Back to Index |
Grooten et al.
that it is not easy to detect small differences in muscular performance (Holmback et al., 1999), but the parameter may still be useful in patient training studies over a period of time. For example, a 50% increase of strength is not difficult to obtain after a 10-week training program, even in the very elderly (Fiatarone et al., 1994).
Perspectives
This reliability study of healthy women performing a functional closed-chain movement of the upper limbs, supine bench press using a ACES `multifunction exerciser', showed that it is possible to receive excellent to good reliability on five different performance parameters at two velocities, with better reliability at the lower velocity.
In contrast to other isokinetic devices, which often measure open-chain movements of one limb, the ACES, in combination with movement registration (e.g., APAS video system) makes it possible to study kinematics and kinetics of inter-limb coordination in
References
closed-chain situations. Closed-chain training has
shown to be an effective and functional way of training, and the need for new training and measurement meth
ods was raised by Kibler (1998). This study showed that
the ACES could be used in monitoring functional upper extremity muscular performance in the field of
sports medicine and rehabilitation in slow and fast movements.
Key words: Bench press; reliability; strength; isokinetic testing; peak force; power.
Acknowledgements
We would like to thank the students and staff members of the Department of Physical Therapy, Karolinska Institute, for their participation, Britt Elfving Holmer and Par Westblad (Karolinska Institute, Department of Surgery, Anesthesiology, Radiology and Orthopaedic Surgery, Sweden) for their help with the statistics, and Geert Verheijden (Department of Kinesiology, KU, Leuven, Belgium) for help during the experiments. This study was funded by a grant from Namnden for vardvetenskap, Karolinska Institutet, Sweden.
Abernethy P, Wilson G, Logan P. Strength |
Assessment of Human Muscle Function. |
healthy women. Fur J Phys Med Rehab |
Power Assessment Sports Med 1995: 19: |
Sports Med 1996: 21: 18-34. |
1997:7:17-20. |
401-417. |
Gransberg L, Knutson E. Determination of |
Morrissey MC, Harman EA, Johnson MJ. |
Bandy WD, McLaughlin S. Intramachine |
dynamic muscle strength in man with |
Resistance training modes: specificity |
and intermachine reliability for selected |
acceleration controlled isokinetic |
and effectiveness. Med Sci Sports Exerc |
dynamic muscle performance tests. J |
movements. Acta Physiol Scand 1983: |
1995:27:648-660. |
Orthopaedic Sports Phys Ther 1993: 18: |
119:317-320. |
Osternig LR. Isokinetic Dynamometry. |
609-613. |
Hobbel SL, Rose DJ. The relative |
Implications for Muscle Testing |
Birmingham TB, Kramer JF, Speechley M, |
effectiveness of three forms of visual |
Rehabilitation Exerc Sports Sci Rev |
Chesworth BM, MacDermid J. |
knowledge of results on peak torque |
1986:14:45-80. |
Measurement variability and sincerity of |
output. J Orthop Sports Phys Ther 1993: |
Roebroeck ME, Harlaar J, Lankhorst GJ. |
effort: clinical utility of isokinetic |
18:601-608. |
The application of generalizability theory |
strength coefficient of variation scores. |
Holmback AM, Porter MM, Downham D, |
to reliability assessment: an illustration |
Ergonomics 1998: 41: 853-863. |
Lexell J. Reliability of isokinetic ankle |
using isometric force measurements. Phys |
Bland JM, Altman DG. Measurement |
dorsiflexor strength measurements in |
Ther 1993: 73: 386-401. |
error. BMJ 1996: 313: 744. |
healthy young men and women. Scand |
Rothstein JM. Measurement in clinical |
Domholdt E. Physical Therapy Research: |
J Rehabil Med 1999: 31: 229-239. |
practice: Theory and applications. |
Principles and Applications. |
Hortobagyi T, Katch Fl. Reliability of |
Measurement in physical therapy. In: |
Philadelphia: W.B. Saunders Company |
muscle mechanical characteristics for |
Rothstein, JM, ed. Clinics in Physical |
1993,153-157. |
isokinetic and isotonic squat and bench |
Therapy. New York: Churchill |
Dvir Z. Clinical applicability of isokinetics: |
press exercise using a multifunction |
Livingstone 1985. |
a review. Clin Biomech 1991: 6: |
computerized dynamometer. Res |
Shrout PE, Fleiss JL. Intraclass |
133-144. |
Q Exerc Sport 1990: 61: 191-195. |
correlations: uses in assessing rater |
Fiatarone MA, O'Neill EF, Ryan ND, et al. |
Jacobs I, Pope J. A computerized system |
reliability. Psychol Bull 1979: 86: |
Exercise training and nutritional |
for muscle strength evaluation: |
420-428. |
supplementation for physical frailty in |
measurement reproducibility, validity |
Smith CA. The warm-up procedure: to |
very elderly people. N Eng J Med 1994: |
and some normative data. J Nat Strength |
stretch or not to stretch. A review. J |
330:1769-1775. |
Cond Assoc 1986: 8: 28-34. |
Ortop Sports Phys Ther 1994: 86: |
Fleiss JL. The Design and Analysis of |
Kibler WB. Rehabilitation of the shoulder. |
420-428. |
Clinical Experiments. New York: John |
In: Kibler, W, Herring, SA, Press, JM, |
Stratford PW, Goldsmith CH. Use of the |
Wiley & Sons 1986. |
Lee, PA, eds. Functional Rehabilitation |
standard error as a reliability index of |
Friden J, Lieber RL. Structural and |
of Sports and Musculosceletal Injuries. |
interest: an applied example using elbow |
mechanical basis of exercise-induced |
Gaithersburg, Maryland: Aspen |
flexor strength data. Phys Ther 1997: 77: |
muscle injury. Med Sci Sports Exerc |
Publishers 1998, 153. |
745-750. |
1992:24:521-530. |
van Meeteren J, Mens JMA, Stam HJ. |
Stratford PW. Reliability: consistency or |
Gleeson NP, Mercer TH. The Utility of |
Reliability of strength measurement of |
differentiating among subjects |
Isokinetic Dynamometry in the |
the hip with a hand-held dynamometer in |
(editorial). Phys Ther 1989: 69: 299-300. |
222
Back to Index |