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