Methods of Functional Testing During Rehabilitation Exercises

  • Carmelo Bosco


The assessment of muscle strength and power as well as range of motion, stiffness, and flexibility is important in exercise science. Similarly, evaluation of neuromuscular behaviour is extremely relevant in the rehabilitation of sport injuries. Consequently, several tests, methods, and techniques have been used to provide information regarding the relevance of strength and power to various physical pursuits and to monitor progress of rehabilitation from injuries [63]. Physical characteristics are dependent on several factors, including structure and function of the nervous system, structure and biochemical profile of skeletal muscle, mechanics of the joints and levers, and external mechanics. Each of these components has its specific influence on a given performance, but more importantly, they are all interdependent. Proper integrative function is of great relevance to neuromuscular performance. Therefore, the development and refinement of valid and reliable tests of muscular function are one of the pillars upon which rehabilitation from sport injuries is based.


Vastus Lateralis Rehabilitation Exercise Isokinetic Dynamometer Hamstring Injury Vibration Treatment 
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  1. 1.
    Angel RW (1974) Electromyography during voluntary movement: The two burst pattern. Electroenc Neurophysiol 36: 493–498CrossRefGoogle Scholar
  2. 2.
    Augustsson J, Esko A, Thomee R et al (1998) Weight training of the thigh muscles using closed vs. open kinetic chain exercises: A comparison of performance enhancement. J Orthop Sports Phys Ther 27 (1): 3–8PubMedGoogle Scholar
  3. 3.
    Baker D, Wilson G, Carlyon B (1994) Generality versus specificity: A comparison of dynamic and isometric measures of strength and speed-strength. Eur J Appl Physiol 68: 350–355Google Scholar
  4. 4.
    Bennell K, Wajswelner H, Lew P et al (1998) Isokinetic strength does not predict hamstring injury in Australian rules footballers. Br J Sports Med 32 (4): 309–331PubMedCrossRefGoogle Scholar
  5. 5.
    Blackburn JR, Morrissey MC (1998) The relationship between open and closed chain strength of the lower limb and jumping performance. J Orthop Sports Phys Ther 27 (6): 430–435PubMedGoogle Scholar
  6. 6.
    Bongiovanni LG, Hagbarth KE, Stjenberg L (199o) Prolonged muscle vibration reducing motor output in maximal voluntary contractions in man. J Physiol (Lond) 423: 15–23Google Scholar
  7. 7.
    Bosco C (1981) New tests for measurement of anaerobic capacity in jumping and leg extensor muscle.Volleyball, I.F. V.B. Official Magazine 1: 22–30Google Scholar
  8. 8.
    Bosco C (1991a) Nuove metodologie per la valutazione e la programmazione dell’allenamento. SDS Rivista di Cultura Sportiva 22: 13–22Google Scholar
  9. 9.
    Bosco C (1991b) Nuovi metodi di pianificazione dei carichi di lavoro. In: Riabilitazione del traumatizzato e preparazione fisica dello sportivo. Edn Erre Come Riabilitazione, Rome 109: 109–123Google Scholar
  10. 10.
    Bosco C (1992) Strength assessment with the Bosco’s test. Società Stampa Sportiva, RomeGoogle Scholar
  11. 11.
    Bosco C, Komi PV (1979) Potentiation of the mechanical behaviour of the human skeletal muscle through pre-stretching. Acta Physiol Scand 106 (4): 467–472PubMedCrossRefGoogle Scholar
  12. 12.
    Bosco C, Luhtanen P, Komi PV (1976) Kinetics and kinematics of the take-off long jump. In: Komi PV (ed) Biomechanics 5B. University Park Press, Baltimore, pp 174–180Google Scholar
  13. 13.
    Bosco C, Komi PV, Ito A (1981) Pre-stretch potentiation of human skeletal muscle during ballistic movement. Acta Physiol Scand 111 (2): 135–140PubMedCrossRefGoogle Scholar
  14. 14.
    Bosco C, Viitasalo JT, Komi PV et al (1982a) Combined effect of elastic energy and myoelectrical potentiation during stretch-shortening cycle exercise. Acta Physiol Scand 114 (4)557–565Google Scholar
  15. 15.
    Bosco C, Ito A, Komi PV et al (1982b) Neuromuscular function and mechanical efficiency of human leg extensor muscles during jumping exercises. Acta Physiol Scand 114 (4): 543–550PubMedCrossRefGoogle Scholar
  16. 16.
