Научная статья на тему 'Narrative Review: Dynamometer for measuring of torso forces'

Narrative Review: Dynamometer for measuring of torso forces Текст научной статьи по специальности «Науки о здоровье»

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Аннотация научной статьи по наукам о здоровье, автор научной работы — Felder H., Bursch S., Rast T.

The contraction effect of muscles results in either dynamically moving rotational or statically stabilizing contact forces [1], depending on the joint architecture involved as well as the organization of the muscle courses in relation to the movement axes. Because of this, skeletal muscles are of elementary importance in the realization of all physical movements. Even though numerous machines are a considerable support in everyday life, muscle work is still indispensable in many areas of life today. Muscle power is the prerequisite that both one's own body and objects can experience stability as well as speed changes. However, lifting and carrying loads is also part of the professional routine of many employed persons [2]. Muscle strength also has a protective effect on health, since age-related strength loss (sarcopenia) is often associated with reduced muscle size and function [3, 4] this can manifest itself in a diminished quality of life [5, 6], reduced mobility [2, 7], and an increased risk of falling in the affected older adults [8]. Whether in sport, at work or in health promotion if an improvement is sought in one of these areas trunk strength and stability are of great importance [9]. The current interest is evident insofar as the trunk is functionally a kinetic link that can transmit torque between the upper and lower extremities [10]. In this context, a healthy and fully functional spine must meet the following requirements: On the one hand, there must be a high degree of mobility in all segments and planes of motion of the spine. On the other hand, under both dynamic and static loads, there must be optimal and balanced muscle strength and performance of the trunk and neck muscles [11]. In an adequate condition, the trunk muscles accordingly promote the proper execution of whole-body movements within the performance of sports [12], professional activities, fitness and everyday activities [13]. If, on the other hand, there is muscular insufficiency or imbalance in the trunk, this can lead to problems in the athletic, occupational or everyday performance of those affected [14, 15] or to health impairments [10, 16, 17]. Especially back problems and associated back pain are of particular importance. Already in earlier years Kraus et al. [18] has the conclusion that the majority of back pain lies in the origin of muscular weakness of the trunk musculature, which was confirmed by many subsequent studies. According to Roy et al. [19] this muscular insufficiency causes a higher load on the passive tissue structures, which causes degenerative changes, injuries and pain in the back. In order to prevent back pain and serious injuries of any kind as well as to treat them curatively, a corresponding strength training of the back muscles is indispensable. In addition to Pullock's [20], many other studies have shown that strength training of the trunk muscles over a longer period of time has led to an increase in isometric maximum strength and a further reduction in pain symptoms. As a result the determination and quantification of torso strength provides insight into the current performance and (back) health of an individual [21], as well as the ability to establish, document and evaluate intervention programs [22]. One possibility to determine force as one of the basic motor characteristics is the measurement of maximum force. Because «...the maximum force is a size which describes the force property of the muscle in a similar way to the VO2max which characterizes the endurance property» [2, p. 66]. Force dynamometers specially developed for this purpose usually try to determine the generated oneto three-axis lumbar moments of the trunk muscles and at the same time simulate the isometric, isokinetic or other muscle actions [23]. The diagnosis of trunk strength is important: astonishing is the fact that there is still no consensus in quantifying the optimal test procedures and methods to be used [22]. As a result, there are currently numerous different diagnostic apparatuses/devices. On the occasion of this diversity and lack of transparency, the present work with the following overview aims to give an overview of current diagnostic devices.

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Текст научной работы на тему «Narrative Review: Dynamometer for measuring of torso forces»

DOI 10.14526/2070-4798-2019-14-1-4-17 Narrative Review: Dynamometer for measuring of torso forces

Felder H.*, Bursch S., Rast T.

Olympic Training Center - Rheinland-Pfalz/Saarland (Germany) ORCID: 0000-0001-6770-9039, [email protected]*

