Academic literature on the topic 'Nerve to vastus medialis'

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Journal articles on the topic "Nerve to vastus medialis"

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Tran, John, Vincent W. S. Chan, Philip W. H. Peng, and Anne M. R. Agur. "Evaluation of the proximal adductor canal block injectate spread: a cadaveric study." Regional Anesthesia & Pain Medicine 45, no. 2 (2019): 124–30. http://dx.doi.org/10.1136/rapm-2019-101091.

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Background and objectives Quadriceps sparing adductor canal block has emerged as a viable intervention to manage pain after total knee arthroplasty. Recent studies have defined ultrasound (US) landmarks to localize the proximal and distal adductor canal. US-guided proximal adductor canal injection has not been investigated using these sonographic landmarks. The objectives of this cadaveric study were to evaluate dye injectate spread and quantify the capture rates of nerves supplying articular branches to the knee joint capsule using a proximal adductor canal injection technique. Methods A US-guided proximal adductor canal injection with 10 mL of dye was performed in seven lightly embalmed specimens. Following injection, specimens were dissected to document dye spread and frequency of nerve staining. Results Following proximal adductor canal injection, dye spread consistently stained the deep surface of sartorius, vastoadductor membrane, aponeurosis of the vastus medialis obliquus, and adductor canal. The saphenous nerve, posteromedial branch of nerve to vastus medialis, superior medial genicular nerve and genicular branch of obturator nerve were captured in all specimens at the proximal adductor canal. There was minimal to no dye spread to the distal femoral triangle, anterior division of the obturator nerve and anterior branches of nerve to vastus medialis. Conclusions This anatomical study provides some insights into the mechanism of analgesia to the knee following a proximal adductor canal injection and its motor sparing properties. Further clinical investigation is required to confirm cadaveric findings.
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Barbe, Mary F., Justin M. Brown, Michel A. Pontari, Gregory E. Dean, Alan S. Braverman, and Michael R. Ruggieri. "Feasibility of a femoral nerve motor branch for transfer to the pudendal nerve for restoring continence: a cadaveric study." Journal of Neurosurgery: Spine 15, no. 5 (2011): 526–31. http://dx.doi.org/10.3171/2011.6.spine11163.

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Object Nerve transfers are an effective means of restoring control to paralyzed somatic muscle groups and, recently, even denervated detrusor muscle. The authors performed a cadaveric pilot project to examine the feasibility of restoring control to the urethral and anal sphincters using a femoral motor nerve branch to reinnervate the pudendal nerve through a perineal approach. Methods Eleven cadavers were dissected bilaterally to expose the pudendal and femoral nerve branches. Pertinent landmarks and distances that could be used to locate these nerves were assessed and measured, as were nerve cross-sectional areas. Results A long motor branch of the femoral nerve was followed into the distal vastus medialis muscle for a distance of 17.4 ± 0.8 cm, split off from the main femoral nerve trunk, and transferred medially and superiorly to the pudendal nerve in the Alcock canal, a distance of 13.7 ± 0.71 cm. This was performed via a perineal approach. The cross-sectional area of the pudendal nerve was 5.64 ± 0.49 mm2, and the femoral nerve motor branch at the suggested transection site was 4.40 ± 0.41 mm2. Conclusions The use of a femoral nerve motor branch to the vastus medialis muscle for heterotopic nerve transfer to the pudendal nerve is surgically feasible, based on anatomical location and cross-sectional areas.
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Valls-Sol�, Josep, Mark Hallett, and Joaquim Brasil-Neto. "Modulation of vastus medialis motoneuronal excitability by sciatic nerve afferents." Muscle & Nerve 21, no. 7 (1998): 936–39. http://dx.doi.org/10.1002/(sici)1097-4598(199807)21:7<936::aid-mus12>3.0.co;2-o.

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Conger, Aaron, Daniel M. Cushman, Kortnie Walker, et al. "A Novel Technical Protocol for Improved Capture of the Genicular Nerves by Radiofrequency Ablation." Pain Medicine 20, no. 11 (2019): 2208–12. http://dx.doi.org/10.1093/pm/pnz124.

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Abstract Background Fluoroscopically guided cooled genicular nerve radiofrequency ablation (RFA) is an increasingly performed procedure for chronic, refractory knee pain due to osteoarthritis. Traditionally, partial sensory denervation has been accomplished through ablation of the superomedial, superolateral, and inferomedial genicular nerves. However, recent cadaveric studies have demonstrated additional sensory nerves and significant anatomic variation that impact current protocols. Objective We describe an updated cooled genicular nerve radiofrequency ablation protocol that accounts for varied nerve location of the superomedial, superolateral, and inferomedial genicular nerves, as well as capture of the terminal articular branches of the nerves to the vastus intermedius, vastus lateralis, and vastus medialis. Furthermore, we describe an adjusted technique for inferomedial genicular nerve capture that mitigates the risk of pes anserine tendon injury. Design Technical report and brief literature review. Methods Cadaveric studies relating to the sensory innervation of the anterior knee joint were reviewed, and a more accurate and comprehensive cooled genicular nerve radiofrequency ablation (CRFA) protocol is proposed. Conclusions Based on recent, rigorous anatomic dissections of the knee, the proposed genicular nerve CRFA protocol will provide more complete sensory denervation and potentially improve clinical outcomes. Prospective studies will be needed to confirm the hypothesis that this protocol will result in improved effectiveness and safety of genicular nerve RFA.
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Brown, Justin M., Mary F. Barbe, Michael E. Albo, and Michael R. Ruggieri. "Anatomical feasibility of performing a nerve transfer from the femoral branch to bilateral pelvic nerves in a cadaver: a potential method to restore bladder function following proximal spinal cord injury." Journal of Neurosurgery: Spine 18, no. 6 (2013): 598–605. http://dx.doi.org/10.3171/2013.2.spine12793.

