The Effect of Exhaustive Protocol on Knee Muscle Co-contraction in Healthy People and with a Pronated Foot during Running

Document Type : Original Research

Authors

Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background and Aim: Fatigue and abnormalities in the lower extremities, such as the pronated foot, can adversely affect the biomechanics of human movements such as running, leading to a lack of muscle contraction and unstable symptoms in the joints of the lower extremities (knees). Therefore, the main purpose of this study was to investigate the effect of exhaustive protocol on knee muscle co-contraction in pronated and healthy individuals while running.
Methods: Fourteen young men with pronated feet and 14 healthy feet participated in the study. Electromyography activities of the selected muscles before and after fatigue protocol were recorded. The statistical analysis was performed using the SPSS software and repeated measures analysis of variance (ANOVA) (P ≤0.05).
Results: Findings in the pronated foot compared with the healthy foot group showed that the knee general co-contraction during the mid-stance phase (P = 0.026, d = 0.81) and swing (P = 0.046, d = 0.81) and Vastuslateralis/vastusmedialis directed co-contraction of the knee was significantly lower during the heel contact phase (P = 0.049, d = 0.81). Flexural/extensor directed co-contraction in comparison of pretest to posttest during heel propulsion phase in both groups of pronated foot (P = 0.037, d = 0.81) and healthy foot (P = 0.037, 0.81 = d) decreased significantly. The other components did not show any significant differences.
Conclusion: The co-contraction of the examined muscles in the knee joint has decreased in pronated foot in different stages of stance compared to the healthy foot group. This may be due to the over-activity of a group of muscles to overcome the instability of the knee and to prevent the extra movements of this joint when fatigue occurs, and it is also possible that this over-activity of a group of muscles has affected the running mechanics of individual with pronated foot and at different stages of the running cycle caused additional pressure on the knee joint and the musculoskeletal system in the knee joint loses its ability to properly absorb shock when running, increasing joint looseness and the risk of joint damage due to fatigue Increase.

