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一种用于老年人膝关节和踝关节等长及等速力量测试的设备的可靠性。

Reliability of a device for the knee and ankle isometric and isokinetic strength testing in older adults.

作者信息

Bergamin Marco, Gobbo Stefano, Bullo Valentina, Vendramin Barbara, Duregon Federica, Frizziero Antonio, Di Blasio Andrea, Cugusi Lucia, Zaccaria Marco, Ermolao Andrea

机构信息

Department of Medicine, Sport and Exercise Medicine Division, Padova, Italy.

Department of Physical and Rehabilitation Medicine, Italy.

出版信息

Muscles Ligaments Tendons J. 2017 Sep 18;7(2):323-330. doi: 10.11138/mltj/2017.7.2.323. eCollection 2017 Apr-Jun.

Abstract

BACKGROUND

Lower extremity muscle mass, strength, power, and physical performance are critical determinants of independent functioning in later life. Isokinetic dynamometers are becoming very common in assessing different features of muscle strength, in both research and clinical practice; however, reliability studies are still needed to support the extended use of those devices.

OBJECTIVE

The purpose of this study is to assess the test-retest reliability of knee and ankle isokinetic and isometric strength testing protocols in a sample of older healthy subjects, using a new and untested isokinetic multi-joint evaluation system.

METHODS

Sixteen male and fourteen female older adults (mean age 65.2 ± 4.6 years) were assessed in two testing sessions. Each participant performed a randomized testing procedure that includes different isometric and isokinetic tests for knee and ankle joints.

RESULTS

All participants concluded the trial safety and no subject reported any discomfort throughout the overall assessment. Coefficients of correlation between measures were calculated showing moderate to strong effects among all test-retest assessments and paired-sample t test showed only one significant difference (p<0.05) in the maximal isokinetic bilateral knee flexion torque.

CONCLUSIONS

The multi-joint evaluation system for the assessment of knee and ankle isokinetic and isometric strength provided reliable test-retest measures in healthy older adults.

LEVEL OF EVIDENCE

Ib.

摘要

背景

下肢肌肉质量、力量、功率和身体机能是晚年独立生活的关键决定因素。等速测力计在研究和临床实践中评估肌肉力量的不同特征时正变得非常普遍;然而,仍需要可靠性研究来支持这些设备的广泛使用。

目的

本研究的目的是使用一种新的未经测试的等速多关节评估系统,评估老年健康受试者样本中膝关节和踝关节等速和等长力量测试方案的重测可靠性。

方法

对16名男性和14名女性老年人(平均年龄65.2±4.6岁)进行了两次测试。每位参与者执行了一个随机测试程序,包括对膝关节和踝关节进行不同的等长和等速测试。

结果

所有参与者都安全完成了试验,且在整个评估过程中没有受试者报告任何不适。计算了测量值之间的相关系数,结果显示在所有重测评估中均有中度到强的效应,配对样本t检验显示在最大等速双侧膝关节屈曲扭矩方面只有一个显著差异(p<0.05)。

结论

用于评估膝关节和踝关节等速和等长力量的多关节评估系统在健康老年人中提供了可靠的重测测量结果。

证据水平

Ib。

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