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Object Nerve transfers are an effective means of restoring control to paralyzed somatic muscle groups and have recently been shown to be effective in denervated detrusor muscle in a canine model. A cadaveric study was performed to examine the anatomical feasibility of transferring femoral muscular nerve branches to vesical branches of the pelvic nerve as a method of potentially restoring innervation to control the detrusor muscle in humans. Methods Twenty cadavers were dissected bilaterally to expose pelvic and femoral muscular nerve branches. Ease of access and ability to transfer the nerves were assessed, as were nerve cross-sectional areas. Results The pelvic nerve was accessed at the base of the bladder, inferior to the ureter, and accompanied by inferior vesical vessels. Muscular branches of the femoral nerve to the vastus medialis and intermedius muscles (L-3 and L-4 origins) were followed distally for 17.4 ± 0.8 cm. Two muscle branches were split from the femoral nerve trunk, and tunneled inferior to the inguinal ligament. One branch was moved medially toward the base of the bladder and linked to the ipsilateral pelvic nerve. The second branch was tunneled superior to the bladder and linked to the contralateral pelvic nerve. The cross-sectional area of the pelvic nerve vesical branch was 2.60 ± 0.169 mm2 (mean ± SEM), and the femoral nerve branch at the suggested transection site was 4.40 ± 0.41 mm2. Conclusions Use of femoral nerve muscular branches from the vastus medialis and intermedius muscles for heterotopic nerve transfer of bilateral pelvic nerves is surgically feasible, based on anatomical location and cross-sectional areas.
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McIlroy, W. E., and J. D. Brooke. "Human group I excitatory projections from ankle dorsiflexors to quadriceps muscle." Canadian Journal of Physiology and Pharmacology 65, no. 1 (1987): 12–17. http://dx.doi.org/10.1139/y87-003.

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A short latency projection of group I afferent fibers from ankle dorsiflexors to knee extensor muscles has been categorized as species specific to humans. However, the effects of the pathway have only been inferred from conditioning homonymous reflexes in relaxed muscle. This study focused directly on the responses evoked in the electromyogram of the heteronymous muscles when active, in two experiments. In the first, preferential activation of group I afferents of ankle dorsiflexors, by electrical stimulation of the common peroneal nerve, excited both vastus medialis (mean latency, 26.3 ms) and rectus femoris (mean latency, 33.5 ms). No excitation or inhibition in either muscle was associated with stimulation of the tibial nerve. The second experiment compared vastus medialis responses with common peroneal nerve stimulation during three different movement conditions in which the muscle was equally contracted: (i) rhythmic isotonic (pedalling), (ii) episodic isotonic, (iii) isometric contraction. Responses were identified in all three active states, with no significant differences in amplitude or latency. No responses were seen in the relaxed muscle.
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Jojima, Hiroshi, Leo A. Whiteside, and Kosuke Ogata. "Anatomic Consideration of Nerve Supply to the Vastus Medialis in Knee Surgery." Clinical Orthopaedics and Related Research 423 (June 2004): 157–60. http://dx.doi.org/10.1097/01.blo.0000128642.61260.b3.

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Han, Seong-won, Andrew Sawatsky, Azim Jinha, and Walter Herzog. "Effect of Vastus Medialis Loss on Rabbit Patellofemoral Joint Contact Pressure Distribution." Journal of Applied Biomechanics 36, no. 6 (2020): 390–96. http://dx.doi.org/10.1123/jab.2020-0056.

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Vastus medialis (VM) weakness is thought to alter patellar tracking, thereby changing the loading of the patellofemoral joint (PFJ), resulting in patellofemoral pain. However, it is challenging to measure VM force and weakness in human studies, nor is it possible to measure the associated mechanical changes in the PFJ. To obtain fundamental insight into VM weakness and its effects on PFJ mechanics, the authors determined PFJ loading in the presence of experimentally simulated VM weakness. Skeletally mature New Zealand White rabbits were used (n = 6), and the vastus lateralis, VM, and rectus femoris were stimulated individually through 3 custom-built nerve cuff electrodes. Muscle torque and PFJ pressure distribution were measured while activating all muscles simultaneously, or when the vastus lateralis and rectus femoris were activated, while VM was not, to simulate a quadriceps muscle strength imbalance. For a given muscular joint torque, peak pressures were greater and joint contact areas were smaller when simulating VM weakness compared with the condition where all muscles were activated simultaneously. The results in the rabbit model support that VM weakness results in altered PFJ loading, which may cause patellofemoral pain, often associated with a strength imbalance of the knee extensor muscle group.
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Nada, Eman, Amr Elmansoury, Nabil Elkassabany, and Elizabeth R. Whitney. "Location of the entry point of the muscular branch of the nerve to vastus medialis." British Journal of Anaesthesia 127, no. 2 (2021): e58-e60. http://dx.doi.org/10.1016/j.bja.2021.04.027.

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Moore, Amy M., Emily M. Krauss, Rajiv P. Parikh, Michael J. Franco, and Thomas H. Tung. "Femoral nerve transfers for restoring tibial nerve function: an anatomical study and clinical correlation: a report of 2 cases." Journal of Neurosurgery 129, no. 4 (2018): 1024–33. http://dx.doi.org/10.3171/2017.5.jns163076.

