The Effect of Shoe Type and Load Carrying on Electromyographic Activity of Lower Extremity Muscles during Stair Ascent and Descent

Objective Stair ascent and descent is an essential movement task in daily life in which individuals are subjected to repetitive impact forces. The purpose of this study was to evaluate the intensity of Electromyographic (EMG) activity in lower extremity muscles of healthy young men during stair ascent and descent task wearing different type of shoes and carrying loads. Methods Nine men with a mean age of 25.94±3.26 years, mean height of 174±7.4 cm, and mean weight of 70.95±8.25 kg were selected. Four stairs were fabricated and the electromyographic activity of their lower extremity muscles (two muscles in the posterior leg and three quadriceps muscles) in the right side of the body was measured using the 16-channel EMG system MA300 during the task. These tests were conducted in two conditions of with and without load carrying. The load was a cube-shaped box weighing 15% of the body weight. Three cases of footwear were set: barefoot, athletic shoes, and formal shoes. Repeated measure ANOVA was used for data analysis at the significant level of P<0.05. Results The load factor had a significant effect on the intensity of muscle activity. The intensity of muscle activity during ascending stairs was higher than that during descending. In stair descent task, the EMG activity of the vastus medialis muscle was greater than that of the vastus lateralis and rectus femoris muscles, which causes the patella to be pulled inward more leading to patellofemoral articular cartilage wear in the long term. Conclusion Stair ascent puts more pressure on the ankle and knee joints. When carrying the load up stairs, the use of proper shoes can greatly reduce the intensity of muscle activity and delay fatigue. It is, therefore, recommended that people with patellofemoral articular cartilage wear should not use the stairs, if possible.