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KMID : 0608320080150020054
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Physical Therapy Korea
2008 Volume.15 No. 2 p.54 ~ p.63
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Effects of Hip Internal Rotation on Knee Extensor and Hip Abductor Electromyographic Activity During Stair Up and Down
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Oh Jae-Seop
Kwon Oh-Yun
Yi Chung-Hwi
Jeon Hye-Seon
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Abstract
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The purpose of this study was to examine the effect of the hip internal rotation on knee extensor and hip abductor electromyographic (EMG) activity during stair up and stair down mobility. Eighteen healthy subjects were recruited. All subjects performed stair up and down movements on a step of 30㎝ height while maintaining the hip in neutral (condition 1) and hip in internal rotation (condition 2). Surface EMG activity was recorded from five muscles (gluteus maximus, vastus lateralis (VL), vastus medialis oblique (VMO), posterior gluteus medius (Gmed), and tensor fascia latae (TFU) and hip internal rotation angle was measured using a three dimensional motion analysis system The time period for stair up and down was normalized using the MatLab 6.5 program, and EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). The EMG activities according to the hip rotation (neutral or internal rotation) during the entire time period of stair up and down in each phase were compared using a paired t-test. During the entire period of stair up, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). During the entire period of stair down, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). However, the EMG activities of the other muscles were not significantly different between the conditions (p>.05). These results suggest that the stair up and down maintaining hip internal rotation was could be a contributing factor on patellar lateral tracking.
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KEYWORD
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Hip internal rotation, Patellofemoral pain syndrome, Stair up and down, Tensor fascia latae, Vastus lateralis, Vastus medialis oblique, EMG activity
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