Review article

Abstract: The contraction effect of muscles results in either dynamically moving rotational or statically stabilizing contact forces [1], depending on the joint architecture involved as well as the organization of the muscle courses in relation to the movement axes. Because of this, skeletal muscles are of elementary importance in the realization of all physical movements. Even though numerous machines are a considerable support in everyday life, muscle work is still indispensable in many areas of life today. Muscle power is the prerequisite that both one's own body and objects can experience stability as well as speed changes. However, lifting and carrying loads is also part of the professional routine of many employed persons [2]. Muscle strength also has a protective effect on health, since age-related strength loss (sarcopenia) is often associated with reduced muscle size and function [3, 4] - this can manifest itself in a diminished quality of life [5, 6], reduced mobility [2, 7], and an increased risk of falling in the affected older adults [8]. Whether in sport, at work or in health promotion - if an improvement is sought in one of these areas - trunk strength and stability are of great importance [9]. The current interest is evident insofar as the trunk is functionally a kinetic link that can transmit torque between the upper and lower extremities [10]. In this context, a healthy and fully functional spine must meet the following requirements: On the one hand, there must be a high degree of mobility in all segments and planes of motion of the spine. On the other hand, under both dynamic and static loads, there must be optimal and balanced muscle strength and performance of the trunk and neck muscles [11]. In an adequate condition, the trunk muscles accordingly promote the proper execution of whole-body movements within the performance of sports [12], professional activities, fitness and everyday activities [13]. If, on the other hand, there is muscular insufficiency or imbalance in the trunk, this can lead to problems in the athletic, occupational or everyday performance of those affected [14, 15] or to health impairments [10, 16, 17]. Especially back problems and associated back pain are of particular importance. Already in earlier years Kraus et al. [18] has the conclusion that the majority of back pain lies in the origin of muscular weakness of the trunk musculature, which was confirmed by many subsequent studies. According to Roy et al. [19] this muscular insufficiency causes a higher load on the passive tissue structures, which causes degenerative changes, injuries and pain in the back. In order to prevent back pain and serious injuries of any kind as well as to treat them curatively, a corresponding strength training of the back muscles is indispensable. In addition to Pullock's [20], many other studies have shown that strength training of the trunk muscles over a longer period of time has led to an increase in isometric maximum strength and a further reduction in pain symptoms. As a result the determination and quantification of torso strength provides insight into the current performance and (back) health of an individual [21], as well as the ability to establish, document and evaluate intervention programs [22]. One possibility to determine force - as one of the basic motor characteristics - is the measurement of maximum force. Because «...the maximum force is a size which describes the force property of the muscle in a similar way to the VO2max which characterizes the endurance property» [2, p. 66]. Force dynamometers specially developed for this purpose usually try to determine the generated one- to three-axis lumbar moments of the trunk muscles and at the same time simulate the isometric, isokinetic or other muscle actions [23]. The diagnosis of trunk strength is important: astonishing is the fact that there is still no consensus in quantifying the optimal test

procedures and methods to be used [22]. As a result, there are currently numerous different diagnostic apparatuses/devices. On the occasion of this diversity and lack of transparency, the present work with the following overview aims to give an overview of current diagnostic devices.

For citation: Felder H.*, Bursch S., Rast T. Narrative Review: Dynamometer for measuring of torso forces. The Russian Journal of Physical Education and Sport. 2019; 14(1): 4-16. DOI 10.14526/2070-4798-201914-1-4-17

Methods search engine Google.

In the databases PubMed, BASE and LIVIVO Results

a literature search was carried out with the following keywords: back OR lumbar OR trunk OR core AND strength AND analysis OR performance. All studies were considered that carried out an instrument-based trunk force measurement. Later in the process these dynamometers were integrated into an overview table. In addition, further dynamometers are listed which were found exclusively via the

Table 1 - Display of a selection of devices.

Dynamometers

(pictorial sources: retrieved 6. November 2018)

BfMC CTT Pegasus

Parameters

http://www.bfmc.info/eng/index. php?cs=4-2

BfMC CTT Kolossos

Unit

Form of contraction Planes

Position Unit

Form of contraction Planes

Nm

isometric

trunk extension/flexion trunk rotation trunk lateral flexion additional: ROM-Training

sitting Nm

isometric

trunk extension/flexion trunk rotation trunk lateral flexion

Sources

[1]

[2]

http://www.bfmc.info/eng/index. Position sitting

php?cs=4-4

BfMC CTT Minotaur

http://www.bfmc.info/eng/index. php?cs=4-8

Biodex Sytem4 Pro

http://citec.nu/frm/uk.htm

CSMi Cybex Norm Isokinetic Dynamometer

Unit

Form of contraction Planes

Position

Unit

Form of contraction Planes

Position

https://www.proxomed.com/de/ produkte/biodex_system_4_pro-60. html

CITEC hand-held dynamometer

Unit

Form of contraction

Planes

Position

Nm

isometric

cervical extension/ flexion

cervical lateral flexion trunk extension/flexion trunk rotation trunk lateral flexion

sitting

Nm concentric/

excentrically/isometric

trunk extension/flexion

modularly expandable:

ankle, knee, shoulder, elbow, wrist and hip

sitting

[3]

N

isometric arbitrary arbitrary

Unit

Nm

[4]

[5]

[6]

[7]

[8]

[9]

[10]

[11]

[12]

[13]

[14]

[15]

[16]

[17]

[18]

Form of contraction

Planes

Position

http://cdn.intechopen.com/pdfs/36700/InTech-Muscular_performance_assessment_of_trunk_ extensors_a_critical_appraisal_of_the_literature. pdf

dynamic

trunk extension/flexion standing

[19]

[20] [21]

[22] [23]

