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At least 253 records · Page 14Linked to original sources
PubMed1993

Peak torque occurrence in the range of motion during isokinetic extension and flexion of the knee.

The purpose of this study was to 1) assess the knee angles of hamstring and quadriceps peak torques at slow (60 degrees.sec-1) and moderate (180 degrees.sec-1) isokinetic velocities in healthy adult males (N = 143) and females (N = 106), 2) determine if velocity has an effect on these peak torque angles, and 3) determine if subject's age, sex, and muscle strength have an effect on the results. The Cybex II dynamometer was used to record the measurements. At 60 degrees.sec-1, the mean peak torque for the hamstrings occurred at 33 degrees for men and 37 degrees for women (p < 0.001) (0 degree = full extension). At 180 degrees.sec-1, the corresponding angles were 40 and 44 degrees (p < 0.01). In both groups the increase was 7 degrees (p < 0.001). At 60 degrees.sec-1, the peak torque angle of the quadriceps was 54 degrees in both groups. At 180 degrees.sec-1, the angle occurred significantly later in men (11 degrees later) and in women (10 degrees later) (p < 0.001 for both). Subject's age (18 to 40 years) did not affect the results. In female hamstrings, the knee angle of peak torque had a highly significant (p < 0.001) negative correlation to muscle strength; that is, in female hamstrings, the peak torque angles occurred later in the range of motion when muscle strength decreased. This possibly explained the difference observed between men and women in the peak torque angles of hamstrings. In conclusion, people involved in isokinetic testing of muscular performance should be aware that the peak torque occurs later in the range of motion with increasing angular velocity, especially when testing weak muscle groups. In high angular velocities this may become a problem since the limb may pass the optimal joint position for muscular performance, and the recorded peak torque may not represent the subject's maximal torque capacity.

Adult↗
PubMed1999

Testosterone administration preserves protein balance but not muscle strength during 28 days of bed rest.

Decrements in muscle strength as a result of prolonged bed rest are well defined, but little is known about potential countermeasures for preventing loss of strength under this condition. The purpose of this study was to determine whether testosterone administration would preserve protein balance and muscle strength during prolonged bed rest. Ten healthy men (age, 36 +/- 2 yr; height, 177.2 +/- 3.4 cm; weight, 80.5 +/- 3.9 kg; mean +/- SE) were admitted to our in-patient metabolic unit. After a 1-week ambulatory run-in period, each subject was confined to bed for 28 days at 6 degree head-down tilt while receiving a daily oral dose of T3 (50 microg/day). During the bed rest/T3 period, six of the men were randomized to receive testosterone enanthate by i.m. injection (T; 200 mg/week) while four received placebo in a double blind fashion. Nitrogen balance was determined throughout, and whole body [13C]leucine kinetics were assessed at baseline and on day 26 of bed rest. Before bed rest and on the third day of reambulation, the muscle strength of the knee extensors and flexors and shoulder extensors and flexors was determined at 60 degrees/s on a Cybex isokinetic dynamometer. Despite improved [13C]leucine kinetics and maintenance of nitrogen balance and lean body mass in T-treated subjects, little preservation of muscle strength, particularly in the knee extensors, was noted. Muscle strength [reported as the best work repetition in foot-pounds (FtLb)] for right knee extensors declined (P = 0.011) similarly in both groups; from 165 +/- 15 to 126 +/- 18 FtLb in T-treated men and from 179 +/- 22 to 149 +/- 13 FtLb in placebo-treated men. Overall, there was less of a decline in extension and flexion strength of the shoulder compared to the knee, with no benefit from T. These results suggest that in the absence of daily ambulatory activity, T administration will not increase or, in the case of this bed rest model, preserve muscle strength.

Adult↗
PubMed2003

Effects of creatine supplementation and exercise training on fitness in men 55-75 yr old.

effect of oral creatine supplementation (CR; 5 g/day) in conjunction with exercise training on physical fitness was investigated in men between 55 and 75 yr of age (n = 46). A double-blind randomized placebo-controlled (PL) trial was performed over a 6-mo period. Furthermore, a subgroup (n = 20) completed a 1-yr follow-up. The training program consisted of cardiorespiratory endurance training as well as moderate resistance training (2-3 sessions/wk). Endurance capacity was evaluated during a maximal incremental bicycle ergometer test, maximal isometric strength of the knee-extensor muscles was assessed by an isokinetic dynamometer, and body composition was assessed by hydrostatic weighing. Furthermore, in a subgroup (PL: n = 13; CR: n = 12) biopsies were taken from m. vastus lateralis to determine total creatine (TCr) content. In PL, 6 mo of training increased peak oxygen uptake rate (+16%; P < 0.05). Fat-free mass slightly increased (+0.3 kg; P < 0.05), whereas percent body fat slightly decreased (-1.2%; P < 0.05). The training intervention did not significantly change either maximal isometric strength or body weight. The responses were independent of CR. Still, compared with PL, TCr was increased by approximately 5% in CR, and this increase was closely correlated with initial muscle creatine content (r = -0.78; P < 0.05). After a 1-yr follow-up, muscle TCr was not higher in CR than in PL. Furthermore, the other measurements were not affected by CR. It is concluded that long-term creatine intake (5 g/day) in conjunction with exercise training does not beneficially impact physical fitness in men between 55 and 75 yr of age.

