Ankle dorsi- and plantar-flexion torques measured by dynamometry in healthy subjects from 5 to 80 years

BMC Musculoskeletal Disorders

Jean-Yves Hogrel¹  Christine Payan¹  Valérie Doppler¹  Isabelle Ledoux¹  Gwenn Ollivier¹  Aurélie Canal¹  Amélie Moraux¹ 

[1] Institut de Myologie, UPMC UM 76, INSERM U 974, CNRS UMR 7215, 75651, Paris Cedex 13, France

关键词: Outcome measures;    Prediction model;    Normative data;    Muscle strength;   

Others  :  1133253
DOI  :  10.1186/1471-2474-14-104

 received in 2012-10-09, accepted in 2013-03-18,  发布年份 2013

【 摘 要 】

Background

Ankle strength is often impaired in some of the most common neuromuscular disorders. Consequently, strength generated around this joint is important to assess, because it has a great impact on balance and gait. The objectives of this study were to establish normative data and predictive equations for both ankle dorsi- and plantar-flexion strength from a population of healthy subjects (children and adults), to assess the reliability of the measurements and to study the feasibility of using a novel dynamometer on a group of patients with a neuromuscular disorder.

Methods

Measurements of maximal isometric torque for dorsi- and plantar-flexion were performed on 345 healthy subjects from 5 to 80 years of age. The feasibility of the method was tested on nine patients diagnosed with type 2A limb girdle muscular dystrophy.

Results

The results documented normal strength values depending on gender and age on ankle dorsi- and plantar-flexion. The reliability of the technique was good with no evaluator effect and a small learning effect. The dynamometer was found suitable in the group of patients, even very weak.

Conclusions

The device developed was both reliable and accurate in assessing both ankle dorsi-flexion and plantar-flexion torque measurements from weak patients and children to strong healthy adults. Norms and predictive equations are provided for these two muscle functions.

