scholarly journals Reliability of Isometric and Eccentric Isokinetic Shoulder External Rotation

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Brianna M. Papotto ◽  
Thomas Rice ◽  
Terry Malone ◽  
Timothy Butterfield ◽  
Tim L. Uhl
Keyword(s):  
Repeated Measures ◽  
External Rotation ◽  
High Reliability ◽  
Peak Torque ◽  
Total Work ◽  
Isokinetic Testing ◽  
Deceleration Phase ◽  
Shoulder Muscles ◽  
Shoulder External Rotation ◽  
Average Angle

Context: Shoulder external rotators are challenged eccentrically throughout the deceleration phase of throwing, which is thought to contribute to overuse injuries. To evaluate the effectiveness of intervention programs, as well as identifying deficits, reliable and responsive measures of isometric and eccentric shoulder external rotation are necessary. Previously, isometric measures have primarily tested a single position, and eccentric measures have not been found to have high reliability. Objective: To examine the between-days reliability of multiple-angle isometric and dynamic eccentric isokinetic testing of shoulder external rotation. Design: Repeated measures. Participants: 10 healthy subjects (age 30 ± 12 y, height 166 ± 13 cm, mass 72 ± 10 kg). Main Outcome Measures: Average isometric peak torque of shoulder external rotation at 7 angles was measured. From these values, the angle of isometric peak torque was calculated. Dynamic eccentric average peak torque, average total work, and average angle of peak torque were measured. Results: Between-days reliability was high for average peak torque during isometric contractions at all angles (ICC ≥ .85), as it was for dynamic eccentric average peak torque (ICC ≥ .97). The estimated angle of isometric peak torque (ICC ≤ .65) was not highly reliable between days. The average angle of peak torque from the eccentric testing produced inconsistent results. Average total work of dynamic eccentric shoulder external rotation was found to be highly reliable between days (ICC ≥ . 97). Conclusion: Aspects of force such as peak torque and total work in isometric and eccentric testing of the shoulder external-rotator muscles can be measured reliably between days and used to objectively evaluate shoulder strength and identify changes when they occur. Angle measurements of peak torque could provide insight into the mechanical properties of the posterior shoulder muscles but were found to be inconsistent between days.

scholarly journals Relationship between propulsive force of the arm, body composition and isokinetic muscle strength indicators in surfers

2018 ◽  
Vol 20 (3) ◽  
pp. 342-351
Author(s):  
Sidarta Oliveira Geber ◽  
Bruno Remígio Cavalcante ◽  
Antonio Henrique Germano-Soares ◽  
Raysa Catarina Cavalcante Figueiredo Montes ◽  
Arthur Henrique Oliveira Silva ◽  
...  
Keyword(s):  
Body Composition ◽  
Internal Rotation ◽  
Fat Mass ◽  
Muscle Function ◽  
External Rotation ◽  
Pearson Correlation ◽  
Peak Torque ◽  
Total Work ◽  
Propulsive Force ◽  
Teres Major

This study aimed to evaluate the potential relationship between body composition (percentage of fat mass (FM %), fat mass and lean mass), muscle function (e.g., muscles; deltoid side and front, pectoralis major and teres major) and the propulsive force of the arm (PFA). Sixteen competitive surfers (29.1 ± 7.3 years; 1.72 ± 0.06 m; 74.2 ± 1.4 kg) were assessed for height, body mass, body composition (dual-energy-DXA), muscle function and PFA. Pearson correlation analyses were used to verify the relationship between all variables. An inverse correlations were found between PFA and isokinetic parameters to 60o/s: external rotation (peak torque: r = -0.71; p = 0.014; total work: r = -0.75; p = 0.007; power: r = -0.72; p = 0.011) and internal rotation (peak torque: r = -0.61; p = 0.045; total work: r = -0.73; p = 0.010; power: r = -0.61; p = 0.045) and 300o/s: external rotation (peak torque: r = -0.79; p = 0.003; total work: r = -0.84; p<0,001; power: r = -0.81; p = 0.002) and internal rotation (peak torque: r = -0.69; p = 0.017; total work: r = -0.72; p = 0.011; power: r = -0.69; p = 0.017). There was no significant correlation between body composition components and PFA (p>0.05). Although correlations do not imply cause and effect, PFA is not correlated with body composition in surfers and these relationships are inversely related to the parameters of muscle function.