Administration, Oral↗
PubMed1999

Eccentric muscle action increases site-specific osteogenic response.

PURPOSE: Strain magnitude is known to be a primary determinant of the osteogenic response to loading. However, whether bone adaptation to muscle loading is determined primarily by load magnitude is unclear. The purpose of this study was to determine the contribution of load magnitude from muscle action on the site-specific osteogenic response. METHODS: Twenty young women (12 exercise, 8 control) served as subjects. Bone mineral density (BMD) of the whole body and mid-femur segment and body composition were determined by dual-energy x-ray absorptiometry. Knee extension and flexion strengths were determined on a KinCom dynamometer, with surface electromyography of the vastus lateralis muscle. Exercise subjects trained three times weekly for 18 wk on a KinCom. One leg trained using eccentric knee extension and flexion, and the opposite leg trained using concentric knee extension and flexion. RESULTS: Eccentric exercise demonstrated greater force production with lower integrated electromyographic signal (IEMG) compared with concentric exercise. Significant increases in muscle strength occurred in both exercised legs (P < 0.05), which were of similar relative change. However, only the eccentric trained leg significantly increased mid-femur segment BMD (+3.9%, P < 0.05) and mid-thigh segment lean mass (+5.2%, P < 0.05). CONCLUSIONS: These results suggest that eccentric muscle training is more osteogenic than concentric muscle training and that eccentric training is more efficient by attaining higher force production with lower IEMG.

Absorptiometry, Photon↗
PubMed2005

Electrostimulation training effects on the physical performance of ice hockey players.

PURPOSE: The aim of this study was to examine the influence of a short-term electromyostimulation (EMS) training program on the strength of knee extensors, skating, and vertical jump performance of a group of ice hockey players. METHODS: Seventeen ice hockey players participated in this study, with nine in the electrostimulated group (ES) and the remaining height as controls (C). EMS sessions consisted of 30 contractions (4-s duration, 85 Hz) and were carried out 3x wk for 3 wk. Isokinetic strength of the knee extensor muscles was determined with a Biodex dynamometer at different eccentric and concentric angular velocities (angular velocities ranging from -120 to 300 degrees .s). Jumping ability was evaluated during squat jump (SJ), countermovement jump (CMJ), drop jump (DJ), and 15 consecutive CMJ (15J). Sprint times for 10- and 30-m skates in specific conditions were measured using an infrared photoelectric system. RESULTS: After 3 wk of EMS training, isokinetic torque increased significantly (P<0.05) for ES group in eccentric (-120 and -60 degrees .s) and concentric conditions (60 and 300 degrees .s), whereas vertical jump height decreased significantly (P<0.05) for SJ (-2.9+/-2.4 cm), CMJ (-2.1+/-2.0 cm), and DJ (-1.3+/-1.1 cm). The 10-m skating performance was significantly improved (from 2.18+/-0.20 to 2.07+/-0.09 s, before and after the 3-wk EMS period, respectively; P<0.05). CONCLUSION: It was demonstrated that an EMS program of the knee extensors significantly enhanced isokinetic strength (eccentric and for two concentric velocities) and short skating performance of a group of ice hockey players.

Adaptation, Physiological↗
PubMed2003

Acceleration effects on neck muscle strength: pilots vs. non-pilots.

BACKGROUND: Conditioning of neck muscles, if any, due to repeated exposures to +Gz forces has received little research attention. OBJECTIVE: This study was conducted to evaluate and compare the neck muscle strength of test volunteers representative of the general populations of fighter aircraft pilots and non-pilots. METHODS: The tests were performed using a special attachment device on a computerized dynamometer. Ten pilots and ten non-pilots volunteered as test subjects. Each individual's maximal isometric neck muscle strength was evaluated in the extension, flexion, and left and right lateral bending directions in a single day. Peak values from the measurements were used for data analysis. Overall neck strength was calculated as the mean values for the four directions in each group. RESULTS: The overall muscular strength of the necks of pilots did not differ significantly from that of non-pilots, nor did exposure to +Gz forces lead to specific changes in isometric muscle strength across any of the four principal directions. Neck muscle strength in the four measured directions pooled across the two subgroups were statistically significant. The widespread practice of adopting protective head-positioning strategies to minimize neck strains, coupled with results from this research study, suggest that the neck muscles are subjected to reduced in-flight strengthening workouts during exposures to +Gz forces. CONCLUSIONS: To maximize in-flight performance and minimize +Gz-induced neck injuries, fighter pilots should be encouraged to perform on-land neck muscle strengthening exercise and in-flight head-positioning techniques. More research is needed to fine-tune this countermeasure strategy against cervical spine injury.

Adult↗
PubMed1996

Muscle strength in postpolio patients: a prospective follow-up study.

Forty-three former polio patients now complaining of new progressive muscle weakness (symptomatic patients) plus 13 former polio patients without new neuromuscular complaints were included in the study. The symptomatic patients reported high frequencies of other neuromuscular complaints and a decline in their functional level. Most frequent complaints were general fatigue, low backache, and muscle pain (97.7%, 86%, and 79.1%, respectively) and a decline in the ability to walk (80%). In a prospective follow-up averaging 2.1 years, the muscle strength of 26 muscles in all four limbs of each patient was assessed by manual muscle testing and was also measured isometrically using a handheld dynamometer. During the follow-up period, we did not find a significant decrease in muscle strength in the symptomatic patients as compared to patients without new neuromuscular complaints.

Adult↗
PubMed1979

Strength of plantar flexion and function after resection of various parts of the triceps surae muscle.

Nine patients who had undergone resection of various well defined parts of the triceps surae muscle because of tumour were examined. The function was estimated from the patient's history and the muscle strength was measured statically and dynamically using a Cybex II dynamometer. Two patients reported slight symptoms. The loss of strength was less than one might expect from theoretical calculations. The strength of the operated limb showed a particular pattern depending on the part resected. From this pattern it was concluded that the soleus is more active when the foot is dorsiflexed and the gastrocnemius more active when the foot is in plantar flexion, and that the gastrocnemius is most important in quick movements of the foot.

Adolescent↗
PubMed2002

Muscle strength testing: use of normalisation for body size.

Assessment of muscle strength tests has been a popular form of testing muscle function in sports and exercises, as well as in other movement-related sciences for several decades. Although the relationship between muscle strength and body size has attracted considerable attention from researchers, this relationship has been often either neglected or incorrectly taken into account when presenting the results from muscle strength tests. Two specific problems have been identified. First, most of the studies have presented strength data either non-normalised for body size, or normalised using inappropriate methods, or even several different normalisations have been applied on the same sets of data. Second, the role of body size in various movement performances has been neglected when functional movement performance was assessed by muscle strength. As a consequence, muscle function, athletic profiles, or functional movement performance assessed by tested muscle strength have been often confounded by the effect of body size. Differences in the normalisation methods applied also do not allow for comparison of the data obtained in different studies. Using the following allometric formula for obtaining index of muscle strength, S, independent of body size (assessed by body mass, m) should be recommended in routine strength testing procedures: The allometric parameter should be either b = 0.67 for muscle force (recorded by a dynamometer), or b = 1 for muscle torque (recorded by an isokinetic apparatus). We also recommend using body-size-independent indices of both muscle strength and movement performance when assessing functional performance from recorded muscle strength or vice versa.

Adolescent↗
PubMed2006

Relationships among measures of knee musculoskeletal impairments, gross motor function, and walking efficiency in children with cerebral palsy.

PURPOSE: The study was designed to determine whether relationships exist among knee muscle spasticity, isometric knee muscle strength, knee muscle balance, gross motor function, and walking efficiency in children with spastic cerebral palsy and to evaluate the relative contributions of impairment measures to functional outcome measures. METHODS: Twenty-seven children with spastic diplegic cerebral palsy participated. Knee muscle strength and spasticity were measured by a hand-held dynamometer and the Ashworth Scale, respectively. Functional abilities were assessed by the Gross Motor Function Measure and by calculating the energy expenditure index from data collected during two three-minute walk tests (comfortable and fast speeds). RESULTS: Significant relationships were found between impairments and functional abilities (r = 0.42-0.85, p < 0.05). Isometric hamstring strength and quadriceps spasticity explained 81.5% of total Gross Motor Function Measure score variance. Quadriceps spasticity explained 56.7% of energy expenditure index variance during comfortable walking. CONCLUSION: Hamstring strength and quadriceps spasticity explain much of the variance in gross motor function and comfortable walking efficiency.

