scholarly journals Changes of Functional Recovery of Ankle Joint with Application of Rehabilitation Exercise Program after Arthroscopic Modified Brostrom Operation: A Pilot Study

2021 ◽  
Vol 23 (2) ◽  
pp. 45-52
Author(s):  
Ji Myeong Park ◽  
Ho Jin Kim ◽  
Se Hee Kong
Keyword(s):  
Muscle Strength ◽  
Dynamic Stability ◽  
Ankle Joint ◽  
Subjective Evaluation ◽  
Exercise Program ◽  
Peak Torque ◽  
Total Work ◽  
Side Peak ◽  
Isokinetic Muscle Strength ◽  
Rehabilitation Exercise

OBJECTIVES The purpose of this study was to demonstrate its effectiveness by applying a systematic rehabilitation exercise program to patients after arthroscopic modified Brostrom operation.METHODS The research subjects were 13 patients who had arthroscopic modified Brostrom operation, the 60-minute rehabilitation exercise program was applied twice a week for six weeks, and then, subjective evaluation of ankle joint, and its dynamic stability and isokinetic muscle strength were measured.RESULTS After application of the rehabilitation exercise program, subjective evaluation of the ankle joint(<i>p</i><.001), its dynamic stability(<i>p</i><.001) and strengths of the involved side for isokinetic muscle strength peak torque inversion(<i>p</i><.001), eversion(<i>p</i><.01), total work inversion(<i>p</i><.001), eversion(<i>p</i><.01) uninvolved side peak torque inversion(<i>p</i><.001), eversion(<i>p</i><.01), total work(<i>p</i><.01), muscle endurance of the involved side peak torque inversion(<i>p</i><.001), eversion(<i>p</i><.01), total work inversion(<i>p</i><.001), eversion(<i>p</i><.01), uninvolved side peak torque inversion(<i>p</i><.01), total work inversion(<i>p</i><.01) were significantly increased.CONCLUSIONS It was confirmed that application of rehabilitation exercise program after arthroscopic modified Brostrom operation was effective for positive possibilities of its settlement as regular rehabilitation exercise program.

The Effects of Tourniquet Application in Total Knee Arthroplasty on the Recovery of Thigh Muscle Strength and Clinical Outcomes

2020 ◽  
Author(s):  
Omer Ayik ◽  
Mehmet Demirel ◽  
Fevzi Birisik ◽  
Ali Ersen ◽  
Halil I. Balci ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Muscle Strength ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Peak Torque ◽  
Thigh Muscle ◽  
Controlled Study ◽  
Total Work ◽  
Isokinetic Muscle Strength ◽  
Total Knee

AbstractThe present randomized controlled study aims to evaluate whether tourniquet application during total knee arthroplasty (TKA) has an effect on (1) thigh muscle strength (quadriceps and hamstring muscle strength) and (2) clinical outcomes (postoperative knee range of motion [ROM], postoperative pain level, and Knee Society Score [KSS]). The effects of tourniquet application during TKA were investigated in 65 patients randomly allocated to one of two groups: TKA with a tourniquet and TKA without a tourniquet. Patients in both groups were comparable in terms of the demographic and clinical data (p > 0.05 for age, number of patients, sex, radiographic gonarthrosis grade, American Society of Anesthesiologists [ASA] classification, and body mass index [BMI]). All patients in both groups were operated by the same surgeon using one type of prosthesis. Isokinetic muscle strength (peak torque and total work) of knee extensors (quadriceps) and flexors (hamstrings) was measured in Newton meters (Nm) using a CYBEX 350 isokinetic dynamometer (HUMAC/CYBEX 2009, Stoughton, MA). The combined KSS (knee score + function score), visual analog scale (VAS), and knee ROM were measured preoperatively and at 1 and 3 months postoperatively to evaluate clinical outcomes. There were no significant differences between the two groups in preoperative and postoperative values of isokinetic muscle strength (peak torque and total work) and aforementioned clinical outcomes (p < 0.05). The present study has shown that quadriceps strength and clinical outcomes were not improved in the early postoperative period (3 months) when a tourniquet was not used during TKA.

