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Year 2022, Volume: 12 Issue: 1, 192 - 197, 30.03.2022

Dilber Karagözoğlu Coşkunsu Filiz Can Shavkat Kuchımov N. Ekin Akalan Önder Kılıçoğlu Necla Öztürk

https://doi.org/10.33808/clinexphealthsci.923264
Cited By: 1

Abstract

References

  • [1] Powers CM, Witvrouw E, Davis IS. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. Br J Sports Med 2017; 51:1713–1723.
  • [2] Bolgla, L. A., Malone, T. R., Umberger, B. R., Uhl, T. L. Comparison of hip and knee strength and neuromuscular activity in subjects with and without patellofemoral pain syndrome. International journal of sports physical therapy, 2011; 6(4):285.
  • [3] Chester, R., Smith, T. O., Sweeting, D., Dixon, J., Wood, S., Song, F. The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 2008; 9(1):64.
  • [4] Souza RB, Powers CM. Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain. J Orthop Sports Phys Ther. 2009;39(1):12-19.
  • [5] Brindle TJ, Mattacola CG, McCrory JL. Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain. Knee Surg Sports Traumatol Arthrosc. 2003; 11:244-251.
  • [6] Cowan SM, Crossley KM, Bennell KL. Altered hip and trunk muscle function in individuals with patellofemoral pain syndrome. Br J Sports Med. 2009; 43:584-588.
  • [7] Patil S, Dixon J, White LC, Jones AP, Hui AC. An electromyographic exploratory study comparing the difference in the onset of hamstring and quadriceps contraction in patients with anterior knee pain. Knee 2011; 18(5):329-332.
  • [8] Dieter BP, McGowan CP, Stoll SK, Vella CA. Muscle activation patterns and patellofemoral pain in cyclists. Medicine & Science in Sports & Exercise. 2014 Apr 1;46(4):753-756.
  • [9] Liebensteiner M.C., Szubski C., Raschner C., Krismer M., Burtscher M., Platzer HP., Deibl M., Dirnberger E. Frontal plane leg alignment and muscular activity during maximum eccentric contractions in individuals with and without patellofemoral pain syndrome. Knee 2008; 15: 180–186.
  • [10] Li G., DeFrate L.E., Zayontz S., Park S.E., Gill T.J. The effect of tibiofemoral joint kinematics on patellofemoral contact pressures under simulated muscle loads Journal of Orthopaedic Research 2004; 22 (4): 801-806.
  • [11] Kumagai M, Mizuno Y, Mattessich SM, Elias JJ, Cosgarea AJ, Chao AJ. Posterior Cruciate Ligament Rupture Alters in Vitro Knee Kinematics Clin Orthop Relat Res 2002; 395:241-248.
  • [12] Elias JJ, Kirkpatrick MS, Saranathan A, Mani S, Smith LG, Tanaka MJ. Hamstrings loading contributes to lateral patellofemoral malalignment and elevated cartilage pressures: an in vitro study. Clin Biomech (Bristol, Avon) 2011; 26(8):841-846.
  • [13] Si-hyun Kim, Oh-yun Kwon, Kyue-nam Park, Sung-dae Choung. Correlation between the Angle of Lateral Tibial Rotation and the Ratio of Medial and Lateral Hamstring Muscle Activities during Standing Knee Flexion J. Phys. Ther. Sci. 2013; 25 (4): 383-386.
  • [14] Powers CM, Ward SR, Chan LD, Chen YJ, Terk MR. The effect of bracing on patella alignment and patellofemoral joint contact area Med Sci Sports Exerc. 2004; 36:1226-1232.
  • [15] Souza, R.B. Powers C.M. Predictors of Hip Internal Rotation During Running – An Evaluation of Hip Strength and Femoral Structure in Women with and without Patellofemoral Pain Am J Sports Med 2009; 37(3): 579-587.
  • [16] Woodland L.H., Francis R.S., Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions Am J Sports Med 1992; 20(2):208-211.
  • [17] Kuru T, Dereli EE, Yaliman A, Validity of the Turkish version of the Kujala patellofemoral score in patellofemoral pain syndrome Acta Orthop Traumatol Turc 2010; 44(2),152-156. [18] Davis R, Ounpuu S, Tyburski D, Gage J. A gait analysis data collection and reduction technique. Hum Movement Sci 1991; 10:575 – 587.
  • [19] Cowan S.M, Bennell K.L., Hodges P.W, Mc Connel J. The testretest reliability of the onset of concentric and eccentric vastus medialis obliquus and vastus lateralis electromyographic activity in a stair stepping task. Physical Therapy in Sport 2010; 1: 129-136.
  • [20] Hodges P W, Bui B H 1996 A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography Electroencephalography and Clinical Neurophysiology 1996; 101: 511-519.
  • [21] Stewart C, Jonkers I, Roberts A. Estimation of hamstring length at initial contact based on kinematic gait data. Gait Posture. 2004; 20(1):61-6.
  • [22] Barton CJ, Levinger P, Menz HB, Webster K. Kinematic gait characteristics associated with patellofemoral pain syndrome: a systematic review Gait&Posture 2009; 30(4): 405-416.
  • [23] Powers CM, Heino JG, Rao S, Perry J. The influence of patellofemoral pain on lower limb loading during gait. Clin Biomech 1999; 14:722–728.
  • [24] Crossley K, Bennell K.L., Cowan S., Green S., Analysis of Outcome Measures for Persons with Patellofemoral Pain: Which are Reliable and Valid? Arch Physical Medicine and Rehabilitation 2004; 85:815-822 .

Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study

Year 2022, Volume: 12 Issue: 1, 192 - 197, 30.03.2022

Dilber Karagözoğlu Coşkunsu Filiz Can Shavkat Kuchımov N. Ekin Akalan Önder Kılıçoğlu Necla Öztürk

https://doi.org/10.33808/clinexphealthsci.923264
Cited By: 1

Abstract

Objective: Early activation of lateral hamstrings (LH) relative to medial hamstrings (MH) has been thought to be the cause of abnormal knee abduction and external rotation of the tibia, which affects the orientation of patellar tendon and increases lateral patellofemoral compression. Therefore, early activation of LH relative to MH is considered to have a role in the patellofemoral pain (PFP). The aim of this study was to investigate the time difference between MH and LH onsets in patients with PFP during gait.
Methods: Thirteen patients with bilateral PFP (mean age 28.73±7.44 years) and 13 asymptomatic subjects (mean age 30.47±6.22 years) were recruited in the study. Gait analysis was performed using the ELITE system (BTS, Milano-Italy) with video cameras (TVC, BTS, Milano-Italy).
Participants were requested to walk at a self-selected speed on a force platform, and EMG data were recorded from MH and LH muscles for 10 initial contacts by using TELEEMG (BTS, Milano-Italy). Time difference between the onsets of the MH and LH was calculated for each initial contact by using moving averaging method, then their mean was obtained for each participant.
Results: The time difference between onsets of MH and LH was – 26.9±22.2 ms for PFP subjects and – 11.2±14.2 ms for control subjects, and LH mainly became activated earlier compared to MH in most of the subjects in both groups. There was a statistically significant difference between the time differences of the groups (p=0.041).
Conclusion: Our findings suggest that LH displayed an earlier activation in subjects with PFP compared to control subjects during gait.

