Greenberger H B, Paterno M V
Ithaca College, Department of Physical Therapy, NY 14850, USA.
J Orthop Sports Phys Ther. 1995 Nov;22(5):202-6. doi: 10.2519/jospt.1995.22.5.202.
Traditionally, open kinetic chain rehabilitation and evaluation have been used as the primary tool to assess a patient's strength and readiness to progress to a higher functional level. More recently, closed kinetic chain activities have been developed and well documented as an alternate means to prepare and evaluate a patient's ability to return to a higher functional level. However, a dearth in recent literature comparing the correlation between an open kinetic chain isokinetic strength test and performance on a functional performance test exists. Therefore, the purpose of this study was to examine the relationship between a knee extensor strength and functional performance test, specifically the one-legged hop for distance. Twenty subjects (mean = 20.7 years), with no prior history of lower extremity injury, participated in the study consisting of isokinetic evaluation of the quadriceps muscle using a Kinetic Communicator and a one-legged hop for distance. Isokinetic testing was performed at 240 degrees/sec. All tests were performed on the dominant and nondominant limbs. Pearson product moment correlation coefficients for peak torque and distance hopped were .78 for the dominant leg and .65 for the nondominant leg (p < .05). These results support the belief that isokinetic strength does not correlate strongly with functional tasks.
传统上,开放式动力链康复和评估一直被用作评估患者力量以及判断其是否准备好进入更高功能水平阶段的主要工具。最近,封闭式动力链活动已得到发展并有充分记录,成为准备和评估患者恢复到更高功能水平能力的另一种方式。然而,近期文献中缺乏对开放式动力链等速肌力测试与功能表现测试之间相关性的比较。因此,本研究的目的是检验膝关节伸肌力量与功能表现测试(具体为单腿跳远距离测试)之间的关系。二十名受试者(平均年龄 = 20.7岁),既往无下肢损伤史,参与了本研究,研究内容包括使用动力测试仪对股四头肌进行等速评估以及单腿跳远距离测试。等速测试在240度/秒的速度下进行。所有测试均在优势腿和非优势腿上进行。优势腿的峰值扭矩与跳跃距离的皮尔逊积矩相关系数为0.78,非优势腿为0.65(p < 0.05)。这些结果支持了等速肌力与功能任务之间相关性不强的观点。