scholarly journals Isokinetic Strength Profile of Elite Female Handball Players

2015 ◽  
Vol 49 (1) ◽  
pp. 257-266 ◽  
Author(s):  
Zuzana Xaverova ◽  
Johannes Dirnberger ◽  
Michal Lehnert ◽  
Jan Belka ◽  
Herbert Wagner ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Peak Torque ◽  
Systematic Assessment ◽  
Risk Of Injury ◽  
Training Cycle ◽  
Isokinetic Muscle Strength ◽  
Angular Velocities ◽  
Individual Evaluation ◽  
Knee Flexors ◽  
Flexion And Extension

Abstract Systematic assessment of muscle strength of the lower extremities throughout the annual training cycle in athletes is crucial from a performance perspective for the optimization of the training process, as well as a health perspective with regard to injury prevention. The main aim of the present study was to determine isokinetic muscle strength of the knee flexors and extensors in female handball players at the beginning of a preparatory period and to assess whether there were any differences between players of different performance levels. The performance level was expressed by means of membership of the Women’s Junior National Handball Team (JNT, n=8) or the Women’s National Handball Team (NT, n=9). The isokinetic peak torque during concentric and eccentric single-joint knee flexion and extension was measured at angular velocities of 60, 180, 240°/s (concentric) and 60°/s (eccentric). The Mann- Whitney test showed no significant differences in the peak torques or ipsilateral ratios between the two groups. The bilateral force deficit (BFD) for concentric extension at 240°/s was significantly higher in the JNT compared with the NT (p=0.04; d=1.02). However, the results of individual evaluation show that the BFD was more frequent in the NT in most measurements. A high BFD was evident in the eccentric mode in both groups highlighting a need for particular strengthening. With regard to low strength ratios a prevention programme should be suggested for both observed groups of professional female handball players to reduce the risk of injury.

scholarly journals Velocity-specific knee strength between professional and under-17 female volleyball player

2019 ◽  
Vol 75 (1) ◽  
Author(s):  
Alexandre R.M. Pelegrinelli ◽  
Laís F. Dela Bela ◽  
Mariana F. Silva ◽  
Lucas C.R. Rodrigues ◽  
João P. Batista ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Extensor ◽  
Peak Torque ◽  
Total Work ◽  
Flexor Muscle ◽  
Mean Power ◽  
Cross Sectional ◽  
Significant Group ◽  
Surface Maps ◽  
Volleyball Players

Background: Many studies have investigated isokinetic performance in volleyball players but not through surface maps.Objectives: The goals of this study were to assess velocity-specific isokinetic knee extensor–flexor muscle strength and to compare the isokinetic knee extensor–flexor muscles between professional (PRO) and under-17 (U17) female volleyball players.Method: This cross-sectional laboratory study was developed with two groups: PRO (n = 12), medianage = 21.3 years, and U17 (n = 9), medianage = 15 years. Peak torque, total work, mean power, angle of peak torque, hamstring–quadriceps torque ratio (H–Q ratio) and torque–angle–velocity surface maps were analysed from knee extension–flexion at 60, 120 and 300 degrees per second (°/s).Results: Significant differences were identified for extensor peak torque between PRO x = 202.3 Newton metre (N·m) (standard deviation [SD] = 24.4) and U17 x = 141.6 N·m (30.1) at 60 °/s (p < 0.001; d = 2.21) as well as flexor peak torque (PRO x = 75.7 N·m [10.3] and U17 x = 57.7 N·m [11.4]) at 120 °/s (p < 0.001; d = 1.65) for the dominant limb. There were also significant group differences for total work and mean power at all velocities for extension and flexion. Surface maps demonstrated higher torque at lower speeds for both groups with smaller torque changes across velocities for flexion.Conclusion: Different groups of female volleyball players showed contrasting concentric knee muscle strength across isokinetic velocities.Clinical implications: These results demonstrate the importance of specific strength training for different age groups, even within the same sport, and provide insight into muscle strength.

