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Knee pain is thought to be primarily associated with specific quadriceps muscle weakness or fatigue, especially in the vastus medialis obliquus (VMO).It is known that fatigue can be caused by many different mechanisms, ranging from the accumulation of metabolites within muscle fibers to the generation of an inadequate motor command in the motor cortex. [4]
Vastus medialis. Patellofemoral pain syndrome may also result from overuse or overload of the PF joint. For this reason, knee activity should be reduced until the pain is resolved. [26] [27] There is consistent but low quality evidence that exercise therapy for PFPS reduces pain, improves function and aids long-term recovery. [28]
The vastus medialis arises medially along the entire length of the femur, and attaches with the other muscles of the quadriceps in the quadriceps tendon. [1] The vastus medialis muscle originates from a continuous line of attachment on the femur, which begins on the front and middle side (anteromedially) on the intertrochanteric line of the femur.
The vastus medialis oblique muscle is described to have an important role in functional stabilization of the patella against lateral vector force. [5] Proprioceptive exercises and strengthening of the hip abductors and positioning of the foot are crucial, especially indicated in patient with miserable malalignment syndrome or medial collapse. [6]
Exercises should strengthen quadriceps muscles such as rectus femoris, vastus intermedius, and vastus lateralis. However, tight and strong lateral quadriceps can be an underlying cause of patellar dislocation. If this is the case, it is advisable to strengthen the medial quadriceps, vastus medialis (VMO), and stretch the lateral muscles. [17]
The vastus medialis muscle is on the medial side of the femur (i.e. on the inner part thigh). [1] The vastus intermedius muscle lies between vastus lateralis and vastus medialis on the front of the femur (i.e. on the top or front of the thigh), but deep to the rectus femoris muscle. Typically, it cannot be seen without dissection of the rectus ...
The vastus medialis obliquus muscle courses over the anteromedial thigh, attaching along the adductor magnus anterior border and to the quadratus femoris tendon. The medial gastrocnemius tendon arises proximal and posterior to the gastrocnemius tubercle of the medial femoral condyle. [ 2 ]
Posterior division supplies the rectus femoris muscle, the three vastus muscles – (vastus medialis, vastus lateralis, and vastus intermedius), and the articularis genus muscle. The articularis genus is supplied by a branch of the nerve to vastus intermedius.