:: Volume 26, Issue 1 (3-2024) ::
J Gorgan Univ Med Sci 2024, 26(1): 66-76 Back to browse issues page
Comparing the Electrical Activity of Selected Leg and Thigh Muscles during Performing Functional Movements in Female Athletes with and without Chronic Ankle Instability
Fatemeh Akbari1 , Mohammad Rabiei * 2, Banafshe Mohammadi3 , Sajad Bagherian4
1- M.Sc in Sport Injuries and Corrective Exercises, Department of Sport Sciences, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran.
2- Assistant Professor of Sport Biomechanics, Department of Sport Sciences, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran. , md.rabiei@sku.ac.ir
3- Assistant Professor of Sport Biomechanics, Department of Sport Sciences, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran.
4- Assistant Professor of Sport Injuries and Corrective Exercises, Department of Sport Sciences, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran.
Abstract:   (652 Views)

Background and Objective: Ankle instability is one of the most prevalent injuries among athletes. Biomechanical changes, sensory-motor impairments, and neuromuscular disorders have been reported in individuals with chronic ankle instability. The present study was conducted to compare the electrical activity of selected leg and thigh muscles during performing functional movements in female athletes with and without chronic ankle instability.
Methods: This case-control research was conducted on 40 female athletes in the age range of 18-30 years in two groups, including the case (with ankle instability, n=20) and healthy control (without ankle instability, n=20) groups. The electrical activity of selected leg and thigh muscles was recorded during three functional patterns, i.e., the overhead squat, overhead squat with heel lift, and single-legged squat, by electromyography apparatus. The investigated muscles consisted of the gastrocnemius medialis (GM) muscle, the gastrocnemius lateralis (GL) muscle, the tibialis anterior (TA) muscle, the fibularis longus (FL) muscle, the soleus (SO) muscle, the vastus lateralis (VL) muscle, the vastus mediali (VM) muscle, and the biceps femoris (BF) muscle.
Results: The activity of the VM, VL, BF, and TA muscles in the single-legged squat and the activity of the VM, VL, BF, SO, and TA muscles in the overhead squat showed a statistically significant increase in the case group compared to the control group (P<0.05). The highest difference in the muscle activity of the two groups was observed in the overhead squat with heel lift movement, which in this movement, except for the GL muscle, there was a statistically significant increase among all other muscles (P<0.05).
Conclusion: Functional movements culminate in increasing the electrical activity level of leg and thigh muscles in female athletes with ankle instability.

Keywords: Ankle Injuries [MeSH], Joint Instability [MeSH], Athletes [MeSH], Electromyography [MeSH]
Article ID: Vol26-07
Full-Text [PDF 778 kb]   (1337 Downloads)    
Type of Study: Original Articles | Subject: Sport Biomechanics
References
1. Gribble PA, Robinson RH. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. J Athl Train. 2009 Jul-Aug;44(4):350-55. doi: 10.4085/1062-6050-44.4.350. [DOI] [PubMed]
2. East MN, Blackburn JT, DiStefano LJ, Zinder SM, Norcross MF. Effects of Fibular Repositioning Tape on Ankle Kinematics and Muscle Activity. Athletic Training & Sports Health Care. 2010;2(3):113-22. doi: 10.3928/19425864-20100428-05. [Link] [DOI]
3. Baumhauer JF, Nawoczenski DA, DiGiovanni BF, Flemister AS. Ankle pain and peroneal tendon pathology. Clin Sports Med. 2004 Jan;23(1):21-34. doi: 10.1016/S0278-5919(03)00088-7. [DOI] [PubMed]
4. Holmes A, Delahunt E. Treatment of common deficits associated with chronic ankle instability. Sports Med. 2009;39(3):207-24. doi: 10.2165/00007256-200939030-00003. [DOI] [PubMed]
5. Bagherian S, Rahnama N, Wikstrom EA, Clark MA. [Relationships between Functional Movement Assessments and Elements of Sensorimotor Function in Collegiate Athletes with Chronic Ankle Instability]. The Scientific Journal of Rehabilitation Medicine. 2018;7(2):138-47. doi: 10.22037/jrm.2018.111034.1708. [Article in Persian] [Link] [DOI]