David

Unit

Form of contraction Planes

https://www.davidhealth.com/ solution/spine-solution/

DIERS myoline professional

Position

Unit

Form of contraction Plane

https://diers.eu/de/produkte/ muskelkraftmessung/diers-myoline/

DigiMax ISO-Check

Position

Unit

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Form of contraction Planes

kg

dynamic

consisting of six devices:

cervical extension/ flexion

cervical rotation cervical lateral flexion trunk extension/flexion

trunk rotation

trunk lateral flexion sitting

N

isometric

cervical extension/ flexion

cervical lateral flexion trunk extension/flexion trunk rotation trunk lateral flexion

additional:

knee extension/flexion

hip adduktion/

abduktion

elbow extension/flexion

shoulder external rotation/internal rotation

sitting

kg

isometric

cervical extension/ flexion

cervical lateral flexion trunk extension/flexion trunk rotation trunk lateral flexion

[24]

[25]

[26]

[27]

[28]

[29]

http://www.digimax-systems.de/ index.php/de/produkte/iso-check

Position

additional:

knee extension/flexion

butterfly/butterfly reverse

sitting

DigiMax Iso-CheckMobil

Unit

Form of contraction Planes

http:/ /www.digimax-systems. de/index.php/de/produkte/iso-checkmobil

Dr. Wolff BackCheck 607

Position

Unit

Form of contraction Planes

https://www.dr-wolff.de/trainings- Position diagnostik.html#trainings-diagnostik

D&R IsoMed 2000 Back Modul

Unit

Form of contraction

Planes

Positon

http://www.isomed2000.de/ downloads/TDat_BM_Eng.pdf

Ergo-Fit Torso Check

Unit

Form of contraction Planes

Position

kN

isometric

trunk extension/flexion trunk rotation trunk lateral flexion additional:

knee extension/flexion

pressure and traction of upper extremities

sitting

kg

isometric

cervical extension/ flexion

cervical lateral flexion trunk extension/flexion trunk lateral flexion additional:

pressure and traction of upper extremities

standing

Nm concentric/

excentrically/isometric trunk extension/flexion additional:

modularly expandable sitting

[30]

Nm

isometric

trunk extension/flexion trunk rotation trunk lateral flexion sitting

[31]

[32]

[33]

[34]

[35]

https://www.ergo-fit.de/ergo-fit/ produkte/torso-line/torso-check/

Hoggan MicroFET®2 Unit

Form of contraction

Planes

Position

Unit

Form of contraction Planes

Position

https://hogganscientific.com/product/microfet2-muscle-tester-digital-handheld-dynamometer/

HubEX LEX

https://www.komachine.com/en/company/dae-yang-mechanics-hubex/detail/

Isostation B-200

Unit

Form of contraction Planes

http://cdn.intechopen.com/pdfs/36700/InTech- Position

Muscular_performance_assessment_of_trunk_ extensors_a_critical_appraisal_of_the_literature. pdf

JTECH Medical Commander Echo MMT

Unit

Form of contraction

Planes

Position

https://www.jtechmedical.com/shop-now/ Commander-Echo-Muscle-Testing-Starter-Kit-p89053317

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Lafayette Instrument Modell01165

Unit

lbs/N/kgf isometric dynamic arbitrary

MicroFET 3 additionally measures the range of motion (inclinometer)

arbitrary

/ /

lumbar extension/ flexion

supine

/

dynamic isometric

trunk extension/flexion

additional:

isoinertial felxion-repetition test

standing

kg

isometric arbitrary arbitrary

lbs/N/kg

[36]

[37]

[38]

[39]

[40]

[41]

[42]

[43]

[44]

[45]

[46]

[47]

[48]

[49]

[50]

[51]

Form of contraction

Planes

Position

isometric arbitrary arbitrary

[53]

http://lafayetteevaluation.com/products/ lafayette-hand-held-dynamometer

MedX lumbar extensor

Unit

Form of contraction

Planes Position

lb

dynamic

isometric (at seven angels of trunk flexion)

lumbar extension/ flexion

sitting

https://www.medxonline.de/trainingsgerate/ erhaltliche-stationen/le-lumbar-extension/

Physiomed Con-trex TP 500

* A

r;

Unit

Form of contraction

Planes Position

Nm concentric/

excentrically/isometric trunk extension/flexion standing

https://www.physiomed.de/ produkte/con-trex-tp-500/

[54]

[55]

[56]

[57]

[58]

[59]

[60]

Proxomed Tergumed 710

Unit

Nm

[61]

Form of contraction

isometric (strength diagnostic)

dynamic

(feedbacktraining)

Planes

consisting of five devices:

cervical extension/ flexion

cervical rotation

cervical lateral flexion

http://www.soreha.net/Home/ nav/134/id/62.html

trunk extension/flexion

trunk rotation

trunk lateral flexion

Position

sitting

Schnell 4back-Paket Professional

https://stolzenberg.org/site/de/ product.php?id=l07

Takei T.K.K.5402 BACK D

Unit

Form of contraction

Planes

https://www.schnell-online.de/de/produkte- Position detail/i3-4back-professional/453-4back-paket-professional/?prevId=97

Stolzenberg Dynamed IsoCheck

Unit

Form of contraction Planes

Position

Unit

Form of contraction

Planes

Position

http://www.takei-si.co.jp/en/ productinfo/detail/50.html

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References

1. H.-J. Appell und C. Stang-Voss, Funktionelle Anatomie. Grundlagen sportlicher Leistung und Bewegung, Heidelberg: Springer. 2008.