    Bosco C, Tarkka I, Komi PV et al (1982c) Effect of elastic energy and myoelectrical potentiation of triceps surae during stretch-shortening cycle exercise. Int J Sport Med 3: 137–140CrossRefGoogle Scholar
  17. 17.
    Bosco C, Mognoni P, Luhtanen P (1983) Relationship between isokinetic perfromance and ballistic movement. Eur J Appl Physiol 51: 357–364CrossRefGoogle Scholar
  18. 18.
    Bosco C, Komi PV, Bosco E, Nicol C, Pulvirenti G, Caruso I (1994) Influence of training on mechanical and biochemical profile’s muscles. Coaching Sport Sci J 1 (1): 8–13Google Scholar
  19. 19.
    Bosco C, Belli A, Astrua M et al (1995) A dynamometer for evaluation of dynamic muscle work. Eur J Appl Physiol 70: 379–386CrossRefGoogle Scholar
  20. 20.
    Bosco C, Cardinale M, Tsarpela 0 (1999) Influence of vibration on mechanical power and electromyogram activity in human arm flexor muscles. Eur J Appl Physiol 79 (4): 306–311Google Scholar
  21. 21.
    Burke JR, Schutten MC, Koceja DM et al (1996) Age-dependent effects of muscle vibration and the Jendrassik maneuver on the patellar tendon reflex response. Arch Phys Med Rehabil 77 (6): 600–604PubMedCrossRefGoogle Scholar
  22. 22.
    Caldwell G, Jamison J Lee S (1993) Amplitude and frequency measures of surface electromyography during dual task elbow torque production. Eur J Appl Physiol 66: 349–356CrossRefGoogle Scholar
  23. 23.
    Cavagna GA, Saibene FP, Margaria R (1964) Mechanical work in running. J Appl Physiol 19 (2): 249–256PubMedGoogle Scholar
  24. 24.
    Cavagna GA, Dusman B, Margaria R (1968) Positive work done by a previously stretched muscle. J Appl Physiol 24 (1): 21–32PubMedGoogle Scholar
  25. 25.
    Counsilman J (1971) New approach to strength building. Scholastic Coach 41: 50–52Google Scholar
  26. 26.
    Edgerton VR, Wolf SL, Levendowski DJ et al (1996) Theoretical basis patterning EMG amplitudes to assess muscle dysfunction. Med Sci Sports Exerc 28 (6): 744–751PubMedCrossRefGoogle Scholar
  27. 27.
    Engel A, Petschnig R, Baron R et al (1990) The effect of meniscectomy on the strength of the femoral quadriceps muscle after more than 3 years. Wien Klin Wochenschr 102 (22): 663–666PubMedGoogle Scholar
  28. 28.
    Fenn WO, Marsh BS (1934) Muscular force at different speeds of shortening. J Physiol Lond 85: 277–297Google Scholar
  29. 29.
    Fry AC, Kraemer WJ, Weseman CA et al (1991) Effects of an off-season strength and conditioning program on starters and non-starters in women’ s collegiate volleyball. J Appl Sport Sci Res 5: 74–181Google Scholar
  30. 30.
    Greenberger HB, Paterno MV (1995) Relationship of knee extensor strength and hopping test performance in the assessment of lower extremity function. J Orthop Sports Phys Ther 22 (5): 202–206PubMedGoogle Scholar
  31. 31.
    Hagbarth KE, Eklund G(1965) Motor effects of vibratori stimuli. In: Granit R (ed) Muscular afferents and motor control. Proceedings of the First Symposium. Almqvist and Wiksell, Stockholm, pp 177–186Google Scholar
  32. 32.
    Hakkinen K, Alen M, Komi PV (1984) Neuromuscular, anaerobic, and aerobic performance characteristics of elite power athletes. Eur J Appl Physiol 53: 97–105CrossRefGoogle Scholar
  33. 33.
    Hakkinen K, Alen M, Komi PV (1985a) Changes in isometric force-and relaxation-time, electromyographic and muscle fiber characteristics of human skeletal muscle during strength training and detraining. Acta Physiol Scand 125: 573–583PubMedCrossRefGoogle Scholar
  34. 34.
    Hakkinen K, Alen M, Komi PV (1985b) Effect of explosive type strength training on isometric force-and relaxation-time, electromyographic and muscle fiber characteristics of leg extensor muscles. Acta Physiol Scand 125: 587–600PubMedCrossRefGoogle Scholar
  35. 35.
