Electromyography evaluation of bodyweight exercise progression in a validated anterior cruciate ligament injury rehabilitation program: Cross-sectional study

Tidsskriftartikel - 2019

Resume

OBJECTIVES: Regaining muscle strength is essential for successful outcome after anterior cruciate ligament (ACL) injury, why progression of exercise intensity in ACL injury rehabilitation is important. Thus, this study evaluated hamstring and quadriceps muscle activity progression during bodyweight exercises used in a validated ACL injury rehabilitation program.

DESIGN: The study design involved single-occasion repeated measures in a randomized manner. Twenty healthy athletes (nine females) performed nine bodyweight exercises (three exercises per rehabilitation phase). Surface electromyography signals were recorded for hamstring (semitendinosus, biceps femoris) and quadriceps (vastus medialis, vastus lateralis) muscles, and normalized to isometric peak EMG (nEMG).

RESULTS: Hamstring muscle activity did not increase from one rehabilitation phase to the next, ranging between 8-45% nEMG for semitendinosus and 11-54% nEMG for biceps femoris. Only one exercise (Cook hip lift) exhibited hamstring muscle activities above 60% nEMG. By contrast, quadriceps muscle activity increased, and late phase exercises displayed high nEMG (vastus lateralis >60% and vastus medialis >90% nEMG).

CONCLUSION: The examined bodyweight exercises did not progress for hamstring muscle activity but successfully progressed for quadriceps muscles activity. This study highlights the need for consensus on exercise selection when targeting the hamstring muscles in the rehabilitation after ACL injury.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Reference

Zebis MK, Sørensen MH, Lauridsen HB, Bencke J, Andersen CH, Carlsbæk JB, Jespersen P, Kallehauge AH, Andersen LL. Electromyography evaluation of bodyweight exercise progression in a validated anterior cruciate ligament injury rehabilitation program: Cross-sectional study. American Journal of Physical Medicine and Rehabilitation 2019;98(11):998-1004.
doi: 10.1097/PHM.0000000000001232

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