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The reproducibility of multi-joint isokinetic and isometric assessments in a healthy and patient population.

DESIGN: Test re-test reliability design. OBJECTIVE: To determine a reproducible protocol for lower limb simultaneous multi-joint assessments on a healthy group of subjects and a patient group with patellofemoral pain syndrome. BACKGROUND: Although single joint assessment with isokinetic dynamometers has been utilised for many years in knee rehabilitation, simultaneous multi-joint assessment has not attracted comparable attention. METHODS: Twenty healthy volunteers mean age 30.6 years and 16 patients with patellofemoral pain syndrome mean age 29.6 years performed isometric maximum voluntary contractions and concentric isokinetic contractions of the lower limb. Data were collected on three separate days for resultant extension/flexion peak torque, average power and total work which were analysed using intraclass correlation coefficients with a 95% level of confidence. RESULTS: In healthy subjects, intraclass correlation coefficients estimates were > or =0.75 for isokinetic peak torque and >0.83 for average power and total work. The intraclass correlation coefficients estimate for isometric peak torque extension was 0.82. In the patient group, intraclass correlation coefficients estimates were >0.82 for isokinetic peak torque and > or =0.75 for average power and total work. The intraclass correlation coefficients estimate for isometric peak torque extension was 0.89. Discarding the first session's data for both groups improved the intraclass correlation coefficients estimates for virtually all assessments. CONCLUSIONS: This study has demonstrated high reproducibility of lower limb multi-joint testing for peak torque, average power, and total work on healthy subjects and then has employed the protocol to demonstrate similarly high reliability on a patient group. It has also highlighted the need for a practice session before the data can be said to be reliable. RELEVANCE: Reliability studies often use healthy subject groups, which although useful, have limited relevance to patient populations. This study has not only gained comprehensive reproducibility data on multi-joint assessment in healthy subjects, it has also shown that multi-joint testing can be used safely and reliably in patients with patellofemoral pain syndrome. Clinicians may now be able to measure objectively lower limb function in this patient group both pre and post treatment.

Adult↗

Functional roles of abdominal and back muscles during isometric axial rotation of the trunk.

Electromyographic (EMG) studies have shown that a large number of trunk muscles are recruited during axial rotation. The functional roles of these trunk muscles in axial rotation are multiple and have not been well investigated. In addition, there is no information on the coupling torque at different exertion levels during axial rotation. The aim of the study was to investigate the functional roles of rectus abdominis, external oblique, internal oblique, latissimus dorsi, iliocostalis lumborum and multifidus during isometric right and left axial rotation at 100%, 70%, 50% and 30% maximum voluntary contractions (MVC) in a standing position. The coupling torques in sagittal and coronal planes were measured during axial rotation to examine the coupling nature of torque at different levels of exertions. Results showed that the coupled sagittal torque switches from nil to flexion at maximum exertion of axial rotation. Generally, higher EMG activities were shown at higher exertion levels for all the trunk muscles. Significant differences in activity between the right and left axial rotation exertions were demonstrated in external oblique, internal oblique, latissimus dorsi and iliocostalis lumborum while no difference was shown in rectus abdominis and multifidus. These results demonstrated the different functional roles of trunk muscles during axial rotation. This is important considering that the abdominal and back muscles not only produce torque but also maintain the spinal posture and stability during axial rotation exertions. The changing coupling torque direction in the sagittal plane when submaximal to maximal exertions were compared may indicate the complex nature of the kinetic coupling of trunk muscles.

Abdominal Muscles↗

Drill Free Screws: a new form of osteosynthesis screw.

Although the application of self-tapping and non self-tapping screws is virtually universal in cranio-maxillofacial surgery, the inevitable, time consuming procedure of drilling a pilot hole has some potential disadvantages, such as damage to nerves, tooth roots or tooth germs, thermal necrosis of the bone and drill bit breakage. Drill Free Screws (DFS) are a recently developed type of osteosynthesis screws, having a tip like a cork screw and specially formed cutting flutes which enable insertion of the screws without drilling. DFS 1.5 and 2 mm were inserted into discs of wood, polyvinylchloride (PVC) and porcine mandibular bone of varying thicknesses between 2 and 4 mm. The values of insertion torque and maximum torque were recorded using an electric torque tester. Thereafter, the screws were inserted with a fixed torque and uniaxial pull out tests were performed. In comparison with this, the same procedure was performed using 1.5 and 2 mm self-tapping titanium screws. Ten trials for each screw-material-combination were conducted to determine insertion torque, maximum torque and pull out analysis. The results showed that the holding power of DFS lay between 70 and 104% of the holding power of self-tapping titanium screws; only in PVC was the difference more than 15%.

