Reliability of isometric and isokinetic trunk flexor strength using a functional electromechanical dynamometer

Angela Rodriguez-Perea, Luis J Chirosa Ríos, Dario Martinez-Garcia, David Ulloa-Díaz, Francisco Guede Rojas, Daniel Jerez-Mayorga, Ignacio J Chirosa Rios, Angela Rodriguez-Perea, Luis J Chirosa Ríos, Dario Martinez-Garcia, David Ulloa-Díaz, Francisco Guede Rojas, Daniel Jerez-Mayorga, Ignacio J Chirosa Rios

Abstract

Aim: To determine the absolute and relative reliability of functional trunk tests, using a functional electromechanical dynamometer to evaluate the isokinetic strength of trunk flexors and to determine the most reliable assessment condition, in order to compare the absolute and relative reliability of mean force and peak force of trunk flexors and to determine which isokinetic condition of evaluation is best related to the maximum isometric.

Methods: Test-retest of thirty-seven physically active male student volunteers who performed the different protocols, isometric contraction and the combination of three velocities (V1 = 015 m s-1 , V2 = 0.30 m s-1, V3 = 0.45 m s-1) and two range of movement (R1 = 25% cm ; R2 = 50% cm) protocols.

Results: All protocols to evaluate trunk flexors showed an absolute reliability provided a stable repeatability for isometric and dynamic protocols with a coefficient of variation (CV) being below 10% and a high or very high relative reliability (0.69 < intraclass correlation coefficient [ICC] > 0.86). The more reliable strength manifestation (CV = 6.82%) to evaluate the concentric contraction of trunk flexors was mean force, with 0.15 m s-1 and short range of movement (V1R1) condition. The most reliable strength manifestation to evaluate the eccentric contraction of trunk flexors was peak force, with 0.15 m s-1 and a large range of movement (V1R2; CV = 5.07%), and the most reliable way to evaluate isometric trunk flexors was by peak force (CV = 7.72%). The mean force of eccentric trunk flexor strength with 0.45 m s-1 and short range of movement (V3R1) condition (r = 0.73) was best related to the maximum isometric contraction.

Conclusion: Functional electromechanical dynamometry is a reliable evaluation system for assessment of trunk flexor strength.

Keywords: Core; Isokinetic; Isometric; Reproducibility; Resistance; Test.

Conflict of interest statement

The authors declare there are no competing interests.

©2019 Rodriguez-Perea et al.

Figures

Figure 1. DynaSystem research functional dynamometer.
Figure 1. DynaSystem research functional dynamometer.
Figure 2. Participant performing a maximum effort…
Figure 2. Participant performing a maximum effort of trunk flexion in the functional electromechanical dynamometer with different ROM (A, initial position; B, 25% cm ; C, 50% cm).
Figure 3. Exemplary experimental traces.
Figure 3. Exemplary experimental traces.
Figure 4. (A) Linear correlation of V1R1…
Figure 4. (A) Linear correlation of V1R1 condition in the concentric phase between test-retest of mean force of trunk flexors. (B) Linear correlation of V2R2 condition in the eccentric phase between test-retest of mean force of trunk flexors. (C) Linear correlation of V2R1 condition in the concentric phase between test-retest of peak force of trunk flexors. (D) Linear correlation of V2R2 condition in the eccentric phase between test-retest of peak force of trunk flexors.

