Document Type : Original Article

Authors

1 Department of Physical Education and Sport Sciences, University of Mohaghegh Ardabili, Ardabil, Iran

2 Department of Sport Biomechanics, Faculty of Humanities, Islamic Azad University, Hamedan Branch, Hamedan, Iran

Abstract

Background: The determinant role of different movements to strengthen the quadriceps on rate of knee joint co-contraction, hamstring to quadriceps muscle activity ratio and vastus medialis to vastus lateralis muscle activity ratio provides useful information for therapists, coaches and athletes about the role of each movement in the rehabilitation of patients with anterior cruciate ligament injury, osteoarthritis and patellofemoral pain syndrome. The aim of this study was to compare the rate of the generalised and directed co-contraction of knee joint muscles during free weights squat, smith machine squat, smith machine squat with one leg and the dead lift movements.
Methods: 14 healthy power lifters (age: 26±7 years) were participated in this study.A portable EMG system with six pairs of bipolar surface electrodes was used to record the activity of the gastrocnemious medialis, long head of biceps femoris, semitendinosus, vastus lateralis, rectus femoris, and vastus medialis muscles at a sampling frequency of 1200 HZ. Participants had enough experience to perform free weights squat, smith machine squat, smith machine squat with one leg and the dead lift movements. Participants carried out each movement 5 times at an intensity equal to 50% of one-repetition-maximum level. Repeated-measure ANOVA test was used for statistical analysis.
Results: Rate of medial co-contraction in dead lift movement was higher than that in smith machine squat with one leg (P= 0.042), and free weights squat (P= 0.044), respectively. Ratio of hamstring muscles activity to quadriceps during the implementation of dead lift was higher than that in free weights squat (P=0.022). The generalised co-contraction value at the knee joint was the lowest in dead lift movement and highest in smith machine squat with one leg.
Conclusion: In order to strengthen quadriceps muscles in people suffering from anterior cruciate injury, dead lift movement is more effective than free weights squat. For athletes exercising to strengthen muscular groups, smith machine squat with one leg is more effective compared with the other three movements.
 

