Isokinetics Flashcards

1
Q

Isokinetic Dynamometry

A
  • Exercise at a constant velocity (distance/time)
  • Torque resistance is proportional to torque applied (Optimal loading of the muscle is able be maintained throughout as because the machine will continuously readjust to match torque applied.
  • Technology attempts to adjust for length-tension, force-velocity and moment arm effects across a joint
  • Linear (Rarely done) or Angular Force
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2
Q

Isokinetic Uses

A
  • Outcome measures
    – Bilateral Comparison
    – Pre/Post designs
  • Training
    – Endurance, strength, fatigue
  • Eccentric Loading (through entire ROM)
  • Opposing muscle Group Testing (Ham/Quad Ratio)
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3
Q

Ratios of opposing muscle groups gives you an idea of the…

A

stability of the joint when maximally contracted

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4
Q

How does this machine make sure not to go past someones ROM or overload the muscle to the point of injury?

A
  • As many fail safes
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5
Q

General Procedure

A
  • Choose Pt body orientation
  • Isolate muscles for joint and directions of interest (Align motor’s axis to joint axis; prevent compensation from other muscles-stabilization straps)
  • Set range of motion angle stops/brakes
  • Set concentric and eccentric angular speeds
  • Set number of repetitions
  • Exercise trials: set desired torque output goals
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6
Q

This is an example of:

A
  • Active feedback control of how much force is being put into the joint (torque training)
  • Considered biofeedback or neuromuscular reeducation
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7
Q

Different speeds correlate to ____ tasks. Things over ____ correspond to things with gait.

A
  • functional
  • 60 degrees/sec
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8
Q

Peak Torque

Measurement Variable

A
  • Most accurate and reliable measure, “gold standard”
  • As velocity increases, Peak Torque decreases
  • Units: Nm or [ lbf·ft ]
  • Normalize by BW%
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9
Q

We care about the value of the ____ not so much the degree/angle in which it occurs

A
  • peak torque
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10
Q

Angle Specific Torque

A
  • Allows for you to assess weakness at an angle (less supported by literature)
  • As speed changes, so does Peak Torque
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11
Q

Rotational Work

A
  • Area under the torque curve
  • Ability to produce torque (light gray) throughout the ROM; Total energy the muscle generates throughout ROM
  • Variables Reported
    – Total = All reps
    – Peak = Peak rep
  • Units: Joules (J) or ft-lbf
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12
Q

Power

A
  • Torque, distance and time
  • torque x ω
  • Unit: Joules/sec = Watts (W)
  • Variables Reported
    – Average = All reps
    – Peak = Peak Rep

ω = angular velocity

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13
Q

Power is a commonly used research variable. Why?

A
  • Power is correlated to injury
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14
Q

Peak Torque Acceleration Energy (TAE)

A
  • Greatest work during first 125 ms
  • Theory: “Measure of explosiveness”
  • Lacks reliability, especially at low speeds
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15
Q

Endurance Index

A
  • Ability of muscles to perform repeated contractions vs load
  • Type of Protocols
    – Relative Parameters: # of reps to 50% Peak torque (PT) or % decline in PT, work or power; PT, work or power after a # of contractions or time period
    – Absolute parameters: total work of last 5 reps or total reps (higher reliability)
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16
Q

Why are absolute measures better than relative?

A

May be due to the first couple repetitions they didn’t try or weren’t familiar enough to give max effort.

17
Q

What are some ways to interpret the data we get from the isokinetic dynamometer?

A
  • Databases (Type of Dynamometer, Subjects, less common for Dx)
  • Bilateral Comparison (involved/uninvolves or UE vs LE)
  • Reciprical muscle group ratios (Ex: Ham/Quad: relationship unclear); Functional ratios, no consensus.
18
Q

Issues to consider

A
  • Isolation and stabilization (Axis of rotation and ROM)
  • Standardization of instructions
  • Cognitive - Learning aspect (3-15 Practice reps and Test Reps)
  • Gravity Compensation (Effects of gravity, impact on muscle group ratios, plane of motion); Going against gravity is harder; turn on gravity elimination to get true forces
  • Machine acceleration and deceleration delay
  • Torque overshoot (is it true data?)
19
Q

Isokinetic exercise involves 3 phases of movement…

A
  • Acceleration, Constant, Deceleration
  • Machine has to think and takes time to match torque produced by the person
  • Loading range decreases with increases in velocity
20
Q

If you get data like this what should you do?

A

Ignore the data before and after that isn’t at constant speed.

21
Q

Torque Overshoot

A
  • Initial spike followed by oscillations
  • Dynamometer reacting to catch up to the performer (dynamometer and PC ~100Hz)
  • People kick to fast or are not stapped in well enough
  • Adjust data by:
    – Damping/filtering to reduced the overshooting
    OR
    – Only use data from constant velocity periods (called “windowing”)
22
Q

This is an example of

A

Damping/filtering torque overshoot

23
Q

When considering the use of the isokinetic dynamometer what do you need to consider?

A
  • Cost benefit ratio (device set up time for pt)
  • Usefulness in treating pt (specificity of training)

Force plate and data capture is becoming more popular for LE/functional