| 1. |
- Flansbjer, Ulla-Britt, et al.
(författare)
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Reproducibility of ankle dorsiflexor muscle strength measurements in individuals with post-polio syndrome
- 2011
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Ingår i: Isokinetics and Exercise Science. - 1878-5913 .- 0959-3020. ; 19:1, s. 55-61
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to assess the reproducibility of isokinetic and isometric ankle dorsiflexor strength measurements in individuals with post-polio syndrome (PPS). Thirty-one men and women (mean age 63 +/- 7.0 years) with verified PPS, participated in an intra-rater test-retest reproducibility study. Strength of the ankle dorsiflexor muscles in both lower limbs were measured twice, seven days apart, with a Biodex dynamometer (isokinetic concentric; 30 degrees/s and isometric; ankle plantar flexion angle 10 degrees). Reproducibility was evaluated with the intraclass correlation coefficient (ICC2,1), the mean difference between the test sessions ((d) over bar) and the 95% confidence intervals for (d) over bar, the standard error of measurement (SEM, 95% SEM and SEM%) and Bland & Altman graphs. All 31 individuals completed the measurements in the less affected lower limb, but only 14 in the more affected lower limb due to severe weakness and/or joint stiffness. The analysis was therefore based on data from the two lower limbs separately. The test-retest agreements were high, (ICC2,1 0.85 to 0.94) and measurement errors generally small, and there was no discernible difference between the less and more affected lower limbs. The mean isokinetic and isometric peak torque (Nm) for the two lower limbs from the two test sessions ranged from 22.7 to 25.8. The SEM, which represents the limit for the smallest change that indicates a real change for a group of individuals, ranged from 2.51 to 3.74 Nm. In conclusion, isokinetic and isometric muscle strength measurements of the ankle dorsiflexor muscles in individuals with PPS are reproducible and can be used to detect changes over time or after an intervention for groups of individuals.
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| 2. |
- Hébert-Losier, Kim, et al.
(författare)
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The reproducibility of three different indicators of fatigue from plantar- flexion isokinetic testing at two knee flexion angles is not sufficient to be termed 'acceptable'
- 2013
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Ingår i: Isokinetics and exercise science. - 0959-3020 .- 1878-5913. ; 21:3, s. 227-236
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To characterize the reproducibility of three indicators of fatigue (FIs) specific to concentric plantar-flexion isokinetic testing at knee flexion (KF) angles of 0 degrees (straight) and 45 degrees (bent). METHODS: On two separate days one week apart, thirty-four males performed 50 consecutive maximal concentric isokinetic plantar-flexion contractions at 60 degrees/s with 0 degrees and 45 degrees of KF. Differences in the pre- and post-maximal voluntary isometric contraction torques (FIstatic), powers during the initial five and last five isokinetic contractions (FIdynamic) and powers during the 50 isokinetic contractions (FIslope) were used as FIs. Changes in means, intra-class correlation coefficients (ICCs) and coefficients of variations (CVs) were computed to quantify the reproducibility of the FIs. Comparisons were made between the two KF angles and three FIs using two-way repeated measures ANOVA. RESULTS: For both KF angles and three FIs, ICCs ranged from 0.52 to 0.71 and CVs from 10.0 to 29.3%. The CVs from the two isokinetic-based FIs were lower than those from the isometric FI and a trend towards larger ICCs at 0 degrees was observed. CONCLUSIONS: The reproducibility of the three FIs was not sufficient to be termed 'acceptable'. The FIslope and FIdynamic were more reproducible than FIstatic and are recommended - with the knee straight rather than bent - until more reliable indicators become available.
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| 3. |
- Hedlund, Mattias, et al.
(författare)
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Torque-angle relationship are better preserved during eccentric compared to concentric contractions in patients with stroke
- 2012
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Ingår i: Isokinetics and exercise science. - 0959-3020 .- 1878-5913. ; 20:2, s. 129-140
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to compare the effect of isokinetic contraction mode and velocity on the torque-angle relationship during maximum voluntary elbow flexion in patients with stroke, age-matched healthy subjects and young subjects. To eliminate the effect of torque amplitude differences between subjects and groups, the torque values throughout the ROM were individually normalized to the peak value for each contraction velocity. The results indicate that in stroke patients the normalized torque angle relationship during the eccentric contractions was better preserved than during concentric contractions. Specifically, during eccentric contractions, stroke patients exhibited a torque-angle relationship that was closer to normal as the test velocity increased. The opposite trend could be seen in concentric contractions where the torque-angle relationship became more divergent from normal with a rise in the velocity. The torque-angle relationships were essentially the same for the control groups, irrespective of contraction mode or velocity. These findings may have significance for loading patterns of resistance training exercises used with stroke patients as such exercises normally are biomechanically designed for normal torque angle relationships. In clinical practice, these findings may partly explain why the strength increases due to resistance training are limited for patients with stroke.
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