Development of the Muscle Architecture Based Isokinetic Strength Assessment Position for Shoulder Rotator Muscles

Shoulder Clinical Trial

Official title:

Development of the Muscle Architecture Based Isokinetic Strength Assessment Position for Shoulder Rotator Muscles

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04755257
• Other study ID #: 2019-367
• Status: Completed
• Start date: November 15, 2019
• Est. completion date: May 15, 2020

Study information

• Verified date: February 2021
• Source: Ankara Yildirim Beyazit University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Today, the most commonly used position is the seated position with 45° of shoulder abduction (Abd) in the scapular plane, known as the most functional isokinetic assessment of shoulder-rotator strength (1). However, considering the architectural feature of the rotator muscles, a position where the maximum sarcomere length is obtained, in which the maximum muscle strength is produced, has not been investigated. Ward et al. showed that the shoulder position, in which the sarcomere length of the muscles was between 2.0 - 2.6 µm, was 25⁰ Abd and 20⁰ external rotation (ER) as a result of their study on the rotator cuff muscles architecture (2). The test position selected in isokinetic measurements is the main factor for outcome measurements and the repeatability of the measurements directly depends on the selected position (3). This study was planned to investigate the effects of the position where the shoulder is at 25⁰ Abd and 20⁰ ER to develop the most suitable isokinetic strength evaluation position based on muscle architecture for shoulder rotator muscles.Using IsoMed 2000 device (D. & R. Ferstl GmbH, Hemau, Germany) we conducted the isokinetic test of concentric (CON) and eccentric (ECC) shoulder internal (IR) and external (ER) strength at the angular velocity of 60˚/s in both Method I (scapular position) and Method II (25⁰ Abd and 20⁰ ER). There were seven days between the testing sessions, and both tests were conducted at the same time of day. The same examiner with experience in performing isokinetic testing with IsoMed 2000 tested all subjects in both testing sessions

Recruitment information / eligibility

• Status: Completed
• Enrollment: 52
• Est. completion date: May 15, 2020
• Est. primary completion date: January 15, 2020
• Gender: Male
• Age group: 18 Years to 25 Years

Eligibility

Inclusion Criteria:

• Being between the ages of 18-25

• Body mass index (BMI) being between 18.5-24.9 kg / m 2

• Volunteering to participate in the study

• Having the skills to do the tests and exercises to be applied

Exclusion Criteria:

• Having a history of upper extremity injury within the past year

• Having a sensory problem that prevents participation in the study

• Have any musculoskeletal, neurological, respiratory, or cardiovascular risk factors that limit exercise

• Having a history of malignant disease

Related Conditions & MeSH terms

• Isokinetic
• Muscle Architecture
• Rotator Muscle
• Shoulder

Intervention

Device:
• Isokinetic test
Using IsoMed 2000 device (D. & R. Ferstl GmbH, Hemau, Germany) we conducted the isokinetic test of concentric (CON) and eccentric (ECC) shoulder internal (IR) and external (ER) strength at the angular velocity of 60°/s in both Method I (scapular position) and Method II (25° Abd and 20° ER). There were seven days between the testing sessions, and both tests were conducted at the same time of day. The same examiner with experience in performing isokinetic testing with IsoMed 2000 tested all subjects in both testing sessions.

Locations

Country	Name	City	State
Turkey	Ankara Yildirim Beyazit University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation	Ankara	Etlik

Sponsors (1)

Lead Sponsor	Collaborator
Ankara Yildirim Beyazit University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	concentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	concentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	Six month
Primary	concentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	concentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	Six month
Primary	concentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	concentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	Six month
Primary	concentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	concentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	Six month
Primary	eccentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	eccentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	Six month
Primary	eccentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	eccentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method I (scapular position)	Six month
Primary	eccentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	eccentric shoulder internal rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	Six month
Primary	eccentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	eccentric shoulder external rotation peak torque and peak torque/weight at the angular velocity of 60°/s in Method II (25° Abd and 20° ER)	Six month