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<title><![CDATA[Journal of Orthopaedic & Sports Physical Therapy - Stephen Reischl, DPT, OCS]]></title>
<link>http://www.jospt.org/stephenreischl</link>
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<title>Trunk Position Influences the Kinematics, Kinetics, and Muscle Activity of the Lead Lower Extremity During the Forward Lunge Exercise</title>
<link>http://www.jospt.org/issues/articleID.1410/article_detail.asp</link>
<description><![CDATA[<a href="http://www.jospt.org/rss/author.shawnfarrokhi/author.asp">Shawn Farrokhi</a>, <a href="http://www.jospt.org/rss/author.christinedpollard/author.asp">Christine D. Pollard</a>, <a href="http://www.jospt.org/rss/author.richardbsouza/author.asp">Richard B. Souza</a>, <a href="http://www.jospt.org/rss/author.yujenchen/author.asp">Yu-Jen Chen</a>, <a href="http://www.jospt.org/rss/author.stephenreischl/author.asp">Stephen Reischl</a>, <a href="http://www.jospt.org/rss/author.christophermpowers/author.asp">Christopher M. Powers</a><br /><p><strong><font color="#000099">STUDY DESIGN:</font></strong> Experimental laboratory study. <strong><font color="#000099">OBJECTIVES:</font></strong> To examine how a change in trunk position influences the kinematics, kinetics, and muscle activity of the lead lower extremity during the forward lunge exercise. <strong><font color="#000099">BACKGROUND:</font> </strong>Altering the position of the trunk during the forward lunge exercise is thought to affect the muscular actions of the lead lower extremity. However, no studies have compared the biomechanical differences between the traditional forward lunge and its variations. <strong><font color="#000099">METHODS AND MEASURES:</font>&nbsp;</strong>Ten healthy adults (5 males, 5 females; mean age &plusmn; SD, 26.7 &plusmn; 3.2 years) participated. Lower extremity kinematics, kinetics, and surface electromyographic (EMG) data were obtained while subjects performed 3 lunge exercises: normal lunge with the trunk erect (NL), lunge with the trunk forward (LTF), and lunge with trunk extension (LTE).<strong> </strong>A 1-way analysis of variance with repeated measures was used to compare lower extremity kinematics, joint impulse (area under the moment-time curve), and normalized EMG (highest 1-second window of activity for selected lower extremity muscles) among the 3 lunge conditions.&nbsp;<strong><font color="#000099">RESULTS:</font>&nbsp;</strong>During the LTF condition, significant increases were noted in peak hip flexion angle, hip extensor and ankle plantar flexor impulse, as well as gluteus maximus and biceps femoris EMG (<em>P</em>&lt;.015) when compared to the NL condition.&nbsp;During the LTE condition, a significant increase&nbsp;was noted in peak ankle dorsiflexion and a significant decrease was noted in peak hip flexion angle (<em>P</em>&lt;.015) compared to the NL condition. <strong><font color="#000099">CONCLUSIONS:</font> </strong>Performing a lunge with the trunk forward increased the hip extensor impulse and the recruitment of the hip extensors. In contrast, performing a forward lunge with the trunk extended did not alter joint impulse or activation of the lower extremity musculature. <strong><font color="#000099">LEVEL OF EVIDENCE:</font></strong> Therapy, level 5.</p><p><em>J Orthop Sports Phys Ther. 2008;38(7):403-409, published online 15 April 2008. doi:10.2519/jospt.2008.2634</em></p><p><strong><font color="#000099">KEY WORDS:</font></strong><em> </em>biomechanics, EMG, impulse, weight bearing</p>]]></description>
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