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:: Volume 25, Issue 3 (10-2023) ::
J Gorgan Univ Med Sci 2023, 25(3): 27-35 Back to browse issues page
Effect of 2 Types of Thoracholumbosacral Braces on Ankle and Knee Joint Co-contraction in Individuals with Kyphosis during Running
Milad Piran Hamlabadi1 , Amir Ali Jafarnezhadgero * 2
1- Ph.D Candidate in Sport Managements, Department of Sport Management, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
2- Associate Professor, Department of Sport Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. , amiralijafarnezhad@gmail.com
Abstract:   (1156 Views)

Background and Objective: Using lumbar orthoses changes the running mechanics. An essential biomechanical factor in rehabilitation and injury prevention is the co-contraction of the knee and ankle joints. Therefore, this study aimed to investigate the effect of 2 types of thoracolumbosacral braces on ankle and knee joint co-contraction in people with kyphosis during running.
Methods: This quasi-experimental study was conducted on 15 men aged 18-25 years suffering from kyphosis greater than 40 degrees in the Biomechanics Laboratory of the University of Mohaghegh Ardabili Health Center during the summer of 2020. Each participant randomly performed 3 running tests in each condition: without a brace, with a sensor brace, and with a simple brace. The test consisted of electromyographic data of the selected lower limb muscles, which also recorded the contraction of the knee and ankle muscles in the right leg when running at a constant speed.
Results: The results showed a reduction of the general knee co-contraction while using a sensory brace compared to without the brace by 6% during the loading phase (P<0.05). Additionally, using a simple brace compared to the condition without a brace, the ankle-directed contraction during the push-off phase decreased by 38% (P<0.05). Directed vastus medialis and lateralis co-contraction while using a sensory brace increased by about 49% compared to without the brace at the loading phase and increased by about 47% at the mid-stance phase without a brace condition compared to the simple brace condition (P<0.05).
Conclusion: General knee co-contraction after using a sensory brace was lower than when a simple brace was used.

Keywords: Brace [MeSH], Thoracolumbar [MeSH], Kyphosis [MeSH], Ankle Joint [MeSH], Knee Joint [MeSH], Running [MeSH]
Article ID: Vol25-30
Full-Text [PDF 576 kb]   (2199 Downloads)    
Type of Study: Original Articles | Subject: Rehabilitation
References
1. Vaughn DW, Brown EW. The influence of an in-home based therapeutic exercise program on thoracic kyphosis angles. Journal of Back and Musculoskeletal Rehabilitation. 2007; 20(4): 155-65. doi: 10.3233/BMR-2007-20404. [View at Publisher] [DOI]
2. Nitzschke E, Hildenbrand M. [Epidemiology of kyphosis in school children]. Z Orthop Ihre Grenzgeb. 1990 Sep-Oct; 128(5): 477-81. doi: 10.1055/s-2008-1039600. [Article in German] [DOI] [PubMed]
3. Bartynski WS, Heller MT, Grahovac SZ, Rothfus WE, Kurs-Lasky M. Severe thoracic kyphosis in the older patient in the absence of vertebral fracture: association of extreme curve with age. AJNR Am J Neuroradiol. 2005 Sep; 26(8): 2077-85. [PubMed]
4. Jafarnezhadgero AA, Piran Hamlabadi M. [Effect of Simple and Sensor Thoracolumbosacral Braces on Electromyography Activity of Selected Muscles in Patients with Kyphosis during Running]. J Gorgan Univ Med Sci. 2022; 24(2): 24-30. [Article in Persian] [View at Publisher]
5. Piran Hamlabadi M, Jafarnezhadgero AA, Anoushirvani S. A preliminary design of new corrective and wireless thoracolumbar bracing for individuals with functional thoracolumbar kyphosis. Journal of Advanced Sport Technology. 2019; 3(1): 33-36. [View at Publisher]
