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Knee flexor-extensor strength in children

R C Henderson1, C L Howes, K L Erickson

  • 1University of North Carolina at Chapel Hill 27599-7055.

The Journal of Orthopaedic and Sports Physical Therapy
|October 1, 1993
PubMed
Summary
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Normal side-to-side knee strength differences in children vary based on strength levels. Lower peak torque in children shows greater variability, impacting clinical strength assessments.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Isokinetic testing quantifies knee flexion-extension strength in children and adolescents.
  • Clinical evaluations often compare the affected limb to the unaffected limb.
  • Understanding normal side-to-side strength differences is crucial for accurate interpretation.

Purpose of the Study:

  • To determine normal side-to-side peak torque differences in the knee flexor and extensor muscles of healthy children and adolescents.
  • To assess how strength levels influence these side-to-side differences.
  • To provide normative data for clinical use.

Main Methods:

  • Twenty-one healthy children (ages 6-16) underwent isokinetic dynamometry (Cybex II).
  • Measurements were taken at knee angular velocities of 90 and 240 degrees/sec.

Related Experiment Videos

  • Peak torque was recorded for knee flexion and extension.
  • Main Results:

    • Children with peak torque >50 ft-lbs exhibited average side-to-side differences of 11% +/- 12%.
    • Children with peak torque <50 ft-lbs showed greater variability, with average differences of 22% +/- 19%.
    • Using the mean of multiple repetitions reduced variability compared to single peak values.

    Conclusions:

    • Side-to-side knee strength variability in children is influenced by absolute strength levels.
    • Clinicians should consider these normative side-to-side differences when evaluating pediatric patients.
    • Strength assessment protocols may benefit from using mean torque values for improved reliability.