Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies

Hdl Handle:
http://hdl.handle.net/10149/94237
Title:
Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies
Authors:
Smith, T. O. (Toby); Dixon, J. (John); Bowyer, D. (Damien); Stephenson, R. (Richard); Chester, R. (Rachel); Donell, S. T. (Simon)
Affiliation:
University of Teesside. School of Health and Social Care. Centre for Rehabilitation Sciences.
Citation:
Smith, T. O. et al. (2009) 'Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies', Physiotherapy Theory and Practice, 25 (2), pp.69-98.
Publisher:
Taylor & Francis
Journal:
Physiotherapy Theory and Practice
Issue Date:
Feb-2009
URI:
http://hdl.handle.net/10149/94237
DOI:
10.1080/09593980802686953
Abstract:
Debate exists as to whether the vastus medialis oblique (VMO) can be activated to a greater degree than the vastus lateralis to produce preferential strengthening. This systematic review aims to determine whether preferential activation of VMO can be achieved by altering lower limb joint orientation or muscular co-contraction. A search of pertinent specialist journals and of the electronic databases AMED, CINAHL, the Cochrane database, EMBASE, ovid Medline, Physiotherapy Evidence Database (PEDro), Pubmed, and Zetoc from their inception to February 2008 was undertaken. All English-language clinical papers assessing the electromyographic activity of the human VM against the vastus lateralis (VL) muscles, in a neutral lower limb joint orientation, compared to a different hip, knee, ankle, and foot position; or with the addition of a co-contraction were included. Twenty papers reviewing 387 participants were reviewed. These reported principally that altering lower limb joint orientation or the addition of a co-contraction does not preferentially enhance VMO activity over VL. Nonetheless, the evidence-base presented with a number of significant methodological limitations. Accordingly, well-designed studies evaluating large samples of patients with patellofemoral joint disorders are required, to rectify the present limitations in the evidence-base, and to thoroughly investigate this topic.
Type:
Article
Language:
en
Keywords:
vastus medialis oblique; vastus lateralis; electromyographic activity; strengthening; patellofemoral joint
ISSN:
0959-3985; 1532-5040
Rights:
Subject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 15/03/2010]
Citation Count:
1 [Scopus, 15/03/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorSmith, T. O. (Toby)en
dc.contributor.authorDixon, J. (John)en
dc.contributor.authorBowyer, D. (Damien)en
dc.contributor.authorStephenson, R. (Richard)en
dc.contributor.authorChester, R. (Rachel)en
dc.contributor.authorDonell, S. T. (Simon)en
dc.date.accessioned2010-03-15T10:57:50Z-
dc.date.available2010-03-15T10:57:50Z-
dc.date.issued2009-02-
dc.identifier.citationPhysiotherapy Theory and Practice; 25 (2): 69-98en
dc.identifier.issn0959-3985-
dc.identifier.issn1532-5040-
dc.identifier.doi10.1080/09593980802686953-
dc.identifier.urihttp://hdl.handle.net/10149/94237-
dc.description.abstractDebate exists as to whether the vastus medialis oblique (VMO) can be activated to a greater degree than the vastus lateralis to produce preferential strengthening. This systematic review aims to determine whether preferential activation of VMO can be achieved by altering lower limb joint orientation or muscular co-contraction. A search of pertinent specialist journals and of the electronic databases AMED, CINAHL, the Cochrane database, EMBASE, ovid Medline, Physiotherapy Evidence Database (PEDro), Pubmed, and Zetoc from their inception to February 2008 was undertaken. All English-language clinical papers assessing the electromyographic activity of the human VM against the vastus lateralis (VL) muscles, in a neutral lower limb joint orientation, compared to a different hip, knee, ankle, and foot position; or with the addition of a co-contraction were included. Twenty papers reviewing 387 participants were reviewed. These reported principally that altering lower limb joint orientation or the addition of a co-contraction does not preferentially enhance VMO activity over VL. Nonetheless, the evidence-base presented with a number of significant methodological limitations. Accordingly, well-designed studies evaluating large samples of patients with patellofemoral joint disorders are required, to rectify the present limitations in the evidence-base, and to thoroughly investigate this topic.en
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.rightsSubject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 15/03/2010]en
dc.subjectvastus medialis obliqueen
dc.subjectvastus lateralisen
dc.subjectelectromyographic activityen
dc.subjectstrengtheningen
dc.subjectpatellofemoral jointen
dc.titleCan vastus medialis oblique be preferentially activated? A systematic review of electromyographic studiesen
dc.typeArticleen
dc.contributor.departmentUniversity of Teesside. School of Health and Social Care. Centre for Rehabilitation Sciences.en
dc.identifier.journalPhysiotherapy Theory and Practiceen
ref.citationcount1 [Scopus, 15/03/2010]en
or.citation.harvardSmith, T. O. et al. (2009) 'Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies', Physiotherapy Theory and Practice, 25 (2), pp.69-98.-
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