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Biomechanical Examination of Wrist Flexors and Extensors with Biodex System Dynamometer-Isometric, Isokinetic and Isotonic Protocol Options.
Jokiel, Marta; Kazmierczak, Katarzyna; Czarnecki, Piotr; Bartkowiak-Graczyk, Aleksandra; Madziewicz, Anna; Breborowicz, Ewa; Miedzyblocka, Malgorzata; Adamski, Michal; Kaczmarek, Krystian; Kaczmarek, Leszek; Romanowski, Leszek.
Afiliación
  • Jokiel M; Traumatology, Orthopedics and Hand Surgery Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Kazmierczak K; Physiotherapy Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Czarnecki P; Department of Rehabilitation, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Bartkowiak-Graczyk A; Traumatology, Orthopedics and Hand Surgery Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Madziewicz A; Traumatology, Orthopedics and Hand Surgery Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Breborowicz E; Physiotherapy Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Miedzyblocka M; Traumatology, Orthopedics and Hand Surgery Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Adamski M; Physiotherapy Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Kaczmarek K; Traumatology, Orthopedics and Hand Surgery Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Kaczmarek L; Traumatology, Orthopedics and Hand Surgery Department, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
  • Romanowski L; Traumatology, Orthopedics and Hand Surgery Student Scientific Group, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Medicina (Kaunas) ; 60(7)2024 Jul 22.
Article en En | MEDLINE | ID: mdl-39064613
ABSTRACT
Background and

Objectives:

Biodex System® is an advanced dynamometer used for testing various biomechanical parameters of muscles. Test outcomes allow for the identification of muscle pathology and consequently lead to a clinical diagnosis. Despite being widely used for the testing and rehabilitation of the human musculoskeletal system, no universal and acceptable protocol for wrist examination has been proposed for patients with wrist pathology. In this study, the authors aim to identify the most appropriate protocol for testing the biomechanical parameters of flexors and extensors of the wrist. Materials and

Methods:

A group of 20 patients with symptomatic tennis elbow and 26 healthy volunteers were examined using three different protocols isokinetic, isometric and isotonic. Protocol order for each study participant was assigned at random with a minimum of a 24 h break between protocols. All protocol parameters were set according to data obtained from a literature review and an earlier pilot study. Following completion of each protocol, participants filled out a questionnaire-based protocol, assessing pain intensity during the exam, difficulty with exam performance and post-exam muscle fatigue.

Results:

The isotonic protocol showed the best patient tolerance and the highest questionnaire score. There was a significant difference (p < 0.05) between the three protocols in average pain intensity reported by study participants. All participants completed the isotonic protocol, but not all patients with symptomatic tennis elbow were able to complete the isometric and isokinetic protocols. The isotonic protocol was deemed "difficult but possible to complete" by study participants.

Conclusions:

The isotonic protocol is most suitable for testing the flexors and extensors of the wrist. It gives the most biomechanical data of all protocols, is well tolerated by patients and rarely causes pain during examination even in symptomatic participants.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Codo de Tenista / Muñeca / Dinamómetro de Fuerza Muscular Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Codo de Tenista / Muñeca / Dinamómetro de Fuerza Muscular Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza