Contribution of hip and knee muscles to lateral knee stability during gait

Kawada, Masayuki; Takeshita, Yasufumi; Miyazaki, Takasuke; Nakai, Yuki; Hata, Kunihiko; Nakatsuji, Shintaro; Kiyama, Ryoji

doi:10.1589/jpts.32.729

Cited by 6 publications

(1 citation statement)

References 31 publications

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“…While the amount of explained variance was moderate (mean R 2 = 0.55–0.75), this multivariate linear regression approach was not able to reliably correlate muscle fatigue and knee wobble for individual activities. This result is unsurprising as hip strength and knee instability are dependent on multiple muscles, which may fatigue at different rates and to different levels across activities and individuals 61 .…”

Section: Discussionmentioning

confidence: 99%

Effects of static exercises on hip muscle fatigue and knee wobble assessed by surface electromyography and inertial measurement unit data

Dyer,

Seeley,

Wheatley

2024

Sci Rep

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Hip muscle weakness can be a precursor to or a result of lower limb injuries. Assessment of hip muscle strength and muscle motor fatigue in the clinic is important for diagnosing and treating hip-related impairments. Muscle motor fatigue can be assessed with surface electromyography (sEMG), however sEMG requires specialized equipment and training. Inertial measurement units (IMUs) are wearable devices used to measure human motion, yet it remains unclear if they can be used as a low-cost alternative method to measure hip muscle fatigue. The goals of this work were to (1) identify which of five pre-selected exercises most consistently and effectively elicited muscle fatigue in the gluteus maximus, gluteus medius, and rectus femoris muscles and (2) determine the relationship between muscle fatigue using sEMG sensors and knee wobble using an IMU device. This work suggests that a wall sit and single leg knee raise activity fatigue the gluteus medius, gluteus maximus, and rectus femoris muscles most reliably (p < 0.05) and that the gluteus medius and gluteus maximus muscles were fatigued to a greater extent than the rectus femoris (p = 0.031 and p = 0.0023, respectively). Additionally, while acceleration data from a single IMU placed on the knee suggested that more knee wobble may be an indicator of muscle fatigue, this single IMU is not capable of reliably assessing fatigue level. These results suggest the wall sit activity could be used as simple, static exercise to elicit hip muscle fatigue in the clinic, and that assessment of knee wobble in addition to other IMU measures could potentially be used to infer muscle fatigue under controlled conditions. Future work examining the relationship between IMU data, muscle fatigue, and multi-limb dynamics should be explored to develop an accessible, low-cost, fast and standardized method to measure fatiguability of the hip muscles in the clinic.

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Section: Discussionmentioning

confidence: 99%