscular Activity ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Quadriceps Muscle ◽  
Electromyographic Activity ◽  
Full Extension ◽  
Cross Sectional ◽  
Leg Press

The aim of this study was to analyze the literature on muscle activation measured by surface electromyography (sEMG) of the muscles recruited when performing the leg press exercise and its variants. The Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to report this review. The search was carried out using the PubMed, Scopus, and Web of Science electronic databases. The articles selected met the following inclusion criteria: (a) a cross-sectional or longitudinal study design; (b) neuromuscular activation assessed during the leg press exercise, or its variants; (c) muscle activation data collected using sEMG; and (d) study samples comprising healthy and trained participants. The main findings indicate that the leg press exercise elicited the greatest sEMG activity from the quadriceps muscle complex, which was shown to be greater as the knee flexion angle increased. In conclusion, (1) the vastus lateralis and vastus medialis elicited the greatest muscle activation during the leg press exercise, followed closely by the rectus femoris; (2) the biceps femoris and the gastrocnemius medialis showed greater muscular activity as the knee reached full extension, whereas the vastus lateralis and medialis, the rectus femoris, and the tibialis anterior showed a decreasing muscular activity pattern as the knee reached full extension; (3) evidence on the influence of kinematics modifications over sEMG during leg press variants is still not compelling as very few studies match their findings.

scholarly journals Coordination amongst quadriceps muscles suggests neural regulation of internal joint stresses, not simplification of task performance

2020 ◽  
Vol 117 (14) ◽  
pp. 8135-8142 ◽  
Author(s):  
Cristiano Alessandro ◽  
Filipe O. Barroso ◽  
Adarsh Prashara ◽  
David P. Tentler ◽  
Hsin-Yun Yeh ◽  
...  
Keyword(s):  
Task Performance ◽  
Muscle Activity ◽  
Vastus Lateralis ◽  
Movement Control ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
High Positive Correlation ◽  
Internal Joint ◽  
Task Variables

Many studies have demonstrated covariation between muscle activations during behavior, suggesting that muscles are not controlled independently. According to one common proposal, this covariation reflects simplification of task performance by the nervous system so that muscles with similar contributions to task variables are controlled together. Alternatively, this covariation might reflect regulation of low-level aspects of movements that are common across tasks, such as stresses within joints. We examined these issues by analyzing covariation patterns in quadriceps muscle activity during locomotion in rats. The three monoarticular quadriceps muscles (vastus medialis [VM], vastus lateralis [VL], and vastus intermedius [VI]) produce knee extension and so have identical contributions to task performance; the biarticular rectus femoris (RF) produces an additional hip flexion. Consistent with the proposal that muscle covariation is related to similarity of muscle actions on task variables, we found that the covariation between VM and VL was stronger than their covariations with RF. However, covariation between VM and VL was also stronger than their covariations with VI. Since all vastii have identical actions on task variables, this finding suggests that covariation between muscle activity is not solely driven by simplification of overt task performance. Instead, the preferentially strong covariation between VM and VL is consistent with the control of internal joint stresses: Since VM and VL produce opposing mediolateral forces on the patella, the high positive correlation between their activation minimizes the net mediolateral patellar force. These results provide important insights into the interpretation of muscle covariations and their role in movement control.

scholarly journals Assessment of Hamstring: Quadriceps Coactivation without the Use of Maximum Voluntary Isometric Contraction

2020 ◽  
Vol 10 (5) ◽  
pp. 1615
Author(s):  
Gonzalo Torres ◽  
David Chorro ◽  
Archit Navandar ◽  
Javier Rueda ◽  
Luís Fernández ◽  
...  
Keyword(s):  
Isometric Contraction ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Quadriceps Muscle ◽  
Activation Pattern ◽  
Post Injury ◽  
Male Youth ◽  
Maximum Voluntary Isometric Contraction

This study aimed to study the coactivation patterns of the hamstring and quadriceps muscle groups during submaximal strength exercises commonly used in injury prevention in soccer without the use of maximum voluntary isometric contraction testing. This was used to compare: (i) the inter-limb differences in muscle activation; (ii) the intra-muscular group activation pattern and (iii) the activation pattern during different phases of the exercise. Muscle activation was recorded by surface electromyography in 19 elite, male, youth soccer players. Participants performed the following: Bulgarian squat, lunge and squat. Electrical activity was recorded for the rectus femoris, vastus medialis, vastus lateralis, biceps femoris and semitendinosus. No significant inter-limb differences were found (F1, 13 = 619; p = 0.82; η2 = 0.045). Significant differences were found in the muscle activation between individual muscles within the quadriceps and hamstrings muscle group for each of the exercises: Bulgarian squat (F1,18 = 331: p < 0.001; η2 = 0.80), lunge (F4,72 = 114.5; p < 0.001; η2 = 0.86) and squat (F1,16 = 247.31; p < 0.001; η2 = 0.93). Differences were found between the different phases of each of the exercises (F2,26 = 52.27; p = 0.02; η2 = 0.80). The existence of an activation pattern of each of the muscles in the three proposed exercises could be used for muscle assessment and as a tool for reconditioning post-injury.