References

    1. Araujo S, Cohen D, Hayes L. Six weeks of core stability training improves landing kinetics among female capoeira athletes: a pilot study. Journal of Human Kinetics. 2015;45:27–37. doi: 10.1515/hukin-2015-0004.
    1. Atkinson G, Nevill AM. Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. Sports Medicine. 1998;26:217–238. doi: 10.2165/00007256-199826040-00002.
    1. Balagué F, Bibbo E, Mélot C, Szpalski M, Gunzburg R, Keller TS. The association between isoinertial trunk muscle performance and low back pain in male adolescents. European Spine Journal. 2010;19:624–632. doi: 10.1007/s00586-009-1168-5.
    1. Ben Moussa Zouita A, Ben Salah FZ, Dziri C, Beardsley C. Comparison of isokinetic trunk flexion and extension torques and powers between athletes and nonathletes. Journal of Exercise Rehabilitation. 2018;14:72–77. doi: 10.12965/jer.1835126.563.
    1. Campos Jara C, Bautista Gonzalez I, Chirosa Rios L, Martin Tamayo I, Lopez Fuenzalida A, Chirosa Rios I. Validity and reliability of the haefni health system 1.0 device in the measurement of the isokinetic velocity range. Cuadernos de Psicologia del Deporte. 2014;14:91–98.
    1. Cerda Vega E, Jerez-Mayorga D, Jara CC, Guzman-guzman I, Ponce AR, Chirosa LJ. Validity and reliability of evaluating hip abductor strength using different normalization methods in a functional electromechanical device. PLOS ONE. 2018;8:1–12. doi: 10.1371/journal.pone.0202248.
    1. Chamorro C, De La Fuente C, Jerez D, Campos C, Chirosa LJ. Reliability of shoulder rotators isometric strength test using a novel pulley electromechanical dynamometer. Influence of the assessment position. Asian Journal of Sports Medicine. 2018;9(2):e60406. doi: 10.5812/asjsm.60406.
    1. Chang ES, Bishop ME, Baker D, West RV. Interval throwing and hitting programs in baseball: biomechanics and rehabilitation. The American Journal of Orthopedics. 2016;45:157–162.
    1. Cohen J. Hillsdale: Erlbaum; 1988. Statistical Power for the Behavioral Sciences. Second Edition.
    1. Cowley PM, Fitzgerald S, Sottung K, Swensen T. Age, weight, and the front abdominal power test as predictors of isokinetic trunk strength and work in young men and women. Journal of Strength and Conditioning Research. 2009;23:915–925. doi: 10.1519/JSC.0b013e3181a06f59.
    1. Cronström A, Creaby MW, Nae J, Eva Ageberg. Modifiable factors associated with knee abduction during weight-bearing activities: a systematic review and meta-analysis. Sports Medicine. 2016;46:1647–1662. doi: 10.1007/s40279-016-0519-8.
    1. De Blaiser C, De Ridder R, Willems T, Danneels L, Roosen P. Reliability and validity of trunk flexor and trunk extensor strength measurements using handheld dynamometry in a healthy athletic population. Physical Therapy in Sport. 2018;34:180–186. doi: 10.1016/j.ptsp.2018.10.005.
    1. Delitto A, Rose SJ, Crandell CE, Strube MJ. Reliability of isokinetic measurements of trunk muscle performance. Spine. 1991;16:800–803. doi: 10.1097/00007632-199107000-00019.
    1. Demoulin C, Jidovtseff B, Mahieu G, Verbunt J. Muscular performance assessment of trunk extensors: a critical appraisal of the literature. In: Norastech AA, editor. Low Back Pain. London: IntechOpen; 2012. pp. 141–166.
    1. Dervisevic E, Hadzic V, Burger H. Reproducibility of trunk isokinetic strength findings in healthy individuals. Isokinetics and Exercise Science. 2007;15:99–109. doi: 10.3233/IES-2007-0256.
    1. Dvir Z, Keating J. Reproducibility and validity of a new test protocol for measuring isokinetic trunk extension strength. Clinical Biomechanics. 2001;16:627–630. doi: 10.1016/S0268-0033(01)00038-9.
    1. Dvir Z, Müller S. Multiple-joint isokinetic dynamometry: a critical review. Journal of Strength and Conditioning Research. 2019 doi: 10.1519/JSC.0000000000002982. Epub ahead of print 2019 13 February.
    1. Glenn JM, Galey M, Edwards A, Rickert B, Washington TA. Validity and reliability of the abdominal test and evaluation systems tool (ABTEST) to accurately measure abdominal force. Journal of Science and Medicine in Sport. 2015;18:457–462. doi: 10.1016/j.jsams.2014.06.006.