Keywords

Hamstrings Surface EMG Patellofemoral Pain Gait Time difference

References

  • [1] Powers CM, Witvrouw E, Davis IS. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. Br J Sports Med 2017; 51:1713–1723.
  • [2] Bolgla, L. A., Malone, T. R., Umberger, B. R., Uhl, T. L. Comparison of hip and knee strength and neuromuscular activity in subjects with and without patellofemoral pain syndrome. International journal of sports physical therapy, 2011; 6(4):285.
  • [3] Chester, R., Smith, T. O., Sweeting, D., Dixon, J., Wood, S., Song, F. The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 2008; 9(1):64.
  • [4] Souza RB, Powers CM. Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain. J Orthop Sports Phys Ther. 2009;39(1):12-19.
  • [5] Brindle TJ, Mattacola CG, McCrory JL. Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain. Knee Surg Sports Traumatol Arthrosc. 2003; 11:244-251.
  • [6] Cowan SM, Crossley KM, Bennell KL. Altered hip and trunk muscle function in individuals with patellofemoral pain syndrome. Br J Sports Med. 2009; 43:584-588.
  • [7] Patil S, Dixon J, White LC, Jones AP, Hui AC. An electromyographic exploratory study comparing the difference in the onset of hamstring and quadriceps contraction in patients with anterior knee pain. Knee 2011; 18(5):329-332.
  • [8] Dieter BP, McGowan CP, Stoll SK, Vella CA. Muscle activation patterns and patellofemoral pain in cyclists. Medicine & Science in Sports & Exercise. 2014 Apr 1;46(4):753-756.
  • [9] Liebensteiner M.C., Szubski C., Raschner C., Krismer M., Burtscher M., Platzer HP., Deibl M., Dirnberger E. Frontal plane leg alignment and muscular activity during maximum eccentric contractions in individuals with and without patellofemoral pain syndrome. Knee 2008; 15: 180–186.
  • [10] Li G., DeFrate L.E., Zayontz S., Park S.E., Gill T.J. The effect of tibiofemoral joint kinematics on patellofemoral contact pressures under simulated muscle loads Journal of Orthopaedic Research 2004; 22 (4): 801-806.
  • [11] Kumagai M, Mizuno Y, Mattessich SM, Elias JJ, Cosgarea AJ, Chao AJ. Posterior Cruciate Ligament Rupture Alters in Vitro Knee Kinematics Clin Orthop Relat Res 2002; 395:241-248.
  • [12] Elias JJ, Kirkpatrick MS, Saranathan A, Mani S, Smith LG, Tanaka MJ. Hamstrings loading contributes to lateral patellofemoral malalignment and elevated cartilage pressures: an in vitro study. Clin Biomech (Bristol, Avon) 2011; 26(8):841-846.
  • [13] Si-hyun Kim, Oh-yun Kwon, Kyue-nam Park, Sung-dae Choung. Correlation between the Angle of Lateral Tibial Rotation and the Ratio of Medial and Lateral Hamstring Muscle Activities during Standing Knee Flexion J. Phys. Ther. Sci. 2013; 25 (4): 383-386.
  • [14] Powers CM, Ward SR, Chan LD, Chen YJ, Terk MR. The effect of bracing on patella alignment and patellofemoral joint contact area Med Sci Sports Exerc. 2004; 36:1226-1232.
  • [15] Souza, R.B. Powers C.M. Predictors of Hip Internal Rotation During Running – An Evaluation of Hip Strength and Femoral Structure in Women with and without Patellofemoral Pain Am J Sports Med 2009; 37(3): 579-587.
  • [16] Woodland L.H., Francis R.S., Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions Am J Sports Med 1992; 20(2):208-211.
  • [17] Kuru T, Dereli EE, Yaliman A, Validity of the Turkish version of the Kujala patellofemoral score in patellofemoral pain syndrome Acta Orthop Traumatol Turc 2010; 44(2),152-156. [18] Davis R, Ounpuu S, Tyburski D, Gage J. A gait analysis data collection and reduction technique. Hum Movement Sci 1991; 10:575 – 587.
  • [19] Cowan S.M, Bennell K.L., Hodges P.W, Mc Connel J. The testretest reliability of the onset of concentric and eccentric vastus medialis obliquus and vastus lateralis electromyographic activity in a stair stepping task. Physical Therapy in Sport 2010; 1: 129-136.
  • [20] Hodges P W, Bui B H 1996 A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography Electroencephalography and Clinical Neurophysiology 1996; 101: 511-519.
  • [21] Stewart C, Jonkers I, Roberts A. Estimation of hamstring length at initial contact based on kinematic gait data. Gait Posture. 2004; 20(1):61-6.
  • [22] Barton CJ, Levinger P, Menz HB, Webster K. Kinematic gait characteristics associated with patellofemoral pain syndrome: a systematic review Gait&Posture 2009; 30(4): 405-416.
  • [23] Powers CM, Heino JG, Rao S, Perry J. The influence of patellofemoral pain on lower limb loading during gait. Clin Biomech 1999; 14:722–728.
  • [24] Crossley K, Bennell K.L., Cowan S., Green S., Analysis of Outcome Measures for Persons with Patellofemoral Pain: Which are Reliable and Valid? Arch Physical Medicine and Rehabilitation 2004; 85:815-822 .
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Dilber Karagözoğlu Coşkunsu 0000-0002-4511-6950