scholarly journals Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates

2018 ◽  
Vol 10 (4) ◽  
pp. 327-333 ◽  
Author(s):  
Michael M. Reinold ◽  
Leonard C. Macrina ◽  
Glenn S. Fleisig ◽  
Kyle Aune ◽  
James R. Andrews
Keyword(s):  
Range Of Motion ◽  
Training Program ◽  
Repeated Measures ◽  
External Rotation ◽  
Controlled Trial ◽  
Injury Rate ◽  
Control Group ◽  
Injury Rates ◽  
Shoulder External Rotation ◽  
Experimental Group

Background: Emphasis on enhancing baseball pitch velocity has become popular, especially through weighted-ball throwing. However, little is known about the physical effects or safety of these programs. The purpose of this study was to examine the effects of training with weighted baseballs on pitch velocity, passive range of motion (PROM), muscle strength, elbow torque, and injury rates. Hypothesis: A 6-week weighted ball training program would result in a change in pitching biomechanical and physical characteristics. Study Design: Randomized controlled trial. Level of Evidence: Level 1. Methods: During the baseball offseason, 38 healthy baseball pitchers were randomized into a control group and an experimental group. Pitch velocity, shoulder and elbow PROM, shoulder strength, elbow varus torque, and shoulder internal rotation velocity were measured in both groups. The experimental group then performed a 6-week weighted ball throwing program 3 times per week using balls ranging from 2 to 32 ounces while the control group only used a 5-ounce regulation baseball. Both groups performed a strength training program. Measurements were then repeated after the 6-week period. Injuries were tracked over the 6-week training program and the subsequent baseball season. The effect of training with a weighted ball program was assessed using 2-way repeated-measures analysis of variance at an a priori significance level of P < 0.05. Results: Mean age, height, mass, and pretesting throwing velocity were 15.3 ± 1.2 years (range, 13-18 years), 1.73 ± 0.28 m, 68.3 ± 11 kg, and 30.3 ± 0.7 m/s, respectively. Pitch velocity showed a statistically significant increase (3.3%) in the experimental group ( P < 0.001). There was a statistically significant increase of 4.3° of shoulder external rotation in the experimental group. The overall injury rate was 24% in the experimental group. Four participants in the experimental group suffered elbow injuries, 2 during the training program and 2 in the season after training. No pitchers in the control group were injured at any time during the study. Conclusion: Performing a 6-week weighted ball throwing program increased pitch velocity. However, the program resulted in increased shoulder external rotation PROM and increased injury rate. Clinical Relevance: Although weighted-ball training may increase pitch velocity, caution is warranted because of the notable increase in injuries and physical changes observed in this cohort.

scholarly journals The effects of feedback in isokinetic dynamometry: Effects of visual feedback and verbal encouragement on peak torque and total work values in knee extensors testing

1996 ◽  
Vol 52 (4) ◽  
pp. 88-90 ◽  
Author(s):  
Guy Van Herp ◽  
Ahmad Shah
Keyword(s):  
Visual Feedback ◽  
Peak Torque ◽  
Knee Extensors ◽  
Motivating Factors ◽  
Total Work ◽  
Isokinetic Testing ◽  
The Moment ◽  
Effects Of Feedback ◽  
Verbal Encouragement ◽  
Male Subjects

The purpose of this study was to examine the effects of visual feedback and verbal encouragement on peak torque and total work measurements during maximum isokinetic concentric activation of knee extensors. Twenty-seven healthy male subjects between the age of 19 and 42 completed the two test sessions 14 days apart using an isokinetic dynamometer at 60°/s and 450°/s. Visual feedback was provided as real-time display of the moment output. Verbal encouragement was done using a standardised procedure. With visual feedback and verbal encouragement peak torque and total work at both speeds were significantly greater than without.These findings suggest that combined visual and verbal encouragement are strong motivating factors. It is therefore recommended to use feedback and verbal encouragement as part of a standardised procedure during isokinetic testing.

