Reliability and Validity of a Novel Trunk-Strength Assessment for High-Performance Sprint Flat-Water Kayakers

Influence of trunk rotator strength on rotational medicine ball throwing performance

BACKGROUND

The strength of the trunk musculature plays an essential role in performance. The aims of this study were to analyze the relationship between the strength of the trunk rotation muscles with rotational medicine ball throwing velocity and distance, to study differences between sex in rotational medicine ball throwing and to compare the asymmetries of trunk rotational strength and rotational medicine ball throwing.

METHODS

Thirty physically active college students participated on the study. Horizontal and low cable woodchop exercises were assessed with a functional electromechanical dynamometer and throwing was measured with a radar and a measuring tape. A Pearson's correlation coefficient was calculated for the relation between trunk rotational strength and rotational medicine ball throwing. Independent samples t-test was performed to determine the differences between sex in rotational medicine ball throwing and a paired samples t-test was performed to study the asymmetries.

RESULTS

Large and very large correlations were obtained between trunk rotational strength and rotational medicine ball throwing (r=0.68-0.79). Significant differences and a large effect size were found between males and females for all throwing velocity and throwing distance variables (P<0.05; ES>0.90) and asymmetries in performance of mean velocity throwing (P=0.003; ES=-0.60) and peak velocity throwing (P=0.025; ES=-0.43). No significant differences were found between dominant and non-dominant side in any of the trunk rotator strength assessment conditions (P>0.05).

CONCLUSIONS

There is a large or very large correlation between the STRM and the RMBT in all its modalities. Differences in strength were found between sexes, with no significant differences between dominant and non-dominant sides.

Strength Assessment of Trunk Rotator Muscles: A Multicenter Reliability Study

BACKGROUND

Trunk rotator strength plays an important role in sports performance and health. A reliable method to assess these muscles with functional electromechanical dynamometer has not been described. Therefore, the objectives of this paper were (I) to explore the reliability of different strength variables collected in isokinetic and isometric conditions during two trunk rotator exercises, and (II) to determine the relationship of isometric and dynamic strength variables collected in the same exercise.

METHODS

A repeated measures design was performed to evaluate the reliability of the horizontal cable woodchop (HCW) and low cable woodchop (LCW) exercises. Reliability was assessed using t-tests of paired samples for the effect size, the standard error of measurement, the coefficient of variation (CV) and the intraclass correlation coefficient (ICC). The Pearson's (r) correlation coefficient was used to explore the association between isometric and isokinetic tests.

RESULTS

HCW exercise is more reliable than LCW exercise in assessing trunk rotator muscles. The strength manifestation that should be used is the average strength, and the most reliable evaluation was the HCW at 0.40 m·s-1 concentric (ICC = 0.89; CV = 10.21%) and eccentric (ICC = 0.85; CV = 9.33%) contraction and the dynamic condition that most correlated with the isometric was LWC at 0.50 m·s-1 (r = 0.83; p < 0.01).

CONCLUSION

HCW is a reliable exercise to measure trunk rotator muscles.

Practicable performance-based outcome measures of trunk muscle strength and their measurement properties: A systematic review and narrative synthesis

Introduction

The evaluation of muscle strength is frequently used as part of the physical examination process, with decreased trunk muscle strength reported in individuals with spinal disorders (e.g., low back pain). Access to practicable performance-based outcome measures (PBOM) to monitor patients’ progress in spinal rehabilitation is essential. Knowledge of the psychometric properties of the available practicable PBOM for trunk strength evaluation is therefore needed to inform practitioners and further research.

Objective

To synthesise evidence on the measurement properties of practicable measures of trunk muscle strength in adults with and without musculoskeletal pain.

Methods

Following a published and registered protocol [PROSPERO CRD42020167464], databases were searched from the database inception date up to 30th of June 2021. Citations and grey literature were also searched. Eligibility criteria comprised: 1) studies which examined the psychometric properties of the trunk strength outcome measures, 2) included adults ≥ 18 years, either asymptomatic or with spinal musculoskeletal pain. Non-English language studies were excluded. Two independent reviewers evaluated the quality and synthesized the data from included studies according to the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. The overall quality of evidence was evaluated using a modified Grading of Recommendations Assessment Development and Evaluation (GRADE).