Animals↗

Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury.

OBJECTIVES: To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity. SETTING: Turkey. METHODS: Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive flexion-extensions of the knee, abduction-adductions of the hip, and dorsal-plantar flexions of the ankle were performed at specific velocities (15, 30, 60, 90 and 120 degrees /s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for five repetitions of each type of joint motion at all velocities. RESULTS: Maximum torque values and the sum of torque amplitudes were both significantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no significant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients. CONCLUSION: Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus.

Adult↗

A randomized trial assessing the effects of 4 weeks of daily stretching on ankle mobility in patients with spinal cord injuries.

OBJECTIVE: To determine the effect of 4 weeks of 30 minutes of daily stretching on ankle mobility in patients with recent spinal cord injuries (SCIs). DESIGN: Assessor-blinded randomized controlled trial. SETTING: Two spinal injury units in Sydney, Australia. PATIENTS: Consecutive sample of 14 recently injured patients with paraplegia and quadriplegia. INTERVENTION: Treated ankles were stretched continuously into dorsiflexion with a torque of 7.5 N x m for 30 minutes each weekday for 4 weeks. Contralateral ankles received no stretches. MAIN OUTCOME MEASURES: Passive torque-angle curves for both ankles were obtained at study commencement, then at weeks 2, 4, and 5 (ie, during, at the end of, and 1 week after the stretching program). Torque-angle measurements were obtained with the knee extended and flexed. Mean values for parameters (baseline angle, angle at 10 N x m, slope) describing the characteristics of the torque-angle curves were derived for each knee position. Changes from pretest to each subsequent test were calculated, as well as 95% confidence intervals (CIs) for differences in these changes between stretched and controlled ankles. RESULTS: The stretching intervention did not significantly change any of the 3 parameters describing the torque-angle curves of the ankle in either knee position. At the beginning of the study, the mean (+/-SD) angles obtained with the application of a standardized torque with the knee extended for the control and stretch ankles were 105 degrees (+/- 10.4 degrees) and 106 degrees (+/- 9.8 degrees), respectively. After 4 weeks, these values were 106 degrees (+/- 10.6 degrees) and 107 degrees (+/- 10.6 degrees) (mean difference in change of angle = 0 degrees; 95% CI, -3.3 degrees to 3.3 degrees). CONCLUSION: Thirty minutes of daily stretching for 4 weeks does not significantly change ankle mobility in recently injured patients with SCIs.

Adult↗

Rotational muscle strength of the limb after anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon.

PURPOSE: To investigate the influence of harvesting semitendinosus and gracilis tendons on the rotational muscle strength of the limb after anterior cruciate ligament (ACL) reconstruction. TYPE OF STUDY: Prospective study. METHODS: We performed a prospective study of 62 consecutive (34 male, 28 female) patients with ACL reconstructions using the semitendinosus and gracilis tendons. The mean age at surgery was 20.8 years. The semitendinosus tendon was harvested in 32 patients (ST group), and semitendinosus and gracilis tendons in 30 patients (STG group). The peak isokinetic torques for extension, flexion, internal rotation, and external rotation were measured before and 12 months after ACL reconstruction using the Cybex 6000B system (Cybex Division of Lumex, Ronkonkoma, NY). The rotational torque was measured at 30 degrees/sec and 120 degrees/sec. RESULTS: Before reconstruction, the mean isokinetic peak torque of the involved limb was decreased in extension and internal rotation. The mean isokinetic peak torque of the involved limb in extension recovered 12 months after ACL reconstruction; however, the weakness in internal rotation persisted. The preoperative weakness of the involved limb in extension and internal rotation recovered in the male patients, but not in the female patients after postoperative rehabilitation. The peak torque of the involved limb in internal rotation was decreased in the STG group, but not in the ST group. CONCLUSIONS: The internal rotational torque was influenced by harvesting the semitendinosus and gracilis tendons after ACL reconstruction, especially in female patients and patients from whom the gracilis tendon was harvested. Semitendinosus and gracilis tendons are important for the internal rotation of the limb and it was difficult to compensate for this function. Thus, we recommend harvesting the semitendinosus tendon only if tendon quality is sufficient to further minimize harvesting morbidity.