    1. Gruther W, Wick F, Paul B, Leitner C, Posch M, Matzner M, Crevenna R, Ebenbichler G. Diagnostic accuracy and reliability of muscle strength and endurance measurements in patients with chronic low back pain. Journal of Rehabilitation Medicine. 2009;41:613–619. doi: 10.2340/16501977-0391.
    1. Guilhem G, Giroux C, Couturier A, Maffiuletti NA. Validity of trunk extensor and flexor torque measurements using isokinetic dynamometry. Journal of Electromyography and Kinesiology. 2014;24:986–993. doi: 10.1016/j.jelekin.2014.07.006.
    1. Hopkins WG. Mesaures of reliability in sports medicine and science. Sports Medicine. 2000;30:1–15. doi: 10.2165/00007256-200030010-00001.
    1. Hopkins WG. Spreadsheets for analysis of validity and reliability. Sportscience. 2015;19:36–42.
    1. Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Medicine and Science in Sports and Exercise. 2009;41:3–12. doi: 10.1249/MSS.0b013e31818cb278.
    1. Hopkins W, Schabort E, Hawley J. Reliability of power in physical performance tests. Sports Medicine. 2001;31:211–234. doi: 10.2165/00007256-200131030-00005.
    1. Hutten MMR, Hermens HJ. Reliability of lumbar dynamometry measurements in patients with chronic low back pain with test-retest measurements on different days. European Spine Journal. 1997;6:54–62. doi: 10.1007/BF01676575.
    1. Jandre Reis F, Ribero Macedo A. Influence of hamstring tightness in pelvic, lumbar and trunk range of motion in low back pain and asymptomatic volunteers during forward bending. Asian Spine Journal. 2015;9:535–540. doi: 10.4184/asj.2015.9.4.535.
    1. Juan-Recio C, López-Plaza D, Barbado Murillo D, García-Vaquero MP, Vera-García FJ. Reliability assessment and correlation analysis of 3 protocols to measure trunk muscle strength and endurance. Journal of Sports Sciences. 2018;36:357–364. doi: 10.1080/02640414.2017.1307439.
    1. Jubany J, Busquets A, Marina M, Cos F, Angulo-Barroso R. Reliability and validity of a custom-made instrument including a hand-held dynamometer for measuring trunk muscle strength. Journal of Back and Musculoskeletal Rehabilitation. 2015;28:317–326. doi: 10.3233/BMR-140522.
    1. Keller A, Hellesnes J, Brox JI. Reliability of the isokinetic trunk extensor test, Biering-Sørensen Test, and Åstrand bicycle test assessment of intraclass correlation coefficient and critical difference in patients with chronic low back pain and healthy individuals. Spine. 2001;26:771–777. doi: 10.1097/00007632-200104010-00017.
    1. Kozak A, Freitag S, Nienhaus A. Evaluation of a training program to reduce stressful trunk postures in the nursing professions: a pilot study. The Annals of Occupational Hygiene. 2017;61:22–32. doi: 10.1093/annweh/wxw002.
    1. Laird RA, Gilbert J, Kent P, Keating JL. Comparing lumbo-pelvic kinematics in people with and without back pain: a systematic review and meta-analysis. BMC Musculoeskeletal Disorders. 2014;15(229):1–13. doi: 10.1186/1471-2474-15-229.
    1. Laird RA, Keating JL, Ussing K, Li P, Kent P. Does movement matter in people with back pain? Investigating ‘atypical’ lumbo-pelvic kinematics in people with and without back pain using wireless movement sensors. BMC Musculoskeletal Disorders. 2019;20(1):28–43. doi: 10.1186/s12891-018-2387-x.
    1. Leboeuf-Yde C, Nielsen J, Kyvik KO, Fejer R, Hartvigsen J. Pain in the lumbar, thoracic or cervical regions: do age and gender matter? A population-based study of 34,902 Danish twins 20–71 years of age. BMC Musculoskeletal Disorders. 2009;10(1):39–50. doi: 10.1186/1471-2474-10-39.
    1. Lindsay DM, Horton JF, Paley RD. Trunk motion of male professional golfers using two different golf clubs. Journal of Applied Biomechanics. 2002;18:366–373. doi: 10.1123/jab.18.4.366.
    1. Liu H, Leigh S, Yu B. Sequences of upper and lower extremity motions in javelin throwing. Journal of Sports Sciences. 2010;28:1459–1467. doi: 10.1080/02640414.2010.514004.
    1. Mcintire K, Asher M, Burton D, Liu H, Liu W. Development of a protocol for isometric trunk rotational strength testing and strength asymmetry assessment. Isokinetics and Exercise Science. 2007;15:183–194. doi: 10.3233/IES-2007-0272.
