BIOMAT Database Logo BIOMAT Database Logo

Test-retest reliability of isokinetic dynamometry for the assessment of spasticity of the knee flexors and knee extensors in children with cerebral palsy. 2006

Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Research Department, Shriners Hospitals for Children in Philadelphia 19140, and Institute for Physical Therapy Education, Widener University, Chester, PA, USA. srpierce@mail.widener.edu

OBJECTIVE To assess test-retest reliability of the peak resistance torque and slope of work methods of spasticity measurement of the knee flexors and extensors in children with cerebral palsy (CP). METHODS Test-retest reliability study. METHODS Pediatric orthopedic hospital. METHODS Fifteen children with CP. METHODS Knee extensor and flexor spasticity was assessed with an isokinetic dynamometer using passive movements at 15 degrees, 90 degrees, and 180 degrees/s taken 1 hour apart. METHODS Peak resistive torque and work were calculated. The relative and absolute test-retest reliability was calculated by using intraclass correlation coefficients (ICCs) and Bland-Altman plots, respectively. RESULTS Relative reliability was good (ICC>.75) for slope-of-work and peak resistance torque measurements at a velocity of 180 degrees/s, whereas reliability of peak torque measurements was decreased (ICC<.51) at slower velocities for both muscle groups. The 95% limits of agreement of Bland-Altman plots contained most data points for both methods, but the width of the limits of agreement were wide. CONCLUSIONS The measurement of spasticity of the knee extensors and flexors in children with CP using peak-resistance torque at 180 degrees/s and the slope of work method has acceptable relative test-retest reliability. However, the absolute reliability of spasticity data should be considered cautiously.

UI MeSH Term Description Entries
D007537 Isometric Contraction Muscular contractions characterized by increase in tension without change in length. Contraction, Isometric,Contractions, Isometric,Isometric Contractions
D007717 Knee A region of the lower extremity immediately surrounding and including the KNEE JOINT.
D008297 Male Males
D009128 Muscle Spasticity A form of muscle hypertonia associated with upper MOTOR NEURON DISEASE. Resistance to passive stretch of a spastic muscle results in minimal initial resistance (a "free interval") followed by an incremental increase in muscle tone. Tone increases in proportion to the velocity of stretch. Spasticity is usually accompanied by HYPERREFLEXIA and variable degrees of MUSCLE WEAKNESS. (From Adams et al., Principles of Neurology, 6th ed, p54) Clasp-Knife Spasticity,Spastic,Clasp Knife Spasticity,Spasticity, Clasp-Knife,Spasticity, Muscle
D012046 Rehabilitation Restoration of human functions to the maximum degree possible in a person or persons suffering from disease or injury. Habilitation
D002547 Cerebral Palsy A heterogeneous group of nonprogressive motor disorders caused by chronic brain injuries that originate in the prenatal period, perinatal period, or first few years of life. The four major subtypes are spastic, athetoid, ataxic, and mixed cerebral palsy, with spastic forms being the most common. The motor disorder may range from difficulties with fine motor control to severe spasticity (see MUSCLE SPASTICITY) in all limbs. Spastic diplegia (Little disease) is the most common subtype, and is characterized by spasticity that is more prominent in the legs than in the arms. Pathologically, this condition may be associated with LEUKOMALACIA, PERIVENTRICULAR. (From Dev Med Child Neurol 1998 Aug;40(8):520-7) Diplegic Infantile Cerebral Palsy,Little Disease,Monoplegic Cerebral Palsy,Quadriplegic Infantile Cerebral Palsy,Spastic Diplegia,CP (Cerebral Palsy),Cerebral Palsy, Athetoid,Cerebral Palsy, Atonic,Cerebral Palsy, Congenital,Cerebral Palsy, Diplegic, Infantile,Cerebral Palsy, Dyskinetic,Cerebral Palsy, Dystonic-Rigid,Cerebral Palsy, Hypotonic,Cerebral Palsy, Mixed,Cerebral Palsy, Monoplegic, Infantile,Cerebral Palsy, Quadriplegic, Infantile,Cerebral Palsy, Rolandic Type,Cerebral Palsy, Spastic,Congenital Cerebral Palsy,Diplegia, Spastic,Infantile Cerebral Palsy, Diplegic,Infantile Cerebral Palsy, Monoplegic,Infantile Cerebral Palsy, Quadriplegic,Little's Disease,Monoplegic Infantile Cerebral Palsy,Rolandic Type Cerebral Palsy,Athetoid Cerebral Palsy,Atonic Cerebral Palsy,Cerebral Palsies, Athetoid,Cerebral Palsies, Dyskinetic,Cerebral Palsies, Dystonic-Rigid,Cerebral Palsies, Monoplegic,Cerebral Palsy, Dystonic Rigid,Cerebral Palsy, Monoplegic,Diplegias, Spastic,Dyskinetic Cerebral Palsy,Dystonic-Rigid Cerebral Palsies,Dystonic-Rigid Cerebral Palsy,Hypotonic Cerebral Palsies,Hypotonic Cerebral Palsy,Mixed Cerebral Palsies,Mixed Cerebral Palsy,Monoplegic Cerebral Palsies,Spastic Cerebral Palsies,Spastic Cerebral Palsy,Spastic Diplegias
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

Related Publications

Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
[Isokinetic concentric dynamometry of knee flexors and extensors in young male].
April 2001, Hang tian yi xue yu yi xue gong cheng = Space medicine & medical engineering,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Isokinetic dynamometry of the knee extensors and flexors in Iranian healthy males and females.
January 2014, Medical journal of the Islamic Republic of Iran,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Reliability of reciprocal isokinetic testing of the knee extensors and flexors.
January 1991, The Journal of orthopaedic and sports physical therapy,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Reliability of isokinetic evaluation in passive mode for knee flexors and extensors in healthy children.
January 2013, Brazilian journal of physical therapy,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Test-retest reliability of knee extensors endurance test with elastic resistance.
January 2018, PloS one,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Test-retest reliability and responsiveness of isokinetic dynamometry to assess wrist flexor muscle spasticity in subacute post-stroke hemiparesis.
July 2020, Journal of bodywork and movement therapies,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
A comparative study of isokinetic dynamometry and manual muscle testing of ankle dorsal and plantar flexors and knee extensors and flexors.
January 1997, European neurology,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Isokinetic dynamometry of knee flexors and extensors: comparative study among non-athletes, jumper athletes and runner athletes.
January 2002, Revista do Hospital das Clinicas,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Isokinetic torque levels for knee extensors and knee flexors in soccer players.
February 1986, International journal of sports medicine,
Samuel R Pierce, and Richard T Lauer, and Patricia A Shewokis, and Joseph A Rubertone, and Margo N Orlin
Correction for gravity in isokinetic dynamometry of knee extensors in below knee amputees.
January 1989, Scandinavian journal of rehabilitation medicine,
Copied contents to your clipboard!