Adult↗

Specific effects of eccentric training on muscular fatigability.

This study was designed to test the hypothesis that an eccentric training period induces a reduction of neuromuscular fatigability following an eccentric exercise. Before (Pre-T) and after (Post-T) a 7-wks sub-maximal eccentric training, ten active males performed a fatiguing exercise consisting of five sets of ten maximal eccentric elbow flexions. Before (Pre-T-1 and Post-T-1) and after (Pre-T-2 and Post-T-2) each fatiguing exercise, the voluntary torque and its associated agonistic electromyographic activity (RMS), assessed at four angular velocities (-60 degrees x s (-1); 0 degrees x s (-1); 60 degrees x s (-1); 240 degrees x s (-1)) were measured. The isometric voluntary activation level and twitch contractile properties were measured. The training period induced significant eccentric and isometric torque gains. While isometric and concentric torque decreases were similar Pre-T-2 and Post-T-2, the eccentric torque loss was significantly lower Post-T-2 than Pre-T-2 (-11.7 +/- 10.2 % and -20.5 +/- 6.5 %, respectively; p < 0.05). The reduction of the twitch maximal rate of torque rise was also significantly lower Post-T-2 (-49.4 +/- 11.9 %) than Pre-T-2 (-65.2 +/- 9.8 %) (p < 0.05). The loss of maximal voluntary activation and RMS were similar Pre-T-2 and Post-T-2. The present experiment showed that a 7-wks eccentric training period produced contraction-type specific adaptations that significantly reduced the exercise-induced torque loss during eccentric muscle actions.

Adaptation, Physiological↗

Neuro-muscular fatigue and recovery dynamics following anaerobic interval workload.

The aim of this study was to determine the influence of anaerobic running on muscle contractile characteristics and voluntary muscle activation level during MVC as well as the dynamics of their recovery during a 2-hour period. Seven well-trained runners performed 5 x 300 m at submaximal velocity with a 1-minute active recovery interval between the runs. The average run velocity was 6.69 m.s(-1), which represented 77 % of their top velocity. Contractile characteristics of the vastus lateralis and activation level of quadriceps femoris muscles were measured before and immediately after the runs and within the 120-minute time interval that followed the workload. To do this we used: single twitch, low- and high-frequency electrical stimulation, maximal voluntary knee extension test, and muscle activation level test. After the exercise the maximal twitch torque (T(TW)) decreased for 28 +/- 3.7 % (p < 0.001) and torque at stimulation with 20 Hz and 100 Hz were 19.2 +/- 4.6 % (p < 0.01) and 7.5 +/- 2.3 % (p < 0.05) lower, respectively, while MVC torque and activation level remained unchanged. Subjects with higher blood lactate accumulation level showed significant decrease in the torque at low frequency stimulation (T(F20)) (r = - 0.80; p < 0.01) and T(TW) (r = - 0.92; p < 0.01). The restoration of twitch torque took a short time despite the fact that blood lactate concentration remained high. Ten minutes after the last interval run the twitch torque exceeded the pre-workload value by 11 % (p < 0.01). Potentiation lasted until the 40th min. It was concluded that fatigue after the anaerobic interval workload was peripheral in character and caused by contractile mechanisms disturbances.

Adult↗

Effects of unilateral concentric-only dynamic constant external resistance training.

The purposes of this investigation were to examine the effects of unilateral concentric-only leg extension dynamic constant external resistance (DCER) training on: (a) concentric DCER strength in the trained and contralateral (untrained) legs, (b) concentric isokinetic peak torque-velocity curves in the trained and contralateral legs, and (c) retention of concentric DCER strength and concentric isokinetic peak torque in the trained and contralateral legs following detraining. Sixteen adult male (mean age +/- SD = 24.0 +/- 4.0 yr) volunteers comprised training (TR, n = 8) and control (CTL, n = 8) groups. The TR group trained the nondominant limb with concentric-only leg extension DCER exercise (3-5 sets of 6 repetitions at 80% of one-repetition maximum load) for eight weeks followed by eight additional weeks of detraining. The CTL group did not train. All subjects were tested pretraining, posttraining and detraining for unilateral concentric-only leg extension DCER strength as well as concentric isokinetic peak torque at 1.05, 2.09, 3.14, 4.19, and 5.24 rad.s-1 in both legs. Mixed factorial ANOVAs, follow-up, and post-hoc analyses indicated that the training resulted in increased DCER strength in both the trained (42%) and contralateral (15%) legs as well as isokinetic peak torque in the trained leg (7-19%) at velocities ranging from 1.05 to 5.24 rad.s-1. There was no cross-training effect, however, for isokinetic peak torque. Furthermore, the training-induced increases in DCER strength and isokinetic peak torque were retained across eight weeks of detraining.

