Dataset Information

Effects of Lumbosacral Manipulation on Isokinetic Strength of the Knee Extensors and Flexors in Healthy Subjects: A Randomized, Controlled, Single-Blind Crossover Trial.

ABSTRACT: OBJECTIVE:The purpose of this study was to investigate the effect of manual manipulations targeting the lumbar spine and/or sacroiliac joint on concentric knee extension and flexion forces. Torque production was measured during isometric and isokinetic contractions. METHODS:This was a randomized, controlled, single-blind crossover design with 21 asymptomatic, college-aged subjects who had never received spinal manipulation. During 2 separate sessions, subjects' peak torques were recorded while performing maximal voluntary contractions on an isokinetic dynamometer. Isometric knee extension and flexion were recorded at 60° of knee flexion, in addition to isokinetic measurements obtained at 60°/s and 180°/s. Baseline measurements were acquired before either treatment form of lumbosacral manipulation or sham manipulation, followed by identical peak torque measurements within 5 and 20 minutes posttreatment. Data were analyzed with a repeated measures analysis of variance. RESULTS:A statistically significant difference did not occur between the effects of lumbosacral manipulation or the sham manipulation in the percentage changes of knee extension and flexion peak torques at 5 and 20 minutes posttreatment. Similar, nonsignificant results were observed in the overall percentage changes of isometric contractions (spinal manipulation 4.0 ± 9.5 vs sham 1.2 ± 6.3, P = .067), isokinetic contractions at 60°/s (spinal manipulation - 4.0 ± 14.2 vs sham - 0.3 ± 8.2, P = .34), and isokinetic contractions at 180°/s (spinal manipulation - 1.4 ± 13.9 vs sham - 5.5 ± 20.0, P = .18). CONCLUSION:The results of the current study suggest that spinal manipulation does not yield an immediate strength-enhancing effect about the knee in healthy, college-aged subjects when measured with isokinetic dynamometry.

SUBMITTER: Sanders GD

PROVIDER: S-EPMC4688558 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Effects of Lumbosacral Manipulation on Isokinetic Strength of the Knee Extensors and Flexors in Healthy Subjects: A Randomized, Controlled, Single-Blind Crossover Trial.

Sanders Grant D GD Nitz Arthur J AJ Abel Mark G MG Symons T Brock TB Shapiro Robert R Black W Scott WS Yates James W JW

Journal of chiropractic medicine 20151106 4

<h4>Objective</h4>The purpose of this study was to investigate the effect of manual manipulations targeting the lumbar spine and/or sacroiliac joint on concentric knee extension and flexion forces. Torque production was measured during isometric and isokinetic contractions.<h4>Methods</h4>This was a randomized, controlled, single-blind crossover design with 21 asymptomatic, college-aged subjects who had never received spinal manipulation. During 2 separate sessions, subjects' peak torques were r ...[more]

PMID: 26793035

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Project description:PurposeTo provide normative values of maximal isometric torque of knee extensors and flexors measured at 80° of knee flexion and to characterize the results in healthy subjects practicing activities at risk of anterior cruciate ligament rupture.MethodsSeventy-four trained volunteers (35 male and 39 female) aged 18 to 41 years were recruited. They alternately performed 3 maximal voluntary isometric contractions of knee extension and flexion. The maximal voluntary isometric contraction net torque was computed as the mean value of the peak torques recorded over the 3 trials.ResultsFor women, the absolute torque for extensors was 143.5 ± 34.4 N⋅m (range, 87.7-253.1 N⋅m) and 66.8 ± 13.8 N⋅m (range, 37.5-93.1) for flexors. For men, the absolute torque for extensors was 199.8 ± 47.3 N⋅m (range, 99.3-311.5 N⋅m) and 89.8 ± 21.0 N⋅m (range, 51.8-137.2 N⋅m) for flexors. For women, the body mass normalized torque for extensors was 2.20 ± 0.51 N⋅m.kg-1 (range, 1.22-3.74 N⋅m.kg-1) and 1.04 ± 0.26 N⋅m.kg-1 (range, 0.41-1.50 N⋅m.kg-1) for flexors. For men, the normalized torque for extensors was 2.74 ± 0.58 N⋅m.kg-1 (range, 1.51-4.08 N⋅m.kg-1) and 1.24 ± 0.30 N⋅m.kg-1 (range, 0.64-2.05 N⋅m.kg-1) for flexors.ConclusionsThis study provides absolute and normalized normative values of maximal isometric torque measured at 80° of knee flexion for extensors and flexors in a series of healthy trained subjects practicing activities at risk of anterior cruciate ligament rupture. The considerable level of interlimb asymmetry and the weak association between dominance and strength observed in uninjured subjects call into question the classical use of contralateral side as reference for injured patients.Clinical relevancePatients with anterior cruciate ligament (ACL) injuries are the most represented subjects using isokinetic dynamometers in many sport medicine and rehabilitation departments. Clinicians need reference values to compare patients with ACL injuries with comparable healthy subjects. This study may provide this information.