2. J. Tomasits und P. Haber, Leistungsphysiologie. Lehrbuch für Sport- und Physiotherapeuten und Trainer, Heidelberg:

Nm

isometric (strength diagnostic)

dynamic

(feedbacktraining)

consisting of four devices:

trunk extension/flexion trunk rotaion trunk lateral flexion sitting

kg

isometric

trunk extension/flexion trunk rotation trunk lateral flexion additional:

knee extension/flexion elbow extension/flexion

hip adduktion/ abduktion

shoulder external rotation/internal rotation

sitting

kgf (kilogram-force)

isometric

sagittal

standing

[62]

[63]

[64]

[65]

[66]

[67]

Springer, 2016.

3. B. H. Goodpaster, S. W. Park, T. B. Harris, S. B. Kritchevsky, M. Nevitt, A. V. Schwartz, E. M. Simonsick, Tylavsky, F. A, M. Visser und A. B. Newman, „he loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study," J Gerontol A Biol Sci Med Sci, Bd. 61, Nr. 10, pp. 1059-1064, 2006.

4. E. J. Metter, R. Conwit, J. Tobin und J. L. Fozard, ,Age-associated loss of power and strength in the upper extremities in women and men," J Gerontol A Biol Sci Med Sci, Bd. 52, Nr. 5, pp. B267-B276, 1997.

5. S. Imagama, Y. Matsuyama, Y. Hasegawa, Y. Sakai, Z. Ito, N. Ishiguro und N. Hamajima, „Back muscle strength and spinal mobility are predictors of quality of life in middle-aged and elderly males," Eur Spine J, Bd. 20, Nr. 6, pp. 954-961, 2011.

6. G. Heathcote, „Autonomy, health and ageing: transnational perspectives.," Health Educ Res, Bd. 15, Nr. 1, pp. 13-24, 2000.

7. B. Shahtahmassebi, J. J. Hebert, M. D. Hecimovich und T. J. Fairchild, „Associations between trunk muscle morphology, strength and function in older adults," Sci Rep, Bd. 7, Nr. 1, 2017.

8. Y. Kasukawa, N. Miyakoshi, M. Hongo, Y. Ishikawa, H. Noguchi, K. Kamo, H. Sasaki, K. Murata und Y. Shimada, „Relationships between falls, spinal curvature, spinal mobility and back extensor strength in elderly people.," J Bone Miner Metab, Bd. 28, Nr. 1, pp. 82-87, 2010.

9. V. Akuthota, A. Ferreiro, T. Moore und M. Fredericson, „Core stability exercise principles," Curr Sports Med Rep, Bd. 7, Nr. 1, pp. 39-44, 2008.

10. U. Granacher, A. Gollhofer, T. Hortobágyi, R. W. Kressig und T. Muehlbauer, „The Importance of Trunk Muscle Strength for Balance,," Sports Med, Bd. 43, Nr. 7, pp. 627-641, 2013.

11. A. Parviainen, I. Denner und A. Denner, A complete handbook for DAVID BACK CLINIC. Part two: treatment Program, Vantaa/Finnland: Handbuch der Fa. DAVID Fitness & Medical LTD,

1992.

12. L. Torres-Ronda, L. Sánchez-Medina und J. J. González-Badillo, „Muscle Strength And Golf Performance: A Critical Review," J Sports Sci Med, Bd. 10, Nr. 1, pp. 9-18, 2011.

13. D. G. Behm, E. J. Drinkwater, J. M. Willardson und P. M. Cowley, „The use of instability to train the core musculature," Appl Physiol Nutr Metab, Bd. 35, Nr. 1, pp. 91-108, 2010.

14. D. Barbado, A. Lopez-Valenciano, C. Juan-Recio, C. Montero-Carretero, J. H. van Dieen und F. J. Vera-Garcia, „Trunk Stability, Trunk Strength and Sport Performance Level in Judo,"

PLoS One, Bd. 11, Nr. 5, 2016.

15. W. B. Kibler, J. Press und A. Sciascia, „The role of core stability in athletic function," Sports Med, Bd. 36, Nr. 3, pp. 189-198, 2006.

16. K. H. Cho, J. W. Beom, T. S. Lee, J. H. Lim, T. H. Lee und J. H. Yuk, „Trunk muscles strength as a risk factor for nonspecific low back pain: a pilot study," Ann Rehabil Med, Bd. 38, Nr. 2, pp. 234-240, 2014.

