Knee Muscle Activation Characteristics During Closed Kinetic Chain Directional Loading in Healthy Young Males and Females

Abstract

Neuromuscular control is believed to play an essential role during dynamic knee joint stabilisation. Evaluation of voluntary muscle action can be delineated as support strategies against external loading moments (Lloyd & Buchanan, 2001). The aim of this study was to determine if males and females exhibit differences in knee muscle action and cocontraction during voluntary isometric closed kinetic chain force generation in various directions in the horizontal plane representative of applied loads transverse to the long axis of the shank. Twenty-six healthy young adults (13 male, 13 female) stood with their dominant leg in a boot fixed to a force platform. A force target matching protocol required subjects to position a cursor (projected on a video screen) over a target and maintain the position for one second. To control the cursor, loads were applied against the force platform with their dominant leg to produce various combinations of anterior-posterior, medial-lateral loads while maintaining constant inferior-superior loads. A successful target match required a normalised force magnitude of equal effort for each subject and target location which triggered the recording of electromyography (EMG) for eight muscles crossing the knee joint. EMG was normalised to percent maximum voluntary isometric contraction. A mean magnitude of muscle activation, mean direction of muscle activation and a muscle specificity index was determined using EMG vectors. In addition, cocontraction indices were also computed for antagonist muscle pairs. Based on similar previous research, it was hypothesised that females would have greater quadriceps and hamstrings coactivation, greater muscle activation magnitudes, lower specificity for the quadriceps than males and no difference in hamstring characteristics. In our study, females significantly cocontracted their vastus lateralis and lateral gastrocnemius muscles to a greater degree than males (p=0.001). No significant differences were observed across sexes for the cocontraction of quadriceps and hamstrings or the lateral quadriceps and gastrocnemius muscles. Females displayed significantly lower specificity than males in their semitendinosus (p=0.025) and tensor fascia lata (p=0.012) activity patterns, greater magnitude of muscle activation in their lateral gastrocnemius (p=0.002) and tensor fascia lata (p<0.003) and no statistical difference in the other muscles. Furthermore, the activation patterns in our study grossly differed from previous open kinetic chain force target matching. These findings indicate that healthy young males and females have differences in their knee muscle control strategies and that knee muscle recruitment patterns differ during weight bearing and non-weight bearing tasks.