Keywords


References 1. Van Mechelen W. Running injuries. Sports medicine. 1992;14(5):320-35. 2. Brown AM, Zifchock RA, Hillstrom HJ. The effects of limb dominance and fatigue on running biomechanics. Gait & posture. 2014;39(3):915-9. 3. Radzak KN, Putnam AM, Tamura K, Hetzler RK, Stickley CD. Asymmetry between lower limbs during rested and fatigued state running gait in healthy individuals. Gait & posture. 2017;51:268-74. 4. Gerlach KE, White SC, Burton HW, Dorn JM, Leddy JJ, Horvath PJ. Kinetic changes with fatigue and relationship to injury in female runners. Medicine and science in sports and exercise. 2005;37(4):657-63. 5. Derrick TR, Dereu D, McLean SP. Impacts and kinematic adjustments during an exhaustive run. Medicine & Science in Sports & Exercise. 2002;34(6):998-1002. 6. Walsh M, Peper A, Bierbaum S, Karamanidis K, Arampatzis A. Effects of submaximal fatiguing contractions on the components of dynamic stability control after forward falls. Journal of Electromyography and Kinesiology. 2011;21(2):270-5. 7. Derrick TR. The effects of knee contact angle on impact forces and accelerations. Medicine and science in sports and exercise. 2004;36(5):832. 8. Ghasemi C, Jafari H, Jamshidi A. Temporal stability of torque parameters and induced perception following muscle fatigue. Journal of Modern Rehabilitation. 2010;4(3):6-11. 9. Naderi A, Baloochi R, Rostami KD, Fourchet F, Degens H. Obesity and foot muscle strength are associated with high dynamic plantar pressure during running. The Foot. 2020:101683. 10. Sasimontonkul S, Bay BK, Pavol MJ. Bone contact forces on the distal tibia during the stance phase of running. Journal of biomechanics. 2007;40(15):3503-9. 11. HÄkkinen K, Komi PV. Effects of fatigue and recovery on electromyographic and isometric force-and relaxation-time characteristics of human skeletal muscle. European journal of applied physiology and occupational physiology. 1986;55(6):588-96. 12. Abt JP, Sell TC, Chu Y, Lovalekar M, Burdett RG, Lephart SM. Running kinematics and shock absorption do not change after brief exhaustive running. The Journal of Strength & Conditioning Research. 2011;25(6):1479-85. 13. Abboud R. (i) Relevant foot biomechanics. Current Orthopaedics. 2002;16(3):165-79. 14. Shojaedin S, Khaleghi Tazji M, Sadeghi H, Abasi A. Dynamic stability of the abnormality in the foot rotated in and out in motion of the jump–landing. J Motor Sciences and Sport. 2008;6(11):28-13. 15. Tweed JL, Campbell JA, Avil SJ. Biomechanical risk factors in the development of medial tibial stress syndrome in distance runners. Journal of the American Podiatric Medical Association. 2008;98(6):436-44. 16. Ilahi OA, Kohl III HW. Lower extremity morphology and alignment and risk of overuse injury. Clinical Journal of Sport Medicine. 1998;8(1):38-42. 17. Milgrom C, Radeva-Petrova DR, Finestone A, Nyska M, Mendelson S, Benjuya N, et al. The effect of muscle fatigue on in vivo tibial strains. Journal of biomechanics. 2007;40(4):845-50. 18. Williams Iii DS, McClay IS, Hamill J. Arch structure and injury patterns in runners. Clinical biomechanics. 2001;16(4):341-7. 19. Armstrong R. Initial events in exercise-induced muscular injury. Medicine and science in sports and exercise. 1990;22(4):429-35. 20. Jafarnezhadgero A, Sorkhe E, Meamarbashi A. Efficacy of motion control shoes for reducing the frequency response of ground reaction forces in fatigued runners. Journal of Advanced Sport Technology. 2019;2(1):8-21. 21. Anbarian M, Esmailie H, Hosseini Nejad S, Rabiei M, Binabaji H. Comparison of knee joint muscles activity in subjects with genu varum and the controls during walking and running. J Res Rehabil Sci. 2012;8(2):298-309. 22. ESMAEILI H, ANBARIAN M, HAJILOO B, SANJARI MA. The immediate effect of foot insole on electromyography activity and co-contraction of leg muscles in individuals with flat feet. 2013. 23. Wang L-J, Yu X-M, Shao Q-N, Wang C, Yang H, Huang S-J, et al. Muscle Fatigue Enhance Beta Band EMG-EMG Coupling of Antagonistic Muscles in Patients With Post-stroke Spasticity. Frontiers in Bioengineering and Biotechnology. 2020;8:1007. 24. Rabiei M, Jafarnejhad-Gre T, Binabaji H, Hosseininejad SE, Anbarian M. Assessment of postural response after sudden perturbation in subjects with genu valgum. Journal of Shahrekord Uuniversity of Medical Sciences. 2012;14. 25. Hajiloo B, Anbarian M, Jalalvand A, Mirzapour M. The effect of fatigue on electromyography activity pattern and co-contraction of lower limb muscle during running. Razi Journal of Medical Sciences. 2018;25(166). 26. Anbarian M, Sepehrian M, Nazem F, Hajiloo B. The Effect of Pedaling and Fatigue on Changes of Knee Muscles Co-contraction During Running in Triathletes. Journal of Sport Biomechanics. 2015;1(1):5-13. 27. Bazuelo-Ruiz B, Medina E, Lopez J, Llana-Belloch S, Dura-Gil J. The effect of fatigue on knee range of motion during stance phase in recreational runners. Gait & Post. 2016;86. 28. Tsai L-C, Yu B, Mercer VS, Gross MT. Comparison of different structural foot types for measures of standing postural control. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(12):942-53. 29. Khodaveysi H. The Effect of foot Abnormalities on Dynamic Balance in Adolescent Girls. Research in Sport Sciences. 2009:99-112. 30. Musavi S. The effect of lower extremity muscle fatigue on balance in young elite athletes. Journal of Rehabilitation, Faculty of Rehabilitation, University of Medical Sciences Tehran. 2013;7(2):1-7. 31. Ghasemi G, Arghavani H, Hajirezayi P, Esfahan I. Effect of Functional Fatigue Protocol on Postural Control and Balance in People with Different Foot Arches. 