17. M. R. Nourbakhsh und A. M. Arab, „Relationship between mechanical factors and incidence of low back pain.," J Orthop Sports Phys Ther, Bd. 32, Nr. 9, pp. 447-460, 2002.

18. H. Kraus, A. Melleby und S. R. Gaston, „Back pain correction and prevention. National vuluntary organizational approach.," N Y State J Med, Bd. 77, Nr. 8, pp. 1335-1338, 1977.

19. S. H. Roy, C. J. De Luca und D. A. Casavant, „Lumbar muscle fatigue and chronic lower back pain," Spine, Bd. 14, Nr. 9, pp. 992-1001, 1989.

20. M. L. Pollock, „Training responses utulizing MedX rehabilitative equipment," in SPINAL REHABILITATION UPDATE 91, Daytona Beach/USA, 1991.

21. A. Kocjan und N. Sarabon, „Assessment of Isometric Trunk Strength - The Relevance of Body Position and," J Sports Sci Med, Bd. 13, Nr. 2,

pp. 365-370, 2014.

22. C. Demoulin, S. Grosdent, R. Smeets, J. Verbunt, B. Jidovtseff, G. Mahieu, J.-M. Crielaard und M. Vanderthommen, „Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature," in Low Back Pain 2, InTech, 2012, pp. 141-165.

23. M. R. Azghani, F. Farahmand, A. Meghdari, G. Vossoughi und M. Parnianpour, „Design and evaluation of a novel triaxial isometric trunk muscle strength measurement system," Proc Inst Mech Eng H, Bd. 223, Nr. 6, pp. 755-766, 2009.

24. BFMC, „CTT Pegasus," [Online]. Available: http://www.bfmc.info/eng/index. php?cs=4-2. [Zugriff am 6 November 2018].

25. BFMC, „CTT Kolossos," [Online]. Available: http://www.bfmc.info/eng/index. php?cs=4-4. [Zugriff am 6 November 2018].

26. BFMC, „CTT Minotaur," [Online].

Available: http: / / www.bfmc.info / eng/ index.php?cs=4-8. [Zugriff am 6 November 2018].

27. Proxomed, „Biodex Systen 4 Pro," [Online]. Available: https://www.proxomed.com/ de/produkte/biodex_system_4_pro-6o.html. [Zugriff am 6 November 2018].

28. Biodex, „System 4 Pro," [Online]. Available: http://www.biodex.com/physical-medicine/products/dynamometers/system-4-pro. [Zugriff am 6 November 2018].

29. M. P. García-Vaquero, D. J.-R. C. Barbado, A. López-Valenciano und F. J. VeraGarcia, „sokinetic trunk flexion-extension protocol to assess trunk muscle strength and endurance: Reliability, learning effect, and sex differences," Journal of Sport and Health Science, pp. 1-10, 2016.

30. K. Barczyk-Pawelec, J. R. Piechura, W. Dziubek und K. Rozek, „Evaluation of Isokinetic Trunk Muscle Strength in Adolescents With Normal and Abnormal Postures," Journal of Manipulative and Physiological Therapeutics, Bd. 38, Nr. 7, pp. 484-492, 2015.

31. K. H. Cho, J. W. Beom, T. S. Lee, J. H. Lim, T. H. Lee und J. H. Yuk, „Trunk Muscles Strength as a Risk Factor for Nonspecific Low Back Pain: A Pilot Study," Annals of Rehabilitation Medicine, Bd. 38, Nr. 2, pp. 234-240, 2014.

32. R. J. Triolo, S. N. Bailey, M. E. Miller, L. M. Lombardo und M. L. Audu, „Effects of Stimulating Hip and Trunk Muscles on Seated Stability, Posture and Reach after Spinal Cord Injury," Archives of Physical Medicine and Rehabilitation, Bd. 94, Nr. 9, pp. 1766-1775, 2013.

33. D. Barbado, A. Lopez-Valenciano, C. Juan-Recio, C. Montero-Carretero, J. H. van Dieen und F. J. Vera-Garcia, „Trunk Stability, Trunk Strength and Sport Performance Level in Judo," PLoS ONE, Bd. 11, Nr. 5, 2016.

34. L. F. Quintino, J. Franco, A. F. M. Gusmao, P. F. D. S. Silva und C. D. C. D. M. Faria, „Trunk flexor and extensor muscle performance in chronic stroke patients: a case-control study," Brazilian Journal of Physical Therapy, Bd. 22, Nr. 3, pp. 231-237, 2018.

35. CITEC, „about CITEC," [Online]. Available: http://citec.nu/frm/uk.htm. [Zugriff am 6 November 2018].

36. I. F. Koblauer, Y. Lambrecht, M. L. van der Hulst, C. Neeter, R. H. Engelbert, R. W. Poolman und V. A. Scholtes, „Reliability of maximal isometric knee strength testing with modified handheld dynamometry in patients awaiting total knee arthroplasty: useful in research and individual patient settings? A reliability study," BMC Musculoskelet Disord, 2011.