Adult↗

Forces associated with pneumatic power screwdriver operation: statics and dynamics.

The statics and dynamics of pneumatic power screwdriver operation were investigated in the context of predicting forces acting against the human operator. A static force model is described in the paper, based on tool geometry, mass, orientation in space, feed force, torque build up, and stall torque. Three common power hand tool shapes are considered, including pistol grip, right angle, and in-line. The static model estimates handle force needed to support a power nutrunner when it acts against the tightened fastener with a constant torque. A system of equations for static force and moment equilibrium conditions are established, and the resultant handle force (resolved in orthogonal directions) is calculated in matrix form. A dynamic model is formulated to describe pneumatic motor torque build-up characteristics dependent on threaded fastener joint hardness. Six pneumatic tools were tested to validate the deterministic model. The average torque prediction error was 6.6% (SD = 5.4%) and the average handle force prediction error was 6.7% (SD = 6.4%) for a medium-soft threaded fastener joint. The average torque prediction error was 5.2% (SD = 5.3%) and the average handle force prediction error was 3.6% (SD = 3.2%) for a hard threaded fastener joint. Use of these equations for estimating handle forces based on passive mechanical elements representing the human operator is also described. These models together should be useful for considering tool handle force in the selection and design of power screwdrivers, particularly for minimizing handle forces in the prevention of injuries and work related musculoskeletal disorders.

Biomechanical Phenomena↗

Upper extremity augmentation of lower extremity kinetics during countermovement vertical jumps.

Twenty-five volleyball players (14 males, 11 females) were videotaped (60 Hz) performing countermovement vertical jumps with and without an arm swing. Ground reaction force and video-based coordinate data were collected simultaneously. The resultant joint force and torque at the hip, knee, ankle and shoulder for two trials per subject per condition were computed and normalized. Average kinematic, resultant joint force and torque data were compared using repeated-measures analysis of variance. Larger values were recorded for the vertical velocity of the centre of mass at take-off in the jumps with (mean 2.75, s = 0.3 m.s-1) versus without (mean 2.44, s = 0.23 m.s-1) an arm swing. The jumps with no arm swing produced larger torques at the hip during the first third of the propulsive phase (from zero to maximum vertical velocity of the centre of mass). During the final two-thirds of the propulsive phase, the arm swing augmented hip extensor torques by slowing the rate of trunk extension and placing the hip extensor muscles in slower concentric conditions that favoured the generation of larger forces and resultant joint torques. During the first two-thirds of the propulsive phase, knee extensor torque increased by 28% in the jumps with an arm swing, but maintained a relatively constant magnitude in the jumps with no arm swing.

Adult↗

Application of the LaGrange polynomial in skeletal muscle fatigue analysis.

The percentage of decrement in torque and the number of serial contractions are mutually exclusive methodological controls in the study of muscular fatigue. This paper examines the feasibility of using the LaGrange polynomial in the analysis of voluntary muscular fatigue patterns. Twenty-one men (ages 20-60 years) reported to the orthopedic biomechanics laboratory on 2 days separated by 4 months. During both sessions, participants completed three maximal isokinetic (180 deg x s(-1)) contractions of the knee extensors to serve as baseline, before starting the fatigue protocol. The fatigue protocol consisted of serial contractions until a 50% strength decrement was reached. The LaGrange polynomial was first used to interpolate the individual fatigue pattern for each participant into 15 data points (trials). Data analysis was then conducted on these 15 data points. Intraclass correlation analysis of variance showed that the reliability of baseline torque was very good (.93). Baseline torque, the average of three trials, exhibited a 5.4 Nm (6%) increase from the first to second test session (p < .05). The mean level of torque, average of the 15-point fatigue pattern, also increased 7.5 Nm (15%) on the second test session (p < .05). The classic torque deficit for the first trial of a fatigue series was preserved by the interpolation method. Serial contractions resulted in an average decrease in torque of 29.5 Nm (50%) from the first to last trial (p <.05). The interpolation method also retained the linear and quadratic trend components commonly observed for isometric and isokinetic fatigue patterns. The two trend components accounted for 94.7% of the total trial variance. It was concluded that the LaGrange polynomial used to interpolate fatigue patterns to fewer data points was successful.

