scholarly journals Effect of Isometric and Isotonic Exercise Program on Increased Strength of Quardriceps Muscles in Osteoarthritis Patients in Singgasana Rama Physiotherapy Clinic Blitar

2021 ◽  
Vol 5 (1) ◽  
pp. 42-48
Author(s):  
Irwan Syahputra ◽  
Nurwijayanti Nurwijayanti
Keyword(s):  
Muscle Strength ◽  
Exercise Program ◽  
Quadriceps Strength ◽  
Manual Muscle Testing ◽  
Moderate Intensity ◽  
Rank Test ◽  
Control Group ◽  
Isometric Training ◽  
Muscle Testing ◽  
Isotonic Exercise

Background: Osteoarthritis is a disease of the joints that can cause disability and is progressive in the joints which cause changes in the water content, proteoglycin content, and collagen in the joints. One of the ways to improve functional ability in osteoarthritis cases is to use isotonic and isometric training exercise. Pain is a clinical symptom of knee osteoarthritis, limiting movement due to pain over time will cause rehabilitation problems such as impaired flexibility and stability, reduction of muscle mass (atrophy). Mild and moderate intensity quadriceps strength training is effective at achieving optimal muscle strength and function without causing significant muscle damage. Destination: The purpose of this study was to analyze the effect of isotonic and isometric exercises on muscle strength. Research methods: This study uses a pre-experimental research type using "One Group Pre - test and Post - Test". This research has carried out the first observation (pretest) so that researchers can test the changes that occur after the treatment, and the control group. Result: with the Wilcoxon signed rank test test the isometric and isotonic groups had p = 0.000 while the control group had a significance value of p = 1,000; and the 3 groups test has different values, namely: isotonic exercise has a value of 27.67; isometric; 28.60; and control 12.73. The conclusion that can be concluded that the value of isometric training has the highest value, namely 28.60 which means it is the most effective exercise to increase the value of Manual Muscle Testing. Conclusion: There is an effect of giving isometric and isotonic exercises in strengthening the quadriceps muscles.

scholarly journals THE EFFECT OF ERGOTHERAPY ON FUNCTIONAL RECOVERY OF UPPER EXTREMITIES IN PATIENTS WITH TRAUMATIC DISEASE OF THE CERVICAL SPINAL CORD IN THE LATE REHABILITATION PERIOD

2020 ◽  
Vol 19 (4) ◽  
pp. 117-124
Author(s):  
D Eraskin ◽  
A Nalobina ◽  
S Alekseeva ◽  
E Fedorova ◽  
S Bobkova
Keyword(s):  
Muscle Strength ◽  
Cervical Spinal Cord ◽  
Physical Rehabilitation ◽  
Upper Extremities ◽  
Manual Muscle Testing ◽  
Control Group ◽  
Modified Method ◽  
Muscle Testing ◽  
Cervical Portion ◽  
Rehabilitation Period

Aim. The purpose of the article is to study the effect of physical rehabilitation on the correction of motor disorders in individuals with traumatic disease (TD) of the cervical portion (C6-C7) of the spine in the late rehabilitation period and experimentally substantiate the features of reco­very in the upper extremities. Materials and methods. The experiment involved 30 patients with TD of the cervical portion (C6-C7) of the spine in the late rehabilitation period (2 to 12 months after injury). To assess motor functions in the examined patients, manual muscle testing and dynamometry were performed for measuring muscle strength. The study of the function of the hand was carried out using an adapted modified test. The Barthel scale and the daily activity questionnaire were used to study the formation of self-service skills. The obtained data were processed with the Statistica 10.0 and Microsoft Excel Professional software. Results. The modified method of physical rehabilitation for people with TD of the cervical portion (C6-C7) of the spine in the interim period is a set of practically tested technologies. These technologies include a comprehensive set of activities and the following methods of kinesitherapy: PNF (proprioceptive neuromuscular facilitation), Bobath-therapy, Trankviletati method, Feldenkrais method, as well as mechanotherapy with specialized simulators (Dikul). Ergotherapy is a separate element, which is included in rehabilitation of patients with TD of the cervical portion of the spine together with exercise therapy, daily exercises. Conclusion. As a result of the use of a modified method of physical rehabilitation, in patients of the experimental group, the amplitude and muscle strength of the upper extremities significantly increased, the dynamics of the manipulative function of the hand and self-care skills improved in relation to initial values and the control group.