37. K. J. Rose, J. Burns, M. M. Ryan, R. A. Ouvrier und K. N. North, „Reliability of quantifying foot and ankle muscle strength in very young children," Muscle Nerve, Bd. 37, Nr. 5, pp. 626-631, 2008.

38. T. Takken, E. Elst, N. Spermon, P. J. Helders, A. B. Prakken und J. van der Net, „The physiological and physical determinants of functional ability measures in children with juvenile dermatomyositis," Rheumatology (Oxford), Bd. 42, Nr. 4, pp. 591-595, 2003.

39. L. Merlini, A. Cicognani, E. Malaspina, M. Gennari, S. Gnudi, B. Talim und E. Franzoni, „Early prednisone treatment in Duchenne muscular dystrophy," Muscle Nerve, Bd. 27, Nr. 2, pp. 222227, 2003.

40. L. Merlini, E. S. Mazzone, A. Solari und L. Morandi, „Reliability of hand-held dynamometry in spinal muscular atrophy," Muscle Nerve, Bd. 26, Nr. 1, pp. 64-70, 2002.

41. CSMi, „HUMAC NORM," [Online]. Available: http://www.csmisolutions.com/ products/isokinetic-extremity-systems/humac-norm. [Zugriff am 6 November 2018].

42. isokinetics, „Humac Norm," [Online]. Available: http://www.isokinetic.info. [Zugriff am 6 November 2018].

43. B. B. L. Van Damme, V. K. Stevens, D. E. Van Tiggelen, N. N. P. Duvigneaud, E. Neyens und L. A. Danneels, „Velocity of isokinetic trunk exercises influences back muscle recruitment patterns in healthy subjects," Journal of Electromyography and Kinesiology, Bd. 23, Nr. 2, pp. 378-386, 2013.

44. J.-C. Bernard, S. Boudokhane, A. Pujol, E. Chaleat-Valayer, G. Le Blay und J. Deceuninck, „Isokinetic trunk muscle performance in pre-teens and teens with and without back pain," Annals of Physical and Rehabilitation Medicine, Bd. 57, Nr. 1, pp. 38-54, 2014.

45. G. Corin, P. H. Strutton und A. H. McGregor, „Establishment of a protocol to test fatigue of the trunk muscles," Br J Sports Med, Bd. 39, Nr. 10, pp. 731-735, 2005.

46. E. T. Kent, „Case studies: Use of Cybex trunk extension flexion unit in the rehabilittion of back patients," JOSPT, pp. 578-581, 1987.

47. DAVID, „David Spine Solution," [Online]. Available: https://www.davidhealth.com/ solution/spine-solution/. [Zugriff am 6 November 2018].

48. T. Kienbacher, B. Paul, R. Habenicht, C. Starek, M. Wolf, J. Kollmitzer und G. Ebenbichler, „Reliability of isometric trunk moment measurements in healthy persons over 50 years of age," J Rehabil Med, Bd. 46, Nr. 3, pp. 241-249, 2014.

49. T. Kienbacher, J. Kollmitzer, P. Anders, R. Habenicht, C. Starek, M. Wolf, B. Paul, P. Mair und G. Ebenbichler, „Age-related test-retest reliability of isometric trunk torque measurements in patiens with chronic low back pain," J Rehabil Med, Bd. 48, Nr. 10, pp. 893-902, 2016.

50. DIERS, „DIERS myoline," [Online]. Available: https://diers.eu/de/produkte/ muskelkraftmessung/diers-myoline/. [Zugriff am 6 November 2018].

51. G. Schröder, G. Kundt, M. Otte, D. Wendig und H.-C. Schober, „Impact of pregnancy on back pain and body posture in women," J Phys Ther Sci, Bd. 28, Nr. 4, pp. 1199-1207, 2016.

52. GigiMax, „ISO-Check," [Online]. Available: http://www.digimax-systems.de/ index.php/de/produkte/iso-check. [Zugriff am 6 November 2018].

53. DigiMax, „Iso-CheckMobil," [Online]. Available: http://www.digimax-systems.de/index. php/de/produkte/iso-checkmobil. [Zugriff am 6 November 2018].

54. Dr. Wolff, „Trainingsdiagnostik," [Online]. Available: https://www.dr-wolff.de/ trainings-diagnostik.html#trainings-diagnostik. [Zugriff am 6 November 2018].

55. D&R, „IsoMed 2000," [Online]. Available: http://www.isomed2000.de/prod. im.intro.php?lc=en_cn. [Zugriff am 6 November 2018].