Effects of isokinetic calf muscle exercise program on muscle strength and venous function in patients with chronic venous insufficiency

2017 ◽  
Vol 33 (4) ◽  
pp. 261-266 ◽  
Author(s):  
Sabriye Ercan ◽  
Cem Çetin ◽  
Turhan Yavuz ◽  
Hilmi M Demir ◽  
Yurdagül B Atalay
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Exercise Program ◽  
Return Time ◽  
Isokinetic Muscle Strength ◽  
Joint Range

Objective The aim of this study was to observe the change of the ankle joint range of motion, the muscle strength values measured with an isokinetic dynamometer, pain scores, quality of life scale, and venous return time in chronic venous insufficiency diagnosed patients by prospective follow-up after 12-week exercise program including isokinetic exercises. Methods The patient group of this study comprised 27 patients (23 female, 4 male) who were diagnosed with chronic venous insufficiency. An exercise program including isokinetic exercise for the calf muscle was given to patients three days per week for 12 weeks. At the end of 12 weeks, five of the patients left the study due to inadequate compliance with the exercise program. As a result, control data of 22 patients were included. Ankle joint range of active motion, isokinetic muscle strength, pain, quality of life, and photoplethysmography measurements were assessed before starting and after the exercise program. Results Evaluating changes of the starting and control data depending on time showed that all isokinetic muscle strength measurement parameters, range of motion, and overall quality of life values of patients improved. Venous return time values have also increased significantly ( p < 0.05). Conclusion In conclusion, increase in muscle strength has been provided with exercise therapy in patients with chronic venous insufficiency. It has been determined that the increase in muscle strength affected the venous pump and this ensured improvement in venous function and range of motion of the ankle. In addition, it has been detected that pain reduced and quality of life improved after the exercise program.

scholarly journals The Effects of 20-Weeks Tai-Chi Exercise Program on the Isokinetic Muscle Strength of Elderly Women

2012 ◽  
Vol null (26) ◽  
pp. 145-160 ◽  
Author(s):  
Han-joon Lee ◽  
김정훈 ◽  
Jun, Ig-Sung ◽  
김경한 ◽  
Kye Soon Park ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Tai Chi ◽  
Elderly Women ◽  
Exercise Program ◽  
Isokinetic Muscle Strength ◽  
Tai Chi Exercise

Evaluation of Shoulder Muscle Improvement in Patients Following Free Latissimus Dorsi Muscle Pedicle Flap Transfer

2021 ◽  
pp. 229255032110485
Author(s):  
Erman Ak ◽  
Ömer Ayik ◽  
Ömer Berköz ◽  
Erol Kozanoğlu ◽  
Bora Edim Akalin ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Latissimus Dorsi ◽  
Peak Torque ◽  
Extensor Muscle ◽  
Total Work ◽  
Pedicle Flap ◽  
Flap Transfer ◽  
Shoulder Range Of Motion ◽  
Shoulder Muscle ◽  
Significant Difference