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Sciatic nerve injuries cause debilitating functional impairment, particularly when the injury mechanism and level preclude reconstruction with primary grafting. The purpose of this study was to demonstrate the anatomical feasibility of nerve transfers from the distal femoral nerve terminal branches to the tibial nerve and to detail the successful restoration of tibial function using the described nerve transfers.Six cadaveric legs were dissected for anatomical analysis and the development of tension-free nerve transfers from femoral nerve branches to the tibial nerve. In 2 patients with complete tibial and common peroneal nerve palsies following sciatic nerve injury, terminal branches of the femoral nerve supplying the vastus medialis and vastus lateralis muscles were transferred to the medial and lateral gastrocnemius branches of the tibial nerve. Distal sensory transfer of the saphenous nerve to the sural nerve was also performed. Patients were followed up for lower-extremity motor and sensory recovery up to 18 months postoperatively.Consistent branching patterns and anatomical landmarks were present in all dissection specimens, allowing for reliable identification, neurolysis, and coaptation of donor femoral and saphenous nerve branches to the recipients. Clinically, the patients obtained Medical Research Council Grade 3 and 3+ plantar flexion by 18 months postoperatively. Improved strength was accompanied by improved ambulation in both patients and by a return to competitive sports in 1 patient. Sensory recovery was demonstrated by an advancing Tinel sign in both patients.This study illustrates the clinical success and anatomical feasibility of femoral nerve to tibial nerve transfers after proximal sciatic nerve injury.
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Dissertations / Theses on the topic "Nerve to vastus medialis"

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Trigkas, Panagiotis. "Vastus medialis oblique : vastus lateralis muscle imbalance in patellofemoral pain syndrome (PFPS) patients." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/vastus-medialis-oblique--vastus-lateralis-muscle-imbalance-in-patellofemoral-pain-syndrome-pfps-patients(5c8c7a4d-3f29-49af-8129-f7ea805fe8af).html.

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BACKGROUND and AIMS. Patellofemoral pain syndrome (PFPS) is complex and challenging musculoskeletal disorder. Maltracking of the patella is considered to be one of the primary causative factors. Vastus Medialis Oblique (VMO) and Vastus Lateralis (VL) muscle imbalance in terms of EMG magnitude and timed onset is implicated in either initiating or perpetuating the patellofemoral pain (Cowan et al, 2002, Witvrouw et al, 1996). Many physiotherapeutic treatments are aimed at addressing this muscle imbalance despite a lack of evidence confirming or refuting it exists and it's association with pain and function. The ultimate aim of the study was therefore to establish if it is appropriate to continue treating muscle imbalance in patients with clinically defined PFPS. OBJECTIVES. The overall objectives of the study were to establish: 1. If VMO-VL muscle imbalance exists in PFPS patients and if so is it specific to this condition or does a similar VMO-VL muscle imbalance exists in a healthy population? 2. If muscle imbalance does exist is it related to clinical symptoms used as indications of pain syndrome in clinical practice? 3. Is muscle imbalance associated with lower limb muscle physiology i.e. lower limb and quadriceps muscle strength in both fresh and fatigued states. METHODS. The study employed a cross-sectional design. 63 patients with patellofemoral pain syndrome (PFPS) and 63 age/sex matched healthy subjects were recruited and VMO & VL normalised EMG RMS amplitude and time onset differences were assessed during functional and experimental tasks. Additionally, correlations with pain level, functional status, muscular flexibility and biomechanical characteristics of the lower limb were explored. RESULTS. The results revealed that the VMO-VL activation patterns are task specific and most significantly related to functional stepping down task at a fast speed of execution (p=0.000). This interesting link between the type of muscle contraction, the speed of execution and the recruitment pattern of the VMO-VL was also confirmed by the non-functional isokinetic eccentric contraction (p=0.000). Additionally, it is the timing of the VMO-VL activation rather the intensity that is important. Also, a correlation appears to exist between activation pattern and duration of symptoms and knee functional performance (p=0.03) but not with the level of pain. CONCLUSION. The findings of the study suggest that the VMO-VL muscle imbalance does exist in a clinically defined PFPS population. Unlike previous studies however, this thesis suggests that specificity of the functional activities and speed of execution have a significant role to play in the muscular performance and it could be argued that this translates to a role in PFPS. It would therefore seem appropriate to continue addressing and treating this complex and challenging issue with physiotherapeutic interventions but this may need to be targeted to interventions that are tailored to addressing issues in relation to stepping down and at fast speed.
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Gindling, Gregory P. "An electromyographic analysis of the vastus medialis oblique and vastus lateralis during two selected knee extension exercises." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1133724.

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The primary purpose of this study was to determine the ratio of activation between the VMO and the VL during an open chain knee exercise (dynamic knee extension) and a closed chain knee exercise (lateral step-up). A secondary purpose of this study was to compare muscle activation during the concentric and eccentric phase of the exercises. The data obtained during the knee extension exercise was further analyzed to compare the activity of the VMO and VL during three ranges of knee flexion: 0° - 30°, 30° - 60°, and 60° - 90°. Electromyographic (EMG) data was collected while 20 Ball State University students, who were asymptomatic for Patellofemoral Pain Syndrome, performed the two selected exercises. A one way ANOVA showed no statistically significant difference between the VMO: VL ratio of the two exercises, but the lateral step-up did produce a ratio greater than 1.0. A one-way ANOVA indicated a significant difference between the RMS values of the VL for the concentric and eccentric phase of the knee extension exercise. Based on the results of this study, the lateral stepup and eccentric training could be used to selectively strengthen the VMO for the treatment of PFPS.<br>School of Physical Education
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Barnes, Connie Nicole. "A Deeper Look Into The Vastus Medialis: A Stabilizer For The Knee." DigitalCommons@USU, 2017. http://digitalcommons.usu.edu/etd/6839.

