Context: Manual isometric muscle testing is a common clinical technique used to assess muscle strength. To provide the most accurate data for the test, the muscle being assessed should be at a length in which it produces maximum force. However, there is tremendous variability in the recommended positions and joint angles used to conduct these tests, with few apparent objective data used to position the joint such that muscle-force production is greatest. Objective: To use validated anatomically and biomechanically based musculoskeletal models to identify the optimal joint positions in which to perform manual isometric testing. Design: In silico analysis. Main outcome measure: The joint position which produces maximum muscle force for 49 major limb and trunk muscles. Results: The optimal joint position for performing a manual isometric test was determined. Conclusion: Using objective anatomical models that take into account the force-length properties of muscles, the authors identified joint positions in which net muscle-force production was predicted to be maximal. This data can help health care providers to better assess muscle function when manual isometric strength tests are performed.
Stefan C. Garcia, Jeffrey J. Dueweke and Christopher L. Mendias
Wissem Dhahbi, Anis Chaouachi, Johnny Padulo, David G. Behm and Karim Chamari
To examine the concurrent validity and absolute and relative reliabilities of a commando-specific power test.
21 antiterrorism commandos.
All participants were assessed on a 5-m rope-climbing test (RCT) and the following tests: pull-ups, push-ups, estimated-1-repetition-maximum (est-1RM), medicine-ball put, and handgrip-strength test. The stopwatch method related to the execution time (ET) was validated by comparison with video motion analysis. The best individual attempt of 3 trials was kept for analysis, and the performance was expressed in absolute power output (APO) and body-mass relative power output (RPO).
Stopwatch assessment had an excellent criterion validity (r = .99, P < .001), intraclass correlation coefficient (ICC3,1) of .98, standard errors of measurement (SEM%) of 1.19%, bias ± the 95% limits of agreement of 0.03 ± 0.26 s, and minimal detectable change (MDC95) of 0.51 s. The ET, APO, and RPO were significantly correlated (P < .05) with all cited tests (absolute-value r range .55−.98), while est-1RM was not significantly correlated with the other tests. Test-retest reliability coefficients were excellent for ET, APO, and RPO (ICC3,1 > .90). The SEM% values for the ET, APO, and RPO were all under 5% (range 3.73−4.52%), all being smaller than the corresponding smallest worthwhile change. The coefficients of variation for the ET, APO, and RPO were all under 10%. %MDC95 ranged from 10.37% to 12.53%.
Considering the strong concurrent validity and excellent test–retest reliability, the RCT is simple to administer, has ecological validity, and is a valid specific field test of upper-body power for commandos and, in addition, can be accurately assessed with a stopwatch.
Julia Kathrin Baumgart and Øyvind Sandbakk
To investigate on-ice repeated-sprint and sports-specific-technique abilities and the relationships to aerobic and anaerobic off-ice capacities in world-class ice sledge hockey players.
Twelve Norwegian national team players performed 8 repeated maximal 30-m sprints and a sports-specific-technique test while upper-body poling on ice, followed by 4 maximal upper-body strength tests and 8-s peak power and 3-min peak aerobic-capacity (VO2peak) tests while ergometer poling.
The fastest 30-m sprint time was 6.5 ± 0.4 s, the fastest initial 10-m split-time 2.9 ± 0.2 s, and the corresponding power output 212 ± 37 W. Average 30-m time during the 8 repeated sprints was 6.7 ± 0.4 s, and the sprint-time decrement was 4.3% ± 1.8%. Time to execute the sport-specific-technique test was 25.6 ± 2.7 s. Averaged 1-repetition-maximum strength of the 4 exercises correlated with the fastest 30-m sprint time (r = –.77), the fastest initial 10-m split time (r = –.72), the corresponding power output (r = .67), and the average 30-m sprint time (r = –.84) (all P < .05). Peak power of the 8-s ergometer sprint test correlated with the highest initial 10-m power (r = .83, P < .01) and the average 30-m sprint time (r = –.68, P < .05). Average 3-min ergometer power (r = –.86, P < .01) and VO2peak (r = –.67, P < .05) correlated with the sprint-time decrement. All off-ice variables except VO2peak correlated with technique-test time (r = –.58 to .73, all P < .05).
Maximal strength and power are associated with the ability to sprint fast and rapid execution of a technically complex test, whereas mode-specific endurance capacity is particularly important for maintenance of sprint ability in ice sledge hockey.
Jan Boone and Jan Bourgois
The current study aimed to gain insight into the physiological profile of elite basketball players in Belgium in relation to their position on the field.
The group consisted of 144 players, divided into 5 groups according to position (point guards [PGs], shooting guards [SGs], small forwards [SFs], power forwards [PFs], and centers [Cs]). The anthropometrics were measured and the subjects underwent fitness tests (incremental running test, 10-m sprint, 5 ×-10 m, squat and countermovement jump, isokinetic test) to obtain insight into endurance, speed, agility, and power. The parameters of these tests were compared among the different positions by means of 1-way variance analysis (MANOVA). Tukey post hoc tests were performed in case of a significant MANOVA.
