Association with isokinetic ankle strength measurements and normal clinical muscle testing in sciatica patients.

Abstract:

BACKGROUND:Sensitive muscle strength tests are needed to measure muscle strength in the diagnosis and management of sciatica patients. OBJECTIVE:The aim of this study was to assess the isokinetic muscle strength in sciatica patients' and control subjects' ankles that exhibited normal ankle muscle strength when measured clinically. METHODS:Forty-six patients with L5 and/or S1 nerve compression, and whose age, sex, weight, and height matched 36 healthy volunteers, were recruited to the study. Heel-walking, toe-walking, and manual muscle testing were used to perform ankle dorsiflexion and plantar flexion strengths in clinical examination. Patients with normal ankle dorsiflexion and plantar flexion strengths assessed by manual muscle testing and heel-and toe-walking tests were included in the study. Bilateral isokinetic (concentric/concentric) ankle plantar-flexion-dorsiflexion measurements of the patients and controls were performed within the protocol of 30°/sec (5 repetitions). Peak torque and peak torque/body weight were obtained for each ankle motion of the involved limb at 30°/s speed. RESULTS:L5 and/or S1 nerve compression was evident in 46 patients (76 injured limbs). Mean disease duration was two years. The plantar flexion muscle strength of the patients was found to be lower than that of the controls (p=0.036). The dorsiflexion muscle strength of the patients was found to be the same as that of the controls (p=0.211). CONCLUSIONS:Isokinetic testing is superior to clinical muscle testing when evaluating ankle plantar flexion torque in sciatica patients. Therefore, isokinetic muscle testing may be helpful when deciding whether to place a patient into a focused rehabilitation program.

authors

Ustun N,Erol O,Ozcakar L,Ceceli E,Ciner OA,Yorgancioglu ZR

doi

10.3233/BMR-130392

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

361-5

issue

4

eissn

1053-8127

issn

1878-6324

pii

NP0W9U511J52542N

journal_volume

26

pub_type

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