Filiz Can 0000-0003-0641-9956

Shavkat Kuchımov This is me 0000-0003-1481-8447

N. Ekin Akalan 0000-0003-1481-8447

Önder Kılıçoğlu 0000-0003-0023-7094

Necla Öztürk This is me 0000-0002-6546-2914

Publication Date March 30, 2022
Submission Date April 20, 2021
Published in Issue Year 2022 Volume: 12 Issue: 1

Cite

APA Karagözoğlu Coşkunsu, D., Can, F., Kuchımov, S., Akalan, N. E., et al. (2022). Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study. Clinical and Experimental Health Sciences, 12(1), 192-197. https://doi.org/10.33808/clinexphealthsci.923264
AMA Karagözoğlu Coşkunsu D, Can F, Kuchımov S, Akalan NE, Kılıçoğlu Ö, Öztürk N. Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study. Clinical and Experimental Health Sciences. March 2022;12(1):192-197. doi:10.33808/clinexphealthsci.923264
Chicago Karagözoğlu Coşkunsu, Dilber, Filiz Can, Shavkat Kuchımov, N. Ekin Akalan, Önder Kılıçoğlu, and Necla Öztürk. “Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study”. Clinical and Experimental Health Sciences 12, no. 1 (March 2022): 192-97. https://doi.org/10.33808/clinexphealthsci.923264.
EndNote Karagözoğlu Coşkunsu D, Can F, Kuchımov S, Akalan NE, Kılıçoğlu Ö, Öztürk N (March 1, 2022) Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study. Clinical and Experimental Health Sciences 12 1 192–197.
IEEE D. Karagözoğlu Coşkunsu, F. Can, S. Kuchımov, N. E. Akalan, Ö. Kılıçoğlu, and N. Öztürk, “Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study”, Clinical and Experimental Health Sciences, vol. 12, no. 1, pp. 192–197, 2022, doi: 10.33808/clinexphealthsci.923264.
ISNAD Karagözoğlu Coşkunsu, Dilber et al. “Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study”. Clinical and Experimental Health Sciences 12/1 (March 2022), 192-197. https://doi.org/10.33808/clinexphealthsci.923264.
JAMA Karagözoğlu Coşkunsu D, Can F, Kuchımov S, Akalan NE, Kılıçoğlu Ö, Öztürk N. Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study. Clinical and Experimental Health Sciences. 2022;12:192–197.
MLA Karagözoğlu Coşkunsu, Dilber et al. “Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study”. Clinical and Experimental Health Sciences, vol. 12, no. 1, 2022, pp. 192-7, doi:10.33808/clinexphealthsci.923264.
Vancouver Karagözoğlu Coşkunsu D, Can F, Kuchımov S, Akalan NE, Kılıçoğlu Ö, Öztürk N. Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: A Preliminary Study. Clinical and Experimental Health Sciences. 2022;12(1):192-7.

Cited By

A fused biometrics information graph convolutional neural network for effective classification of patellofemoral pain syndrome
Frontiers in Neuroscience
https://doi.org/10.3389/fnins.2022.976249
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