Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing

Purpose: Genu varum deformity changes the line of gravity from center of knee towards the medial side. This deviation results in changes in the upper part of the lower extremity that can affect postural control as well as the position and activity of the proximal muscles of the knee joint, like the...

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Main Authors: Yosef Mongashti Joni, Faraj Fatahi, Narmin Ghanizadeh Hasar, Eskandar Hosseinpour
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2017-07-01
Series:Physical Treatments
Subjects:
Online Access:http://ptj.uswr.ac.ir/article-1-319-en.html
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author Yosef Mongashti Joni
Faraj Fatahi
Narmin Ghanizadeh Hasar
Eskandar Hosseinpour
author_facet Yosef Mongashti Joni
Faraj Fatahi
Narmin Ghanizadeh Hasar
Eskandar Hosseinpour
author_sort Yosef Mongashti Joni
collection DOAJ
description Purpose: Genu varum deformity changes the line of gravity from center of knee towards the medial side. This deviation results in changes in the upper part of the lower extremity that can affect postural control as well as the position and activity of the proximal muscles of the knee joint, like the gluteus medius muscle. Therefore this study aims to investigate the effect of genu varum disorder on the activity of gluteus medius muscle and postural control during single-leg jump-landing exercise. Methods: A total of 28 male students of Physical Education Major (Mean [SD] age, weight, and height: 21.53[1.65] y, 66.76[7.51] kg, and 173.38[4.54] cm, respectively) were enrolled and studied in two groups of genu varum (14 students) and normal ones (14 students). The activity level of gluteus medius muscle and the ground reaction force were measured using electromyography device and force plate, respectively in single-leg jump-landing exercise. In order to analyze the data, we used the Independent t test at significance level of P<0.05. Participants were asked to perform the single-leg jump-landing exercise with 50% of maximum vertical jump and land on the force plate using one leg. The RMS of gluteus medius muscle was measured using MATLAB software. Results: There is a significant difference between the genu varum and normal group in terms of mean activity of gluteus medius muscle before and after the landing. There were significant difference between these groups with regard to time to stabilization in anterior-posterior direction, while significantly higher time to stabilization was found in the genu varum group compared to the normal groups in medial-lateral and overall direction. The time to stabilization of the subjects in the directions of medial-laterallateral and anterior-posterior and total Resultant Vector (RV) using the force plate in the jump-landing movement was evaluated. There was no significant difference in the time to stabilization between the two groups of the knee parenthesis and the normal knee in the anterior-posterior direction (P>0.05), but the time to stabilization in the medial-lateral and in resultant vector direction in the genu varum group was significantly more than those in normal knee group (P<0.05). Conclusion: Participants with genu varum have weakness in postural stability in medial-lateral and total RV direction that might decrease the activity of gluteus medius muscle. This might increase the demand on the muscle for stabilizing hip and pelvis which decreases control of transverse and frontal part of hip and finally affects postural stability in medial-lateral direction (may be due to inappropriate activity of the hip). Thus, improvement of gluteus medius muscle might improve medial-lateral control of the posture in individuals with genu varum.
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spelling doaj.art-29b268fc748c419aa64800fe1fd0d2812022-12-22T01:57:50ZengNegah Institute for Scientific CommunicationPhysical Treatments2423-58302017-07-01727988Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-LandingYosef Mongashti Joni0Faraj Fatahi1Narmin Ghanizadeh Hasar2Eskandar Hosseinpour3 Department of Sport Management, Faculty of Sport Sciences, Urmia University, Urmia, Iran. Department of Sport Injuries and Corrective Exercises, Faculty of Physical Education, University of Isfahan, Isfahan, Iran. Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Urmia University, Urmia, Iran. Department of Sport Management, Faculty of Physical Education and Sports Sciences, University of Tehran, Tehran, Iran. Purpose: Genu varum deformity changes the line of gravity from center of knee towards the medial side. This deviation results in changes in the upper part of the lower extremity that can affect postural control as well as the position and activity of the proximal muscles of the knee joint, like the gluteus medius muscle. Therefore this study aims to investigate the effect of genu varum disorder on the activity of gluteus medius muscle and postural control during single-leg jump-landing exercise. Methods: A total of 28 male students of Physical Education Major (Mean [SD] age, weight, and height: 21.53[1.65] y, 66.76[7.51] kg, and 173.38[4.54] cm, respectively) were enrolled and studied in two groups of genu varum (14 students) and normal ones (14 students). The activity level of gluteus medius muscle and the ground reaction force were measured using electromyography device and force plate, respectively in single-leg jump-landing exercise. In order to analyze the data, we used the Independent t test at significance level of P<0.05. Participants were asked to perform the single-leg jump-landing exercise with 50% of maximum vertical jump and land on the force plate using one leg. The RMS of gluteus medius muscle was measured using MATLAB software. Results: There is a significant difference between the genu varum and normal group in terms of mean activity of gluteus medius muscle before and after the landing. There were significant difference between these groups with regard to time to stabilization in anterior-posterior direction, while significantly higher time to stabilization was found in the genu varum group compared to the normal groups in medial-lateral and overall direction. The time to stabilization of the subjects in the directions of medial-laterallateral and anterior-posterior and total Resultant Vector (RV) using the force plate in the jump-landing movement was evaluated. There was no significant difference in the time to stabilization between the two groups of the knee parenthesis and the normal knee in the anterior-posterior direction (P>0.05), but the time to stabilization in the medial-lateral and in resultant vector direction in the genu varum group was significantly more than those in normal knee group (P<0.05). Conclusion: Participants with genu varum have weakness in postural stability in medial-lateral and total RV direction that might decrease the activity of gluteus medius muscle. This might increase the demand on the muscle for stabilizing hip and pelvis which decreases control of transverse and frontal part of hip and finally affects postural stability in medial-lateral direction (may be due to inappropriate activity of the hip). Thus, improvement of gluteus medius muscle might improve medial-lateral control of the posture in individuals with genu varum.http://ptj.uswr.ac.ir/article-1-319-en.htmlgenu varum deformitygluteus medius muscleelectromyographyposturejump-landing
spellingShingle Yosef Mongashti Joni
Faraj Fatahi
Narmin Ghanizadeh Hasar
Eskandar Hosseinpour
Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing
Physical Treatments
genu varum deformity
gluteus medius muscle
electromyography
posture
jump-landing
title Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing
title_full Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing
title_fullStr Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing
title_full_unstemmed Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing
title_short Effect of Genu Varum Deformity on Gluteus Medius Muscle Activity and Postural Control During Single-Leg Jump-Landing
title_sort effect of genu varum deformity on gluteus medius muscle activity and postural control during single leg jump landing
topic genu varum deformity
gluteus medius muscle
electromyography
posture
jump-landing
url http://ptj.uswr.ac.ir/article-1-319-en.html
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