Reference values for the bilateral heel-rise test

Débora Pantuso Monteiro, Raquel Rodrigues Britto, Guilherme Augusto de Freitas Fregonezi, Fernando Augusto Lavezzo Dias, Marconi Gomes da Silva, Danielle Aparecida Gomes Pereira, Débora Pantuso Monteiro, Raquel Rodrigues Britto, Guilherme Augusto de Freitas Fregonezi, Fernando Augusto Lavezzo Dias, Marconi Gomes da Silva, Danielle Aparecida Gomes Pereira

Abstract

Background: The bilateral heel-rise test is an instrument that evaluates the performance of the triceps surae. Normative parameters need to be established for the use of the heel-rise test in clinical practice.

Objective: To determine the reference values for the bilateral heel-rise test.

Methods: This cross-sectional study assessed healthy subjects using the bilateral heel-rise test. We analyzed the number of repetitions, time (in seconds), and repetition rate (repetitions/second) during execution of the heel-rise test, until the point of voluntary fatigue. The estimates were stratified by age and gender. Multiple linear regression was performed to define the reference equation for the bilateral heel-rise test.

Results: A total of 147 individuals were included. The median age was 37 years (IQR 28-46). It was observed that the number of repetitions decreases with age, with a higher number of repetitions in male participants compared to female participants. Gender, body mass index, and maximum activity scores predict 14% of the number of plantar flexions performed in the bilateral heel-rise test. Age and adjusted activity scores predict 18% of the repetition rate in the bilateral heel-rise test.

Conclusion: The bilateral heel-rise test reference values for an adult population were defined as scores above the 25th percentile for number of repetitions, time, and repetition rate. The number of heel-rise test repetitions that corresponds to the 25th percentile, according to age and gender, is as follows: age 20-29, 65 repetitions for men and 45.5 for women; age 30-39, 62.75 men and 41.5 women; age 40-49, 67.25 men and 45 women; and age 50-59, 54 men and 39.25 women.

Keywords: Muscle strength; Physical endurance; Physical therapy.

Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

Figures

Figure 1
Figure 1
Execution of the bilateral HRT.

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