Abstract
A quadriceps setting (quad set) exercise is commonly utilized following knee injury, but there is great variation in cues that clinicians provide to patients when performing the exercise.CONTEXTA quadriceps setting (quad set) exercise is commonly utilized following knee injury, but there is great variation in cues that clinicians provide to patients when performing the exercise.To determine if internal, external, or visual cues results in the greatest quadriceps electromyographical (EMG) activity during a quadriceps setting exercise in healthy individuals.OBJECTIVESTo determine if internal, external, or visual cues results in the greatest quadriceps electromyographical (EMG) activity during a quadriceps setting exercise in healthy individuals.Descriptive laboratory study.DESIGNDescriptive laboratory study.University research laboratory.SETTINGUniversity research laboratory.Thirty healthy individuals volunteered for this study. Participants were given one of five cues in a randomized order: internal cue "tighten your thigh muscles," internal cue "push your knee down," external cue "push into the bolster," external cue "push into the strap," or visual biofeedback using the cue "raise the value on the screen as high as you can."PARTICIPANTSThirty healthy individuals volunteered for this study. Participants were given one of five cues in a randomized order: internal cue "tighten your thigh muscles," internal cue "push your knee down," external cue "push into the bolster," external cue "push into the strap," or visual biofeedback using the cue "raise the value on the screen as high as you can."Normalized vastus lateralis EMG activity.MAIN OUTCOME MEASURESNormalized vastus lateralis EMG activity.Both visual biofeedback (83.2±24.9%) and "press into the strap" (76.8±24.4%) produced significantly greater (p< 0.001) EMG activity than the push knee down (53.2±27.0%), tighten thigh (52.7±27.3%), or push into the bolster (50.8±26.3) conditions. There was no significant difference (p= 0.10) between the visual biofeedback and "press into the strap" conditions as well as no significant difference (p> 0.38) between the push knee down, tighten thigh, or push into the bolster conditions.RESULTSBoth visual biofeedback (83.2±24.9%) and "press into the strap" (76.8±24.4%) produced significantly greater (p< 0.001) EMG activity than the push knee down (53.2±27.0%), tighten thigh (52.7±27.3%), or push into the bolster (50.8±26.3) conditions. There was no significant difference (p= 0.10) between the visual biofeedback and "press into the strap" conditions as well as no significant difference (p> 0.38) between the push knee down, tighten thigh, or push into the bolster conditions.If the clinical aim during a quadriceps setting exercise is to obtain the greatest volitional muscle recruitment, the use of visual biofeedback or pressing into a strap is recommended.CONCLUSIONSIf the clinical aim during a quadriceps setting exercise is to obtain the greatest volitional muscle recruitment, the use of visual biofeedback or pressing into a strap is recommended.