Results

From 34 included studies, 15 different PBOMs were identified that have been investigated for reliability and validity, none evaluated responsiveness. In asymptomatic individuals, high quality evidence supports intra-rater reliability of digital-loading cells and moderate quality evidence supports the criterion validity of the hand-held dynamometer. Very low quality evidence exists for the reliability and validity estimates of testing tools among individuals with spinal pain.

Conclusions

Findings underpin a cautious recommendation for the use of practicable PROMs to evaluate muscle strength in individuals with spinal pain in clinical practice due to the level of evidence and the heterogeneity of the protocols used. Further high quality research to explore the psychometric properties of the practicable PBOMs with detailed methodology is now needed.

Force-Velocity Profile of Competitive Kayakers: Evaluation of a Novel Single Kayak Stroke Test

The assessment of the force-velocity (F-V) profile in athletes may have important applications for training prescription, injury management, and fatigue monitoring. This study aimed to assess whether a novel single kayak stroke test (SKST) is able to provide the F-V relationship variables (maximum force, maximum velocity and maximum power) of competitive kayakers with acceptable reliability and external validity. Six female (age: 20.3 ± 3.7 years) and eight male (age: 20.8 ± 2.4 years) elite kayakers performed the SKST, bench press, bench pull, and short Wingate kayak test. The individual F-V relationships were highly linear [median r (range): left stroke = 0.986 (0.897 - 0.998); right stroke = 0.987 (0.971 - 0.999)]. The reliability of the F-V relationship parameters obtained during the SKST was high (within-session: CV ≤ 4.48% and ICC ≥ 0.93; between-session: CV ≤ 8.06% and ICC ≥ 0.65). The validity of the F-V relationship parameters obtained during the SKST was generally very high for maximum power (r range = 0.825 - 0.975), high for maximum force during both the bench press and the bench pull (r range = 0.751 - 0.831), and high or moderate for maximal velocity during the bench pull (r = 0.770 - 0.829) and the bench press (r = 0.355 - 0.471), respectively. The SKST can be considered a feasible procedure for testing the maximal upper-body muscle mechanical capacities of kayakers.

The Novel Single-Stroke Kayak Test: Can It Discriminate Between 200-m and Longer-Distance (500- and 1000-m) Specialists in Canoe Sprint?

PURPOSE

To test whether the force-velocity (F-V) relationship obtained during a specific single-stroke kayak test (SSKT) and during nonspecific traditional resistance-training exercises (bench press and prone bench pull) could discriminate between 200-m specialists and longer-distance (500- and 1000-m) specialists in canoe sprint.

METHODS

A total of 21 experienced male kayakers (seven 200-m specialists and 14 longer-distance specialists) participated in this study. After a familiarization session, kayakers came to the laboratory on 2 occasions separated by 48 to 96 hours. In a randomized order, kayakers performed the SSKT in one session and the bench press and bench pull tests in another session. Force and velocity outputs were recorded against 5 loads in each exercise to determine the F-V relationship and related parameters (maximum force, maximum velocity, F-V slope, and maximum power).

RESULTS

The individual F-V relationships were highly linear for the SSKT (r = .990 [.908, .998]), bench press (r = .993 [.974, .999]), and prone bench pull (r = .998 [.992, 1.000]). The F-V relationship parameters (maximum force, maximum velocity, and maximum power) were significantly higher for 200-m specialists compared with longer-distance specialists (all Ps ≤ .047) with large effect sizes (≥0.94) revealing important practical differences. However, no significant differences were observed between 200-m specialists and longer-distance specialists in the F-V slope (P ≥ .477).

CONCLUSIONS

The F-V relationship assessed during both specific (SSKT) and nonspecific upper-body tasks (bench press and bench pull) may distinguish between kayakers specialized in different distances.