Project description:Over the past decade, force-velocity (F-v) profiling has emerged as a promising tool for assessing neuromuscular capacity to design individually tailored interventions in diverse populations. To date, a limited number of studies have addressed the optimization of the linear method for measuring F-v profiles of single-joint isokinetic movements. We aimed to simplify the measurement of knee extension (KE) and knee flexion (KF) isokinetic tasks by evaluating the most appropriate combination of two velocities (i.e., the 2-point method). Twenty-two healthy participants (11 males and 11 females) were included in the study. Isokinetic peak torque was measured at nine angular velocities (30-60-90-120-150-180-210-240-300°/s) and under isometric conditions (at 150° and 120° of KF for KE, and KF, respectively). Maximal theoretical force (F0), maximal theoretical velocity (v0), slope of the relationship (Sfv) and maximal theoretical power (Pmax) were derived from the linear F-v profiles of KE and KF and compared between the 9-point method and all possible combinations (36 in total) of the 2-point methods. The F-v profiles obtained from nine points were linear for KE (R2 = 0.95; 95% CI = 0.94–0.96) and KF (R2 = 0.93; 95% CI = 0.90–0.95), with F0 underestimating isometric force. Further analyses revealed great to excellent validity (range: ICCs = 0.89–0.99; CV = 2.54%–4.34%) and trivial systematic error (range: ES = −0.11–0.24) of the KE 2-point method when force from distant velocities (30°/s, 60°/s or 90°/s combined with 210°/s, 240°/s or 300°/s) was used. Similarly, great to excellent validity and trivial systematic error of the KF 2-point method for F0 and Pmax (range: ICC = 0.90–0.96; CV = 2.94%–6.38%; ES = −0.07–0.14) were observed when using the previously described combinations of velocities. These results suggest that practitioners should consider using more distant velocities when performing simplified isokinetic 2-point single-joint F-v profiling. Furthermore, the F-v profile has the potential to differentiate between the mechanical properties of knee extensors and flexors and could therefore serve as a potential descriptor of performance.

Project description:Measuring muscle strength using isokinetic dynamometry allows evaluating and comparing normal and sick children, establishing recovery and rehabilitation goals, and quantitatively monitoring the course of a disease and the response to treatment. The purpose of this study was to carry out a systematic review and meta-analysis focusing on studies that examined the test-retest reliability of isokinetic knee strength measurements in children. This study is important because isokinetic dynamometry is the gold standard for evaluating muscle strength and it allows comparing muscle performance in children. The databases used were PubMed, Web of Science Scopus, and Embase (up to July 26, 2019). Only studies published in English were included in this review. All studies focused on the reliability of isokinetic knees in healthy children or those with cerebral palsy applied to dynamic contractions (concentric or eccentric) and provided measures of strength, reproducibility, ICC, peak torque, or SEM. We found a total of 143 abstracts and examined 94 articles to determine if they met the inclusion criteria. Finally, 10 articles were included in the systematic review and five studies (96 subjects) formed the meta-analysis sample, all of which focused on the reliability of isokinetic knees in the concentric mode. The CAT and QAREL scales were used to assess the quality of the included studies. The meta-analysis revealed high intra-class correlation coefficients (ICC) (0.84; p < 0.001; n = 96 subjects) in the flexion and excellent intra-class correlation coefficients (ICC 0.90; p < 0.001; n = 96 subjects) in the extension. Isokinetic dynamometry could be indicated as a method for measuring muscle strength training in children. However, the reviewed studies suggest some methodological issues in isokinetic tests, such as the rest days between testing and retesting, using the same speeds, protocols, and evaluators, and the performance of the subjects, so more research is required.

Dataset Information

Effects of Lumbosacral Manipulation on Isokinetic Strength of the Knee Extensors and Flexors in Healthy Subjects: A Randomized, Controlled, Single-Blind Crossover Trial.

Publications

Effects of Lumbosacral Manipulation on Isokinetic Strength of the Knee Extensors and Flexors in Healthy Subjects: A Randomized, Controlled, Single-Blind Crossover Trial.

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