【 授权许可】

   
2013 Moraux et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】

• [1]Guillebastre B, Calmels P, Rougier P: Effects of muscular deficiency on postural and gait capacities in patients with charcot-marie-tooth disease. J Rehabil Med 2013, 45:314-317.
• [2]Ng SS, Hui-Chan CW: Contribution of ankle dorsiflexor strength to walking endurance in people with spastic hemiplegia after stroke. Arch Phys Med Rehabil 2012, 93:1046-1051.
• [3]Burns J, Ryan MM, Ouvrier RA: Evolution of foot and ankle manifestations in children with CMT1A. Muscle Nerve 2009, 39:158-166.
• [4]Bakker JPJ, de Groot IJM, Beelen A, Lankhorst GJ: Predictive factors of cessation of ambulation in patients with Duchenne muscular dystrophy. Am J Phys Med Rehabil 2002, 81:906-912.
• [5]Whittaker RG, Ferenczi E, Hilton-Jones D: Myotonic dystrophy: practical issues relating to assessment of strength. J Neurol Neurosurg Psychiat 2006, 77:1282-1283.
• [6]Allenbach Y, Benveniste O, Decostre V, Canal A, Eymard B, Herson S, Bloch-Queyrat C, Hogrel J-Y: Quadriceps strength is a sensitive marker of disease progression in sporadic inclusion body myositis. Neuromuscul Dis 2012, 22:980-986.
• [7]Escolar DM, Henricson EK, Mayhew J, Florence J, Leshner R, Patel KM, Clemens PR, Investigators C: Clinical evaluator reliability for quantitative and manual muscle testing measures of strength in children. Muscle Nerve 2001, 24:787-793.
• [8]Bohannon RW: Manual muscle testing: does it meet the standards of an adequate screening test? Clin Rehabil 2005, 19:662-667.
• [9]Escolar DM, Buyse G, Henricson E, Leshner R, Florence J, Mayhew J, Tesi-Rocha C, Gorni K, Pasquali L, Patel KM: CINRG randomized controlled trial of creatine and glutamine in Duchenne muscular dystrophy. Ann Neurol 2005, 58:151-155.
• [10]Merlini L, Mazzone ES, Solari A, Morandi L: Reliability of hand-held dynamometry in spinal muscular atrophy. Muscle Nerve 2002, 26:64-70.
• [11]Wikholm JB, Bohannon RW: Hand-held dynamometer measurements: tester strength makes a difference. J Orthop Sports Phys Ther 1991, 13:191-198.
• [12]Eek MN, Kroksmark AK, Beckung E: Isometric muscle torque in children 5 to 15 years of age: normative data. Arch Phys Med Rehabil 2006, 87:1091-1099.
• [13]Danneskiold-Samsøe B, Bartels EM, Bülow PM, Lund H, Stockmarr A, Holm CC, Wätjen I, Appleyard M, Bliddal H: Isokinetic and isometric muscle strength in a healthy population with special reference to age and gender. Acta Physiol 2009, 197:1-68.
• [14]Webber SC, Porter MM: Reliability of ankle isometric, isotonic, and isokinetic strength and power testing in older women. Phys Ther 2010, 90:1165-1175.
• [15]Ortqvist M, Gutierrez-Farewik EM, Farewik M, Jansson A, Bartonek A, Brostrom E: Reliability of a new instrument for measuring plantarflexor muscle strength. Arch Phys Med Rehabil 2007, 88:1164-1170.
• [16]Marsh E, Sale D, McComas AJ, Quinlan J: Influence of joint position on ankle dorsiflexion in humans. J Appl Physiol 1981, 51:160-167.
• [17]Vanderlinden DW, Kukulka CG, Soderberg GL: The effect of muscle length on motor unit discharge characteristics in human tibialis anterior muscle. Exp Brain Res 1991, 84:210-218.
• [18]Vandervoort AA, Chesworth BM, Cunningham DA, Paterson DH, Rechnitzer PA, Koval JJ: Age and sex effects on mobility of the human ankle. J Gerontol 1992, 47:M17-M21.
• [19]Vanschaik CS, Hicks AL, McCartney N: An evaluation of the length-tension relationship in elderly human ankle dorsiflexors. J Gerontol 1994, 49:B121-B127.
• [20]Geboers JFM, van Tuijl JH, Seelen HAM, Drost MR: Effect of immobilization on ankle dorsiflexion strength. Scand J Rehabil Med 2000, 32:66-71.
• [21]Cresswell AG, Loscher WN, Thorstensson A: Influence of gastrocnemius-muscle length on triceps surae torque development and electromyographic activity in Man. Exp Brain Res 1995, 105:283-290.
• [22]Kawakami Y, Sale DG, MacDougall JD, Moroz JS: Bilateral deficit in plantar flexion: relation to knee joint position, muscle activation, and reflex excitability. Eur J App Physiol Occup Physiol 1998, 77:212-216.
• [23]Sale D, Quinlan J, Marsh E, Mccomas AJ, Belanger AY: Influence of joint position on ankle plantar-flexion in humans. J Appl Physiol 1982, 52:1636-1642.
• [24]Brostrom E, Nordlund MM, Cresswell AG: Plantar- and dorsiflexor strength in prepubertal girls with juvenile idiopathic arthritis. Arch Phys Med Rehabil 2004, 85:1224-1230.
• [25]Todd G, Gorman RB, Gandevia SC: Measurement and reproducibility of strength and voluntary activation of lower-limb muscles. Muscle Nerve 2004, 29:834-842.
• [26]Solari A, Laura M, Salsano E, Radice D, Pareyson D, Grp C-TS: Reliability of clinical outcome measures in Charcot-Marie-Tooth disease. Neuromuscul Dis 2008, 18:19-26.
• [27]Belanger AY, McComas AJ, Elder GBC: Physiological properties of two antagonistic human muscle groups. Eur J Appl Physiol Occup Physiol 1983, 51:381-393.
• [28]Lundberg A, Svensson OK, Nemeth G, Selvik G: The axis of rotation of the ankle joint. J Bone Joint Surg Brit Vol 1989, 71:94-99.
• [29]Bland JM, Altman DG: Statistical-methods for assessing agreement between two methods of clinical measurement. Lancet 1986, 1:307-310.
• [30]Beckerman H, Roebroeck ME, Lankhorst GJ, Becher JG, Bezemer PD, Verbeek ALM: Smallest real difference, a link between reproducibility and responsiveness. Qual Life Res 2001, 10:571-578.
• [31]Olex-Zarychta D, Raczek J: The relationship of movement time to hand-foot laterality patterns. Laterality 2008, 13:439-455.
• [32]Andrews AW, Thomas MW, Bohannon RW: Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther 1996, 76:248-259.
• [33]Stoll T, Huber E, Seifert B, Michel BA, Stucki G: Maximal isometric muscle strength: Normative values and gender-specific relation to age. Clin Rheumatol 2000, 19:105-113.
• [34]Hogrel JY, Payan CA, Ollivier G, Tanant V, Attarian S, Couillandre A, Dupeyron A, Lacomblez L, Doppler V, Meininger V: Development of a French isometric strength normative database for adults using quantitative muscle testing. Arch Phys Med Rehabil 2007, 88:1289-1297.
• [35]Bohannon RW: Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil 1997, 78:26-32.
• [36]Hogrel J-Y, Decostre V, Alberti C, Canal A, Ollivier G, Josserand E, Taouil I, Simon D: Stature is an essential predictor of muscle strength in children. BMC Musculoskel Dis 2012, 13:176. BioMed Central Full Text