    1. Moon S-J, Kim T-H. Effect of three-dimensional spine stabilization exercise on trunk muscle strength and gait ability in chronic stroke patients: a randomized controlled trial. NeuroRehabilitation. 2017;41:151–159. doi: 10.3233/NRE-171467.
    1. Mueller S, Stoll J, Mueller J, Mayer F. Validity of isokinetic trunk measurements with respect to healthy adults, athletes and low back pain patients. Isokinetics and Exercise Science. 2012;20:255–266. doi: 10.3233/IES-2012-00482.
    1. Newman BL, Pollock CL, Hunt MA. Reliability of measurement of maximal isometric lateral trunk-flexion strength in athletes using handheld dynamometry. Journal of Sport Rehabilitation, Technical Notes(6) 2012;21(4):1–5. doi: 10.1123/jsr.2012.TR6.
    1. Paalanne NP, Korpelainen R, Taimela SP, Remes J, Salakka M, Karppinen JI. Reproducibility and reference values of inclinometric balance and isometric trunk muscle strength measurements in finnish young adults. Journal of Strength and Conditioning Research. 2009;23:1618–1626. doi: 10.1519/JSC.0b013e3181a3cdfc.
    1. Palmer T, Uhl TL, Howell D, Hewett TE, Viele K, Mattacola CG. Sport-specific training targeting the proximal segments and throwing velocity in collegiate throwing athletes. Journal of Athletic Training. 2015;50:567–577. doi: 10.4085/1062-6040-50.1.05.
    1. Roldán-Jiménez C, Bennett P, Cuesta-Vargas AI. Muscular activity and fatigue in lower-limb and trunk muscles during different sit-to-stand tests. PLOSE ONE. 2015;10(10):e0141675. doi: 10.1371/journal.pone.0141675.
    1. Rossi DM, Morcelli MH, Cardozo AC, Denadai BS, Gonçalves M, Navega MT. Rate of force development and muscle activation of trunk muscles in women with and without low back pain: a case-control study. Physical Therapy in Sport. 2017;26:41–48. doi: 10.1016/j.ptsp.2016.12.007.
    1. Roth R, Donath L, Kurz E, Zahner L, Faude O. Absolute and relative reliability of isokinetic and isometric trunk strength testing using the IsoMed-2000 dynamometer. Physical Therapy in Sport. 2017;24:26–31. doi: 10.1016/j.ptsp.2016.11.005.
    1. Sadler SG, Spink MJ, Ho A, Jonge XJ De, Chuter VH. Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies. BMC Musculoskeletal Disorders. 2017;18:1–15. doi: 10.1186/s12891-017-1534-0.
    1. Sanders TL, Kremers M, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych AJ. Incidence of anterior cruciate ligament tears and reconstruction A 21-year population-based study. The American Journal of Sports Medicine. 2016;44(6):1502–1507. doi: 10.1177/0363546516629944.
    1. Silva P, Franco J, Gusmao A, Moura J, Teixeira-Salmela L, Faria C. Trunk strength is associated with sit-to-stand performance in both stroke and healthy subjects. European Journal of Physical and Rehabilitation Medicine. 2015;51:717–724.
    1. Stewart A, Marfell-Jones M, International Society for Advancement of Kinanthropometry . International standards for anthropometric assessment. Potchefstroom South Africa: International Society for the Advancement of Kinanthropometry; 2011.
    1. Timm KE, Gennrich P, Burns R, Fyke D. The mechanical and physiological performance reliability of selected isokinetic dynamometers. Isokinetics and Exercise Science. 1992;2:182–190. doi: 10.3233/IES-1992-2406.
    1. Van den Tillaar R, Ettema G. Is there a proximal-to-distal sequence in overarm throwing in team handball? Journal of Sports Sciences. 2009;27:949–955. doi: 10.1080/02640410902960502.
    1. Wagner H, Pfusterschmied J, Tilp M, Landlinger J, Von Duvillard SP, Müller E. Upper-body kinematics in team-handball throw, tennis serve, and volleyball spike. Scandinavian Journal of Medicine & Science in Sports. 2014;24:345–354. doi: 10.1111/j.1600-0838.2012.01503.x.
    1. Wagner H, Pfusterschmied J, Von Duvillard SP, Müller E. Skill-dependent proximal-to-distal sequence in team-handball throwing. Journal of Sports Sciences. 2012;30:21–29. doi: 10.1080/02640414.2011.617773.
    1. Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. The Journal of Strength and Conditioning Research. 2005;19(1):231–240. doi: 10.1519/15184.1.
    1. Yasuda I, Minami Y, Daikuya S. Trunk muscle strength in patient with low back pain . AbstractOrthopedics and Muscular System. 2013;2(2):125. doi: 10.4172/2161-0533.1000125.

Source: PubMed

3
Prenumerera