6. Hanci E, Sekir U, Gur H, Akova B. Eccentric Training Improves Ankle Evertor and Dorsiflexor Strength and Proprioception in Functionally Unstable Ankles. Am J Phys Med Rehabil. 2016 Jun;95(6):448-58. doi: 10.1097/PHM.0000000000000421. [DOI] [PubMed]
7. Hoch MC, Staton GS, Medina McKeon JM, Mattacola CG, McKeon PO. Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability. J Sci Med Sport. 2012 Nov;15(6):574-79. doi: 10.1016/j.jsams.2012.02.009. [DOI] [PubMed]
8. Safarzadeh M, Daneshjoo A, Hosseinpor A, Bamorovat F. [Relationship between Functional Movement Screen Whit Risk Factors and Its Ability to Predict Sport Injuries]. Journal of Paramedical Sciences & Rehabilitation. 2019;8(1):83-92. doi: 10.22038/jpsr.2019.27275.1713. [Article in Persian] [Link] [DOI]
9. Rajabi R, Samadi H. [Corrective Exercises Laborator]. 6th ed. Tehran: Tehran University Publishing. 2021; pp: 161. [Persian]
10. Bloem BR, Allum JH, Carpenter MG, Honegger F. Is lower leg proprioception essential for triggering human automatic postural responses? Exp Brain Res. 2000 Feb;130(3):375-91. doi: 10.1007/s002219900259. [DOI] [PubMed]
11. Hug F. Can muscle coordination be precisely studied by surface electromyography? J Electromyogr Kinesiol. 2011 Feb;21(1):1-12. doi: 10.1016/j.jelekin.2010.08.009. [DOI] [PubMed]
12. Webster KA, Gribble PA. A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises. Phys Ther Sport. 2013 Feb;14(1):17-22. doi: 10.1016/j.ptsp.2012.02.002. [DOI] [PubMed]
13. Dejong AF, Koldenhoven RM, Hertel J. Proximal Adaptations in Chronic Ankle Instability: Systematic Review and Meta-analysis. Med Sci Sports Exerc. 2020 Jul;52(7):1563-1575. doi: 10.1249/MSS.0000000000002282. [DOI] [PubMed]
14. DeJong AF, Koldenhoven RM, Hart JM, Hertel J. Gluteus medius dysfunction in females with chronic ankle instability is consistent at different walking speeds. Clin Biomech (Bristol, Avon). 2020 Mar;73:140-148. doi: 10.1016/j.clinbiomech.2020.01.013. [DOI] [PubMed]
15. McCann RS, Johnson K, Suttmiller AMB. Lumbopelvic Stability and Trunk Muscle Contractility of Individuals with Chronic Ankle Instability. Int J Sports Phys Ther. 2021 Jun 2;16(3):741-748. doi: 10.26603/001c.22132. [DOI] [PubMed]
16. Gutierrez GM, Kaminski TW, Douex AT. Neuromuscular control and ankle instability. PM R. 2009 Apr;1(4):359-65. doi: 10.1016/j.pmrj.2009.01.013. [DOI] [PubMed]
17. Mohammadi A, Shojaedin SS, Letafatkar A, Hadadnejad M. [Comparative Effects of Impacts and Stainabilities of NASM and Combined Exercises (Neuromuscular and Core Stability) on Functional Characteristics and Balance of Individuals with Unilateral Chronic Ankle Injury]. The Scientific Journal of Rehabilitation Medicine. 2018; 7(3): 34-47. doi: 10.22037/jrm.2017.110665.1442. [Article in Persian] [Link] [DOI]
18. Kim YW, Kim TH, Yang MN, Yon YS, Lee JH. Comparison of Activities of Tibialis Anterior, Peroneus Longus, and Tibialis Posterior Muscles according to Lunge Squats and Bulgarian Split Squats in a Healthy Population. J KEMA. 2017; 1(1):26-30. doi: 10.29273/jkema.2017.1.1.26. [Link] [DOI]
19. Lu Z, Li X, Xuan R, Song Y, Bíró I, Liang M, et al. Effect of Heel Lift Insoles on Lower Extremity Muscle Activation and Joint Work during Barbell Squats. Bioengineering (Basel). 2022 Jul 8;9(7):301. doi: 10.3390/bioengineering9070301. [DOI] [PubMed]
20. Simpson JD, Stewart EM, Turner AJ, Macias DM, Wilson SJ, Chander H, et al. Neuromuscular control in individuals with chronic ankle instability: A comparison of unexpected and expected ankle inversion perturbations during a single leg drop-landing. Hum Mov Sci. 2019 Apr;64:133-141. doi: 10.1016/j.humov.2019.01.013. [DOI] [PubMed]
21. Mendes PG, Pereira AA, Alves Abreu PH, Campos MR, Lins C, Felicio LR. Electromiographic activity during single leg jump in adolescent athletes with chronic ankle instability: A pilot study. J Bodyw Mov Ther. 2021 Oct;28:238-245. doi: 10.1016/j.jbmt.2021.06.001. [DOI] [PubMed]
22. Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006 Sep;87(9):1235-41. doi: 10.1016/j.apmr.2006.05.022. [DOI] [PubMed]
