An isometric hand tester: quantifying motor function in the hand.

The aim of this study was to develop and assess an isometric hand tester to measure multiple strength parameters of the muscles of the hand. Nineteen men and 22 women took part in a first study and 17 men were tested in a second one. Five different tests were developed: wrist flexion, wrist extension, metacarpophalangeal joint flexion, thumb adduction and proximal and distal interphalangeal joint flexion. Reliability was tested with an intraclass correlation coefficient for single measures. When the results from men and women were analysed separately, all tests except metacarpophalangeal joint flexion and thumb adduction produced intraclass correlation coefficients greater than 0.7. Combining the genders gave intraclass correlation coefficients greater than 0.9 except for metacarpophalangeal joint flexion and thumb adduction. After adjustments, intraclass correlation coefficients for metacarpophalangeal joint flexion and thumb adduction were between 0.70 and 0.83 in the second study. The new isometric hand tests improve the measurement of intrinsic and extrinsic hand muscle strength.

[S3-Check--evaluation and generation of normal values of a test for balance ability and postural stability]. / S3-Check--Evaluierung und Normwerteerhebung eines Tests zur Erfassung der Gleichgewichtsfähigkeit und Körperstabilität.

INTRODUCTION: Balance is very important in daily living, but there are practically no balance evaluation methods which fulfill scientific criteria and are available to the fitness community and other groups. The aims of this paper are to determine if the MFT-S3-Check, a system to measure balance, is scientifically objective, valid and reliable; and to establish norms for the MFT S 3-Check system. METHODS: Reliability was evaluated with 30 subjects in two testing sessions on two different days. Objectivity was determined by having two different test administrators test 10 subjects. Norms were generated from the data of over 5000 subjects (8 - 70 years of age). Validity was checked by comparing norms to data collected from 758 tests performed on ski racers (10 - 18 years of age). RESULTS: The objectivity and reliability tests for the sensor motor and stability indexes produced correlations which were moderate to very high. Norms were created for all age groups (female, male). The ski racers had significantly better values than the norms. DISCUSSION: The MFT S 3-Check fulfills the scientific criteria and is in use in fitness settings and in physiotherapy.

Frontal plane leg alignment and muscular activity during maximum eccentric contractions in individuals with and without patellofemoral pain syndrome.

PURPOSE: The role of frontal plane tibiofemoral alignment in subjects with patellofemoral pain syndrome (PFPS) is controversial and rarely discussed in the literature. As well, little research has been done on the effects of the hamstrings muscles on PFPS. The aim of the current study was to determine whether, in individuals with PFPS, frontal plane tibiofemoral alignment or muscular activity of the index knee's crossing muscles is altered during maximum eccentric leg press exercise. METHODS: This cross-sectional study involved 19 patients with PFPS and 19 control subjects who were matched according to gender, age, and physical activity. During eccentric leg press action, frontal plane tibiofemoral alignment was assessed with a motion analysis system based on skin markers. Simultaneously, surface-electromyography was used to assess the activity levels of the relevant knee crossing muscles. To assess the activity under functional conditions, a leg press with a footplate having variable stability was used for barefoot testing. RESULTS: The PFPS subjects did not have significantly different frontal plane leg alignment compared to controls. On electromyography (EMG), PFPS patients had significantly lower levels of hamstring activity during eccentric leg exercise. The differences between the two groups (%; absolute differences normalized EMG) ranged from 20% (semitendinosus; stable footplate; p=0.017) to 21% (biceps femoris; unstable footplate; p=0.019) and 32% (semitendinosus; unstable footplate; p=0.002). CONCLUSIONS: PFPS is not linked to altered frontal plane leg alignment during eccentric leg pressing. However, PFPS is associated with eccentric under-activation of the hamstrings, which may be a compensatory strategy that maintains patellofemoral joint pressure within bearable levels.