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Anterior cruciate ligament tears are one of the most common injuries that occur, especially in female athletes. It requires surgery and months of physical therapy to get these athletes back in playing condition. The angle of women's hips and lack of strength of inner quadriceps muscles enhances the risk of injuries to the knees. One specific muscle that is known for being a stabilizer of the knee and may help in preventing ACL tears is the vastus medialis. By understanding what exercises activate this muscle the most, conditioning plans and preventative workouts need to be created to help female athletes stabilize the knee. Therefore, this research could impact the prevention of ACL tears in female athletes. By taking a generalized approach, a variety of exercises in each of the three muscle contractions: concentric, eccentric, and isometric, will be evaluated by a Vernier Electromyography system. For this research, one female will be tested doing all the movements three times to measure the average peak muscle activation for each exercise. This will help prevent outliers and human error. For this study, variables such as percent body fat, BMI, history of exercising, and previous strength were ignored.
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Myer, Gregory D. "The effect of three selected exercises on electromyographic root mean square values and vastus medialis oblique to vastus lateralis ratio." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1101588.

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The primary purpose of this study was to determine the ratio of activation between the VMO and VL while performing three selected knee exercises (drop squat, modified lateral squat, Muncie Method). Additionally, the data was analyzed to determine if a correlation existed between the muscle's activation rate per set and whether or not the rates are affected by Q-angle or gender. Twenty Ball State University subjects (10 male, 10 female) who were asymptomatic to Patellofemoral Syndrome (PFS), provided electroymyographic (EMG) data while performing the three selected exercises. A one-way ANOVA found no statistical significance (p=0.500) on any of the tested variables except the Drop Squat VL Root Mean Square (RMS). Significant correlations were found between: VL RMS to set number during drop squat, and VMO and VL RMS to set number during Muncie Method performance. Based on the results of this study, each of these exercises could be used to selectively strengthen the VMO in treatment of PFS.<br>School of Physical Education
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Zuccolotto, Deborah Gatti. "Analise eletromiografica dos musculos vastus medialis, vastus lateralis, semitendinosos e biceps femoris (caput longum) durante exercicio no aparelho "STEPPING MACHINE"." [s.n.], 1996. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290927.

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Orientador: Fausto Berzin<br>Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-07-21T05:55:24Z (GMT). No. of bitstreams: 1 Zuccolotto_DeborahGatti_M.pdf: 1779011 bytes, checksum: 8c0c5c2a35b2c7c203d0461c594ec465 (MD5) Previous issue date: 1996<br>Resumo: A proposta deste trabalho foi observar o comportamento eletromiográfico dos músculos Vasto Medial Oblíquo, Vasto Lateral, Semitendíneo e Bíceps da Coxa (porção longa) durante atividade no aparelho "STEPPING MACHINE", tomando-se as medidas de ângulo 0°, 30°, 60°, 90° para a flexão e extensão da perna na articulação do joelho. Foram analisados 10 voluntários adultos normais, utilizando-se um eletromiógrafo de 8 canais, mini-eletrodos de superfície do tipo BECKMAN e um eletrogoniômetro. O método estatístico empregado foi a análise de variância (ANOVA) e o teste de Tukey. Os resultados mostraram que no movimento de flexão, o músculo Vasto Medial Oblíquo apresentou diferença dos potenciais médios de ação ao nível de 5% de significância para as medidas de ângulo 90°, 30° e 0° e também diferença sifnificante entre 60° e 0°. O músculo Vasto Lateral apresentou diferença significante também em 5% no ângulo 90° em relação °a 60°, 30° e 0°, além de diferença entre 60° e 0°. Os músculos semitendíneo e bíceps da coxa não apresentaram diferença significativa nas diferentes medidas de ângulo. Durante o movimento de extensão do joelho, os músculos Vasto Medial Oblíquo e Vasto Lateral, apresentaram diferença entre as medidas de ângulo 90° e 60° em relação às medidas 30° e 0°. Os músculos semitendíneo e bíceps da coxa, não apresentaram diferença significante entre os potenciais de ação nas várias angulações analisadas. Os resultados sugerem que o aparelho "STEPPING MACHINE" pode ser indicado na reabilitação pós-operatória da articulação do joelho<br>Abstract: The purpose of this paper was to observe the electromyographyc behaviors of the Vastus Medialis, Vastus Lateralis, Semitendineous and Biceps Femoris Muscles during activity in the Stepping Machine equipament, taking the angle measurement 0°, 30°, 60° and 90° for the leg flexion and extension in the knee joint. Ten normal adults volunteers were analysed by using a 8 channels electromyographer, mini surface electrode Beckman type and electrogoniometer. The statistics method utilized was the variance analysis (ANOVA) and the Tukey test. The results showed that in the joint movement Vastus Medialis Muscle presented difference of the medius potencials of action in 5% level of significance for the angle 90° measurement, 30° and 0° and significant difference among 60° and 0°. The Vastus Lateralis muscle presented significant difference also in the angle 90° in 5% in relation of 60°, 30° and 0°, beyond the difference among 60° and 0°. The semitendineous and biceps femoris muscles didn't present significant . difference in different measures of the angles. During the knee joint extension, the Vastus Medialis and Vastus Lateralis muscles presented difference among the 90° and 60° angles in relation to 30° and 60° measurement. The Semitendineous and Biceps Femoris didn't show difference significant among the potencials action in several angled analysed. The results suggest that the Stepping Machine can be indicate in the post-operation rehabilitation<br>Mestrado<br>Fisiologia e Biofisica do Sistema Estomatognatico<br>Mestre em Odontologia
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Avernäs, Alexander, and Marcus Magnusson. "Kan aktiv höftadduktion i kombination med instabilt underlag bidra till ökad muskelaktivering av vastus medialis oblique vid knäböj : Pilotstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-72572.

