Abstract
The use of closed kinetic chain knee rehabilitation exercises has been advocated in recent years. The primary reason cited for employing closed kinetic chain exercises is that these exercises result in less anteroposterior (A/P) shear force at the knee joint, when compared with traditionally used open kinetic chain exercises. The purpose of this study was to determine the electromyographical (EMG) activity ratio of quadriceps to hamstrings occurring in the following exercises: unilateral one quarter squats, leg extensions (N-K Table), lateral step-ups, and movements on the Fitter (Fitter International, Inc), Stair-master 4000 (Randal Sports/Medical Products, Inc), and slideboard. Ten female student-athletes participated in this study. EMG surface electrodes were applied over the rectus femoris and biceps femoris muscles. The subjects completed three maximum isometric contractions for both muscle groups to obtain baseline EMG data. They then performed repetitions of each exercise. These movements were videotaped simultaneously with a stationary shuttered video camera operating at 30 Hz. A computer program was used to analyze the videotaped performances for knee joint range of motion (ROM). Three trials of data were averaged. Baseline EMG activity was used to determine percentage of maximum EMG activity for each exercise. There were significant differences (p.<01) among the exercises for the following dependent variables: ROM, maximum angle, percent of maximum contraction, time of contraction, and total EMG (EMG area under the curve). This study suggests that the five closed kinetic chain exercises studied result in minimal A/P shear forces at the knee joint.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Antich T. J., Brewster C. E. Modification of quadriceps femoris muscle exercises during knee rehabilitation. Phys Ther. 1986 Aug;66(8):1246–1251. doi: 10.1093/ptj/66.8.1246. [DOI] [PubMed] [Google Scholar]
- Brask B., Lueke R. H., Soderberg G. L. Electromyographic analysis of selected muscles during the lateral step-up exercise. Phys Ther. 1984 Mar;64(3):324–329. doi: 10.1093/ptj/64.3.324. [DOI] [PubMed] [Google Scholar]
- Butler D. L., Noyes F. R., Grood E. S. Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study. J Bone Joint Surg Am. 1980 Mar;62(2):259–270. [PubMed] [Google Scholar]
- Delitto A., Rose S. J., McKowen J. M., Lehman R. C., Thomas J. A., Shively R. A. Electrical stimulation versus voluntary exercise in strengthening thigh musculature after anterior cruciate ligament surgery. Phys Ther. 1988 May;68(5):660–663. doi: 10.1093/ptj/68.5.660. [DOI] [PubMed] [Google Scholar]
- Goslin B. R., Charteris J. Isokinetic dynamometry: normative data for clinical use in lower extremity (knee) cases. Scand J Rehabil Med. 1979;11(3):105–109. [PubMed] [Google Scholar]
- Grood E. S., Suntay W. J., Noyes F. R., Butler D. L. Biomechanics of the knee-extension exercise. Effect of cutting the anterior cruciate ligament. J Bone Joint Surg Am. 1984 Jun;66(5):725–734. [PubMed] [Google Scholar]
- Henning C. E., Lynch M. A., Glick K. R., Jr An in vivo strain gage study of elongation of the anterior cruciate ligament. Am J Sports Med. 1985 Jan-Feb;13(1):22–26. doi: 10.1177/036354658501300104. [DOI] [PubMed] [Google Scholar]
- Kannus P. Ratio of hamstring to quadriceps femoris muscles' strength in the anterior cruciate ligament insufficient knee. Relationship to long-term recovery. Phys Ther. 1988 Jun;68(6):961–965. doi: 10.1093/ptj/68.6.961. [DOI] [PubMed] [Google Scholar]
- Lutz G. E., Stuart M. J., Sim F. H., Scott S. G. Rehabilitative techniques for athletes after reconstruction of the anterior cruciate ligament. Mayo Clin Proc. 1990 Oct;65(10):1322–1329. doi: 10.1016/s0025-6196(12)62143-0. [DOI] [PubMed] [Google Scholar]
- Minkoff J., Sherman O. H. Considerations pursuant to the rehabilitation of the anterior cruciate injured knee. Exerc Sport Sci Rev. 1987;15:297–349. [PubMed] [Google Scholar]
- Morrison J. B. Function of the knee joint in various activities. Biomed Eng. 1969 Dec;4(12):573–580. [PubMed] [Google Scholar]
- Nisell R., Ericson M. O., Németh G., Ekholm J. Tibiofemoral joint forces during isokinetic knee extension. Am J Sports Med. 1989 Jan-Feb;17(1):49–54. doi: 10.1177/036354658901700108. [DOI] [PubMed] [Google Scholar]
- Paulos L., Noyes F. R., Grood E., Butler D. L. Knee rehabilitation after anterior cruciate ligament reconstruction and repair. Am J Sports Med. 1981 May-Jun;9(3):140–149. doi: 10.1177/036354658100900303. [DOI] [PubMed] [Google Scholar]
- Podesta L., Sherman M. F., Bonamo J. R., Reiter I. Rationale and protocol for postoperative anterior cruciate ligament rehabilitation. Clin Orthop Relat Res. 1990 Aug;(257):262–273. [PubMed] [Google Scholar]
- Shelbourne K. D., Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med. 1990 May-Jun;18(3):292–299. doi: 10.1177/036354659001800313. [DOI] [PubMed] [Google Scholar]
- Smidt G. L. Biomechanical analysis of knee flexion and extension. J Biomech. 1973 Jan;6(1):79–92. doi: 10.1016/0021-9290(73)90040-7. [DOI] [PubMed] [Google Scholar]
- Soderberg G. L., Minor S. D., Arnold K., Henry T., Chatterson J. K., Poppe D. R., Wall C. Electromyographic analysis of knee exercises in healthy subjects and in patients with knee pathologies. Phys Ther. 1987 Nov;67(11):1691–1696. doi: 10.1093/ptj/67.11.1691. [DOI] [PubMed] [Google Scholar]
- Solomonow M., Baratta R., Zhou B. H., Shoji H., Bose W., Beck C., D'Ambrosia R. The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability. Am J Sports Med. 1987 May-Jun;15(3):207–213. doi: 10.1177/036354658701500302. [DOI] [PubMed] [Google Scholar]
- Walla D. J., Albright J. P., McAuley E., Martin R. K., Eldridge V., El-Khoury G. Hamstring control and the unstable anterior cruciate ligament-deficient knee. Am J Sports Med. 1985 Jan-Feb;13(1):34–39. doi: 10.1177/036354658501300106. [DOI] [PubMed] [Google Scholar]