Context: The evaluation of the wrist strength and proprioception gives clinicians and researchers information about effectiveness of their rehabilitation protocol or helps diagnosis of various neuromuscular and somatosensorial disorders. Isokinetic dynamometers are considered the gold standard for these evaluations. However, the studies about test–retest reliability of isokinetic dynamometer are inadequate. Objective: The purpose of this study was to determine the test–retest reliability of isokinetic wrist strength and proprioception measurements using the Cybex isokinetic dynamometer. Design: Test–retest reliability study. Setting: University laboratory. Participants: Thirty participants were enrolled (age 23.2 [2.8] y, height 171.1 [7] cm, weight 66.6 [11.6] kg) in this study. Intervention: Cybex isokinetic dynamometer was used for strength and proprioception measurements. Main Outcome Measures: Concentric flexion–extension strength test was performed at 90°/s angular velocity, and eccentric flexion–extension strength test was performed at 60°/s angular velocity. The proprioception of the wrist was assessed via active joint position sense. The 30° extension of the wrist, which is accepted as the functional position of the wrist, was selected as the targeted angle. The intraclass correlation coefficient (ICC2,1) method was used for test–retest analysis (P < .05). Results: The active joint position sense measurements of dominant (ICC2,1: .821) and nondominant (ICC2,1: .763) sides were found to have good test–retest reliability. Furthermore, with the exception of dominant eccentric extension strength (moderate reliability) (ICC2,1: .733), eccentric and concentric flexion (dominant: ICC2,1 = .890–.844; nondominant: ICC2,1 = .800–.898, respectively), and extension (dominant: ICC2,1 = .791 [concentric], nondominant: ICC2,1 = .791–.818, respectively) strength measurements of both sides were found to have good reliability. Conclusions: This study shows that the Cybex isokinetic dynamometer is a reliable method for measuring wrist strength and proprioception. Isokinetic dynamometers can be used clinically for diagnosis or rehabilitation in studies which contain wrist proprioception or strength measurements.
Purpose: It has still not been made clear whether the audio inputs from the environment may have on the muscle strength characteristics of people who spend long periods of their lives with hearing loss. The purpose is to evaluate shoulder muscle strength and endurance of deaf basketball (DB) players and to compare them with healthy basketball (HB) players. Methods:The study was carried out with a total of 26-man players including 13 players (years: 24±3) in DB group and 13 players (years: 22±2) in HB group. Internal rotator (IR) and external rotator (ER) muscles strength of shoulder dominant and non-dominant side was measured using an isokinetic dynamometer. Results: According to isokinetic test results, there was not a difference between two groups on either dominant or nondominant side in terms of ER and IR Nm/kg (p>0.05). The ER / IR ratio was different between the two groups in favor of HB players (p=0.017). The strength parameters of dominant extremities of players in both groups were found to be higher than nondominant extremity. Conclusions: As a result, IR and ER muscle strengths were similar in two groups, both groups were at risk for musculoskeletal injuries in terms of ER/IR ratio. It could be speculated that it is essential to design training programs with additional ER strengthening exercises to improve the balance between IR and ER muscles and minimize risk of injury. The dominant extremity was found to be stronger in both groups. In our opinion, symmetrical movement patterns will positively affect performance on dominant extremity.
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