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Bakgrund: Vastus medialis kan delas in i två olika komponenter beroende på fiberriktning. Den nedre delen vastus medialis oblique (VMO) har sitt ursprung från adductor magnus och drar patella medialt medans vastus lateralis (VL) drar patella lateralt. En obalans mellan VMO och VL kan leda till avvikelse i patellas position och rörelse vilket är en orsak till patellofemoralt smärtsyndrom (PFSS). En aktivering av adductor magnus sätter VMO på sträck vilket leder till bättre kontraktionskraft av VMO. Knäböj utförda på instabilt underlag har visat på en ökad aktivering av VMO. Syfte: Syftet var att göra en initial pilotstudie för att undersöka skillnaden i muskelaktivering av VMO vid knäböj på stabilt underlag jämfört med en knäböj på instabilt underlag med samtidig aktiv höftadduktion. Metoden: Friska unga män utförde knäböj på instabilt underlag med aktiv höftadduktion respektive knäböj på stabilt underlag. Utfallsvariablar var EMG-amplitud på VMO och VL samt kvoten VMO:VL. Resultatet: Samtliga fem deltagare fick minskad muskelaktivering av VMO i övningen knäböj på instabilt underlag med aktiv höftadduktion jämfört med knäböj på stabilt underlag. Två av fem deltagare fick högre VMO:VL-kvot i övningen knäböj på instabilt underlag med aktiv höftadduktion. Konklusion: Resultatet tyder på att en knäböj på instabilt underlag med samtidig aktiv höftadduktion jämfört med en knäböj på stabilt underlag inte ger en ökad aktivering av VMO eller en högre VMO:VL-kvot hos friska unga män. Utifrån resultaten och tidigare studier inom området behövs det mer studier med vissa metodologiska förändringar för att en given slutsats ska kunna dras.
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Wilson, Timm. "Effects of a modified straight leg raise on strength and muscle activity of the vastus medialis oblique in patients with patellofemoral malalignment." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865942.

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The purpose of this study was to determine the effectiveness of a modified sitting position straight leg raise on vastus medialis oblique (VMO) strength and EMG activity as compared to a traditional straight leg raise. A total of twenty-three subjects were recruited for this study. The subjects were randomly assigned to one of the following groups: (group I) modified straight leg raise (MSLR), and (group II) straight leg raise (SLR). The exercise program was three weeks long. University procedures for the protection of human subjects were followed. The subjects began with a 5 minute warm-up on a Cybex stationary bike set at 90 revolutions / minute. The subject then had electrodes placed on the Vastus Lateralis (VL) and Vastus Medialis Oblique (VMO). A Macintosh computer was used to record the EMG data. The subject then performed a standard Cybex test for knee flexion and extension. The Cybex dynamometer was placed at the knee joint line, the chair back tilt was at 85 degrees, the hip, chest, and thigh restraints were all fastened. The subjects in group I (Modified sitting SLR) and II (SLR) then returned the next day for their first rehabilitation lesson. Each subject group then participated in their respected exercise program for a total of three weeks. After three weeks of rehabilitation, the subjects retested using the same procedures followed in the pretest. A two tailed t-test was used to determine significance of the difference between means of the two groups. No significant differences were found between the two groups.<br>School of Physical Education
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Glenn, L. Lee, and Brad G. Samojla. "A Critical Reexamination of the Morphology, Neurovasculature, and Fiber Architecture of Knee Extensor Muscles in Animal Models and Humans." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7526.

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The purposes of the present study were to resolve a number of major inconsistencies found in the literature on the structure of the quadriceps femoris muscle and to extend knowledge of its structure using descriptive, qualitative methodology. The quadriceps femoris muscle was investigated in 41 cats, and the findings were confirmed in 6 human cadavers. Two aponeuroses with major biomechanical functions (rectus-vastus and vastus aponeurosis), neither of which had been previously described in the literature, were characterized in both species. The study also resolved many major inconsistencies in the literature: The muscle sometimes described as vastus intermedius (VI) was found to be the articularis genu, the muscle sometimes described as vastus medialis (VM) was found to be the VI, the rectus femoris head was found to have an additional proximal nerve branch not previously recognized, no anomalous 5th head was ever found, and the distal VM were not found to have 2 heads (in either cats or humans). The authors’ anatomical descriptions and bimechanical models of the muscles, tendons, and neurovascular should provide a helpful foundation for future studies on the quadriceps. Two general recommendations are made: 1) that the feline model be considered a viable model to elucidate human knee pathomechanics; and 2) that regardless of the anatomical structure of interest, orthopedic nurses, orthopedic surgeons, and research investigators should routinely use the research literature for anatomical guidance instead of standard anatomical textbooks. © 2002, Sage Publications. All rights reserved.
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Oberthür, Swantje [Verfasser], Peter [Akademischer Betreuer] [Gutachter] Balcarek, Christoph [Gutachter] Engelke, and Margarete [Gutachter] Schön. "Relevanz des Musculus vastus medialis obliquus als Prädispositionsfaktor für die Entstehung der akuten und chronischen Patellaluxation / Swantje Oberthür ; Gutachter: Peter Balcarek, Christoph Engelke, Margarete Schön ; Betreuer: Peter Balcarek." Göttingen : Niedersächsische Staats- und Universitätsbibliothek Göttingen, 2016. http://d-nb.info/1117219410/34.

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Souza, Alessandra de Castro. "Síndrome da dor femoropatelar análise eletromiográfica, isocinética, ressonância magnética, dor e fadiga." Universidade Federal de São Carlos, 2005. https://repositorio.ufscar.br/handle/ufscar/5187.