Cerebral Palsy↗
PubMed2005

Estimation of hand force in ergonomic job evaluations.

The aims of the present study were: (1) to collect normative data of pinch and power grip strength with a newer digital dynamometer; (2) to study the ability of hand grip force matching using a hand dynamometer where the validity and reliability issues were studied; and (3) to study the relationship between hand grip force matching and muscle activities of three forearm and hand muscles. This study consisted of two experiments. One hundred and twenty subjects volunteered in the first experiment, where hand grip strength and hand force estimation data were collected. The second experiment had 14 volunteers, where muscle activities of the hand and forearm were collected during the tests of hand grip strength and hand force matching estimations. Results showed that the power grip and pinch grip strengths collected with a newer digital dynamometer were comparable to similar studies using older equipment. At the group level, the force matching method was largely accurate and consistent. Instructions to the subjects about force matching estimation were important to the accuracy and consistency of the estimated forces. Estimation in force matching might depend on perceptions of several major muscle activities.

Adult↗
PubMed1993

Knee function after operation for malignancy of the distal femur. Quadriceps muscle mass and knee extension strength in 21 patients with hinged endoprostheses.

We evaluated quadriceps muscle mass and knee extension strength in 21 patients after resection and endoprosthetic replacement of the distal femur for malignant bone tumor. In all cases, a modular cementless, hinged prosthesis had been used. The mean follow-up period was 4 (2-9) years. Muscle mass was measured ultrasonographically, and strength isokinetically with a Cybex 6000 dynamometer. All the data for the operated side are given as percentage of the non-operated side. The average quadriceps mass was 48 (27-70) percent. The average peak torque was 31 (14-48) and 36 (18-55) percent at the speed of 30 degrees/s and 90 degrees/s, respectively. The reduction in extension strength became greater with increasing flexion. There was a moderate correlation between muscle mass and muscle strength. Most of the patients who had kept more than 40 percent of the quadriceps mass had more than 30 percent peak torque. Patients with excellent function (Enneking 1987) had more quadriceps muscle mass and higher strength than those that were merely good with the borderline at about 40 percent muscle mass.

Adolescent↗
PubMed1997

Abdominal wall competence after free transverse rectus abdominis musculocutaneous flap harvest: a prospective study.

A prospective study was designed to evaluate the possible changes in abdominal wall strength following free transverse rectus abdominis musculocutaneous (TRAM) flap surgery for breast reconstruction. Twenty-two patients were examined 1 day before surgery, and at 3, 6, and 12 months postoperatively. Trunk muscle strength was measured by the same physiotherapist using an isokinetic dynamometer (Lido Multi Joint II, Loredan Biomedical Inc., Davies, CA). The peak torque and average torque for both flexion and extension at 60 degrees per second angular velocity were recorded from the curves obtained. There was a significant reduction in trunk flexion strength at 3 months postoperatively (peak torque mean, 92% of the preoperative value; p = 0.04), but this was corrected by 6 months (mean, 96%), and improved to 98% by 12 months. The patient's ability to do curled trunk sit-ups was evaluated by the same physiotherapist and graded on a scale from 1 to 6. In 9 of 19 patients the operation had no effect on sit-up performance during follow-up. In 10 of 19 patients there was a reduction of one or two grades at 3 months that did not improve by 12 months. Magnetic resonance imaging of the abdominal wall was performed on 9 patients. The mean area of the upper third of both rectus muscles was measured on the axial images. At 3 months postoperatively the mean area of the upper third of the donor muscle was significantly larger than the contralateral (p = 0.03). There was no difference in size at 6 months, and by 12 months the donor side was smaller. This prospective study shows that harvesting of a free TRAM flap can cause a subclinical reduction in abdominal strength, although this was not noticed by the patients themselves.

Abdominal Muscles↗
PubMed2004

Muscle weakness after muscle relaxants: an audit of clinical practice.

Residual muscle weakness after general anaesthesia, assessed using handgrip strength, was audited in a teaching hospital. The relationships between residual weakness, the use of muscle relaxants and patient characteristics were examined. Handgrip strength was measured preoperatively, one hour postoperatively and one day postoperatively using a hand dynamometer in 151 patients having general anaesthesia. Forty-nine patients received no muscle relaxant, 34 patients received vecuronium and 68 received rocuronium. Patients were managed by their anaesthetist according to that anaesthetist's clinical choice. All patients who received muscle relaxants received neostigmine. One hour postoperatively, there was a decline in handgrip strength of 16% for the no relaxant group, 24% for vecuronium and 29% for rocuronium. The degree of weakness for the relaxant groups was unrelated to age (P=0.89) but was strongly influenced by the patient's sex. Almost all of the increased weakness with relaxants was found in the female patients. The mean decline in handgrip strength in the male patients who received either vecuronium or rocuronium was similar to that seen when relaxants had not been used (P=0.40). One hour postoperatively, female patients showed a marked decrease in handgrip strength after both vecuronium and rocuronium (32% and 34% respectively, combined P=0.01). These results suggest that in usual clinical practice at our institution, female patients are more likely to have residual weakness after muscle relaxants.