Adult↗

Time-of-day effects on myoelectric and mechanical properties of muscle during maximal and prolonged isokinetic exercise.

The aim of this study was to examine the time-of-day (TOD) effects in myoelectric and mechanical properties of muscle during a maximal and prolonged isokinetic exercise. Twelve male subjects were asked to perform 50 maximal voluntary contractions (MVC) of the knee extensor muscles at a constant angular velocity of 2.09 rad . sec(-1), at 06 : 00 and 18 : 00 h. Torque and electromyographic (EMG) parameters were recorded for each contraction, and the ratio between these values was calculated to evaluate variations of the neuromuscular efficiency (NME) with fatigue and with TOD. The results indicated that maximal torque values (T(45)Max) was significantly higher (7.73%) in the evening than in the morning (p<0.003). The diurnal variation in torque decrease was used to define two phases. During the first phase (1st to the 26th repetition), torque values decreased fast and values were higher in the evening than in the morning, and during the second phase (27th to the 50th repetition), torque decreased slightly and reached a floor value that appeared constant with TOD. The EMG parameters (Root Mean Square; RMS) were modified with fatigue, but were not TOD dependent. The NME decrease-significantly with fatigue, showing that peripheral factors were mainly involved in the torque decrease. Furthermore, NME decrease was greater at 18 : 00 than at 06 : 00 h for the vastus medialis (p<0.05) and the vastus lateralis muscles (p<0.002), and this occurred during the first fatigue phase of the exercise. In conclusion, the diurnal variation of the muscle fatigue observed during a maximal and prolonged isokinetic exercise seems to reflect on the muscle, with a greater contractile capacity but a higher fatigability in the evening compared to the morning.

Adult↗

Reliability of a single-session isokinetic and isometric strength measurement protocol in older men.

BACKGROUND: The purposes of the current study were (a) to determine the test-retest reliability of a single-session isokinetic and isometric strength testing protocol in older healthy men, and (b) to compare the outcomes of the reliability measures derived from averaged torque scores with those derived from a single peak torque score. METHODS: In 19 men (mean age, 72 +/- 5 years), both lower limbs were assessed independently on 2 separate test days using the Biodex System 3 dynamometer. After completing a 5-minute warm-up, each man performed three submaximal knee extensions followed by five maximal contractions at 90 degrees /s (CON), 0 degrees /s (ISO), and -90 degrees /s (ECC). Average (best 3 of 5) and peak CON, ISO, and ECC torque, and CON work and CON power were determined. Peak CON work and CON power were recorded from the highest peak torque concentric contraction (HPTCC). RESULTS: Intraclass correlation coefficients ranging from 0.84 to 0.94 were found to have good reliability. The typical error as a coefficient of variation ranged from 8% to 10% for averaged measures and from 8% to 17% for peak torque and HPTCC. The ratio limits of agreement for average and peak CON, ISO, and ECC torque ranged from 23% to 33% and from 40% to 54% for average CON and HPTCC work and power. CONCLUSIONS: The test-retest reliability of a single-session isokinetic and isometric strength testing protocol in this group of older healthy men displayed good relative reliability (intraclass correlation coefficient > 0.84); however, because the typical error as a coefficient of variation and ratio limits of agreement (absolute reliability) were large, single-session testing is not recommended.

Aged↗

In vitro study of the torsional properties of new and used ProFile nickel titanium rotary files.

The purpose of this study was to investigate torque and angle of rotation at fracture of new and used.06 ProFile instruments. ProFile sizes 15 to 40 were tested according to American National Standards Institute/American Dental Association Specification #28. Thirty new and used instruments were tested for each size. An analysis of variance was used to compare the torque and angle of rotation at fracture between new and used instruments. The relationship between torque at fracture and size of instrument was determined with a regression analysis. The used instruments had significantly lower torque and angle of rotation at fracture values compared with the new instruments (p < 0.0001). A stronger relationship was found between the size of the instrument and the torque at fracture for the new instruments (p < 0.0001) than for the used ones (p < 0.0001). In conclusion, the repeated use of.06 ProFile instruments significantly reduced the torque and angle of rotation at fracture.

Analysis of Variance↗

Performance of plantar flexor muscles with eccentric and isometric contractions in intact rats.