It was observed that Cs were taller and heavier and had a higher percentage body fat than PGs and SGs. For the anaerobic sprint test Cs were slower than the other positions. For the 5 × 10-m the PGs and SGs were faster than SFs and PFs. For the jump test Cs displayed a significantly lower absolute performance than the other positions. PGs and SGs had a higher VO2peak and speed at the anaerobic threshold than PFs and Cs. The isokinetic strength test showed that the quadriceps muscle group of Cs could exert a higher torque during knee extension than the other positions.
The current study showed that the physiological profile of elite players in the Belgian first division differs by player position. More specifically, guards were characterized by high endurance, speed, and agility, whereas centers and power forwards had higher muscle strength than the other positions.
Natália M. Bassan, Tadeu E.A.S. César, Benedito S. Denadai and Camila C. Greco
To analyze the relationship between the responses of isometric peak torque (IPT) and maximal rate of force development (RFDmax) with the changes in stroking parameters in an exhaustive exercise performed in front crawl.
Fifteen male swimmers performed, on different days, the following protocols: maximal 400-m trial, strength tests before and after an exhaustive test at 100% of the mean speed obtained during the 400-m test, and the same procedures on day 2.
The IPT of elbow flexors (79.9 ± 19.4 and 66.7 ± 20.0 N·m) and elbow extensors (95.1 ± 28.0 N·m and 85.8 ± 30.5 N·m) was decreased after the swim test, as was RFDmax (521.8 ± 198.6 and 426.0 ± 229.9 N·m/s; 420.6 ± 168.2 and 384.0 ± 143.5 N·m/s, respectively). Stroke length decreased during the swim test (1.96 ± 0.22 and 1.68 ± 0.29 m/stroke), while stroke rate increased (37.2 ± 3.14 and 41.3 ± 4.32 strokes/min). The propulsive phases increased while the nonpropulsive phases decreased during the test. Significant correlation was found between the changes in IPT and stroke length, stroke rate and recovery (elbow flexors), and entry and catch phase (elbow extensors). In addition, significant correlation was found between the changes in RFDmax of elbow flexors with the changes in pull and recovery phases.
Changes in swim technique during an exhaustive test can be, at least in part, associated with fatigue of the arm muscles.
Alysha Hyde, Luke Hogarth, Mark Sayers, Emma Beckman, Mark J. Connick, Sean Tweedy and Brendan Burkett
To quantify the influence of the assistive pole, seat configuration, and upper-body and trunk strength on seated-throwing performance in athletes with a spinal-cord injury (SCI).
Ten Paralympic athletes competing in wheelchair rugby, basketball, or athletics (seated throws) participated in 2 randomized sessions: seated throwing and strength tests. Participants threw a club from a custom-built throwing chair, with and without a pole. 3D kinematic data were collected (150 Hz) for both conditions using standardized and self-selected seat configurations. Dominant and nondominant grip strength were measured using a dynamometer, and upper-body and trunk strength were measured using isometric contractions against a load cell.
Seated throwing with an assistive pole resulted in significantly higher hand speed at release than throwing without a pole (pole = 6.0 ± 1.5 m/s, no pole = 5.3 ± 1.5 m/s; P = .02). There was no significant difference in hand speed at release between standardized and self-selected seating configurations during seated throwing with or without an assistive pole. Grip strength (r = .59–.77), push/pull synergy (r = .81–.84), and trunk-flexion (r = .50–.58) strength measures showed large and significant correlations with hand speed at release during seated throwing with and without an assistive pole.
This study has demonstrated the importance of the pole for SCI athletes in seated throwing and defined the relationship between strength and seated-throwing performance, allowing us to better understand the activity of seated throws and provide measures for assessing strength that may be valid for evidence-based classification.
Timothy F. Tyler, Brandon M. Schmitt, Stephen J. Nicholas and Malachy P. McHugh
Hamstring-strain injuries have a high recurrence rate.
To determine if a protocol emphasizing eccentric strength training with the hamstrings in a lengthened position resulted in a low recurrence rate.
Longitudinal cohort study.
Sports-medicine physical therapy clinic.
Fifty athletes with hamstring-strain injury (age 36 ± 16 y; 30 men, 20 women; 3 G1, 43 G2, 4 G3; 25 recurrent injuries) followed a 3-phase rehabilitation protocol emphasizing eccentric strengthening with the hamstrings in a lengthened position.
Main Outcome Measures:
Injury recurrence; isometric hamstring strength at 80°, 60°, 40°, and 20° knee flexion in sitting with the thigh flexed to 40° above the horizontal and the seat back at 90° to the horizontal (strength tested before return to sport).
