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Variability of concentric angle-specific isokinetic torque and impulse assessments of the knee extensors.

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OBJECTIVE Length-tension relationships are widely reported in research, rehabilitation and performance settings; however, several isometric contractions at numerous angles are needed to understand these muscular outputs. Perhaps a more efficient… Click to show full abstract

OBJECTIVE Length-tension relationships are widely reported in research, rehabilitation and performance settings; however, several isometric contractions at numerous angles are needed to understand these muscular outputs. Perhaps a more efficient way to determine torque-angle characteristics is via isokinetic dynamometry; however, little is known about the variability of isokinetic measurements besides peak torque and optimal-angle. This paper examines the variability of angle-specific isokinetic torque and impulse measures. APPROACH Three sessions of concentric (60º·s-1) knee extensions were performed by both limbs of 32 participants. Assessments were repeated on three occasions, separated by 5-8 days. To quantify variability, the standardized typical error of measurement (TEM) was doubled and thresholds of 0.2-0.6 (small), 0.6-1.2 (moderate), 1.2-2.0 (large), 2.0-4.0 (very large) and >4.0 (extremely large) were applied. Additionally, variability was deemed large when the intraclass correlation coefficient (ICC) was <0.67 and coefficient of variation (CV) >10%; moderate when ICC>0.67 or CV<10% (but not both); and small when both ICC>0.67 and CV<10%. MAIN RESULTS Isokinetic torque and angular impulse show small to medium variability (ICC=0.75-0.96, CV=6.4-15.3%, TEM=0.25-0.53) across all but the longest (100°) and shortest (10°) muscle lengths evaluated. However, moderate to large variability was found for the optimal-angle (ICC=0.58-0.64, CV=7.3-8%, TEM=0.76-0.86), and torque and impulse at the beginning and end of the range of motion (ICC=0.57-0.85, CV=11-42.9%, TEM=0.40-0.89). Intersession variability of isokinetic torque and impulse were small to moderate at medium (90-20°) joint angles. SIGNIFICANCE Researchers and practitioners can examine the muscle torque-angle relationship and activity-specific torque outputs within these ranges, without resorting to more strenuous and time-consuming isometric evaluations.

Keywords: angle; isokinetic torque; torque impulse; variability; icc; torque

Journal Title: Physiological measurement
Year Published: 2019

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