Hamostaseologie 2010; 30(S 01): S97-S103
DOI: 10.1055/s-0037-1619086
Original article
Schattauer GmbH

Isometrische Maximalkraftmessungen der Quadrizepsmuskulatur

Durchführbarkeit und Reliabilität bei Patienten mit HämophilieMaximal isometric strength measures of the quadriceps musclesFeasibility and reliability in patients with haemophilia
M. Herbsleb
1   Lehrstuhl für Sportmedizin, Friedrich-Schiller-Universität Jena
,
R. Tutzschke
1   Lehrstuhl für Sportmedizin, Friedrich-Schiller-Universität Jena
,
D. Czepa
2   Lehrstuhl für Sportmedizin, Bergische Universität Wuppertal
,
H.H.W. Gabriel
1   Lehrstuhl für Sportmedizin, Friedrich-Schiller-Universität Jena
,
T. Hilberg
2   Lehrstuhl für Sportmedizin, Bergische Universität Wuppertal
› Author Affiliations
Further Information

Publication History

Publication Date:
23 December 2017 (online)

Summary

The quadriceps femoris muscle (QF) plays an important role in locomotion. However, assessing the total number of attempts to evaluate the maximal isometric strength (Fmaxiso) regarding reliability and feasibility remain less characterised. Patients, methods: 28 patients with haemophilia (H) (26 severe, 2 moderate) and 27 healthy controls (C) matched for age (H: 44 ± 11, C: 42 ± 12) and anthropometric data were measured separately for the left and right leg for Fmaxiso of QF using m3 diagnos (SCHNELL®). We repeated the Fmaxiso measures after 48 h in 14 H and 13 C. Results: The system m3 diagnos showed strong reliability (ICC = 1.0; SEM = 0.0; CA = 1.0). H and C demonstrated significant differences in Fmaxiso (H r = 153 Nm, l = 164 Nm; K r= 289 Nm, l = 280 Nm; p ≤ 0.001). Additionally, H and C revealed significant differences between the 1st and 3rd to 6th attempts. No differences were observed between the 3rd, 4th, 5th and 6th attempts. Conclusion: Both groups showed high test-retest-reliability of Fmaxiso (ICC/SEM: H l = 0.98/7.1 r = 0.99/4.9; K l = 0.69/11.3 r = 0.95/5.8). Starting from the 3rd attempt, reliable measurements of the Fmaxiso in patients suffering from severe haemophilia are feasible.

Zusammenfassung

Der M. quadriceps femoris (QF) hat eine elementare Bedeutung in der gesamten Bewegungsfunktion. Unklar ist, wie zuverlässig Maximalkraftmessungen bei hämophilen Patienten sind und wie viele Messversuche zur Erfassung der maximalen isometrischen Maximalkraft (Fmaxiso) des QF notwendig sind. Patienten, Methoden: Die Fmaxiso des QF wurde von 28 hämophilen Patienten (H) (26 schwer, 2 mittelschwer; Alter: 44 ± 11) sowie 27 Kontrollpersonen (K) (Alter: 42 ± 12) für beide Beine getrennt mit dem Testgerät m3 diagnos (SCHNELL®) erfasst. Bei 14 H und 13 K wurde die Bestimmung der Fmaxiso nach 48 h wiederholt. Ergebnisse: Die Messapparatur erwies sich als reliabel (ICC = 1,0; SEM = 0,0; CA = 1,0). H zeigten beidseits eine signifikant geringere Fmaxiso als K (H re = 153 Nm, li = 164 Nm; K re = 289 Nm, li = 280 Nm; p ≤ 0,001). Im ersten Versuch wurden in H und K signifikant niedrigere Fmaxiso erzielt als in den Versuchen 3 bis 6, die sich nicht signifikant unterschieden (p > 0,05). Schlussfolgerung: Für beide Gruppen lag eine hohe Test-RetestReliabilität (ICC/SEM: H li = 0,98/7,1 re = 0,99/4,9; K li = 0,69/11,3 re = 0,95/5,8) der Fmaxiso vor. Die reliable Erfassung der Fmaxiso ist bei schwerer Hämophilie ab dem dritten Messversuch möglich.

 
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