PURPOSE: To examine the changes in performance of active plantar flexor muscles of rats by controlled dorsiflexion (i.e., stretching of muscles) at two angular velocities. METHODS: Repeated stretches (30) at two velocities of ankle rotation [slow stretch (0.87 rads x s(-1) (i.e., 50 degrees x (s-1))), fast stretch (10.47 rad x s(-1) (i.e., 600 degrees x s-1))] were superimposed on maximally active muscles from an ankle position of 1.57 rad to 0.70 rad (i.e., from 90 degrees to 40 degrees). Repeated isometric contractions (30) of the same duration (1,900 ms) and rest interval (3 min) were performed at 1.13 rad (i.e., 65 degrees). Performance was assessed by measuring the isometric torque at ankle positions of 1.57 and 0.70 rad, work during concentric contractions [range of motion 1.22 rad (i.e., 70 degrees)], and the time to produce 50% of the maximal isometric torque. RESULTS: Thirty isometric contractions resulted in a linear reduction in torque (total deficit of 13.8% at 1.57 rad), whereas for slow and fast stretches, half of the total, nonlinear deficit at 1.57 rad (about 30%) was completed after six stretches. Increases in half contraction times were larger for stretches than for isometric contractions. Reductions in isometric torque were greater at an ankle position of 1.57 rad than at 0.70 rad. One hour of rest after the repeated stretches and isometric contractions did not restore muscle performance. CONCLUSIONS: Isometric contractions of skeletal muscle can create a torque deficit which is much less than that after stretches. Repeated fast and slow stretches resulted in similar torque deficits which did not recover after a rest period of 1 h.

Animals↗

Muscle function at the wrist after eccentric exercise.

PURPOSE: The purpose of this experiment was to investigate the effects of eccentric exercise by the wrist extensor muscles on the function and motor control of synergist wrist extensor muscles and the antagonist wrist flexor muscles. METHODS: Ten subjects were tested repeatedly over a period of 11 d, once before and four times after a bout of strenuous eccentric exercise with the wrist extensor muscles. Tests performed as indicators of muscle injury were wrist extension MVC, ROM, and soreness. Tests performed as measures of function and motor control were maximum joint velocity, ability to sustain a constant torque, and the ability to track a changing torque. RESULTS: Indicators of muscle injury: subjects exhibited a decline in wrist extension MVC and ROM, which peaked on day 1, and reported that muscle soreness was greatest on day 2. All measures returned to baseline values by day 10. Measures of function and motor control: subjects exhibited a greater difficulty sustaining a submaximal contraction and tracking torque after eccentric exercise. Greater torque variances in these tests were most evident at high torque levels. Subjects exhibited the greatest difficulty 24 h after eccentric exercise and had recovered by day 10. There was no change in maximal wrist extension velocity. CONCLUSIONS: Strenuous eccentric exercise by wrist extensors had an effect on function and motor control of the wrist extensor muscles. The effect was most evident during contractions in which high torque was required. The response of all of the wrist extensors after the exercise bout was similar, suggesting that they operated in a synergistic manner. The antagonists wrist flexors showed increased coactivation after eccentric exercise.

Adult↗

Minimum rest period for strength recovery during a common isokinetic testing protocol.

PURPOSE: The intent of this investigation was to determine the minimal time for a between sets rest period during a common isokinetic knee extension strength-testing protocol. Based on a review of the literature, a set was considered a group of four maximal coupled contractions at a specific velocity. METHODS: Eleven normal, healthy college-age men underwent unilateral knee extension testing to determine their individual isokinetic peak torque at 60, 120, 180, 240, and 300 degrees.s-1. Velocities were administered in ascending order. Between sets, rest periods of 15, 60, 180, and 300 s were assigned to subjects in a counterbalanced fashion. RESULTS: There were no differences in peak torque at the beginning velocity of 60 degrees.s-1 among any of the rest periods. At 120 degrees.s-1, peak torque production during the 15-s rest period trial was similar to 60 s but lower than 180 and 300 s. Peak torques at 180, 240, and 300 degrees.s-1 produced during the 15-s rest period test were significantly lower than measured torques at the same velocities during the 60, 180, and 300-s rest period tests (P < 0.05). There were no differences in peak torque production between the 60, 180, and 300-s rest period tests. CONCLUSION: These data demonstrate that during a common isokinetic strength testing protocol a between set rest period of at least 60 s is sufficient for recovery before the next test set.

Adult↗