32. Hofmann P, Peinhaupt G, Leitner H, Pokan R, editors. Evaluation of heart rate threshold by means of lactate steady state and endurance tests in white water kayakers. The Way To Win Proceedings of the International Congress on Applied Research in Sports held in Helsinki, Finland, on; 1994. 33. Heuberger JA, Gal P, Stuurman FE, de Muinck Keizer WA, Mejia Miranda Y, Cohen AF. Repeatability and predictive value of lactate threshold concepts in endurance sports. PloS one. 2018;13(11):e0206846. 34. Ignjatović A, Hofmann P, Radovanović D. Non-invasive determination of the anaerobic threshold based on the heart rate deflection point. Facta universitatis-series: physical education and sport. 2008;6(1):1-10. 35. Murley GS, Menz HB, Landorf KB. A protocol for classifying normal-and flat-arched foot posture for research studies using clinical and radiographic measurements. Journal of foot and ankle research. 2009;2(1):22. 36. Costa RR, Reichert T, Barroso BM, Rocha VdMBd, Preissler AAB, Santiago É, et al. Heart rate deflection point as an alternative to determining the anaerobic threshold in dyslipidaemic patients. Motriz: Revista de Educação Física. 2019;25(1). 37. Leddy JJ, Baker JG, Kozlowski K, Bisson L, Willer B. Reliability of a graded exercise test for assessing recovery from concussion. Clinical Journal of Sport Medicine. 2011;21(2):89-94. 38. Koblbauer IF, van Schooten KS, Verhagen EA, van Dieën JH. Kinematic changes during running-induced fatigue and relations with core endurance in novice runners. Journal of Science and Medicine in Sport. 2014;17(4):419-24. 39. Farahpour N, Jafarnezhadgero A, Allard P, Majlesi M. Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain. Journal of Electromyography and Kinesiology. 2018;39:35-41. 40. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of electromyography and Kinesiology. 2000;10(5):361-74. 41. Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clinical biomechanics. 2009;24(10):833-41. 42. Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research. 2009;2(1):1-9. 43. Cohen J. Statistical Power Analysis for the Behavioral Sciences–Second Edition. 12 Lawrence Erlbaum Associates Inc. Hillsdale, New Jersey. 1988;13. 44. Fouladi R, Rajabi R, Minoonejad H, Eslami M, Babolsar I. Hamstring Injury as a Preview of Athletic Biomechanical Knee Injuries: A. 45. Conconi F, Ferrari M, Ziglio PG, Droghetti P, Codeca L. Determination of the anaerobic threshold by a noninvasive field test in runners. Journal of Applied Physiology. 1982;52(4):869-73. 46. Gaisl G, Wiesspeiner G. A noninvasive method of determining the anaerobic threshold in children. International journal of sports medicine. 1988;9(01):41-4. 47. Hofmann P, Pokan R, Preidler K, Leitner H, Szolar D, Eber B, et al. Relationship between heart rate threshold, lactate turn point and myocardial function. International journal of sports medicine. 1994;15(05):232-7. 48. Mizrahi J, Verbitsky O, Isakov E, Daily D. Effect of fatigue on leg kinematics and impact acceleration in long distance running. Human movement science. 2000;19(2):139-51. 49. Serpell BG, Scarvell JM, Ball NB, Smith PN. Mechanisms and risk factors for noncontact ACL injury in age mature athletes who engage in field or court sports: a summary of the literature since 1980. The Journal of Strength & Conditioning Research. 2012;26(11):3160-76. 50. Wojtys EM, Ashton-Miller JA, Huston LJ. A gender-related difference in the contribution of the knee musculature to sagittal-plane shear stiffness in subjects with similar knee laxity. JBJS. 2002;84(1):10-6. 51. Lockhart TE, Woldstad JC, Smith JL. Effects of age-related gait changes on the biomechanics of slips and falls. Ergonomics. 2003;46(12):1136-60. 52. Kyröläinen H, Avela J, Komi PV. Changes in muscle activity with increasing running speed. Journal of sports sciences. 2005;23(10):1101-9. 53. Abe D, Muraki S, Yanagawa K, Fukuoka Y, Niihata S. Changes in EMG characteristics and metabolic energy cost during 90-min prolonged running. Gait & Posture. 2007;26(4):607-10. 54. Seegmiller JG, McCaw ST. Ground reaction forces among gymnasts and recreational athletes in drop landings. Journal of athletic training. 2003;38(4):311. 55. Shultz SJ, Perrin DH, Adams MJ, Arnold BL, Gansneder BM, Granata KP. Neuromuscular response characteristics in men and women after knee perturbation in a single-leg, weight-bearing stance. Journal of Athletic Training. 2001;36(1):37. 56. Kim S, Lockhart T, Yoon H-Y. Relationship between age-related gait adaptations and required coefficient of friction. Safety science. 2005;43(7):425-36. 57. Oliveira AdSC, Caputo F, Gonçalves M, Denadai BS. Heavy-intensity aerobic exercise affects the isokinetic torque and functional but not conventional hamstrings: quadriceps ratios. Journal of Electromyography and Kinesiology. 2009;19(6):1079-84. 58. Anbarian M, Hajiloo B, Sepehrian M, Sadeghi S, Esmaeili H. The effect of quadriceps fatigue onco-activation of knee muscles during walking. JSMJ; 2015. 59. Oatis C. Characteristics of normal gait and factors influencing it. Kinesiology: the mechanics and pathomechanics of human movement Oatis, CA editor Lippincott Williams & Wilkins, Philadelphia: PA. 2004:867-77. 60. Pal S, Besier TF, Draper CE, Fredericson M, Gold GE, Beaupre GS, et al. Patellar tilt correlates with vastus lateralis: vastus medialis activation ratio in maltracking patellofemoral pain patients. Journal of Orthopaedic Research. 2012;30(6):927-33. 61. Waryasz GR, McDermott AY. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dynamic medicine. 2008;7(1):9. 62. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91.