6. Hazebroek-Kampschreur AA, Hofman A, van Dijk AP, van Linge B. Prevalence of trunk abnormalities in eleven-year-old schoolchildren in Rotterdam, The Netherlands. J Pediatr Orthop. 1992 Jul-Aug; 12(4): 480-84. doi: 10.1097/01241398-199207000-00012. [DOI] [PubMed]
7. Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis CA. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992 Jun; 72(6): 425-31. doi: 10.1093/ptj/72.6.425. [DOI] [PubMed]
8. Cutler WB, Friedmann E, Genovese-Stone E. Prevalence of kyphosis in a healthy sample of pre- and postmenopausal women. Am J Phys Med Rehabil. 1993 Aug; 72(4): 219-25. doi: 10.1097/00002060-199308000-00009. [DOI] [PubMed]
9. Sran MM, Khan KM, Zhu Q, McKay HA, Oxland TR. Failure characteristics of the thoracic spine with a posteroanterior load: investigating the safety of spinal mobilization. Spine (Phila Pa 1976). 2004 Nov; 29(21): 2382-88. doi: 10.1097/01.brs.0000143110.59837.f2. [DOI] [PubMed]
10. Piran Hamlabadi M, Jafarnezhadgero AA, Anoushirvani S. [The effect of two types of thoracolumbosacral braces on electromyography activity and pain index in patients with low back pain during walking]. JAP. 2021; 12(1): 1-10. [Article in Persian] [View at Publisher]
11. Jafarnezhadgero AA, Piran Hamlabadi M, Valizadeh Orang A. A Preliminary Design of New Kyphosis Backpack with the Ability to Show Pressure and Maintain the Curvature of the Spine. Journal of Advanced Sport Technology. 2020; 4(2): 76-82. [View at Publisher]
12. Jafarnezhadgero AA, Piran Hamlabadi M. [The effect of 8 sessions of Thera-band exercises on the joint position sense of the knee and ankle in diabetic patients with osteoarthritis of the knee]. JAP. 2021; 12(1): 31-43. [Article in Persian] [View at Publisher]
13. Twomey LT. A rationale for the treatment of back pain and joint pain by manual therapy. Phys Ther. 1992 Dec; 72(12): 885-92. doi: 10.1093/ptj/72.12.885. [DOI] [PubMed]
14. Jafarnezhadgero A, Piran Hamlabadi M, Noorian E. [Effect of Two Types of Thoracolumbosacral Brace (With and Without Sensors) on Electromyography Activity of Selected Muscles in People With Thoracic Kyphosis During Typing]. The Scientific Journal of Rehabilitation Medicine. 2023; 12(2): 218-29. doi: 10.32598/SJRM.12.2.2. [Article in Persian] [View at Publisher] [DOI]
15. Emami S, Jafarnezhadgero AA, Piran Hamlabadi M. [The effect of knee orthosis on co-contraction values of knee and ankle muscles during running in people with knee deformity in the frontal plane]. IJRN. 2022; 8(4): 76-87. doi: 10.22034/IJRN.8.4.76. [Article in Persian] [View at Publisher] [DOI]
16. Lloyd DG, Buchanan TS. Strategies of muscular support of varus and valgus isometric loads at the human knee. J Biomech. 2001 Oct; 34(10): 1257-67. doi: 10.1016/s0021-9290(01)00095-1. [DOI] [PubMed]
17. Jafarnezhadgero AA, Piran Hamlabadi M, Anvari M, Zago M. Long-term effects of shoe mileage on knee and ankle joints muscle co-contraction during walking in females with genu varus. Gait Posture. 2021 Sep; 89: 74-79. doi: 10.1016/j.gaitpost.2021.07.004. [DOI] [PubMed]
18. Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clin Biomech (Bristol, Avon). 2009 Dec; 24(10): 833-41. doi: 10.1016/j.clinbiomech.2009.08.005. [DOI] [PubMed]
19. Mirzaie Z, Seidi F, Rajabi R, Khoshro F. [The effectiveness of an eight week exercise program on lumbopelvic stability of women with lumbar hyperlordosis deformity]. Journal for Research in Sport Rehabilitation. 2019; 6(12): 1-10. DOI: 10.22084/rsr.2019.5141.1065. [View at Publisher] [DOI]
20. Piran Hamlabadi M, Jafarnezhadgero AA. [Effect of Simple and Sensori Thoracolumbosacral Braces on Gait Kinetics in Low Back Pain Patients]. J Gorgan Univ Med Sci. 2022; 24(1): 53-59. [Article in Persian] [View at Publisher]
21. Page Ph, Frank CC, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda Approach. 1st ed. Champaign: Human Kinetics. 2009; pp: 25-27.
22. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of Electromyography and Kinesiology. 2000; 10(5): 361-74. [Link]
23. Pamukoff DN, Lewek MD, Blackburn JT. Greater vertical loading rate in obese compared to normal weight young adults. Clin Biomech (Bristol, Avon). 2016 Mar; 33: 61-65. doi: 10.1016/j.clinbiomech.2016.02.007. [DOI] [PubMed]
24. Willwacher S, Goetze I, Fischer KM, Brüggemann GP. The free moment in running and its relation to joint loading and injury risk. Footwear Science. 2016; 8(1): 1-11. doi: 10.1080/19424280.2015.1119890. [Link] [DOI]
25. Fauth ML, Petushek EJ, Feldmann CR, Hsu BE, Garceau LR, Lutsch BN, et al. Reliability of surface electromyography during maximal voluntary isometric contractions, jump landings, and cutting. J Strength Cond Res. 2010 Apr; 24(4): 1131-37. doi: 10.1519/JSC.0b013e3181cc2353. [DOI] [PubMed]
26. Murley GS, Landorf KB, Menz HB, Bird AR. Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: a systematic review. Gait Posture. 2009 Feb; 29(2): 172-87. doi: 10.1016/j.gaitpost.2008.08.015 [DOI] [PubMed]
27. Konard P. The ABC of EMG: A Practical Introduction to Kinesiological Electromyography. version 1.0. Noraxon Inc. USA. 2005.
28. Asim HM, Qayyum A, Hashim JA. Leg length discrepancy; the reliability of tape measure method. Professional Med J. 2013; 20(6): 995-98. [Link]
29. Tal-Akabi A, Steiger U, Villiger PM. Neuromuscular adaptation to early post-operative, high-intensity, short resistance training of non-operated lower extremity in elderly patients: a randomized controlled trial. J Rehabil Med. 2007 Nov; 39(9): 724-29. doi: 10.2340/16501977-0116. [DOI] [PubMed]
30. Anbarian M, Sepehrian M, Nazem F, Hajiloo B. [The Effect of Pedaling and Fatigue on Changes of Knee Muscles Co-contraction During Running in Triathletes]. J Sport Biomech. 2015; 1(1): 5-13. [Article in Persian] [View at Publisher]
31. Esmaeili H, Anbarian M, Hajiloo B, Sanjari MA. The immediate effect of foot insole on electromyography activity and co-contraction of leg muscles in individuals with flat feet. Journal of Research in Rehabilitation Sciences. 2013; 9(2): 295-307. [View at Publisher]
32. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006 Sep; 35 Suppl 2: ii37-ii41. doi: 10.1093/ageing/afl084. [DOI] [PubMed]
33. Di Nardo F, Mengarelli A, Maranesi E, Burattini L, Fioretti S. Assessment of the ankle muscle co-contraction during normal gait: a surface electromyography study. J Electromyogr Kinesiol. 2015 Apr; 25(2): 347-54. doi: 10.1016/j.jelekin.2014.10.016. [DOI] [PubMed]
34. Hansen S, Hansen NL, Christensen LO, Petersen NT, Nielsen JB. Coupling of antagonistic ankle muscles during co-contraction in humans. Exp Brain Res. 2002 Oct; 146(3): 282-92. doi: 10.1007/s00221-002-1152-3. [DOI] [PubMed]
35. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991 Jan; 9(1): 113-19. doi: 10.1002/jor.1100090114. [DOI] [PubMed]
