Research Article

The Effect of Corrective Feedback Exercise on Knee Kinematics and EMG of Lower Limbs of Female Wushu Players

Abstract

Introduction: Recent studies have examined the risk factors associated with lower limb injuries. This study aimed to explore the effect of 12 sessions of feedback corrective exercises on the kinematic indicators of the knee and the Electromyography Activity (EMG) of the muscles of the lower limbs of female wushu players. The present study has a quasi-experimental design with a pre-test/post-test design and a control group.
Materials and Methods: In this study, 16 female wushu players were selected by the available sampling method and placed in two groups of exercise and control. The exercise group performed feedback correction exercises for 12 sessions. Before and after the knee varus exercises, we measured, pelvic drop, and EMG of the lower limb muscles of both groups in the SLS movement. The independent two-sample t-test was used to examine intergroup differences and the two-group correlated t-test was used to compare intra group sizes. To analyze the statistical data, SPSS V. 23 was used (P≤0.05)
Results: The results showed a significant difference in knee varus between the experiment group and the control group in the pre-test and there was a significant difference between the pelvic drop in the pre-test and post-test of the experiment group compared with the control. The angle of the knee varus in the exercise group showed a significant difference with the control group. The EMG results of the muscles in the pre-test and post-test were significantly different.
Conclusion: Based on the findings of the present study, the feedback correction exercise may improve motion control in wushu players. It also improved neuromuscular weakness in the subjects. According to the results and based on less muscle activity during movements, this exercise will reduce fatigue and the risk of injury.

Twomey D, McIntosh AS, Simon J, Lowe K, Wolf SI. Kinematic differences between normal and low arched feet in children using the Heidelberg foot measurement method. Gait & Posture. 2010; 32(1), 1-5. [DOI:10.1016/j.gaitpost.2010.01.021] [PMID]

Winter DA. Biomechanics and motor control of human movement. Hoboken, New Jersey: John Wiley & Sons; 2009 [DOI:10.1002/9780470549148]

Lewek MD, Rudolph KS, Snyder-Mackler L. Control of frontal plane knee laxity during gait in patients with medial compartment knee osteoarthritis. Osteoarthritis and Cartilage. 2004; 12(9):745-51. [DOI:10.1016/j.joca.2004.05.005] [PMID] [PMCID]

Brouwer GM, van Tol AW, Bergink A, Belo JN, Bernsen RMD, Reijman M, et al. The association between varus alignment and the onset and progression of osteoarthritis of the knee. Arthritis & Rheumatology. 2007; 56(4):1204-1211. [DOI:10.1002/art.22515] [PMID]

Gstöttner M, Neher A, Scholtz A, Millonig M, Lembert S, Raschner C. Balance ability and muscle response of the preferred and nonpreferred leg in soccer players. Motor Control. 2009; 13(2):218-31. [DOI:10.1123/mcj.13.2.218] [PMID]

Brouwer GM, van Tol AW, Bergink A, Belo JN, Bernsen RMD, Reijman M, et al. The association between varus alignment and the onset and progression of osteoarthritis of the knee. Arthritis & Rheumatology. 2007; 56(4):1204-1211. [DOI:10.1002/art.22515] [PMID]

Winby CR, Gerus P, Kirk TB, Lloyd DG. Correlation between EMG-based co-activation measures and medial and lateral compartment loads of the knee during gait. Clinical Biomechanics. 2013; 28(9-10):1014. [DOI:10.1016/j.clinbiomech.2013.09.006] [PMID]

Brown TN, McLean SG, Palmieri-Smith RM. Associations between lower limb muscle activation strategies and resultant multiplanar knee kinetics during single leg landings. Journal of Science and Medicine in Sport. 2014; 17(4):408-13. [DOI:10.1016/j.jsams.2013.05.010] [PMID]

Willy RW, Scholz JP, Davis IS. Mirror gait retraining for the treatment of patellofemoral pain in female runners. Clinical Biomechanics. 2012; 27(10):1045-51. [DOI:10.1016/j.clinbiomech.2012.07.011] [PMID] [PMCID]

Alizadeh MH, Gheytasi M. [Fandamental concept of corrective exercise (Persian)]. Tehran. Institute of Physical Education and Sports Science; 2012.

Suzuki Y, Michiyoshi AE, Takenaka S, Fuji N. Compar ison of suppor t leg kinetics between sidestep and cross-step cutting techniques. Sports Biomechanics. 2014; 13(2):144-53. [DOI:10.1080/14763141.2014.910264] [PMID]

Havens KL, Sigward SM. Joint and segmental mechanics differ between cutting maneuvers in skilled athletes. Gait & Posture. 2015; 41(1):33-8. [DOI:10.1016/j.gaitpost.2014.08.005] [PMID]

Kim D, Hong J. Hamstring to quadriceps strength ratio and noncontact leg injuries: A prospective study during one season. Isokinetics and Exercise Science. 2011; 19(1):1-6.[DOI:10.3233/IES-2011-0406]

Diracoglu D, Aydin R, Baskent A, Celik A. Effects of kinesthesia and balance exercises in knee osteoarthritis. JCR: Journal of Clinical Rheumatology. 2005; 11(6):303-10.[DOI:10.1097/01.rhu.0000191213.37853.3d] [PMID]

Cronstein BN, Sunkureddi P. Mechanistic aspects of inflammation and clinical management of inflammation in acute gouty arthritis. Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases. 2013; 19(1):19. [DOI:10.1097/RHU.0b013e31827d8790] [PMID] [PMCID]

