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  4. Peak Torque Prediction Using Handgrip and Strength Predictors in Men and Women With Motor Complete Spinal Cord Injury

Peak Torque Prediction Using Handgrip and Strength Predictors in Men and Women With Motor Complete Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2021 · DOI: 10.46292/sci20-00027 · Published: July 1, 2021

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

This study developed equations to predict muscle strength in people with complete spinal cord injuries. The equations use handgrip strength and other factors like age and injury level. The study found that handgrip strength is a good predictor of shoulder muscle strength. However, it's not as helpful for predicting trunk muscle strength. These equations could help rehabilitation centers assess and monitor the progress of people with spinal cord injuries, especially in places where advanced equipment isn't available.

Study Duration
July 2018 to February 2020
Participants
108 men and women with SCI
Evidence Level
Cross-sectional study

Key Findings

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    Handgrip strength was a significant predictor of shoulder abduction and adduction peak torque.
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    Injury level was the most significant predictor for trunk flexion/extension peak torque.
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    The predictive equations for shoulder abduction/adduction exhibited higher correlations than those for trunk flexion/extension.

Research Summary

The study established predictive equations for peak torque of muscle groups with totally and partially preserved innervation in individuals with motor complete SCI. Handgrip strength was found to be a predictor variable for shoulder abduction/adduction peak torque, while injury level was a key predictor for trunk flexion/extension. The authors concluded that shoulder abduction/adduction peak torque predictive equations may be an alternative for use in an accessible strength tool.

Practical Implications

Accessible Assessment Tool

Hand dynamometry can be used to estimate shoulder strength, offering a practical alternative in resource-limited settings.

Targeted Rehabilitation Programs

Rehabilitation programs can be tailored based on predicted muscle strength to improve functional outcomes.

Monitoring Progress

The equations can assist in monitoring the effectiveness of training and rehabilitation programs over time.

Study Limitations

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