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PubMed1996

Isokinetic strength of the quadriceps and hamstrings and functional ability of anterior cruciate deficient knees in recreational athletes.

OBJECTIVE: To test the hypothesis that increasing the hamstrings and quadriceps (H:Q) isokinetic strength ratio will, in the short term, improve the functional ability of an anterior cruciate ligament (ACL) deficient knee. METHODS: The isokinetic muscular characteristics at a speed of 60 degrees s-1 and 180 degrees s-1 of 46 recreational athletes with an arthroscopically confirmed ACL tear were determined using the Cybex II+ isokinetic dynamometer. The variables tested included peak torque, endurance ratio, total work output, and explosive power. Functional ability was scored with the Cincinnati rating system, measuring the severity of pain and swelling, the degree of giving way, and the overall ability to walk, run, ascent and descent stairs, jump and twist. RESULTS: Among all muscular characteristics, the H:Q ratio at 180 degrees s-1 at 30 degrees of knee flexion was shown to have the highest correlation to the functional score (r = 0.6249, P < 0.001). All variables involving hamstring strength were shown to be significantly correlated to the functional ability score (P < 0.01), while none of the variables involving quadriceps strength showed significant correlation with the functional ability of the injured knee. CONCLUSIONS: The H:Q ratio is strongly correlated to the functional ability of ACL deficient knees in Chinese recreational athletes. It could be used as an additional measure to guide in the decision making process in the management of ACL deficient knees.

Adult↗
PubMed1987

Relative dynamic muscular endurance of patients with neuromuscular disorders and of healthy matched control subjects.

This study was undertaken to determine whether the relative muscular endurance of patients with paresis secondary to neuromuscular disorders was different from that of comparable healthy persons. Using an isokinetic dynamometer, I measured the peak knee extension torque of five patients with neuromuscular disorders and of five matched controls. Torque was measured during an initial and 40 subsequent maximal knee extensions at 180 degrees/sec. Gravity-corrected peak torques of the initial repetition and every fifth subsequent repetition were compared between groups, as were the percentages of decrease in torque (calculated relative to the initial torque) using two-way analysis of variance procedures. The results of these procedures demonstrated that the healthy subjects were significantly stronger than the patients with paresis (p less than .01) but that the patients had significantly better relative muscular endurance (ie, smaller percentages of decrease in torque) than the healthy subjects (p less than .05). These findings suggest that, for the patients tested, the relative muscular endurance of patients with paresis is not compromised. This finding does not preclude patients with paresis being unable to complete multiple repetitions of specific functional tasks requiring some critical level of muscular strength.

Adult↗
PubMed1996

Trunk extensor and flexor strength measured by the Cybex 6000 dynamometer. Assessment of short-term and long-term reproducibility of several strength variables.

STUDY DESIGN: Isokinetic trunk extensor and flexor strength (peak torque, total work, power acceleration time, and torque acceleration energy) at 30 degrees/sec, 120 degrees/sec, and 180 degrees/sec and isometric extensor and flexor peak torque were measured in 24 healthy women. Measurements were performed in three separate sessions at the same time of day and by the same experienced examiner. The number of days between Session 1 and Session 2 and between Session 1 and Session 3 ranged from 1 to 7 (median, 2 days) and from 23 to 48 (median, 32 days), respectively. The test results were not revealed before all sessions were completed. OBJECTIVES: To determine the intrasession, short-term, and long-term reproducibility of several trunk strength variables measured by the Cybex 6000 isokinetic dynamometer (Lumex, Inc., Ronkonkoma, NY). SUMMARY OF BACKGROUND DATA: Only few and insufficient data regarding the reproducibility of trunk strength measurements exist. Previous studies have focused on coefficients of correlation to express reproducibility. Correlations, however, are misleading and inappropriate for this purpose. The critical difference is the difference between two results that would be statistically significant when applied to a reference group in steady state. The critical difference in percentage is calculated as 2.77 X coefficient of variation (%). METHODS: Isokinetic dynamometry (Cybex 6000). Reproducibility was expressed as pooled coefficients of variation, individual coefficients of variation, and critical differences. RESULTS: Substantial between-subject variation of coefficients of variation was found for all strength variables; for example, the 80% central range for individual coefficients of variation for long-term reproducibility of extensor strength measurements at 30 degrees/sec ranged from 2.5% to 19.5%. Critical differences calculated using the pooled variances for long-term reproducibility were higher than 20% for all measures, mounting to 80% for acceleration time. CONCLUSIONS: Strength testing is of limited value in the individual subject because of considerable day-to-day variability. This finding has important clinical implications.

Adolescent↗
PubMed1983

Specificity of velocity in strength training.

Twenty-one male volunteers (ages 23-25 years) were tested pre- and post training for maximal knee extension power at five specific speeds (1.05, 2.09, 3.14, 4.19, and 5.24 rad X s-1) with an isokinetic dynamometer. Subjects were assigned randomly to one of three experimental groups; group S, training at 1.05 rad X s-1 (n = 8), group I, training at 3.14 rad X s-1 (n = 8) or group F, training at 5.24 rad X s-1 (n = 5). Subjects trained the knee extensors by performing 10 maximal voluntary efforts in group S, 30 in group I and 50 in group F six times a week for 8 weeks. Though group S showed significant increases in power at all test speeds, the percent increment decreased with test speed from 24.8% at 1.05 rad X s-1 to 8.6% at 5.24 rad X s-1. Group I showed almost similar increment in power (18.5-22.4 at all test speeds except at 2.09 rad X s-1 (15.4%). On the other hand, group F enhanced power only at faster test speeds (23.9% at 4.19 rad X s-1 and 22.8% at 5.24 rad X s-1).

Adult↗
PubMed1989

Isokinetic strength and body composition of high school wrestlers across age.

The purpose of this study was to determine the changes in body composition as well as absolute and relative isokinetic forearm and leg strength of high school wrestlers across age. One hundred ninety-five wrestlers (means age +/- SD = 16.36 +/- 1.12 yr) volunteered to be measured for strength using a Cybex II dynamometer at 30, 180, and 300 degrees.s-1. In addition, underwater weighing was used to determine body composition characteristics. The subjects were divided into four age groups: group 1 (G1) = 14.17-15.00 yr (N = 20); group 2 (G2) = 15.01-16.00 yr (N = 60); group 3 (G3) = 16.01-17.00 yr (N = 52); and group 4 (G4) = 17.01-18.50 yr (N = 63). One-way ANOVA or ANCOVA with Tukey post hoc comparisons indicated significant (P less than 0.05) changes across age for height, body weight, and fat-free weight, as well as absolute and relative forearm and leg strength. The results of this study indicated that, while a large portion of the improvements in strength across age were associated with increases in lean tissue, there was an additional "age effect" which could not be accounted for by changes in fat-free weight. Although the mechanism responsible for the "age effect" is unclear, it is possible that neural development contributed to the strength increases across age.

Adolescent↗
PubMed2001

Knee flexor strength following anterior cruciate ligament reconstruction with the semitendinosus and gracilis tendons.

Knee flexor strength recovery following anterior cruciate ligament reconstruction with the doubled semitendinosus and gracilis tendons was assessed for up to 12 months post-surgery. Twelve patients were followed up, four at 3 months, five at 6 months and three at 12 months post-surgery. Knee flexor moment was recorded using the Biodex System-3 isokinetic dynamometer. Three sets of five repetitions of reciprocal eccentric/ concentric knee flexion contractions were carried out with each set at 1.05, 2.09 or 3.14 rad x s(-1). T-tests were used to test for significant differences between and within groups. The uninjured leg produced greater average peak moments than the injured leg; significant differences (p < 0.05) were seen between the legs at 1.05 rad x s(-1) for the 3-month group concentrically, and all three groups eccentrically. There was no significant difference (p > 0.05) between groups for the percentage deficit between legs. On average, a 23% deficit in average peak moment was still evident at 12 months both eccentrically and concentrically at 1.05 rad x s(-1). Taken as a whole this evidence suggests that there is a deficit in knee flexor strength up to at least 12 months post-surgery following doubled semitendinosus and gracilis tendon graft reconstruction even after a full rehabilitation protocol.

Adult↗
PubMed1990

Voluntary control of submaximal grip strength.

Stokes (J Occup Med; 1983;25:683-684) proposed that feigned weak hand grip can be distinguished from sincere efforts by examining force measurements for the different handle positions of the Jamar hand dynamometer. Sincere efforts yield a curvilinear relationship between grip force and handle position; feigned efforts yield a horizontal, linear relationship. The purpose of the present set of three experiments was to investigate the degree of control normal subjects have over submaximal effort and their ability to feign weakened grip. In Experiment 1 we found that subjects instructed to exert a specific amount of submaximal effort (50%) did not produce a response pattern of grip force consistent with Stokes' hypothesis. In Experiment 2 we found a linear relationship between the degree of submaximal effort and grip force for efforts of 30, 50, 70, and 90% of maximal effort. In Experiment 3 we found that subjects, with proper instruction as to the amount of effort to exert, can produce feigned submaximal efforts similar to the sincere, maximal efforts of injured people. Simple maximal grip force measurements are insensitive to the different motor strategies used in maximal and submaximal efforts and may provide little evidence for the detection of feigning.

Adult↗
PubMed2005

Mechanical counter-pressure vs. gas-pressurized spacesuit gloves: grip and sensitivity.

INTRODUCTION: An elastic mechanical counter pressure (MCP) glove for spacesuits is under development. In this study we compared handgrip and pinch grip strength levels for the MCP glove and the current extravehicular mobility unit (EMU) gas-pressurized glove. METHODS: We employed handgrip and pinch grip dynamometers to assess strength levels and von Frey monofilaments to evaluate hand sensitivity. Tests were conducted with the gloved hand inserted in an evacuation chamber at 200 mmHg below atmospheric pressure to simulate conditions in space. RESULTS: Average bare hand strength was 463 N and decreased to 240 N for EMU and 250 N for MCP. Pinch grip and key grip testing showed no difference among conditions. However, there was a significant decrease in palmar grip strength from 111 N barehanded to 67 N in both gloves. Barehanded endurance time was 160 s and dropped to 63 and 69 s for EMU and MCP, respectively. Sensitivity was significantly better for MCP compared with the EMU. DISCUSSION: The MCP glove improved hand sensitivity when compared with the EMU glove and performed as well as the EMU glove in terms of overall handgrip strength, endurance at 25% of maximum handgrip strength, pinch grip, palmar grip, and key grip tests. Improvements in fabric composition and glove design may further improve ergonomic and other functional parameters of the MCP glove.

Adult↗
PubMed2003

Effect of Roman chair exercise training on the development of lumbar extension strength.

The purpose of this study was to determine the effect of 45 degrees Roman chair exercise training on the development of lumbar extension strength. Fifteen healthy volunteers (9 women, 6 men) were recruited from a university setting and were randomly assigned to 1 of 2 groups. One group (n = 9) performed progressive resistance back extension exercise on a 45 degrees Roman chair once weekly for 12 weeks. Training consisted of one set of 8-20 dynamic repetitions to volitional exhaustion using hand-held metal plates for additional resistance. The other group did not train (control, n = 6). Peak isometric lumbar extension torque was measured on a lumbar extension dynamometer before and after the 12-week program. Following training, peak isometric lumbar extension torque did not increase for the Roman chair group (before: 224.0 +/- 134.1 N x m; after: 240.3 +/- 137.4 N x m; p > 0.05) compared with the control group (before: 175.6 +/- 68.9 N x m; after: 178.2 +/- 69.9 N x m; p > 0.05), despite an increase in dynamic exercise load.

Adolescent↗
PubMed1995

Physical therapy management of the subluxated wrist in children with arthritis.

Arthritis commonly affects the hand and wrist in children and may contribute to loss of range of motion and force of the muscles surrounding the involved joints. The purpose of this case report is to describe a physical therapy protocol for managing a subluxated wrist in children with arthritis. Measures of range of motion and force of the wrist observed in two patients up to 2 years after the implementation of this protocol are also reported. The initial phase of the physical therapy program focused on realigning the subluxated wrist. Heat was used to manage flexor muscle tightness and increase tissue extensibility. The carpal bones were then realigned manually and supported in position with a cast for a period of 72 hours. Once alignment of the wrist was achieved, the emphasis of physical therapy was placed on increasing range of motion and force at the wrist joint through visits to the physical therapist and an extensive home program. Measurements of passive range of motion and active range of motion using a goniometer, grip forces using a modified sphygmomanometer, and peak torque of the wrist extensors using a dynamometer (measured in one patient) were recorded before and up to 2 years following the implementation of the protocol. There was an increase in wrist extension passive range of motion (35 degrees in both patients) and active range of motion (15 degrees in patient 1 and 25 degrees in patient 2) between the measurements obtained before and 1 to 2 years following the implementation of the protocol.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1998

Smokeless tobacco, reaction time, and strength in athletes.

PURPOSE: This study investigated the effects of smokeless tobacco on reaction time and strength in a group of Division III athletes. METHODS: Athletes were tested for simple and choice reaction time, maximum voluntary force, and maximum rate of force generation of the knee extensors on a KinCom dynamometer at 250 degrees.s-1. Smokeless tobacco-using athletes (N = 20) were tested while both using and after abstaining from smokeless tobacco. Another group of athletes (N = 20) who did not use smokeless tobacco served as a control group. RESULTS: Simple and complex reaction times were not affected by smokeless tobacco use or abstention. In the simple reaction time test, maximum voluntary knee extensor force was higher in the smokeless tobacco-using group while abstaining (P < 0.05). Maximum rate of force generation in the simple reaction time test was not statistically different between the conditions. In the choice reaction test, both strength parameters (maximum force and maximum rate of force generation) were higher in the user group while abstaining (P < 0.05) compared with the using condition. The strength parameter measurements in the control group were not statistically different from the tobacco-using group, while either using or abstaining. CONCLUSIONS: We conclude that smokeless tobacco use has no effect on reaction time but may detrimentally influence maximum voluntary force and maximum rate of force generation.

Adolescent↗
PubMed1993

Physiological predictors of short-course triathlon performance.

The purpose of this study was to investigate if selected physiological variables were related to triathlon performance. Eighteen male and seven female triathletes competed in a short-course triathlon (1-km swim, 30-km cycle, 9-km run) and underwent physiological testing within 14 d. VO2max and ventilatory threshold (VT) were measured on a cycle ergometer, treadmill, and tethered swim apparatus. Leg flexion and extension strength were measured on a Cybex II isokinetic dynamometer. Multiple linear regression did not improve the prediction of triathlon performance over that provided by simple correlations. Swim performance was related to relative swim VO2max in both males (r = -0.48) and females (r = -0.93) as well as the resistance pulled at swim VT (r = -0.81) and absolute leg flexion strength (r = -0.77) in females. No physiological variables were significantly related to cycling time in either gender. Running time was related to relative VO2max (r = -0.88) in females and velocity at run VT in both females (r = -0.88) and males (r = -0.73). Relative swim VO2max (r = -0.98), velocity at run VT (r = -0.89), and absolute leg flexion strength (r = -0.80) were related to overall performance in female triathletes. The only significant predictor of overall triathlon time for males was velocity at run VT (r = -0.78). It therefore appears that in short-course triathletes physiological variables in swimming and running are important to overall performance. Differences in sample size, group variability, and level of performance between males and females may account for the reported differences in the physiological predictors of performance between genders.

Adult↗
PubMed1999

Eccentric and concentric isokinetic moment characteristics in the quadriceps and hamstrings of the chronic isolated posterior cruciate ligament injured knee.

OBJECTIVE: Functional strength deficits associated with chronic isolated posterior cruciate ligament (PCL) insufficiency have received limited attention in the literature. The purpose of this study was to determine the eccentric and concentric isokinetic moment characteristics of the quadriceps and hamstrings in a sample of patients with isolated PCL injury. METHODS: Eccentric and concentric mean average and average peak moments were measured for 17 patients with a history of conservatively treated isolated PCL injury using an isokinetic dynamometer. Quadriceps and hamstring isokinetic moments were recorded from 10 degree to 90 degree of knee flexion. Strength ratios were calculated and compared with those reported in the literature for healthy subjects. RESULTS: The hamstrings of the involved side (eccentric/concentric (E/C) ratio = 1.06) were significantly weaker (p<0.05) eccentrically than those of the contralateral side (E/C ratio = 1.29). All hamstrings/quadriceps (H/Q) ratios were less than the universally accepted value of 0.60 and the eccentric H/Q ratio for the injured extremity was significantly lower than the non-injured (p<0.05). In a bilateral comparison, the injured/non-injured (I/N) ratio was less than 1.00 for concentric quadriceps, eccentric quadriceps, and hamstring isokinetic moments. Calculation of the E/C ratio showed that, for the quadriceps, it was 1.08 on the injured side and 1.07 on the non-injured extremity. CONCLUSIONS: Eccentric strengthening should be an integral part of functionally rehabilitating the quadriceps and hamstrings of athletes who suffer from the complications associated with chronic isolated PCL insufficiency.

Adolescent↗
PubMed1994

Interdevice reliability and validity assessment of the Nicholas Hand-Held Dynamometer.

The Nicholas Hand-Held Dynamometer (HHD) has been shown to have excellent interday and intraday reliability when using the same HHD. Since clinics may have more than one HHD with which to evaluate patients, it would be of value to know if two identical HHDs measure the same variable consistently. The purpose of this investigation was to assess interdevice reliability of the Nicholas HHD as well as to determine its validity. Thirty healthy female subjects between the ages of 20 and 56 years (mean age = 28.4) were tested for hamstring strength. Three measurements of maximum hamstring contractions were obtained using the first HHD (Device A). The average of these three measurements was compared with the average of three measurements obtained after a brief rest using a second HHD (Device B). Measurements from the two HHDs were also compared with measurements obtained from a Kin-Com isokinetic dynamometer. The Kin-Com measurements were used as criteria to determine validity of the HHD. An intraclass correlation coefficient (ICC) calculated to determine reliability between the two HHDs was low (ICC = .58). Pearson product-moment correlation coefficients were calculated between the Kin-Com and each of the two HHDs. These values were .85 and .83 for Device A and B, respectively. Analysis of variance showed no significant difference between the Kin-Com and Device A but a significant difference between the Kin-Com and Device B (p < .001). Measurements obtained from two identical HHDs may be significantly different and should not be compared.

Adult↗
PubMedDate not supplied

Effects of Theraband and lightweight dumbbell training on shoulder rotation torque and serve performance in college tennis players.

The purpose of this study was to determine whether a 4-week isotonic resistance training program using Theraband elastic tubing and lightweight dumbbells would significantly increase concentric shoulder rotator strength or velocity of serve or both in a group of elite-level tennis players. Twenty-two male and female varsity college tennis players were randomly assigned to control or 4-week training groups. Subjects were pre- and posttested in concentric internal and external rotation torque using an isokinetic dynamometer. Functional performance was assessed before and after training by recording the peak and average velocities of eight maximal serves. The experimental group exhibited significant gains in internal rotation torque at both slow (120 deg/sec) and fast speeds (300 deg/sec) for total work and in peak torque to body weight ratio and torque acceleration energy at the fast speed. This group also exhibited significant gains in external rotation torque for the same parameters at fast speed. Regarding speed to serve, the experimental group exhibited significantly greater increase in peak speed (+6.0% compared with -1.8%) and average speed (+7.9% compared with -2.3%) compared with the control group. Men exhibited greater internal and external rotation torque on all parameters and in peak and mean speed of serve on both evaluations. Men also exhibited greater imbalance in external to internal rotation torque ratios. In conclusion, resistance training using Theraband tubing and lightweight dumbbells may have beneficial effects on strength and functional performance in college-level tennis players.

Acceleration↗
PubMed2007

Early versus late start of open kinetic chain quadriceps exercises after ACL reconstruction with patellar tendon or hamstring grafts: a prospective randomized outcome study.