Havens KL, Sigward SM. Joint and segmental mechanics differ between cutting maneuvers in skilled athletes. Gait & Posture. 2015; 41(1):33-8. [DOI:10.1016/j.gaitpost.2014.08.005] [PMID]

Hollman JH, Galardi CM, Lin I, Voth BC, Whitmarsh CL. Frontal and transverse plane hip kinematics and gluteus maxim us recruitment correlate with frontal plane knee kinematics during single-leg squat-tests in women. Clinical Biomechanics. 2014; 29(4):468-74. [DOI:10.1016/j.clinbiomech.2013.12.017] [PMID]

Patrek MF, Thomas W. Kernozek, Willson JD, Wright GA, Doberstein ST. Hip-abductor fatigue and single-leg landing mechanics in women athletes. Journal of Athletic Training. 2011; 46(1):31-42. [DOI:10.4085/1062-6050-46.1.31] [PMID] [PMCID]

Sigward SM, Powers CM. The influence of gender on knee kinematics, kinetics and muscle activation patterns during side-step cutting. Clinical Biomechanics. 2006; 21(1):41-8. [DOI:10.1016/j.clinbiomech.2005.08.001] [PMID]

Zeller B, McCrory J, Kibler W. Differences in kinematics and electromyographic activity between men and women during the single-legged squat. The American Journal of Sports Medicine. 2003; 31(3):449-56. [DOI:10.1177/03635465030310032101] [PMID]

Dwyer MK. The role of the hip abductor myscle comblex in the function of the pathological hip joint. Lexington, Kentucky: University of Kentucky; 2009. https://uknowledge.uky.edu/cgi/viewcontent.cgi?

Rabiezadeh A, Mobini M, Khaleghi Tazaji M. [Comparison of lower extremity kinematics in healthy women with cross-legged knee anomalies while running on a treadmill (Persian)]. 4th Iranian National Congress of Sport Science and Physical Education; 2018 Apr 30. Tehran: Association for the Development and Promotion of Fundamental Sciences and Technologies. https://elmnet.ir/article/20853563-19132

Jafarnezhadgero AA, Majlesi M, Etemadi H, Robertson DG. [Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial (Persian)]. Annals of Physical and Rehabilitation Medicine. 2018; 61(3):125-34. [DOI:10.1016/j.rehab.2018.01.007] [PMID]

Brocato CJ. Joint motions of the knee, hip, and trunk during a Single-Leg Step-Down Test and running. Western Washington University: WWU Graduate School Collection. 2018. https://cedar.wwu.edu/cgi/viewcontent.cgi?article=1768&context=wwuet

Pelletier A, Sanzo P, Kivi D, Zerpa C. The effect of patellar taping on lower extremity running kinematics in individuals with patellofemoral pain syndrome. Physiotherapy Theory and Practice. 2019; 35(8):764-72. [DOI:10.1080/09593985.2018.1457114] [PMID]

Rahmatian S, Mahjub M, Hanachi MR. [Position control of wrist and knee joints based on electromyographic signals (Persian)]. First International Conference on New Research Achievements in Electrical and Computer Engineering; 2016 May 12; Tehran: University of Applied Science and Technology. https://civilica.com/doc/497377/certificate/print/

Nyland J, Smith S, Beickman K, Armsey T, Caborn DN. Frontal plane knee le affects dynamic postural control strategy during angunilateral stance. Medicine and Science in Sports and Exercise. 2002; 34(7):1150-7. [DOI:10.1097/00005768-200207000-00016] [PMID]

Shirvanipour S, Sadeghi H. [The Comparison of center of pressure to center of mass during sideward cutting manoeuvre among the male elites of karatecas with and without genu varum (Persian)]. Journal of Paramedical Sciences & Rehabilitation. 2016; 5(4):43-9. http://eprints.mums.ac.ir/id/eprint/5739

Samaei A, Bakhtiary A, Elham F, Rezasoltani A. Effects of genu varum deformity on postural stability. International Journal of Sports Medicine. 2012; 33(06):469-73. http://eprints.semums.ac.ir/526/1/b3fa213c-3f0d-484a-af64-b69ca8dd5de3.pdf

Hébert-Losier, K., Yin, N. S., Beaven, C. M., Tee, C. C. L., & Richards, J. Physiological, kinematic, and electromyographic responses to kinesiology-type patella tape in elite cyclists. Journal of Electromyography and Kinesiology. 2019; 44, 36-45. https://doi.org/10.1016/j.jelekin.2018.11.009

Yalfani A, Reisi Z. [The effect of different landing conditions on the electromyographic activity of the selected muscles of the lower limb before and after fatigue in female athletes (Persian)]. Journal of sports Medicine of the eighth year of autumn and 2016, 8(2):159-74. https://jsmed.ut.ac.ir/article_61460.html

Dashti Rostami K, Mohammadi F. [The relationship between the electromyographic activity of the muscles around the knee and the maximum reaction forces of the earth during the movement of the single-leg landing (Persian)]. Journal of Rehabilitation Medicine. 2019; 8(3):90-9 [DOI:10.22037/JRM.2019.111308.1902]

Files
IssueVol 14 No 4 (2020) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/jmr.v14i4.7721
Keywords
Feedback correction exercises Knee kinematics Knee varus EMG

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Rashidi F, Daneshjoo A, Mousavi Sadati SK. The Effect of Corrective Feedback Exercise on Knee Kinematics and EMG of Lower Limbs of Female Wushu Players. jmr. 2020;14(4):233-244.