Hand-held dynamometry for assessment of muscle strength in patients with inflammatory myopathies

Rheumatology ◽  
2020 ◽  
Author(s):  
Didem Saygin ◽  
Chester V Oddis ◽  
Siamak Moghadam-Kia ◽  
Bonny Rockette-Wagner ◽  
Nicole Neiman ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Disease Activity ◽  
Neuromuscular Disorders ◽  
Strong Association ◽  
External Validation ◽  
Manual Muscle Testing ◽  
Inflammatory Myopathies ◽  
University Of Pittsburgh ◽  
Muscle Testing ◽  
The University

Abstract Objectives Muscle weakness in idiopathic inflammatory myopathies (IIMs) is conventionally assessed using manual muscle testing (MMT). However, more objective tools must be developed to accurately and reliably quantify muscle strength in myositis patients. Hand-held dynamometry (HHD) is a quantitative, portable device with reported reliability in neuromuscular disorders. Our aim was to assess the reliability, validity and responsiveness of HHD in myositis. Methods Myositis patients [DM, necrotizing myopathy (NM), PM and anti-synthetase syndrome] evaluated at the University of Pittsburgh myositis centre were prospectively enrolled. Each patient was assessed at 0, 3 and 6 months for validated outcome measures of myositis disease activity and physical function. At each visit, muscle strength was assessed using both MMT and HHD (Micro FET2, Hoggan Health Industries, Draper, UT, USA). The reliability, validity and responsiveness of the HHD was assessed using standard statistical methods. Results Fifty IIM patients (60% female; mean age 51.6 years; 6 PM, 9 NM, 24 DM and 11 anti-synthetase syndrome) were enrolled. HHD showed strong test–retest intrarater reliability (r = 0.96) and interrater reliability (r = 0.98). HHD correlated significantly with the MMT score (r = 0.48, P = 0.0006) and myositis disease activity and functional measures. Longitudinal analysis showed a significant and strong association between the HHD and MMT as well as 2016 ACR/EULAR myositis response criteria (r = 0.8, P < 0.0001) demonstrating responsiveness. The mean effect size and standardized response mean of HHD was large: 0.95 and 1.03, respectively. MMT had a high ceiling effect compared with HHD. Conclusion HHD demonstrated strong reliability, construct validity and responsiveness in myositis patients. External validation studies are required to confirm these findings.

scholarly journals Large variation in effects during 10 years of enzyme therapy in adults with Pompe disease

Neurology ◽  
2019 ◽  
Vol 93 (19) ◽  
pp. e1756-e1767 ◽  
Author(s):  
Laurike Harlaar ◽  
Jean-Yves Hogrel ◽  
Barbara Perniconi ◽  
Michelle E. Kruijshaar ◽  
Dimitris Rizopoulos ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Pulmonary Function ◽  
Pompe Disease ◽  
Manual Muscle Testing ◽  
Controlled Clinical Trial ◽  
Walking Ability ◽  
Enzyme Replacement ◽  
Link Type ◽  
Muscle Testing