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Made available in DSpace on 2016-06-02T20:18:25Z (GMT). No. of bitstreams: 1 TeseACS.pdf: 1629824 bytes, checksum: 9ffe05e7af325db5e778585c64e4910a (MD5) Previous issue date: 2005-03-22<br>Universidade Federal de Sao Carlos<br>The purpose of this work was to analyze the electrical activity (EMG) of the vastus medialis obliquus (VMO) and vastus lateralis longus (VLL) and vastus lateralis obliquus (VLO) in association with the evaluation of the maximum isometric torque (MIT) of the quadriceps muscle, during the maximum voluntary isometric contraction (MVIC) of knee extension in open kinetic chain (OKC) at 20o, 30o, 50o and 60o of knee flexion, also, pain and fatigue and the aspects in relation to patellae positioning: the sulcus angle (SA), the congruence angle (CA), patellar tilt angle (PTA) and lateral patellar displacement (LDP). Twenty four female subjects were evaluated (12 with patellofemoral pain syndrome PFPS and 12 clinically normal controls). For the EMG analysis simple surface differential active electrodes and a Signal Conditioner Module (MCS 1000-v2) were used. The electromyographic signal was quantified by the Root Mean Square (RMS), in µV, and normalized by the MVIC of 90o of knee extension. The subjects made 5 MVIC of knee extension, at 30o of flexion for the EMG and MMIT analysis and the NMRI with the quadriceps muscle relaxed were obtained at the same angles. The following statistic tests were used: ANOVA Analysis of Variance with Repeated Measurements for the EMG and MMIT analysis; the Mann-Whitney U test for the NMRI; and the One Way Analysis of Variance for the evaluation of intensity and discomfort from pain and fatigue (p &#8804; 0.05). The results showed a higher electrical activity of the VLL muscle in relation to the VMO in the group with FPPS. The control group, the VMO and VLL did not present a significant difference in all studied angles. In both groups, VMO and VLL showed a higher electrical activity in comparison with VLO, in all angles. The MMIT values of the quadriceps did not differ among groups, however it did differ between angles. The highest MMIT value was 60o. The NMRI analysis revealed that the FPPS group presented higher values of SA and lower values of CA in relation to the Control group. The results showed an increase in pain and fatigue of the subjects with PFPS after the MVIC and in comparison with the Control group. The data of this study, on the experimental conditions, suggest that: a higher electrical activity of the VLL in addition with the increase in SA and decrease in CA in the subjects with PFPS can be factors favoring such individuals patellar instability. Pain and fatigue were greater in subjects with PFPS. The results showed that the EMG and the NMRI were instruments capable of differentiating the groups that were studied.<br>A proposta deste estudo foi analisar a atividade elétrica (EMG) dos músculos vasto medial oblíquo (VMO), vasto lateral longo (VLL) e vasto lateral oblíquo (VLO) associada à avaliação do torque isométrico máximo (TIM) do músculo quadríceps, durante contração isométrica voluntária máxima (CIVM) de extensão de joelho em cadeia cinética aberta (CCA) a 20o, 30o, 50o e 60o de flexão de joelho, juntamente com a análise da intensidade e desagradabilidade da dor e fadiga muscular; e os parâmetros de posicionamento da patela: Ângulo do Sulco (AS), Ângulo de Congruência (AC), Ângulo de Inclinação Patelar (AIP) e Deslizamento lateral da patela (DLP). Foram avaliadas 24 voluntárias, do sexo feminino, entre 18 e 34 anos (22,52 ± 3,94), sedentárias, que segundo critérios de inclusão e exclusão, avaliando os sinais e sintomas, foram classificas como sendo: 12 portadoras de Síndrome da Dor Femoropatelar, sintomáticas e as outras 12 consideradas clinicamente Normais. Para análise da EMG, foram utilizados eletrodos ativos diferenciais simples de superfície, com um ganho de 100 vezes e um Módulo Condicionador de Sinais (MCS 1000-v2), com ganho de 10 vezes. Os sinais eletromiográficos foram amostrados de forma sincrônica, analisados por meio do Root Mean Square RMS (µV) e normalizados pela CIVM extensão do joelho à 90 graus. Utilizou-se um dinamômetro isocinético para o registro do Torque Isométrico Máximo (TIM), um equipamento de Ressonância Magnética Nuclear por Imagem (RMNI) para verificar os posicionamentos da patela e uma escala visual analógica (EVA) para analise da dor e fadiga muscular, em mm. Os indivíduos realizaram 5 CIVM de extensão de joelho nos ângulos de 20o, 30o, 50o e 60o de flexão para análise da EMG e do TIM. A 30o de flexão de joelho, foram realizadas as RMNI com músculo relaxado. Foram utilizados os testes estatísticos: ANOVA - Análise de Variância de Medidas Repetidas para analisar a EMG e o TIM; o teste Mann-Whitney U para análise da RMNI e Análise de Variância One Way para avaliação da intensidade e desagradabilidade de dor e fadiga muscular (p &#8804; 0,05). Os resultados evidenciaram maior atividade elétrica do músculo VLL em relação ao VMO, no grupo com SDFP, enquanto que no grupo Controle, os músculos VMO e VLL não apresentaram diferença significativa entre si, em todos os ângulos estudados. Em ambos os grupos, os músculos VMO e VLL apresentaram maior atividade elétrica que o VLO, em todos os ângulos. Não houve diferença significativa do TIM entre os 2 grupos, mas sim entre os ângulos e o maior valor do TIM foi a 60 graus. A análise da RMNI revelou que o grupo com SDFP apresentou maiores valores do AS e menores do AC em relação ao grupo Controle. Os resultados mostraram ainda um aumento da dor e da fadiga nos indivíduos com SDFP após as CIVM quando comparar ao grupo Controle. Os dados desta pesquisa, nas condições experimentais utilizadas, sugerem que: uma maior atividade elétrica do VLL juntamente com o aumento do AS e a diminuição do AC nos indivíduos com SDFP, poderiam ser considerados como fatores que predispõem a instabilidade patelar destes indivíduos. A dor e a fadiga foram maiores nos indivíduos com SDFP. Os resultados revelaram que tanto a EMG quanto a RMNI foram instrumentos capazes de diferenciar os grupos estudados.
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Books on the topic "Nerve to vastus medialis"

1

Peterson, A. Brad. The effect of the vastus medialis muscle on knee extension and patella position. 1990.

