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Evidence-Based Complementary and Alternative Medicine
Volume 2015, Article ID 740315, 8 pages
Research Article

Muscle Activation of Vastus Medialis Oblique and Vastus Lateralis in Sling-Based Exercises in Patients with Patellofemoral Pain Syndrome: A Cross-Over Study

1Department of Sports Medicine, China Medical University, No. 91, Hsueh-Shih Road, Taichung 404402, Taiwan
2Department of Physical Therapy and Rehabilitation, Rehabilitation Assistive Device Center, Da-Chien General Hospital, No. 6, Shin Guang Street, Miaoli City 36049, Taiwan

Received 25 June 2015; Revised 13 August 2015; Accepted 19 August 2015

Academic Editor: Cleofas Rodríguez-Blanco

Copyright © 2015 Wen-Dien Chang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. To examine what changes are caused in the activity of the vastus medialis oblique (VMO) and vastus lateralis (VL) at the time of sling-based exercises in patients with patellofemoral pain syndrome (PFPS) and compare the muscular activations in patients with PFPS among the sling-based exercises. Methods. This was a cross-over study. Sling-based open and closed kinetic knee extension and hip adduction exercises were designed for PFPS, and electromyography was applied to record maximal voluntary contraction during the exercises. The VMO and VL activations and VMO : VL ratios for the three exercises were analyzed and compared. Results. Thirty male (age = 21.19 ± 0.68 y) and 30 female (age = 21.12 ± 0.74 y) patients with PFPS were recruited. VMO activations during the sling-based open and closed kinetic knee extension exercises were significantly higher ( and ) than those during hip adduction exercises and VMO : VL ratio for the sling-based closed kinetic knee extension and hip adduction exercises approximated to 1. Conclusions. The sling-based closed kinetic knee extension exercise produced the highest VMO activation. It also had an appropriate VMO : VL ratio similar to sling-based hip adduction exercise and had beneficial effects on PFPS.