ObjectiveTo determine the effects of 10 years of enzyme replacement therapy (ERT) in adult patients with Pompe disease, focusing on individual variability in treatment response.MethodsIn this prospective, multicenter cohort study, we studied 30 patients from the Netherlands and France who had started ERT during the only randomized placebo-controlled clinical trial with ERT in late-onset Pompe disease (NCT00158600) or its extension (NCT00455195) in 2005 to 2008. Main outcomes were walking ability (6-minute walk test [6MWT]), muscle strength (manual muscle testing using Medical Research Council [MRC] grading), and pulmonary function (forced vital capacity [FVC] in the upright and supine positions), assessed at 3- to 6-month intervals before and after the start of ERT. Data were analyzed with linear mixed-effects models for repeated measurements.ResultsMedian follow-up duration on ERT was 9.8 years (interquartile range [IQR] 8.3–10.2 years). At the group level, baseline 6MWT was 49% of predicted (IQR 41%–60%) and had deteriorated by 22.2 percentage points (pp) at the 10-year treatment point (p < 0.001). Baseline FVC upright was 54% of predicted (IQR 47%–68%) and decreased by 11 pp over 10 years (p < 0.001). Effects of ERT on MRC sum score and FVC supine were similar. At the individual level, 93% of patients had initial benefit of ERT. Depending on the outcome measured, 35% to 63% of patients had a secondary decline after ≈3 to 5 years. Still, at 10 years of ERT, 52% had equal or better 6MWT and/or FVC upright compared to baseline.ConclusionsThe majority of patients with Pompe disease benefit from long-term ERT, but many patients experience some secondary decline after ≈3 to 5 years. Individual variation, however, is considerable.Classification of evidenceThis study provides Class IV evidence that for the majority of adults with Pompe disease, long-term ERT positively affects, or slows deterioration in, muscle strength, walking ability, and/or pulmonary function.

scholarly journals Assessing the Validity and Reliability of A Low-Cost Microcontroller-Based Load Cell Amplifier for Measuring Lower Limb and Upper Limb Muscular Force

Sensors ◽  
2020 ◽  
Vol 20 (17) ◽  
pp. 4999
Author(s):  
Julie Gaudet ◽  
Grant Handrigan
Keyword(s):  
Muscle Strength ◽  
Upper Limb ◽  
Low Cost ◽  
Load Cell ◽  
Manual Muscle Testing ◽  
Muscular Force ◽  
Validity And Reliability ◽  
Important Indicator ◽  
Muscle Testing ◽  
Isometric Muscle

Lower and upper limb maximum muscular force development is an important indicator of physical capacity. Manual muscle testing, load cell coupled with a signal conditioner, and handheld dynamometry are three widely used techniques for measuring isometric muscle strength. Recently, there is a proliferation of low-cost tools that have potential to be used to measure muscle strength. This study examined both the criterion validity, inter-day reliability and intra-day reliability of a microcontroller-based load cell amplifier for quantifying muscle strength. To do so, a low-cost microcontroller-based load cell amplifier for measuring lower and upper limb maximal voluntary isometric muscular force was compared to a commercial grade signal conditioner and to a handheld dynamometer. The results showed that the microcontroller-based load cell amplifier correlated nearly perfectly (Pearson's R-values between 0.947 to 0.992) with the commercial signal conditioner and the handheld dynamometer, and showed good to excellent association when calculating ICC scores, with values of 0.9582 [95% C.I.: 0.9297–0.9752] for inter-day reliability and of 0.9269 [95% C.I.: 0.8909–0.9533] for session one, intra-day reliability. Such results may have implications for how the evaluation of muscle strength measurement is conducted in the future, particularly for offering a commercial-like grade quality, low cost, portable and flexible option.

scholarly journals Relationship between Grade 3 Muscle Strength and the Maximum Muscle Strength in Manual Muscle Testing of Legs: Assessment of Flexion and Extension of the Hip and Knee Joints

2014 ◽  
Vol 29 (6) ◽  
pp. 861-865 ◽  
Author(s):  
Hideyuki USA ◽  
Masashi MATSUMURA ◽  
Daisuke OGAWA ◽  
Masafumi HATA ◽  
Kazuna ICHIKAWA ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Joints ◽  
Manual Muscle Testing ◽  
Muscle Testing ◽  
Grade 3 ◽  
Flexion And Extension

Aerobic Exercise Training and Cardiorespiratory Fitness in Older Adults: A Randomized Control Trial

1999 ◽  
Vol 7 (4) ◽  
pp. 374-383 ◽  
Author(s):  
Richard A. Boileau ◽  
Edward McAuley ◽  
Demetra Demetriou ◽  
Naveen K. Devabhaktuni ◽  
Gregory L. Dykstra ◽  
...  
Keyword(s):  
Heart Rate ◽  
Exercise Training ◽  
Aerobic Exercise ◽  
Exercise Program ◽  
The Elderly ◽  
Aerobic Exercise Training ◽  
Moderate Intensity ◽  
Control Group ◽  
Before And After

A trial was conducted to examine the effect of moderate aerobic exercise training (AET) on cardiorespiratory (CR) fitness. Previously sedentary participants, age 60-75 years, were randomly assigned to either AET treatment or a control group for 6 months. The AET consisted of walking for 40 min three times/week at an intensity that elevated heart rate to 65% of maximum heart rate reserve. The control group performed a supervised stretching program for 40 min three times/week. CR fitness was assessed before and after the treatments during a grade-incremented treadmill walking test. Both absolute and relative peak V̇O2 significantly increased (p < .01) in the AET group, whereas they decreased modestly in the control group. Maximum treadmill time increased significantly (p < .01) in the AET group relative to the control group. These results indicate that CR fitness as measured by peak V̇O2 modestly improves in the elderly with a moderate-intensity, relatively long-term aerobic exercise program.

scholarly journals PENGARUH RANGE OF MOTION (ROM) TERHADAP PENINGKATAN KEKUATAN OTOT PADA PASIEN STROKE DI RUANG PERAWATAN RSUD POLEWALI MANDAR

2019 ◽  
Vol 10 (2) ◽  
pp. 114-128
Author(s):  
Muh Syikir
Keyword(s):  
Range Of Motion ◽  
Manual Muscle Testing ◽  
Control Group ◽  
Paired Sample ◽  
Muscle Testing ◽  
Sample Test ◽  
Quasi Experiment

Hasil-hasil studi dibidang neurologimenyatakan bahwa  stroke merupakan penyebab kematian nomor satu diberbagai rumah sakit di tanah air (Batticaca, 2012). Menurut taksiran WHO, sebanyak 20,5juta jiwa di dunia sudah terjangkit stroke tahun 2015. Dari jumlah tersebut 5,5 jutajiwa telah meninggal dunia.Sebesar80%pasienstroke mengalami kelemahan pada salah satu sisi tubuhnya/hemiparese(Ariani,  2012). Kelemahantanganmaupunkakipada pasien stroke akanmempengaruhikontraksiotot, sehingga salah satuprogram rehabilitasi  yang   dapat  diberikan  pada pasien strokeyaitumobilisasipersendian dengan latihan range of motion (Potter and Perry, 2010).Tujuan Penelitian ini adalah untuk menganalisis pengaruh ROM terhadap peningkatan fungsikekuatan  otot pada pasien stroke  di Ruang Perawatan RSUDPolewali Mandar. Metode Penelitian, yang digunakan adalah metode Quasi Experiment dengan menggunakan rancangan eksperimen Equivalent group (randomized pretest-posttest with control group). Penelitian ini mengambil sampel 10 psien stroke dengan hemiparases 5 kelompok intervensi dan 5 kelompok kontrol, yang mana tekhnik pengambilan sampel secara tehnik accidental sampling yaitu peneliti mengumpulkan data dari subyek yang ditemuinya saat itu dan dalam jumlah secukupnya, dimana Alat Ukur yang digunakan ialah Lembar Observasi dengan Manual Muscle Testing (MMT). Yang mana dianalisis menggunakanuji paired sample test berpasangan dengan tingkat signifikansi  α = 0,05. Hasil Penelitian, uji statistik didapatkan bahwa kelompok intervensi (P = 0,000) mempunyai pengaruh pemberian ROM dalam peningkatan kekuatan otot dan kelompok kontrol (P = 0,178) tidak mempunyai pengaruh. Berdasarkan hasil penelitian menunjukkan dengan pemberian latihan ROM, akan mempengaruhi kekuatan otot pada pasien stroke dengan hemiparases. Sehingga sangat di harapkan agar tenaga kesehatan khususnya perawat dapat lebih intensif memebrikan ROM pada pasien stroke dengan hemiparases

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