Keywords

  1. Pollock ML, Gaesser GA, Butcher JD, Després JP, Dishman RK, Franklin BA, et al. American college of sports medicine position stand. the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 1998; 30(6):975-91.
  2. Walker S, Peltonen H, Avela J, Häkkinen K. Kinetic and electromyographic analysis of single repetition constant and variable resistance leg press actions. J Electromyogr Kinesiol 2011;21(2):262-9.
  3. Escamilla RF, Fleisig GS, Zheng N, Lander JE, Barrentine SW, Andrews JR, et al. Effects of technique variations on knee biomechanics during the squat and leg press. Med Sci Sports Exerc 2001;33(9):1552-66.
  4. Sweif RE, Abdallah AA. Comparative study of mechanical and physiological gait efficiency following anterior cruciate ligament reconstruction and rehabilitation. Medicina dello Sport 2015;68(2):279-89.
  5. Villosio N, Piccazzo R, Paparo F, Muda A, Garlaschi G. Knee instability signs: preliminary comparison between conventional and weight-bearing MRI in patients with complete anterior cruciate ligament tear. Medicina dello Sport 2013;66(2):253-64.
  6. Buda R, Verni E, Ferruzzi A, Di Caprio F, Giannini S. Anterior cruciate ligament replacement with distally inserted doubled hamstring graft: prospective clinical and instrumental evaluation. Medicina dello Sport 2005;58(4):303-11.
  7. Fisher NM, Pendergast DR, Gresham GE, Calkins E. Muscle rehabilitation: its effect on muscular and functional performance of patients with knee osteoarthritis. Archives of physical medicine and rehabilitation 1991;72(6):367-74.
  8. Ma H, Zhang S, Zhang X. Common acupoints and treatment parameters of acupuncture treatments for knee osteoarthritis. Medicina dello Sport 2014;67(4):653-68.
  9. Rao G, Amarantini D, Berton E. Influence of additional load on the moments of the agonist and antagonist muscle groups at the knee joint during closed chain exercise. J Electromyogr Kinesiol 2009;19(3):459-66.
  10. Escamilla RF, Fleisig GS, Zheng N, Barrentine SW, Wilk KE, Andrews JR. Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises. Med Sci Sports Exerc 1998;30(4):556-69.
  11. Lutz GE, Palmitier RA, An KN, Chao EY. Comparison of tibiofemoral joint forces during open-kinetic-chain and closed-kinetic-chain exercises. J Bone Joint Surg Am 1993;75(5):732-9.
  12. Ferreira GE, Robinson CC, Wiebusch M, Viero CC, da Rosa LH, Silva MF. The effect of exercise therapy on knee adduction moment in individuals with knee osteoarthritis: a systematic review. Clin Biomech (Bristol, Avon) 2015;30(6):521-7.
  13. Graci V, Salsich GB. Trunk and lower extremity segment kinematics and their relationship to pain following movement instruction during a single-leg squat in females with dynamic knee valgus and patellofemoral pain. J Sci Med Sport 2015;18(3):343-7.
  14. McCaw ST, Melrose DR. Stance width and bar load effects on leg muscle activity during the parallel squat. Med Sci Sports Exerc 1999;31(3):428-36.
  15. Isear JA Jr, Erickson JC, Worrell TW. EMG analysis of lower extremity muscle recruitment patterns during an unloaded squat. Med Sci Sports Exerc 1997;29(4):532-9.
  16. Schwanbeck S, Chilibeck PD, Binsted G. A comparison of free weight squat to Smith machine squat using electromyography. J Strength Cond Res 2009;23(9):2588-91.
  17. Anderson K, Behm DG. Trunk muscle activity increases with unstable squat movements. Can J Appl Physiol 2005;30(1):33-45.
  18. Cotterman ML, Darby LA, Skelly WA. Comparison of muscle force production using the Smith machine and free weights for bench press and squat exercises. J Strength Cond Res 2005;19(1):169-76.
  19. Hedayatpour N, Fathi M. Co-activation of the knee joint flexor and extensor muscles during multidirectional perturbations after fatiguing exercise. Medicina dello Sport 2013;66(2):189-98.
  20. Lloyd DG, Buchanan TS. Strategies of muscular support of varus and valgus isometric loads at the human knee. J Biomech 2001;34(10):1257-67.
  21. Hubley-Kozey C, Deluzio K, Dunbar M. Muscle co-activation patterns during walking in those with severe knee osteoarthritis. Clin Biomech (Bristol, Avon) 2008;23(1):71-80.
  22. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res 1991;9(1):113-9.
  23. Zhang LQ, Xu D, Wang G, Hendrix RW. Muscle strength in knee varus and valgus. Med Sci Sports Exerc 2001;33(7):1194-9.
  24. Hesari P, Rabiei M, , JafarnezhadT, Hoseininezhad SE ,Anbarian M. The comparison of myoelectric activity of selected lower limb muscles during three common quadriceps strength exercises performed with different loads. Sport Medicine 2012; 31(2):31-48. Persian
  25. Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, et al. European recommendations for surface electromyography. Roessingh Research and Development 1999; 8(2):13-54.
  26. Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clin Biomech (Bristol, Avon) 2009;24(10):833-41.
  27. Cohen J. Statistical Power Analysis for the Behavioral Sciences. Academic press; Hilsdale. NJ: Lawrence Earlbaum Associates, Third edition, 2013.
  28. Cowan SM, Bennell KL, Hodges PW, Crossley KM, McConnell J. Simultaneous feedforward recruitment of the vasti in untrained postural tasks can be restored by physical therapy. J Orthop Res 2003;21(3):553-8.
  29. Makhsous M, Lin F, Koh JL, Nuber GW, Zhang LQ. In vivo and noninvasive load sharing among the vasti in patellar malalignment. Med Sci Sports Exerc 2004;36(10):1768-75.
  30. Hodges PW, van den Hoorn W, Wrigley TV, Hinman RS, Bowles KA, Cicuttini F, et al. Increased duration of co-contraction of medial knee muscles is associated with greater progression of knee osteoarthritis. Man Ther 2016;21:151-8.
  31. Rudolph KS, Schmitt LC, Lewek MD. Age-related changes in strength, joint laxity, and walking patterns: are they related to knee osteoarthritis? Phys Ther 2007;87(11):1422-32.
  32. Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 1998;41(5):778-99.
  33. Elias AR, Hammill CD, Mizner RL. Changes in quadriceps and hamstring cocontraction following landing instruction in patients with anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 2015;45(4):273-80.
  34. Kim HJ, Lee JH, Ahn SE, Park MJ, Lee DH. Influence of anterior cruciate ligament tear on thigh muscle strength and hamstring-to-quadriceps ratio: a meta-analysis. PLoS One 2016;11(1):e0146234.
  35. Letafatkar A, Rajabi R, Tekamejani EE, Minoonejad H. Effects of perturbation training on knee flexion angle and quadriceps to hamstring cocontraction of female athletes with quadriceps dominance deficit: Pre-post intervention study. Knee 2015;22(3):230-6.
  36. Frank RM, Lundberg H, Wimmer MA, Forsythe B, Bach BR, Verma NN, et al. Hamstring activity in the anterior cruciate ligament injured patient: injury implications and comparison with quadriceps activity. Arthroscopy 2016;32(8):1651-9.
  37. Sekir U, Arabaci R, Akova B. Acute effects of static stretching on peak and end-range hamstring-to-quadriceps functional ratios. World J Orthop 2015;6(9):719-26.
  38. Yoo WG. Comparison of hamstring-to-quadriceps ratio between accelerating and decelerating sections during squat exercise. J Phys Ther Sci 2016;28(9):2468-69.