36. Zhang LQ, Xu D, Wang G, Hendrix RW. Muscle strength in knee varus and valgus. Med Sci Sports Exerc. 2001 Jul; 33(7): 1194-99. doi: 10.1097/00005768-200107000-00018. [DOI] [PubMed]
37. Jafarnezhadgero AA, Oliveira AS, Mousavi SH, Madadi-Shad M. Combining valgus knee brace and lateral foot wedges reduces external forces and moments in osteoarthritis patients. Gait Posture. 2018 Jan; 59: 104-10. doi: 10.1016/j.gaitpost.2017.09.040. [DOI] [PubMed]
38. Gross KD, Niu J, Stefanik JJ, Guermazi A, Roemer FW, Sharma L, et al. Breaking the Law of Valgus: the surprising and unexplained prevalence of medial patellofemoral cartilage damage. Ann Rheum Dis. 2012 Nov; 71(11): 1827-32. doi: 10.1136/annrheumdis-2011-200606. [DOI] [PubMed]
39. Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clin Biomech (Bristol, Avon). 2009 Dec; 24(10): 833-41. doi: 10.1016/j.clinbiomech.2009.08.005. [DOI] [PubMed]
40. Hirokawa S, Solomonow M, Luo Z, Lu Y, D'Ambrosia R. Muscular co-contraction and control of knee stability. J Electromyogr Kinesiol. 1991 Sep; 1(3): 199-208. doi: 10.1016/1050-6411(91)90035-4. [DOI] [PubMed]
41. Kyröläinen H, Belli A, Komi PV. Biomechanical factors affecting running economy. Med Sci Sports Exerc. 2001 Aug; 33(8): 1330-37. doi: 10.1097/00005768-200108000-00014. [DOI] [PubMed]
42. Savage DD, Garrison RJ, Devereux RB, Castelli WP, Anderson SJ, Levy D, et al. Mitral valve prolapse in the general population. 1. Epidemiologic features: the Framingham Study. Am Heart J. 1983 Sep; 106(3): 571-76. doi: 10.1016/0002-8703(83)90704-4. [DOI] [PubMed]
43. da Silva CR, de Oliveira Silva D, Aragão FA, Ferrari D, Alves N, de Azevedo FM. Influence of neuromuscular fatigue on co-contraction between vastus medialis and vastus lateralis during isometric contractions. Kinesiology. 2014; 46(2): 179-85. [Link]
44. Yassierli Y, Nussbaum MA. Utility of traditional and alternative EMG-based measures of fatigue during low-moderate level isometric efforts. J Electromyogr Kinesiol. 2008 Feb; 18(1): 44-53. doi: 10.1016/j.jelekin.2006.08.003. [DOI] [PubMed]
45. Watanabe K, Akima H. Neuromuscular activation of vastus intermedius muscle during fatiguing exercise. J Electromyogr Kinesiol. 2010 Aug; 20(4): 661-66. doi: 10.1016/j.jelekin.2010.01.003. [DOI] [PubMed]
46. Anbarian M, Hajiloo B, Sepehrian M, Sadeghi S, Esmaieli H. [The Effect of Quadriceps Fatigue on Co-Activation of Knee Muscles during Walking]. Jundishapur Scientific Medical Journal. 2015; 14(3): 309-21. [Article in Persian] [View at Publisher]
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Piran Hamlabadi M, Jafarnezhadgero A A. Effect of 2 Types of Thoracholumbosacral Braces on Ankle and Knee Joint Co-contraction in Individuals with Kyphosis during Running. J Gorgan Univ Med Sci 2023; 25 (3) :27-35
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Volume 25, Issue 3 (10-2023) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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