Age Factors↗
PubMed2000

Bone mass and muscle strength in young female soccer players.

In this cross-sectional study, bone mass and muscle strength of the thigh were investigated in 51 female soccer players, age 16.3 +/- 0. 3 years, who had been playing soccer for 8.1 +/- 2.1 years and were at the time of the study in soccer training for 5.0 +/- 1.7 hours/week. They were compared with 41 nonactive females, age 16.2 +/- 1.3 years. The groups were matched according to age, weight, and height. Areal bone mineral density (BMD) was measured of the total body, head, lumbar spine, femoral neck, Ward's triangle, and the greater trochanter using dual energy X-ray absorptiometry (DXA). Isokinetic muscle strength of the quadriceps and hamstrings muscles was measured using an isokinetic dynamometer. Compared with the nonactives, the soccer players had significantly higher BMD of the total body (2.7%), lumbar spine (6.1%), the dominant and nondominant hip (all sites). The largest differences were found in the greater trochanter on both sides (dominant, 16.5%, nondominant, 14.8%). The soccer players had significantly higher concentric and eccentric peak torque of the thigh muscles. In the soccer group, there was only a positive association between thigh muscle strength and BMD of the adjacent hip, and in the nonactive group there were several positive associations between muscle strength and BMD. However, when adjusting for the variation in weight and height all these associations became nonsignificant. Using multiple linear regression, the type of activity (soccer player, nonactive) independently predicted BMD of all dominant hip sites (beta = 0.32-0.48, P < 0.01). No other variable was found to independently predict BMD of any site. In the younger subjects (</=16 years) only BMD of the greater trochanter was significantly higher in the soccer players. In the older subjects (>16 years) the soccer players had significantly higher BMD in all measured sites except for the nonweight-bearing head. The differences in muscle strength between soccer players and nonactives were already seen in the young age group. In conclusion, girls who train and play soccer in adolescence have a higher bone mass in the hip and lumbar spine, and a higher muscle strength of the thigh compared with nonactive controls, indicating a site-specific skeletal response of weight-bearing and impact-loadng acting on the skeleton. The differences in bone mass were already apparent in early adolescence, but became more pronounced in late adolescence, probably explained by a longer exposure to soccer training with time. Our results also indicate that muscle strength in itself might not be of decisive importance for bone mass in the hip of adolescent females.

Absorptiometry, Photon↗
PubMed1995

Internal consistency of dynamometer measurements in healthy subjects and stroke patients.

Measurements of strength from six muscle groups described in two previously completed reports were analyzed further using Cronbach alpha. The coefficients were greater than .948 for a small sample of stroke patients and a larger sample of healthy individuals. This finding shows in diverse samples that the measures possess internal consistency and are measuring the same underlying construct.

Aged↗
PubMed1996

Computer-assisted hand-held dynamometer: low-cost instrument for muscle function assessment in rehabilitation medicine.

In rehabilitation medicine, muscle function is assessed during the physical examination of the patient. Although a simple hand-held instrument improves the assessment of static strength, it is rarely used in clinical practice, where dynamic measurements are preferred. A computer-assisted hand-held dynamometer (CAHNDY) has been developed that enables the clinician to measure dynamic muscle function in a standardised manner, using simple (i.e. portable and low-cost) apparatus. The CAHNDY comprises a force transducer and a movement transducer interfaced to a personal computer. In the study dynamic measurement protocols are used, based on a biomechanical analysis of daily activities. In this way, iso-functional profiles can be established, describing the kinematics of muscle function in its functional context. Using the iso-functional profiles as a basis for standardisation, the double feedback algorithm of the CAHNDY assists the tester in meeting this standard, during maximal muscle function testing. In a multi-centre trial, the CAHNDY is evaluated by physical therapists for knee extensor and flexor function. The CAHNDY enables iso-functional dynamic muscle function testing, although application is limited by the maximal strength of the tester. It is concluded that the CAHNDY is suitable for use in rehabilitation medicine.

Ambulatory Care↗