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KMID : 0608320160230040009
Physical Therapy Korea
2016 Volume.23 No. 4 p.9 ~ p.15
Comparison of the Electromyographic Changes in the Vastus Medialis Oblique and Vastus Lateralis Muscles According to the Knee Joint Angle During Squat Exercise Using a Gym Ball
Jeong Hee-Won

Chon Seung-Chul
Abstract
Background: Squatting is one of the best functional exercises to strengthen the quadriceps muscle in independent gait and activities of daily living. Although the use of a gym ball during squat exercise is the most common way of strengthening the vastus medialis oblique (VMO) muscle, published data on this subject are limited.

Objects: The purpose of this study was to compare the sequential muscle activation of the VMO and vastus lateralis (VL) muscles during squat exercise using a gym ball at different knee flexion angles.

Methods: Forty healthy adults were randomly divided into experimental (squat exercise using a gym ball) and control (squat exercise alone) groups, in which squats were performed at 45¡Æ and 90¡Æ knee flexion. Electromyographic (EMG) activity data were collected over 10 seconds under the 2 angles of knee flexion (45¡Æ and 90¡Æ).

Results: There was significant group and time interaction effect for VMO and VL muscle activation at 45¡Æ knee flexion. This was similarly demonstrated at 90¡Æ knee flexion. No significant group main effect and time main effect for VMO and VL muscle activation were noted at 45¡Æ knee flexion, respectively. In contrast, there was significant group main effect and time main effect for VMO and VL muscle activation at 90¡Æ knee flexion. These significant differences were demonstrated through two-way analysis of variance over repeated measurements, suggesting that the EMG activity of the VMO muscle during squatting with a gym ball showed remarkable improvement compared to that of the VL muscle.

Conclusion: This research suggests that squat exercise using a gym ball may be more beneficial in improving the activity of VMO than of the VL muscle at both 45¡Æ and 90¡Æ of knee flexion, respectively. We highly recommend squat exercises with a gym ball for selective strengthening of the VMO muscle in knee rehabilitation.
KEYWORD
Electromyography, Gym ball, Squat exercise, Vastus lateralis, Vastus medialis oblique
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