Isokinetic Evaluation of the Elbow Joint at 45° and 80° of Shoulder Abduction

Abstract

Since Hislop and Thistle published the first reports on isokinetic exercise, a lot of progress has been made towards the use of isokinetic exercise and isokinetic evaluation of muscle and joint performance in sports and orthopedic physical therapy. Cybex II+ with the Cybex Data Reduction Computer is one of the most widely used isokinetic systems for research and rehabilitation purposes. There are more than 500 published works describing the use of Cybex in various applications, Many investigations have used the Cybex isokinetic system to develop normative data on torque and work measurements of various muscle groups. Normative data are valuable to clinicians in the evaluation of the severity of an injury in terms of muscle performance deficits. In addition, such data provide physical therapists with objective data in setting rehabilitation goals, and enabling sports medicine experts to identify functional deficiencies during screening of athletes. There is a limited number of published works that have developed normative data for elbow flexor and extensor muscle groups. While there is some information about peak torque and agonist-antagonist ratios, minimal information is available about torque acceleration energy, work endurance ratios, average power and flexion-extension total work ratios. The purpose of this study was to examine the effects of 450 and 800 of shoulder abduction on torque and work measurements of the elbow joint. In addition, normative data for elbow flexion and extension at both arm positions (testing positions suggested by Cybex) were developed.