23. Gurav RS, Ganu SS, Panhale VP. Reliability of the Identification of Functional Ankle Instability (IdFAI) Scale Across Different Age Groups in Adults. N Am J Med Sci. 2014 Oct;6(10):516-8. doi: 10.4103/1947-2714.143283. [DOI] [PubMed]
24. Mazaheri M, Salavati M, Negahban H, Sohani SM, Taghizadeh F, Feizi A, et al. Reliability and validity of the Persian version of Foot and Ankle Ability Measure (FAAM) to measure functional limitations in patients with foot and ankle disorders. Osteoarthritis Cartilage. 2010 Jun;18(6):755-9. doi: 10.1016/j.joca.2010.03.006. [DOI] [PubMed]
25. Carcia CR, Martin RL, Drouin JM. Validity of the Foot and Ankle Ability Measure in athletes with chronic ankle instability. J Athl Train. 2008 Apr-Jun;43(2):179-83. doi: 10.4085/1062-6050-43.2.179. [DOI] [PubMed]
26. Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, et al. European Recommendations for Surface ElectroMyoGraphy, results of the SENIAM project, is a publication of the SENIAM project. Roessingh Research and Development Pylisher. [Link]
27. Bagherian S, Rahnama N, Wikstrom EA, Clark MA, Rostami F. Characterizing lower extremity movement scores before and after fatigue in collegiate athletes with chronic ankle instability. Int J Athl Ther Train. 2018;23(1):27-32. doi: 10.1123/ijatt.2017-0029. [Link] [DOI]
28. Nanbancha A, Tretriluxana J, Limroongreungrat W, Sinsurin K. Decreased supraspinal control and neuromuscular function controlling the ankle joint in athletes with chronic ankle instability. Eur J Appl Physiol. 2019 Sep;119(9):2041-2052. doi: 10.1007/s00421-019-04191-w. [DOI] [PubMed]
29. Jeon HG, Lee SY, Park SE, Ha S. Ankle Instability Patients Exhibit Altered Muscle Activation of Lower Extremity and Ground Reaction Force during Landing: A Systematic Review and Meta-Analysis. J Sports Sci Med. 2021 Apr 15;20(2):373-390. doi: 10.52082/jssm.2021.373. [DOI] [PubMed]
30. Labanca L, Mosca M, Ghislieri M, Agostini V, Knaflitz M, Benedetti MG. Muscle activations during functional tasks in individuals with chronic ankle instability: a systematic review of electromyographical studies. Gait Posture. 2021 Oct;90:340-373. doi: 10.1016/j.gaitpost.2021.09.182. [DOI] [PubMed]
31. McCann RS, Crossett ID, Terada M, Kosik KB, Bolding BA, Gribble PA. Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport. 2017 Nov;20(11):992-996. doi: 10.1016/j.jsams.2017.05.005. [DOI] [PubMed]
32. Khalaj N, Vicenzino B, Heales LJ, Smith MD. Is chronic ankle instability associated with impaired muscle strength? Ankle, knee and hip muscle strength in individuals with chronic ankle instability: a systematic review with meta-analysis. Br J Sports Med. 2020 Jul;54(14):839-847. doi: 10.1136/bjsports-2018-100070. [DOI] [PubMed]
33. Moisan G, Descarreaux M, Cantin V. Effects of chronic ankle instability on kinetics, kinematics and muscle activity during walking and running: A systematic review. Gait Posture. 2017 Feb;52:381-399. doi: 10.1016/j.gaitpost.2016.11.037. [DOI] [PubMed]
34. Gottlieb U, Hoffman JR, Springer S. The Immediate Carryover Effects of Peroneal Functional Electrical Stimulation Differ between People with and without Chronic Ankle Instability. Sensors (Basel). 2022 Feb 18;22(4):1622. doi: 10.3390/s22041622. [DOI] [PubMed]
35. Wilkerson GB, Pinerola JJ, Caturano RW. Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury. J Orthop Sports Phys Ther. 1997 Aug;26(2):78-86. doi: 10.2519/jospt.1997.26.2.78. [DOI] [PubMed]
36. Van Deun S, Staes FF, Stappaerts KH, Janssens L, Levin O, Peers KK. Relationship of chronic ankle instability to muscle activation patterns during the transition from double-leg to single-leg stance. Am J Sports Med. 2007 Feb;35(2):274-81. doi: 10.1177/0363546506294470. [DOI] [PubMed]
37. McCurdy K, O'Kelley E, Kutz M, Langford G, Ernest J, Torres M. Comparison of lower extremity EMG between the 2-leg squat and modified single-leg squat in female athletes. J Sport Rehabil. 2010 Feb;19(1):57-70. doi: 10.1123/jsr.19.1.57. [DOI] [PubMed]
38. Hertel J. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sports Med. 2008 Jul;27(3):353-70, vii. doi: 10.1016/j.csm.2008.03.006. [DOI] [PubMed]


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Volume 26, Issue 1 (3-2024) Back to browse issues page