The purpose of the present investigation was to evaluate physical outcome after anterior cruciate ligament (ACL) reconstruction with early versus late initiation of open kinetic chain (OKC) exercises for the quadriceps in patients operated on either patellar tendon or hamstring grafts. Sixty-eight patients, 36 males and 32 females, with either patellar tendon graft (34 patients) or hamstring graft (34 patients) were enrolled in this study. All patients were randomly allocated to either early (the 4th postoperative week) or late (the 12th postoperative week) start of OKC exercises for the quadriceps, resulting in four subgroups: patellar tendon reconstruction, early start (P4) or late start (P12) of OKC quadriceps exercises, hamstring tendon reconstruction, early start (H4) or late start (H12) of quadriceps OKC exercises. Prior to surgery and 3, 5 and 7 months later, assessments of range of motion (goniometer), anterior knee laxity (KT-1000), postural sway (KAT 2000), thigh muscle torques (Kin-Com dynamometer) and anterior knee pain (anterior knee pain score) were evaluated. No significant group differences were found in terms of range of motion 3, 5 and 7 months postoperatively. The H4 group showed a significantly higher mean difference of laxity over time of 1.0 mm (CI: 0.18-1.86) than the P4 group (P=0.04). Within the same type of surgery, the H4 against the H12, the mean difference over time was 1.2 mm (0.37-2.1) higher in the H4 group than in the H12 group (P=0.01). There were no significant group differences in terms of postural sway or anterior knee pain at the different test occasions. Significant differences in trends (changes over time) were found when comparing the four groups, for both quadriceps muscle torques (P<0.001) and hamstring muscle torques (P<0.001). All groups, except the P4 group, reached preoperative values of quadriceps muscle torques at the 7 months follow-up. In the H4 and the H12 groups, significantly lower hamstring muscle torques at the 7 months follow-up compared with preoperative values were found. In conclusion, early start of OKC quadriceps exercises after hamstring ACL reconstruction resulted in significantly increased anterior knee laxity in comparison with both late start and with early and late start after bone-patellar tendon-bone ACL reconstruction. Furthermore, the early introduction of OKC exercises for quadriceps did not influence quadriceps muscle torques neither in patients operated on patellar tendon nor hamstring tendon grafts. On the contrary, it appears as if the choice of graft affected the strength of the specific muscle more than the type of exercises performed. Our results could not determine the appropriate time for starting OKC quadriceps exercises for patients who have undergone ACL reconstruction with hamstring tendon graft. Future studies of long-term results of anterior knee laxity and functional outcome are needed.

Adult↗
PubMed2004

Test-Retest repeatability of gluteus maximus strength testing using a fixed digital dynamometer in children with cerebral palsy.

OBJECTIVE: To investigate the test-retest repeatability of the measurement of the gluteus maximus strength using a fixed digital dynamometer. DESIGN: Test-retest design. The strength of the gluteus maximus was measured in prone position during 2 sessions an average of 6 days apart. SETTING: Gait analysis laboratory. PARTICIPANTS: Eleven children with spastic diplegic (n=10) and hemiplegic (n=1) cerebral palsy (CP), age 6 to 14 years, and 11 aged-matched children. All were able to walk independently, but 2 in the CP group used walking aids. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: On 2 occasions, gluteus maximus strength was measured 3 times in 2 positions of the hip joint. Repeatability of the measurements was assessed by intraclass correlation coefficients (ICCs), coefficients of variation, and the coefficient of repeatability. RESULTS: When normalized to body mass, children with CP had significantly less gluteus maximus strength compared with the controls. The ICCs for the control group ranged from .76 to .85 and from .75 to .83 for the involved leg in the CP group. CONCLUSIONS: The reliability of measurement of gluteus maximus strength was good for both control group and the involved leg of the CP group. The normalized values for gluteus maximus strength and measures of reproducibility can be used when measuring gluteus maximus strength in children with CP.

Adolescent↗
PubMed2001

Relationship between knee extension force and stand-up performance in community-dwelling elderly women.

OBJECTIVE: To describe the relationship between knee extension force and stand-up performance. DESIGN: Prospective, cross-sectional, descriptive, and correlational. SETTING: Community. PARTICIPANTS: Fifty-five community-dwelling women 60 or more years old. INTERVENTIONS: Information pertaining to stand-up performance was gathered via structured questions. The time to complete 1 sit-to-stand from a bench of known height (16in) was obtained in conjunction with subjects' ratings of perceived exertion (RPEs) relative to the task. Bilateral lower extremity knee extension strength was measured with a hand-held dynamometer and normalized against body weight. MAIN OUTCOME MEASURES: Total knee extension forces (raw and body-weight normalized values) generated by each subject were correlated with 3 measures of stand-up performance. RESULTS: Low to moderate correlations (r = -.323 to -.526) were found between knee extension forces and the stand-up performance measures of bench stand time and stand-up difficulties. Normalized knee extension force had a higher correlation than raw knee extension force with stand-up difficulties and RPE. Correlations were higher when the curvilinear nature of the relationship was taken into account. The highest correlation was between normalized knee extension force and the RPE associated with the bench stand task (r = -.767). CONCLUSION: Knee extension force offers an important but incomplete explanation of stand-up performance from low surfaces by elderly women. Interventions leading to increased knee extension force may improve stand-up performance.

Activities of Daily Living↗