The Effects of Jump-Rope Training on Shoulder Isokinetic Strength in Adolescent Volleyball Players

2010 ◽  
Vol 19 (2) ◽  
pp. 184-199 ◽  
Author(s):  
Irem Duzgun ◽  
Gul Baltaci ◽  
Filiz Colakoglu ◽  
Volga Bayrakci Tunay ◽  
Derya Ozer
Keyword(s):  
Training Program ◽  
Outcome Measures ◽  
External Rotation ◽  
Peak Torque ◽  
Total Work ◽  
Significant Difference ◽  
Shoulder Strength ◽  
Group 2 ◽  
Jump Rope ◽  
Group 1

Objective:To investigate the effect of a 12-wk weighted-jump-rope training program on shoulder strength.Design:Pretest to posttest experimental design.Setting:University sports physiotherapy laboratory.Participants:24 healthy volleyball players age 13-16 y.Intervention:Group 1 took weighted-rope training (n = 9), group 2 took unweighted-rope training (n = 8), and group 3 did not train with any specific program (n = 7).Main Outcome Measures:Players’ strength determined with an isokinetic dynamometer (Isomed 2000) at 180 and 60°/s on external and internal rotators, supraspinatus peak torque, and total work of the dominant shoulder. Kruskal–Wallis and Mann–Whitney U tests were used to determine the difference among the groups.Results:At pretraining evaluation, there were no significant differences in the test scores of the isokinetic test of full can and empty can between the groups at 60 and 180°/s. There was no statistically significant difference for 60 and 180°/s between pretraining and posttraining assessment (P > .05) except that total eccentric work increased in groups 1 and 3 but decreased in group 2 at 180°/s during the full can (P < .05). There was no significant difference among the groups between the pretraining and posttraining testing at both 180 and 60°/s for the empty can (P > .05). Internal-rotation values at 60 and 180°/s decreased for both peak torque and total work for all groups. External-rotation peak torque and total work at 60°/s increased for group 1. External-rotation peak torque and total work at 180°/s increased for all groups.Conclusions:The results indicate that a jump-rope training program is a good conditioning method for overhead athletes because of its potential benefits to shoulder strength.

scholarly journals Pre- and Postoperative Isokinetic Strength Test in Rotator Cuff Tear

1970 ◽  
Vol 14 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Jin Young Kim ◽  
Suk Kee Tae ◽  
Do Hyun Yeo ◽  
Ho Min Lee ◽  
Jong Soo Oh
Keyword(s):  
Rotator Cuff ◽  
External Rotation ◽  
Peak Torque ◽  
Fatty Degeneration ◽  
Isokinetic Strength ◽  
Total Work ◽  
Cuff Tear ◽  
Isokinetic Muscle Strength ◽  
Tear Size

PURPOSE: This study investigated whether (i) isokinetic muscle strength correlated with (ii) anatomical assessment of rotator cuff tear size, fatty degeneration of the supraspinatus muscle or postoperative cuff integrity.MATERIALS & METHODS: Among patients who underwent arthroscopic rotator cuff repair, 32 patients in whom magnetic resonance imaging (MRI) and isokinetic muscle strength tests were performed preoperatively and, at an average of 10 months after repair, took part in this study. We measured the isokinetic strength (peak torque and total work) deficit in external rotation and internal rotation at a 60degrees/sec load.RESULTS: Preoperative isokinetic strength deficits correlated with tear size (p<0.001) but correlated weakly with fatty degeneration of supraspinatus muscle (p<0.001). In patients with healed rotator cuffs, preoperative peak torque and total work deficits were 39% and 62% for external rotation. At final follow up, they were decreased to 17% and 32%, respectively. In the re-tear group, preoperative peak torque and total work deficit were 44% and 61% in external rotation. At final follow up, they were decreased to 23% and 35%, respectively. But there was no significant difference between the two groups (p>0.05).CONCLUSION: Preoperative isokinetic strength correlates with tear size but not fatty degeneration of the supraspintus muscle or postoperative cuff integrity. Postoperative cuff integrity did not have an effect on postoperative isokinetic strength.