56. R. Roth, L. Donath, E. Kurz, L. Zahner und O. Faude, „Absolute and relative reliability of isokinetic and isometric trunk strength testing using the IsoMed-2000 dynamometer," Phys Ther Sport, Bd. 24, pp. 26-31, 2017.

57. D.-H. Seo und G. D. Park, „Effect of Togu-exercise on Lumbar Back Strength of Women with Chronic Low Back Pain," J Phys Ther Sci, Bd. 26, Nr. 5, pp. 637-639, 2014.

58. ERGO-FIT, „Torso Check," [Online]. Available: https://www.ergo-fit.de/ergo-fit/ produkte/torso-line/torso-check/. [Zugriff am 6 November 2018].

59. HOGGAN, „microFET2," [Online]. Available: https://hogganscientific.com/product/ microfet2-muscle-tester-digital-handheld-dynamometer/. [Zugriff am 6 November 2018].

60. B. L. Newman, C. L. Pollock und M. A. Hunt, „Reliability of measurement of maximal isometric lateral trunk-flexion strength in athletes using handheld dynamometry," J Sport Rehabil, Bd. 21, Nr. 4, pp. 1-5, 2012.

61. P. Baschung Pfister, E. D. de Bruin, I. Sterkele, B. Maurer, R. A. de Bie und R. H. Knols, „Manual muscle testing and hand-held dynamometry in people with inflammatory myopathy: An intra-and interrater reliability and validity study," PLoS One, Bd. 13, Nr. 3, pp. 1-22, 2018.

62. B. F. Mentiplay, L. G. Perraton, K. J. Bower, B. Adair, Y. H. Pua, G. P. Williams, R. McGaw und R. A. Clark, „Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study," PLoS One, Bd. 10, Nr. 10, pp. 1-18, 2015.

63. R. K. Douma, R. Soer, W. P. Krijnen, M. Reneman und C. P. van der Schans, „Reference values for isometric muscle force among workers for the Netherlands: a comparison of reference values," BMC Sports Sci Med Rehabil, Bd. 6, Nr. 1, pp. 1-10, 2014.

64. H. Keep, L. Luu, A. Berson und S. J. Garland, „Validity of the Handheld Dynamometer Compared with an Isokinetic Dynamometer in Measuring Peak Hip Extension Strength," Physiother Can, Bd. 68, Nr. 1, pp. 15-22, 2016.

65. DAE YANG MECHANICS, HUBEX, „Lumbar Extension Flexion Exercise (LEX),"

[Online]. Available: https://www. komachine.com/en/company/dae-yang-mechanics-hubex/detail/. [Zugriff am 6 November 2018].

66. H.-S. Lee, „Enhanced muscle activity during lumbar extension exercise with pelvic stabilization," Journal of Exercise Rehabilitation, Bd. 11, Nr. 6, pp. 372-377, 2015.

67. C. Demoulin, S. Grosdent, J.-M. Crielaard, B. Jidovtseff, R. J. Smeets, J. A. Verbunt und M. Vanderthommen, „Muscular Performance Assessment of Trunk: A Critical Appraisal of the Literature," InTech, pp. 141-166.

68. J. K. Ng, M. Parnianpour, C. A. Richardson und V. Kippers, „Functional roles of abdominal and back muscles during isometric axial rotation of the trunk," J Orthop Res, Bd. 19, Nr. 3, pp. 463-471, 2001.

69. J. K. Ng, C. A. Richardson, M. Parnianpour und V. Kippers, „EMG activity of trunk muscles and torque output during isometric axial rotation exertion: a comparison between back pain patients and matched controls," J Orthop Res, Bd. 20, Nr. 1, pp. 112-121, 2002.

70. H.-J. Kim, S. Chung, S. Kim, H. Shin, J. Lee, S. Kim und M.-Y. Song, „Influences of trunk muscles on lumbar lordosis and sacral angle," European Spine Journal, Bd. 15, Nr. 4, pp. 409-414, 2006.

iНе можете найти то, что вам нужно? Попробуйте сервис подбора литературы.

71. JTECH.Medical, „Commander Echo Muscle Testing Starter Kit," [Online]. Available: https://www.jtechmedical.com/shop-now/ Commander-Echo-Muscle-Testing-Starter-Kit-p89053317. [Zugriff am 6 November 2018].

72. C. L. Lanning, T. L. Uhl, C. L. Ingram, C. G. Mattacola, T. English und S. Newsom, „Baseline values of trunk endurance and hip strength in collegiate athletes," J Athl Train, Bd. 41, Nr. 4, pp. 427-434, 2006.

73. C. Kubas, Y. W. Chen, S. Echeverri, S. L. McCann, M. J. Denhoed, C. J. Walker, C. N. Kennedy und W. D. Reid, „Reliability and Validity of Cervical Range of Motion and Muscle Strength Testing," J Strength Cond Res, Bd. 31, Nr. 4, pp. 1087-1096, 2017.