Four of the 50 athletes sustained reinjuries between 3 and 12 mo after return to sport (8% recurrence rate). The other 42 athletes had not sustained a reinjury at an average of 24 ± 12 mo after return to sport. Eight noncompliant athletes did not complete the rehabilitation and returned to sport before initiating eccentric strengthening in the lengthened state. All 4 reinjuries occurred in these noncompliant athletes. At time of return to sport, compliant athletes had full restoration of strength while noncompliant athletes had significant hamstring weakness, which was progressively worse at longer muscle lengths (compliance × side × angle P = .006; involved vs noninvolved at 20°, compliant 7% stronger, noncompliant 43% weaker).
Compliance with rehabilitation emphasizing eccentric strengthening with the hamstrings in a lengthened position resulted in no reinjuries.
César Gallo-Salazar, Francisco Areces, Javier Abián-Vicén, Beatriz Lara, Juan José Salinero, Cristina Gonzalez-Millán, Javier Portillo, Victor Muñoz, Daniel Juarez and Juan Del Coso
The aim of this study was to investigate the effectiveness of a caffeinated energy drink to enhance physical performance in elite junior tennis players. In 2 different sessions separated by 1 wk, 14 young (16 ± 1 y) elite-level tennis players ingested 3 mg caffeine per kg body mass in the form of an energy drink or the same drink without caffeine (placebo). After 60 min, participants performed a handgrip-strength test, a maximal-velocity serving test, and an 8 × 15-m sprint test and then played a simulated singles match (best of 3 sets). Instantaneous running speed during the matches was assessed using global positioning (GPS) devices. Furthermore, the matches were videotaped and notated afterward. In comparison with the placebo drink, the ingestion of the caffeinated energy drink increased handgrip force by ~4.2% ± 7.2% (P = .03) in both hands, the running pace at high intensity (46.7 ± 28.5 vs 63.3 ± 27.7 m/h, P = .02), and the number of sprints (12.1 ± 1.7 vs 13.2 ± 1.7, P = .05) during the simulated match. There was a tendency for increased maximal running velocity during the sprint test (22.3 ± 2.0 vs 22.9 ± 2.1 km/h, P = .07) and higher percentage of points won on service with the caffeinated energy drink (49.7% ± 9.8% vs 56.4% ± 10.0%, P = .07) in comparison with the placebo drink. The energy drink did not improve ball velocity during the serving test (42.6 ± 4.8 vs 42.7 ± 5.0 m/s, P = .49). The preexercise ingestion of caffeinated energy drinks was effective to enhance some aspects of physical performance of elite junior tennis players.
Kate R. Pfile, Phillip A. Gribble, Gretchen E. Buskirk, Sara M. Meserth and Brian G. Pietrosimone
Epidemiological data demonstrate the need for lower-extremity injury-prevention training. Neuromuscularcontrol (NMC) programs are immediately effective at minimizing lower-extremity injury risk and improving sport-related performance measures. Research investigating lasting effects after an injury-prevention program is limited.
To determine whether dynamic balance, landing mechanics, and hamstring and quadriceps strength could be improved after a 6-wk NMC intervention and maintained for a season.
Prospective case series.
11 Division I women’s basketball players (age 19.40 ± 1.35 y, height 178.05 ± 7.52 cm, mass 72.86 ± 10.70 kg).
Subjects underwent testing 3 times, completing the Star Excursion Balance Test (SEBT), Landing Error Scoring System (LESS), and isometric strength testing for the hamstrings and quadriceps muscles. Pretest and posttest 1 occurred immediately before and after the intervention, respectively, and posttest 2 at the end of the competitive season, 9 mo after posttest 1. Subjects participated in eighteen 30-min plyometric and NMC-training sessions over a 6-wk period.
Main Outcome Measures:
The normalized SEBT composite score, normalized peak isometric hamstrings:quadriceps (H:Q) ratio, and the LESS total score.
The mean composite reach significantly improved over time (F 2,10 = 6.96, P = .005) where both posttest scores were significantly higher than pretest (70.41% ± 4.08%) (posttest 1 73.48% ± 4.19%, t 10 = –3.11, P = .011) and posttest 2 (74.2% ± 4.77%, t 10 = –3.78, P = .004). LESS scores significantly improved over time (F 2,10 = 6.29, P = .009). The pretest LESS score (7.30 ± 3.40) was higher than posttest 1 (4.9 ± 1.20, t 10 = 2.71, P = .024) and posttest 2 (5.44 ± 1.83, t 10 = 2.58, P = .030). There were no statistically significant differences (P > .05) over time for the H:Q ratio when averaging both legs (F 2,10 = 0.83, P = .45).
A 6-wk NMC program improved landing mechanics and dynamic balance over a 9-mo period in women’s basketball players. NMC adaptations can be retained without an in-season maintenance program.
Kellie C. Huxel Bliven and Kelsey J. Picha
movers, force couples, and compensatory muscles are considered simultaneously and collectively. This shift toward a more comprehensive approach, in both muscle activation and strength testing, provides a more detailed and functional understanding of the shoulder. It is well established that supraspinatus