The Rectus Femoris Flap for Groin Reconstruction

2019 ◽  
pp. 817-822
Author(s):  
Peter C. Neligan
Keyword(s):  
Vastus Lateralis ◽  
Muscle Flap ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Pedicled Flap ◽  
Skin Paddle ◽  
Rectus Femoris Muscle ◽  
Alt Flap ◽  
Femoris Muscle ◽  
Lower Abdominal Wall

The rectus femoris muscle is an important but expendable knee extensor. It is a bipennate muscle with a dense and strong fascia on its undersurface. This feature makes it extremely attractive for the repair of defects of the lower abdominal wall and groin as a pedicled flap. It is centrally located between the vastus medialis and vastus lateralis muscles. It is generally used as a pedicled muscle and usually taken as a muscle flap without a skin paddle. The muscle is then grafted. Following harvest, the extensor tendons need to be centralized and repaired for a distance of 6–8 cm above the knee. In many situations this flap has been superseded by the ALT flap.

scholarly journals Quadriceps Neuromuscular Impairments after Arthroscopic Knee Surgery: Comparison between Procedures

2019 ◽  
Vol 8 (11) ◽  
pp. 1881 ◽  
Author(s):  
Casartelli ◽  
Item-Glatthorn ◽  
Friesenbichler ◽  
Bizzini ◽  
Salzmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Acl Reconstruction ◽  
Muscle Weakness ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Patient Reported ◽  
Meniscal Surgery

Quadriceps neuromuscular function remains impaired in the short- and long-term following knee arthroscopy for meniscal surgery and/or anterior cruciate ligament (ACL) reconstruction. The aim of this study was to compare quadriceps neuromuscular impairments in patients following meniscal surgery with and without ACL reconstruction. Thirty patients were tested six months after meniscal surgery with (n = 15) and without (n = 15) ACL reconstruction. We bilaterally assessed knee extension maximal voluntary contraction (MVC) torque using dynamometry, vastus lateralis thickness using ultrasound, quadriceps voluntary activation and evoked knee extension torque with transcutaneous electrical stimulation. Patient-reported outcomes were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS). Compared with meniscus patients, ACL patients demonstrated larger asymmetries in MVC torque (15% vs. 5%, p = 0.049) and vastus lateralis thickness (6% vs. 0%, p = 0.021). In ACL patients, asymmetries in MVC torque correlated with asymmetries in evoked torque (r = 0.622, p = 0.013). In meniscus patients, asymmetries in muscle activation correlated with KOOS quality of life (r = 0.619, p = 0.018). Patients demonstrated persistent quadriceps muscle weakness six months after ACL reconstruction, but not after isolated meniscal surgery. Quantitative and/or qualitative muscular changes likely underlie quadriceps muscle weakness in ACL patients, whereas activation failure is associated with poor quality of life in some meniscus patients.

scholarly journals Static vs. Dynamic Acute Stretching Effect on Quadriceps Muscle Activity during Soccer Instep Kicking

2013 ◽  
Vol 39 (1) ◽  
pp. 37-47 ◽  
Author(s):  
Mohammadtaghi Amiri-Khorasani ◽  
Eleftherios Kellis
Keyword(s):  
Angular Velocity ◽  
Muscle Activity ◽  
High Speed ◽  
Muscle Activation ◽  
Body Height ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Emg Activity ◽  
Dynamic Stretching

Abstract The purpose of this study was to compare the effects of static and dynamic stretching on quadriceps muscle activation during maximal soccer instep kicking. The kicking motion of twelve male college soccer players (body height: 174.66 ± 5.01 cm; body mass: 72.83 ± 4.83 kg; age: 18.83 ± 0.75 years) was captured using six synchronized high-speed infra-red cameras whilst electromyography (EMG) signals from vastus medialis (VM), lateralis (VL) and rectus femoris (RF) were recorded before and after static or dynamic stretching. Analysis of variance designs showed a higher increase in knee extension angular velocity (9.65% vs. -1.45%, p < 0.001), RF (37.5% vs. -8.33%, p < 0.001), VM (12% vs. - 12%, p < 0.018), and VL EMG activity (20% vs. -6.67%, p < 0.001) after dynamic stretching exercises. Based on these results, it could be suggested that dynamic stretching is probably more effective in increasing quadriceps muscle activity and knee extension angular velocity during the final swing phase of a maximal soccer instep kick than static stretching.

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