Shoulder External- and Internal-Rotation Isokinetic Strength in Master’s Swimmers

2005 ◽  
Vol 14 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Deb West ◽  
Gisela Sole ◽  
S. John Sullivan
Keyword(s):  
Muscle Strength ◽  
Internal Rotation ◽  
External Rotation ◽  
Peak Torque ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Shoulder External Rotation ◽  
Torque Values ◽  
Shoulder Muscle Strength

Objectives:To establish muscle-strength and -balance profiles for shoulder external rotation (ER) and internal rotation (IR) in master’s swimmers.Design:Cross-sectional study.Setting:Laboratory.Participants:Six male and seven female master’s swimmers and a matched control group.Measurements:Concentric and eccentric ER and IR shoulder movements were recorded (Kin-Com™ isokinetic dynamometer). Peak-torque values, concentric ER:IR ratios, eccentric ER:IR (conventional) ratios, and eccentric ER:concentric IR (functional) ratios were examined between groups.Results:Mean peak-torque values ranged from 21.23 to 37.69 N · m for the swimmers, which, although 15% to 27% greater than those of the controls, were not statistically different. Conventional (0.78:0.86) and functional (1.06:1.17) ratios did not differ between groups.Conclusions:These data will contribute to the development of guidelines for assessing shoulder-muscle strength in Master’s swimmers.

scholarly journals Assessment of Isokinetic Knee and Shoulder Strength in Elite Youth Boxers: Correlation with Punch Impact Force

2021 ◽  
Author(s):  
Zixiang Zhou ◽  
Xin Chen ◽  
Chao Chen ◽  
Wenjuan Yi ◽  
Dexin Wang
Keyword(s):  
External Rotation ◽  
Peak Torque ◽  
Strength Performance ◽  
Knee Strength ◽  
Lower Limb Strength ◽  
Shoulder Strength ◽  
Angular Velocities ◽  
Shoulder Peak ◽  
Shoulder External Rotation ◽  
Bilateral Difference

Abstract This study aimed to assess the isokinetic strength performance of the knee and shoulder in amateur boxer, and further to explore the contribution of knee and shoulder peak torque to different punches. Boxers (6 females and 8 males) were measured the dynamic concentric torque of knee flexion(F) and extension(E), shoulder external rotation (ER) and internal rotation (IR) at 60°/S, 180°/S. We tested the punching force of three techniques by Kistler Instruments. At 60°/S, F/E ratios of the dominant (D) knee of female boxers were lower than those of non-dominant (ND) side (p=0.03). At two angular velocities, all boxers demonstrated higher ER/IR ratios in ND (p=0.011 for males, p=0.025 for females). Bilateral difference of knee flexor in females was greater (p=0.038) than that in males. The maximum correlation was found at 180°/S between punching forces and the joints strength. ANOVA analyses revealed that athletes with greater punching force tend to have higher knee strength. Although correlations between shoulders strength and punching forces were strong, they did not discriminate between athletes who punched with higher punching force. In order to effectively transfer muscle strength to punching force, rapid completion of action should be highlighted in strength training, especially lower-limb strength.

scholarly journals The Characteristics of Shoulder Muscles in Archery Athletes

2018 ◽  
Vol 21 (3) ◽  
pp. 145-150 ◽  
Author(s):  
Ri Na Kim ◽  
Jin Hyuck Lee ◽  
Seok Ha Hong ◽  
Jin Ho Jeon ◽  
Woong Kyo Jeong
Keyword(s):  
External Rotation ◽  
Peak Torque ◽  
Shoulder Girdle ◽  
Left Shoulder ◽  
Shoulder Muscles ◽  
Adductor Muscles ◽  
Angular Velocities ◽  
Muscle Groups ◽  
Shoulder Girdle Muscles ◽  
High Level

BACKGROUND: This study evaluated the shoulder girdle muscle characteristics of elite archery athletes and provides suggestions for archery training programs.METHODS: This study enrolled 15 cases of high level archery athletes (7 males, 8 females) and 30 cases of (15 males, 15 females) sex, age-matched, healthy, non-athletic individuals. We measured peak torques of flexion (FL), extension (EX), abduction (ABD), adduction (ADD), external rotation (ER) and internal rotation (IR) of both shoulders at an angular velocity of 30°/sec, 60°/sec, and 180°/sec. The peak torques and peak torque ratios of FL/EX, ABD/ADD, and ER/IR of the two groups were compared.RESULTS: The archer group had a greater peak torque of IR and ADD, but only in the left shoulder (p < 0.05). In the same group, both shoulders had greater peak torque of EX and lower peak torque of FL. The peak torque ratios of FL/EX of both shoulders were significantly lower in the archer group at all three angular velocities (p < 0.05). The peak torque ratios of ABD/ADD were significantly greater in only the left shoulder of the archer group (p < 0.05).CONCLUSIONS: The prominent characteristics of the shoulder girdle muscles of an elite archer are stronger adductor muscles of the bow shoulder and stronger extensors of both shoulders, as compared to healthy, non-athletic individuals. These muscle groups of the shoulder probably contribute a major role in maintaining the accuracy and stability during archery shooting. Hence, a training program that selectively enhances the adductor and extensor muscles could prove helpful in enhancing the archery skills of the athlete.

Effects of 3 Infraspinatus Muscle Strengthening Exercises on Isokinetic Peak Torque and Muscle Activity

2019 ◽  
Vol 28 (3) ◽  
pp. 229-235 ◽  
Author(s):  
Il-young Yu ◽  
Dong-kyu Lee ◽  
Myoung-Joo Kang ◽  
Jae-seop Oh
Keyword(s):  
Muscle Strength ◽  
Muscle Contraction ◽  
Muscle Activity ◽  
Repeated Measures ◽  
External Rotation ◽  
Peak Torque ◽  
Deltoid Muscle ◽  
Repeated Measures Design ◽  
Infraspinatus Muscle ◽  
Main Effect

Context: The infraspinatus muscle plays a particularly important role in producing primary external rotation (ER) torque and dynamic stability of the shoulder joint. Previous studies have reported that prone external rotation with horizontal abduction (PER), side-lying wiper exercise (SWE), and standing external rotation (STER) were effective exercises for strengthening the infraspinatus. However, we do not have enough knowledge about changes in muscle strength and dynamic muscle activity in each exercise under dynamic conditions. Objective: To compare the ER muscle strength, muscle activity among exercise methods and between muscle contraction types during 3 different exercises. Design: Repeated measures design in which ER muscle strength and muscle activities data were collected from subjects under 3 exercise conditions. Setting: Outpatient clinic. Participants: A total of 15 healthy men with no shoulder, neck, or upper-extremity pain were participated. Intervention: The subjects performed 3 different exercises randomly in concentric and eccentric using a Biodex dynamometer at an angular velocity of 60°/s. Main Outcome Measures: The ER peak torque (PT) data was collected and surface electromyography was used to measure the activity of the infraspinatus and posterior deltoid muscles and infraspinatus to posterior deltoid muscle activity ratio. Results: There was significant main effect for muscle contraction type in ER PT (P < .05). The concentric PT was greater during PER (P < .05) and SWE (P < .05) compared with eccentric. The main effect for exercise was found in ER PT and muscle activity (P < .05). The ER PT and infraspinatus muscle activity were the largest increased during PER whereas the lowest during STER in both concentric and eccentric (P < .05). Conclusion: The results of this study suggest that PER is an exercise for strengthening the infraspinatus muscle effectively.

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