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Armstrong, Mikaela. Comparing the relative activity of the vastus medialis obliquus and the vastus lateralis during the performance of two quadriceps exercises. 2005.

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Matthews, Zoe. An investigation into the effects of external femur rotation on vastus medialis obliquus (VMO) activity. 1998.

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van Eerd, Maarten, Arno Lataster, and Maarten van Kleef. Cervical Facet Nerve Block and Radio Frequency Ablation: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0007.

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In the cervical spinal column local anesthetic can be injected intra-articularly or adjacent to the ramus medialis (medial branch) of the ramus dorsalis of the segmental nerve. Nerve blocks of the ramus medialis are preferred to an intra-articular block, because it is sometimes technically difficult to position a needle into the facet joint. These procedures are typically performed under fluoroscopy, but there are increasing numbers of studies that describe these procedures with the help of ultrasound. Reports regarding the effects of intra-articular (steroid) injections are limited. There are no comparative studies between intra-articular steroid injections and radiofrequency (RF) therapy. Based on literature about the efficacy of RF treatment and a long track record of safety of RF treatment, many pain practitioners abandon intra-articular injections in favor of RF treatment.
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Effects of a modified straight leg raise on strength and muscle activity of the vastus medialis oblique in patients with patellofemoral malalignment. 1993.

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Effects of a modified straight leg raise on strength and muscle activity of the vastus medialis oblique in patients with patellofemoral malalignment. 1993.

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Effects of a modified straight leg raise on strength and muscle activity of the vastus medialis oblique in patients with patellofemoral malalignment. 1993.

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Book chapters on the topic "Nerve to vastus medialis"

1

Hou, Chunlin, Shimin Chang, Jian Lin, and Dajiang Song. "Vastus Medialis Perforator Flap." In Surgical Atlas of Perforator Flaps. Springer Netherlands, 2015. http://dx.doi.org/10.1007/978-94-017-9834-1_20.

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Wißmeyer, Th, J. Sterk, O. Boos, and L. Kinzl. "Selektives EMG des vastus medialis obliquus zur Optimierung des Quadricepstraining nach Knietrauma oder Bandersatz." In Hefte zur Zeitschrift „Der Unfallchirurg“. Springer Berlin Heidelberg, 1995. http://dx.doi.org/10.1007/978-3-642-85198-8_35.

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Vieira, Luís, and Andres Rodriguez-Lorenzo. "Vascularized Vastus Lateralis Nerve Graft for Reconstruction of Composite Facial Nerve Defect." In Clinical Scenarios in Reconstructive Microsurgery. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-94191-2_119-1.

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Weckbach, A., H. Reichmann, U. Mandlmeier, and N. Pobyjpicz. "Effekte der Elektrostimulation bei der immobilisationsbedingten Muskelatrophie — eine tierexperimentelle Untersuchung am Musculus vastus medialis des Schafes." In Hefte zur Zeitschrift „Der Unfallchirurg“. Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-78271-8_204.

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Robertson, Valma J., Alex R. Ward, and L. Eenkhoorn. "Elektrostimulatie van de m. vastus medialis ter verbetering van de functie van de onderste extremiteit na vrijmaking van het laterale retinaculum patellae." In Fysiotherapeutische casuïstiek. Bohn Stafleu van Loghum, 2006. http://dx.doi.org/10.1007/978-90-313-8645-1_172.

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Shaojie, Lü. "Läsion des M. vastus medialis." In Akupunktur bei Muskel- und Skelettstörungen. Elsevier, 2005. http://dx.doi.org/10.1016/b978-343757320-0.50053-4.

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Neligan, Peter C. "The Rectus Femoris Flap for Groin Reconstruction." In Operative Plastic Surgery, edited by Gregory R. D. Evans. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190499075.003.0079.

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The rectus femoris muscle is an important but expendable knee extensor. It is a bipennate muscle with a dense and strong fascia on its undersurface. This feature makes it extremely attractive for the repair of defects of the lower abdominal wall and groin as a pedicled flap. It is centrally located between the vastus medialis and vastus lateralis muscles. It is generally used as a pedicled muscle and usually taken as a muscle flap without a skin paddle. The muscle is then grafted. Following harvest, the extensor tendons need to be centralized and repaired for a distance of 6–8 cm above the knee. In many situations this flap has been superseded by the ALT flap.
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Miller, Aaron E., Tracy M. DeAngelis, Michelle Fabian, and Ilana Katz Sand. "A Perplexing Pattern of Weakness." In Neuroimmunology. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190693190.003.0039.

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Inclusion body myositis (IBM), generally considered one of the immune-mediated inflammatory myopathies, should be readily recognizable by its characteristic clinical features. The disorder typically affects middle-aged to older individuals and has a mean age of onset in the early 60s. Onset before the age of 40 is rare. The disease is characteristically asymmetrical and most often has the relatively unique pattern of involvement of the finger flexors (typically with relative sparing of the metacarpophalangeal flexors compared to the more distal finger flexors) and the quadriceps muscles. In the latter, disproportionate wasting of the vastus medialis and lateralis often occur, with relative sparing of the rectus femoris, so that knee extension is often only mildly weak compared to the observed atrophy. Another striking historical feature is the relatively insidious onset of symptoms in comparison to other inflammatory myopathies.
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Hedges III, Thomas R. "Optic Tract and Lateral Geniculate Body Field Defects." In Visual Fields. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195389685.003.0014.

