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:: Volume 23, Issue 4 (12-2021) ::
J Gorgan Univ Med Sci 2021, 23(4): 10-17 Back to browse issues page
Effect of Corrective Exercise on Lower Limb Muscles’ Co-contraction in Males with Genu Valgum during Walking: A Clinical Trial Study
Farshad Ghorbanlou1 , Amir Ali Jafarnezhadgero 2
1- M.Sc Student in Sport Biomechanic, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
2- Associate Professor, Department of Sport Managements and Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. , amiralijafarnezhad@gmail.com
Abstract:   (5317 Views)
Background and Objective: Genu valgum is one of the most common lower limb malformations that affects on walking mechanics. This study was done to evaluate the effect of corrective exercise with Thera-band on the lower limb muscles’ co-contraction in males with genu valgum during walking.
Methods: In this clinical trial study, 24 male students with genu valgus with age range of 20-30 years were randomly divided into two control (n=12) and intervention (n=12) groups. Using the caliper, the intensity of the genu valgum was measured by assessing the distance between the medial malleolus of the subjects. Corrective exercises were performed for 8 weeks using Thera-band in interventional group. The electrical activity of selected muscles was recorded by electromyography system (biometrics ltd, UK).
Results: In the interventional group, the knee joint flexor/extensor directed co-contraction was increased significantly during the heel contact phase in the post-test than that in the pre-test (P<0.05). There was also a significant increase in knee joint general co-contraction during heel off phase (P<0.05). In the interventional group, directed co-contraction of vastus lateralis / vastus medialis muscles during the swing phase was significantly increased during the post-test in compared to the pre-test (P<0.05). During post-test, knee joint flexor/extensor directed co-contraction during the heel, knee joint general
co-contraction during heel off phase and directed co-contraction of vastus lateralis / vastus medialis muscles during the swing phase were more in the interventional group in compared to control group (P<0.05).
Conclusion: The increase of general co-contraction in the knee joint during the heel off phase reflects an improvement in activity of the knee support muscles after corrective exercises and increases balance and stability. There was also an increase in the knee joint flexor / extensor direction co-contraction, which increase the distribution of the load and pressure between the femur and tibia in the knee joint.
Keywords: Genu Valgum [MeSH], Exercise Therapy [MeSH], Walking [MeSH], Muscles [MeSH]
Article ID: Vol23-48
Full-Text [PDF 690 kb]   (13860 Downloads)    
Type of Study: Original Articles | Subject: Rehabilitation
References
1. Sorkhe E, Jafarnezhadgero AA. [Effect of a Corrective Exercise Program on the Frequency Spectrum of Ground Reaction Force during Drop-Landing in Older Adults with Genu Valgum]. Salmand: Iranian Journal of Ageing. 2020; 14(4): 494-509. DOI: 10.32598/sija.13.10.440 [Article in Persian] [View at Publisher] [DOI]
2. McWalter EJ, Cibere J, MacIntyre NJ, Nicolaou S, Schulzer M, Wilson DR. Relationship between varus-valgus alignment and patellar kinematics in individuals with knee osteoarthritis. J Bone Joint Surg Am. 2007 Dec; 89(12): 2723-31. DOI: 10.2106/JBJS.F.01016 [DOI] [PubMed]
3. Jafarnezhadgero AA, Madadi-Shad M, McCrum C, Karamanidis K. Effects of Corrective Training on Drop Landing Ground Reaction Force Characteristics and Lower Limb Kinematics in Older Adults With Genu Valgus: A Randomized Controlled Trial. J Aging Phys Act. 2019 Feb; 27(1): 9-17. DOI: 10.1123/japa.2017-0315 [DOI] [PubMed]
4. Van Gheluwe B, Kirby KA, Hagman F. Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. J Am Podiatr Med Assoc. 2005 Nov-Dec; 95(6): 531-41. DOI: 10.7547/0950531 [DOI] [PubMed]
5. Hunt MA, Birmingham TB, Giffin JR, Jenkyn TR. Associations among knee adduction moment, frontal plane ground reaction force, and lever arm during walking in patients with knee osteoarthritis. J Biomech. 2006; 39(12): 2213-20. DOI: 10.1016/j.jbiomech.2005.07.002 [DOI] [PubMed]
6. Nguyen AD, Shultz SJ, Schmitz RJ, Luecht RM, Perrin DH. A preliminary multifactorial approach describing the relationships among lower extremity alignment, hip muscle activation, and lower extremity joint excursion. J Athl Train. 2011 May-Jun; 46(3): 246-56. DOI: 10.4085/1062-6050-46.3.246 [DOI] [PubMed]
7. Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL. Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res. 1995 Nov; 13(6): 930-35. DOI: 10.1002/jor.1100130618 [DOI] [PubMed]
8. 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]
9. Anbarian M, Esmailie H, Hosseini Nejhad SE, Rabiei M, Binabaji H. [Comparison of knee joint muscles’ activity in subjects with genu varum and the controls during walking and running]. JRRS. 2012; 8(2): 298-309. DOI: 10.22122/jrrs.v8i2.359 [Article in Persian] [View at Publisher] [DOI]
10. Zeller BL, McCrory JL, Kibler WB, Uhl TL. Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med. 2003 May-Jun; 31(3): 449-56. DOI: 10.1177/03635465030310032101 [DOI] [PubMed]
11. Vaishya R, Shah M, Kumar Agarwal A, Vijay V. Growth modulation by hemi epiphysiodesis using eight-plate in Genu valgum in Paediatric population. J Clin Orthop Trauma. 2018 Oct-Dec; 9(4): 327-33. DOI: 10.1016/j.jcot.2017.11.004 [DOI] [PubMed]