74. K. L. Beyerman, M. B. Palmerino, L. E. Zohn, G. M. Kane und K. A. Foster, „Efficacy of

treating low back pain and dysfunction secondary to osteoarthritis: chiropractic care compared with moist heat alone," J Manipulative Physiol Ther, Bd. 29, Nr. 2, pp. 107-114, 2006.

75. Lafayette Instrument Evaluation, „Lafayette Hand-Held Dynamometer," [Online]. Available: http://lafayetteevaluation.com/ products/lafayette-hand-held-dynamometer. [Zugriff am 6 November 2018].

76. B. F. Mentiplay, L. G. Perraton, K. J. Bower, B. Adair, Y. H. Pua, G. P. Williams, R. McGaw und R. A. Clark, „Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study," PLoS One, Bd. 10, Nr. 10, pp. 1-18, 2015.

77. MedX, „MedX Equiptment. Lumbar Extension (LE)," [Online]. Available: https:// www.medxonline.de/trainingsgerate/erhaltliche-stationen/le-lumbar-extension/. [Zugriff am 6 November 2018].

78. J. Park und J. C. Lee, „Effects of complex rehabilitation training on low back strength in chronic low back pain," Journal of Physical Therapy Science, Bd. 28, Nr. 11, pp. 3099-3104, 2016.

79. H. J. Moon, K. H. Choi, D. H. Kim,

H. Kim, Y. K. Cho, K. H. Lee, J. H. Kim und Y. J. Choi, „Effect of Lumbar Stabilization and Dynamic Lumbar Strengthening Exercises in Patients With Chronic Low Back Pain," Annals of Rehabilitation Medicine, Bd. 37, Nr. 1, pp. 110-117, 2013.

80. P. L. DeMichele, M. L. Pollock, J. E. Graves, D. N. Foster, D. Carpenter, L. Garzarella, W. Brechue und M. Fulton, „Isometric torso rotation strength: effect of training frequency on its development," Arch Phys Med Rehabil, Bd. 78, Nr.

I, pp. 64-69, 1997.

81. PHYSIOMED, „CON-TREX TP 500," [Online]. Available: https://www.physiomed. de/produkte/con-trex-tp-500/. [Zugriff am 6 November 2018].

82. J. Müller, S. Müller, J. Stoll, K. Fröhlich, H. Baur und F. Mayer, „Reproducibility of maximum isokinetic trunk strength testing in healthy adolescent athletes," Sports Orthopaedics and Traumatology, Bd. 30, Nr. 3, pp. 229-237, 2014.

83. X. Ma, W. Sun, A. Lu, P. Ma und C. Jiang, „The improvement of suspension training for trunk muscle power in Sanda athletes," J Exerc Sci Fit, Bd.

15, Nr. 2, pp. 81-88, 2017.

84. proxomed, „tergumed 710," [Online]. Available: https: / / www.proxomed.com/de/

produktlinie/tergumed_710__inklusive_

diagnostik-42.html. [Zugriff am 6 November 2018].

85. SCHNELL, „4back-Paket PROFESSIONAL," [Online]. Available: https://www.schnell-online.de/de/produkte-detail/13-4back-professional/453-4back-paket-professional/?prevId=97. [Zugriff am 6 November 2018].

86. Stolzenberg, „Dynamed Iso-Check," [Online]. Available: https://stolzenberg.org/site/ de/product.php?id=107. [Zugriff am 6 November 2018].

87. takei-si, „T.K.K.5402 Back D," [Online]. Available: http://www.takei-si.co.jp/ en/productinfo/detail/50.html. [Zugriff am 6 November 2018].

Submitted: 05.02.2019

88. S. Imagama, Y. Matsuyama, Y. Hasegawa, Y. Sakai, Z. Ito, N. Ishiguro und N. Hamajima, „Back muscle strength and spinal mobility are predictors of quality of life in middle-aged and elderly males," European Spine Journal, Bd. 20, Nr. 6, pp. 954-961, 2011.

89. K. Hirano, S. Imagama, Y. Hasegawa, N. Wakao, A. Muramoto und N. Ishiguro, „Impact of back muscle strength and aging on locomotive syndrome in community living japanese women," Nagoya Journal of Medical Science, Bd. 75, Nr. 1-2,

pp. 47-55, 2013.

90. S. Imagama, Y. Hasegawa, N. Wakao, K. Hirano, A. Muramoto und N. Ishiguro, „Impact of spinal alignment and back muscle strength on shoulder range of motion in middle-aged and elderly people in a prospective cohort study," Eur Spine J, Bd. 23, Nr. 7, pp. 1414-1419, 2014.

Author's information:

Felder H.* - Olympic Training Center - Rheinland-Pfalz/Saarland (Germany) Bursch S. - Olympic Training Center - Rheinland-Pfalz/Saarland (Germany) Rast T. - Olympic Training Center - Rheinland-Pfalz/Saarland (Germany)

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