Aim: This study aimed to evaluate the clinical outcomes, shoulder muscle strength, and donor site morbidity following the free latissimus dorsi (LD) muscle pedicle flap transfer. Materials: Patients with free LD muscle pedicle flap reconstructions and with asymptomatic shoulders (affected and contralateral side) were included. The follow-up duration was 12 months. The combined shoulder range of motion (ROM), Constant–Murley shoulder (CMS), and quick disabilities of the arm, shoulder, and hand (QuickDASH) scores were measured preoperatively and at 1 year postoperatively. The ratio of the isokinetic muscle strength and total work was measured with an isokinetic dynamometer (Cybex 350®) both preoperatively and at sixth month postoperatively. Results: Twenty patients with a mean age of 37.06 ± 9.74 years and a mean body mass index of 23.49 ± 8.6 kg/m2 were included. The difference in shoulder ROM and CMS and increase in QuickDASH were not significant at the first postoperative year. The peak torque and total work performed decreased by 13%–16% for the adductor and extensor functions at the six month postoperatively, and these differences were significant. Although the adductor peak torque was significantly lower in the postoperative test of the operated side, no significant difference was found between the operated and unaffected shoulder peak torque values. Moreover, no significant difference was noted between the operated and unaffected shoulders in all isokinetic tests pre- and postoperatively. Conclusion: The free LD muscle pedicle flap harvest did not decrease function and ROM at the first postoperative year. The muscle strength and total work of shoulders after the LD muscle transfer returned to the preoperative condition at the sixth month, except adductor and extensor muscle strengths. However, adductor and extensor muscle strengths of the operated shoulders were not significantly different postoperatively. Level of Evidence: Level IV, Diagnostic study

scholarly journals A comparison of wrist isokinetic muscle strength in wheelchair table tennis and wheelchair basketball players

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0006
Author(s):  
Bihter Akınoğlu ◽  
Tuğba Kocahan ◽  
Necmiye Ün Yıldırım ◽  
Çağlar Soylu ◽  
Ufuk Apur ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Peak Torque ◽  
Table Tennis ◽  
Wrist Flexion ◽  
Basketball Players ◽  
Tennis Players ◽  
Extensor Muscles ◽  
Isokinetic Muscle Strength ◽  
Flexion Extension ◽  
Wrist Flexors

Aim: The aim of this study was to compare isokinetic muscle strength of wrist flexor and extensor muscles in paralympic athletes. Methods: This study was carried out with the participation of 9 (4 females and 5 males) wheelchair (WC) table tennis players aged 24+3 and 8 male WC basketball players aged 26+3, met the criteria and voluntarly participate in the study. Body weight, height, body mass index and dominant extremity of the study subjects were recorded. İsokinetic measurement were performed with Isomed 2000® device. İsokinetic testing protocol; before the test all players performed the wrist flexion and extension isokinetic test with the 5 repeating at 90º/sec as a warm-up and comprehending the test. Then, wrist flexion and extension concentric-concentric strength measurements were performed with the 5 repeating at 60º/sec and with the 15 repeating at 240º/sec with the angle between 50 degrees of wrist flexion and 60 degrees of wrist extension and peak torque, peak torque/kg values and flexion/extension ratios were recorded. Mann-Whitney U test was used to compare isokinetic muscle strength quantitative variables in athletes. Findings: Isokinetic muscle strength of wrist flexors and extensors was higher in both sides in WC table tennis players with 60º/sec speed (p<0,05). İsokinetic muscle strength of wrist flexors and extensors was higher in both sides in WC basketball players with 240º/sec speed (p<0,05). There was no significant difference statistically between the groups in isokinetic wrist flexion and extansion peak torque/kg ratio in all speeds (p>0,05). Wrist flexion/extension peak torque ratios were similar in both groups. When examining the athletes flexion/extension ratios, wrist extensor muscles were weaker than flexor muscles and flexor muscles were average twice stronger than extensor muscles in both sports ( Table1 ). [Table: see text] Results: We thought that imbalance of muscle strength in the wrist may have occurred because of the use of a WC and requiring the intensive wrist flexors in playing sports. In both groups wrist ekstansor muscles were found to be weaker than wrist flexors and flexor/extensor ratio was found to be imbalance. We believe that all athletes using WC such as WC table tennis and WC basketball players have a strenght imbalance in the muscle of the wrist and as a result, this situation will increase the possibility of injury. Therefore, our study showed that weakness of wrist extensors and imbalance of muscle stenght should be taken into account in WC athletes in athletic training and exercise programs.

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