12. Macdonald R. Taping Techniques: Principles and Practice. 2nd ed. Oxford: Butterworth-Heinemann. 2004; pp: 80-150.
13. Dammerer D, Giesinger JM, Biedermann R, Haid C, Krismer M, Liebensteiner M. Effect of knee brace type on braking response time during automobile driving. Arthroscopy. 2015 Mar; 31(3): 404-409. DOI: 10.1016/j.arthro.2014.09.003 [DOI] [PubMed]
14. Ballal MS, Bruce CE, Nayagam S. Correcting genu varum and genu valgum in children by guided growth: temporary hemiepiphysiodesis using tension band plates. J Bone Joint Surg Br. 2010 Feb; 92(2): 273-76. DOI: 10.1302/0301-620X.92B2.22937 [DOI] [PubMed]
15. Mohammadi V, Letafatkar A, Sadeghi H, Jafarnezhadgero AA, Hilfiker R. The effect of motor control training on kinetics variables of patients with non-specific low back pain and movement control impairment: Prospective observational study. J Bodyw Mov Ther. 2017 Oct; 21(4): 1009-16. DOI: 10.1016/j.jbmt.2016.12.009 [DOI] [PubMed]
16. Mikesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. Eur J Appl Physiol Occup Physiol. 1994; 69(4): 316-20. DOI: 10.1007/BF00392037 [DOI] [PubMed]
17. McMaster DT, Cronin J, McGuigan M. Forms of Variable Resistance Training. Strength Cond J. DOI: 10.1519/SSC.0b013e318195ad32 [View at Publisher] [DOI]
18. Aktug ZB. Do the exercises performed with a theraband have an effect on knee muscle strength balances? J Back Musculoskelet Rehabil. 2020; 33(1): 65-71. DOI: 10.3233/BMR-181217 [DOI] [PubMed]
19. Farahpour N, Jafarnezhadgero AA, Allard P, Majlesi M. Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain. J Electromyogr Kinesiol. 2018 Apr; 39: 35-41. DOI: 10.1016/j.jelekin.2018.01.006 [DOI] [PubMed]
20. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000 Oct; 10(5): 361-74. DOI: 10.1016/s1050-6411(00)00027-4 [DOI] [PubMed]
21. Kamonseki DH, Gonçalves GA, Yi, Lombardi Júnior I. Effect of stretching with and without muscle strengthening exercises for the foot and hip in patients with plantar fasciitis: A randomized controlled single-blind clinical trial. Man Ther. 2016 Jun; 23: 76-82. DOI: 10.1016/j.math.2015.10.006 [DOI] [PubMed]
22. 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]
23. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers. 1988; pp: 220-35.
24. Namavarian N, Rezasoltani A, Rekabizadeh M. [A study on the function of the knee muscles in genu varum and genu valgum]. J Mod Rehabil. 2014; 8(3): 1-9. [Article in Persian] [View at Publisher]
25. Koorosh-fard N, Ali-Zadeh M H, Rajabi R, Shirzad E. [Effect of Feedback Corrective Exercise on Knee Valgus and Electromyographic Activity of Lower Limb Muscles in Single Leg Squat]. Arch Rehabil. 2015; 16(2): 138-47. [Article in Persian] [View at Publisher]
26. Rabiei M, Jafarnejhad-Gre T, Binabaji H, Hosseininejad E, Anbarian M. [Assessment of postural response after sudden perturbation in subjects with genu valgum]. J Shahrekord Univ Med Sci. 2012; 14(2): 90-100. [Article in Persian] [View at Publisher]
27. De Luca CJ, Erim Z. Common drive in motor units of a synergistic muscle pair. J Neurophysiol. 2002 Apr; 87(4): 2200-204. DOI: 10.1152/jn.00793.2001 [DOI] [PubMed]
28. Gardinier ES. The Relationship Between Muscular Co-Contraction and Dynamic Knee Stiffness in ACL-Deficient Non-Copers. Thesis. University of Delaware. 2009. [View at Publisher]
29. Boden BP, Griffin LY, Garrett Jr WE. Etiology and Prevention of Noncontact ACL Injury. Phys Sportsmed. 2000 Apr; 28(4): 53-60. DOI: 10.3810/psm.2000.04.841 [DOI] [PubMed]
30. Nyland J, Smith S, Beickman K, Armsey T, Caborn DNM. Frontal plane knee angle affects dynamic postural control strategy during unilateral stance. Med Sci Sports Exerc. 2002 Jul; 34(7): 1150-67. DOI: 10.1097/00005768-200207000-00016 [DOI] [PubMed]
31. Kinakin K. Optimal muscle training biomechanics of lifting for maximum growth and strength. 2nd ed. Champaign: Human Kinetics. 2009; pp: 315-40.
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Ghorbanlou F, Jafarnezhadgero A A. Effect of Corrective Exercise on Lower Limb Muscles’ Co-contraction in Males with Genu Valgum during Walking: A Clinical Trial Study. J Gorgan Univ Med Sci 2021; 23 (4) :10-17
URL: http://goums.ac.ir/journal/article-1-3792-en.html


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Volume 23, Issue 4 (12-2021) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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