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Lesions affecting the optic tracts can cause a variety of neuro-ophthalmic signs. Not only are the visual field defects distinctive, but they are also associated with findings that encompass pupillary physiology and retinal nerve fiber anatomy as well as central and peripheral ocular motor function. For example, a patient with a lesion in the region of an optic tract might have: incongruous, macular splitting hemianopia, the details of which require careful performance and interpretation of the visual fields; band atrophy of the optic nerve and retinal nerve fiber layer; a relative afferent pupillary defect; and a third nerve palsy. Indeed, much of neuroophthalmology can be learned from a thorough understanding of lesions involving the optic tracts. Therefore, a review of the neuro-anatomy of this region is very important. After the fibers of the retinal ganglion cells decussate in the chiasm, they pass into the optic tract. The pupillary fibers leave the tract before the lateral geniculate body and travel to the midbrain. On magnetic resonance imaging (MRI) scans the hilum of the lateral geniculate nucleus (LGN) can be seen where it abuts the lateral recess of the ambient cistern. The lateral and superior borders of the LGN are sharply defined by the white matter of the optic radiations. As the visual fibers make their way through the tract, there is a 90° nasal rotation. As a result, the two groups of homonymous fibers from both upper retinas, which represent the lower field, rotate to a medial position in the tract. The lower homonymous retinal fibers rotate laterally. The macular fibers (which are the vast majority) occupy a wedge-shaped area between the medial and lateral portions. The fibers from the corresponding retinal areas begin to associate themselves as they progress through the optic tract. The midbrain is nearby and the third cranial nerve lies just below the optic tract. Because of this imperfect match of corresponding retinal areas from each eye in the tract, the field defects due to lesions affecting the optic tract are incongruous— that is, the defect is different in each eye when demonstrated by the same-size test object.
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P., Adrian, Stig Molsted, Jessica Pingel, Henning Langberg, and Else Marie. "Clinical Implications of Muscle-Tendon & -Force Interplay: Surface Electromyography Recordings of m. vastus lateralis in Renal Failure Patients Undergoing Dialysis and of m. gastrocnemius in Individuals with Achilles Tendon Damage." In EMG Methods for Evaluating Muscle and Nerve Function. InTech, 2012. http://dx.doi.org/10.5772/27638.

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Conference papers on the topic "Nerve to vastus medialis"

1

Silva De Mello, S., R. Soares Marques, and J. Alves de Assis. "ESRA19-0245 Vastus medialis nerve block using neurostimulation associated to ipack and adductor canal block for postoperative analgesia in anterior cruciate ligament reconstruction: a pilot study." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.396.

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Saklertwilai, Sira, Wisan Tangwongcharoen, and Worachart Churdchomjan. "A Development of Knee Support for Vastus Medialis Oblique Muscles for Thai Patients." In 2020 17th International Conference on Electrical Engineering/Electronics, Computer, Telecommunications and Information Technology (ECTI-CON). IEEE, 2020. http://dx.doi.org/10.1109/ecti-con49241.2020.9158077.

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Ozturk, Necla, Haris Begovic, Pinar Demir, Suha Yagcioglu, and Filiz Can. "Effects of stretching on the fractal dimension of rectus femoris and vastus medialis muscles." In 2020 IEEE International Symposium on Medical Measurements and Applications (MeMeA). IEEE, 2020. http://dx.doi.org/10.1109/memea49120.2020.9137256.

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Shankar, Aarthi S., and Trent M. Guess. "Optimization of Quadriceps Force Distribution for Minimization of Patellofemoral Contact Pressure During a Squat." In ASME 2007 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2007. http://dx.doi.org/10.1115/sbc2007-176498.

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Patellofemoral Pain (PFP) syndrome is a very common knee disorder. A possible cause may be excessive lateral force applied by the quadriceps and the patellar tendon producing an abnormal distribution of force and pressure within the patellofemoral joint [1]. EMG and in-vivo studies have been conducted to understand the function of the quadriceps and its relationship with PFP [2,3]. These studies suggest a strong relationship between muscle forces and PFP which originates from high lateral retropatellar contact forces. A dynamic computational model of the knee was developed which includes the quadriceps muscles Rectus Femoris (RF), Vastus Intermedius (VI), Vastus Lateralis (VL), and Vastus Medialis (VM) represented as force vectors. The model can predict retro-patellar contact pressures and the action of the individual quadriceps muscles based on the predicted pressures. The objective of this study was to develop a control system which could optimize the distribution of quadriceps muscle forces to minimize contact pressure between the patella and the femur of the knee during a squat.
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Ozturk, Necla, Haris Begovic, Pinar Demir, Suha Yagcioglu, and Filiz Can. "Rectus Femoris and Vastus Medialis Muscles Exhibit Different Dynamics in Processing of Isometric Voluntary Contractions: A Fractal Analysis Study." In 2019 IEEE International Symposium on Medical Measurements and Applications (MeMeA). IEEE, 2019. http://dx.doi.org/10.1109/memea.2019.8802161.

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6

Verdaguer-Codina, Joan. "Effects of electrostimulation on the vastus medialis in the deoxygenation and the blood volume signals obtained by near-infrared spectroscopy." In BiOS Europe '96, edited by David A. Benaron, Britton Chance, and Gerhard J. Mueller. SPIE, 1996. http://dx.doi.org/10.1117/12.260844.

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Verdaguer-Codina, Joan. "Assessment by near-infrared spectroscopy of the consumption of oxygen provoked by the human body weight in the vastus medialis muscle." In BiOS Europe '96, edited by David A. Benaron, Britton Chance, and Gerhard J. Mueller. SPIE, 1996. http://dx.doi.org/10.1117/12.260845.

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Sedighipour, L., S. A. Raeissadat, S. M. Rayegani, Z. Bossaghzadeh, M. H. Abdollahzadeh, and F. Malayi. "AB0973 The efficacy of electromyographic biofeedback on pain, function and maximal thickness of vastus medialis oblique muscle in patients with knee oa; a randomised clinical trial." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.5069.

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