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Sex Difference in Lower-limb Electromyography and Kinematics when Using Resistance Bands during a Barbell Back Squat
Shahab Alizadeh1, Leah Vardy1, Garrick N Forman2
1School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John's, NL, Canada.
Journal of Human Kinetics
|May 14, 2023
Summary
Adding resistance bands to barbell back squats increases medial knee displacement, especially with heavier bands. Males show less knee displacement than females, suggesting a potential biomechanical disadvantage for females using resistance bands.
Area of Science:
- Biomechanics
- Exercise Physiology
- Sports Science
Background:
- Barbell back squats (BBS) are a fundamental strength exercise.
- Resistance bands can alter biomechanics during squats.
- Understanding sex-based differences in muscle activation and knee displacement is crucial for training.
Purpose of the Study:
- To compare muscle activity (gluteus medius, gluteus maximus, biceps femoris, vastus lateralis, vastus medialis, erector spinae) and medial knee displacement (MKD) during BBS with varying resistance band stiffness.
- To investigate sex-based differences in these parameters.
Main Methods:
- 23 resistance-trained individuals (11 female) performed BBS at 85% 1RM with three resistance bands (red, black, gold).
- Muscle activity was measured via electromyography (EMG).
- Lower-limb kinematics and MKD were tracked using motion capture.
Main Results:
- The gold resistance band (highest stiffness) significantly increased MKD (p < 0.01).
- Males exhibited less MKD than females across all band conditions (p = 0.04).
- Males showed greater vastus lateralis activity with black and gold bands (p = 0.03); gluteus medius activation increased with the gold band (p < 0.01).
- Vastus medialis activity decreased with the gold band (p < 0.01). Biceps femoris and erector spinae activity remained unchanged.
Conclusions:
- Heavier resistance bands increase medial knee displacement during BBS.
- Females demonstrate greater MKD than males, potentially indicating a biomechanical disadvantage.
- Resistance bands alter lower-limb muscle activation patterns, with sex-specific responses observed.

