J. Laprade et al., COMPARISON OF 5 ISOMETRIC EXERCISES IN THE RECRUITMENT OF THE VASTUS MEDIALIS OBLIQUE IN PERSONS WITH AND WITHOUT PATELLOFEMORAL PAIN SYNDROME, The Journal of orthopaedic and sports physical therapy, 27(3), 1998, pp. 197-204
Strengthening of the vastus medialis oblique (VMO) has been advocated
as a treatment for patellofemoral pain syndrome (PFPS), as weakness of
this component of the quadriceps is postulated to contribute to malal
ignment of the patella. This study investigated the surface electromyo
graphic activity (EMG) of the VMO relative to the vastus lateralis (VL
) during five isometric exercises in eight PFPS female subjects and 19
controls. The area under the EMG curve of each muscle was normalized
to the EMG area acquired while subjects performed a submaximal isometr
ic contraction (50% of maximum voluntary contraction), and the ''norma
lized'' outcome measure was expressed as a proportion (VMO:VI). A two-
factor repealed measures analysis of variance indicated no differences
in the VMO:VL proportion between the control group and PFPS participa
nts across the five exercises (p > .05). The VMO:VI proportions for me
dial tibial rotation and knee extension combined and knee extension al
one were significantly greater than for the other three exercises (p <
0.005). Hip adduction or the combination of hip adduction and knee ex
tension did not result in greater recruitment of the VMO compared with
the VI.