    Hakkinen K, Komi P, Kauhanen H (1987) Scientific evaluation of specific loading of the knee extensors with variable resistance, isokinetic and barbell exercises. In: Marconet P, Komi P (eds) Medicine and sport science. Kargel, Basel, pp 224–237Google Scholar
  36. 36.
    Hakkinen K, Pakarinen A, Alen A et al (1987) Relationship between training volume, physical performance capacity, and serum hormone concentrations during prolonged training in elite weight lifters. Int J Sports Med 8: 61–65PubMedCrossRefGoogle Scholar
  37. 37.
    Hislop HJ, Perrine JJ (1967) Isokinetic concept of exercise. Phys Ther 47: 114–117PubMedGoogle Scholar
  38. 38.
    Hurley JM, Hagberg JM, Holloszy BF (1988) Muscle weakness among elite power lifters. Med SciSports Exerc 20: S81Google Scholar
  39. 39.
    Ito A, Komi PV, Sjodin B (1983) Mechanical efficiency of positive work in running at different speed. Med Sci Sports Exerc 15 (4): 299–308PubMedCrossRefGoogle Scholar
  40. 40.
    Kaneko M (1971) Dynamic of human muscle with special reference to explosive power output. Kyrin Book Co., TokioGoogle Scholar
  41. 41.
    Kaneko M, Komi PV, Aura O (1984) Mechanical efficiency of concentric and eccentric exercises performed with medium to fast contractions rate. Scand J Sport Sci 6: 15–22Google Scholar
  42. 42.
    Kannus P, Jozsa L, Kvist M et al (1998) Effects of immobilisation and subsequent low-high-intensity exercise on morphology of rat calf muscles. Scand J Med Sci Sports 8 (3) 160–171PubMedCrossRefGoogle Scholar
  43. 43.
    Kasai T, Kawanishi, Yahagi S (1992) The effects of wrist muscle vibration on human voluntary elbow flexion-extension movements. Exp Brain Res 90: 217–220PubMedCrossRefGoogle Scholar
  44. 44.
    Knuttgen E, Kraemer W (1987) Terminology and measurement in exercise performance. J Appl Sports Sci Res 1: 1–10Google Scholar
  45. 45.
    Komi P, Karlsson J, Tesh P et al (1982) Effects of heavy resistance and explosive type strength training methods on mechanical, functional, and metabolic aspects of performance. In Komi PV (ed) Exercise and sport biology.Human Kinetics, Champaign, pp 90–102Google Scholar
  46. 46.
    Kuntz H, Unold A (1986) Zielgerichtetes Krafttraining, Magglingen TLG, ETS. Trainer Information 247Google Scholar
  47. 47.
    Lebedev MA, Peliakov AV (1991). Analysis of the interference electromyogram of human soleus muscle after exposure to vibration. [Russian.] Neirofiziologia 23 (1): 57–65Google Scholar
  48. 48.
    Levine D, Klein A, Morrissey M (1991) Reliability of isokinetic concentric closed kinematic chain testing of the hip and knee extensors. Isokinetic and Exercise Science 1: 146–152Google Scholar
  49. 49.
    Mero A, Luhtanen P, Viitasalo J et al (1981) Relationships between the maximal running velocity, muscle fiber characteristics, force production and force relaxation in sprinters. Scand J Sport Sci 3: 16–22Google Scholar
  50. 50.
    Murphy AJ, Wilson GJ (1996) Poor correlation between isometric tests and dynamic performance: Relationship to muscle activation. Eur J Appl Physiol 63: 352–357Google Scholar
  51. 51.
    Murphy AJ, Wilson GJ, Pryor JF (1994) Use of iso-inertial force mass relationship in the prediction of dynamic human performance. Eur J Appl Physiol 69: 250–257CrossRefGoogle Scholar
  52. 52.
    Murphy AJ, Wilson GJ, Pryor JF et al (1995) Isometric assessment of muscular function: The effect of joint angle. J Appl Biom 11: 205–215Google Scholar
  53. 53.
    Organov VS, Skuratova SA, Potapov AN et al (1981) Physiological mechanism of adaptation of skeletal muscles of mammals to the weightless state. Adv Physiol Sci 24: 17–24Google Scholar
  54. 54.
    Ostenberg A, Roos W, Ekdahl C et al (1998) Isokinetic knee extensor strength and functional performance in healthy female soccer players. Scand J Med Sci Sports 5 (1): 257–264CrossRefGoogle Scholar
  55. 55.
    Pappas AM, Zawaki RM, Sullivan TJ (1985) Biomechanics of baseball pitching: A preliminary report. Am J Sport Med 13: 216–222Google Scholar
  56. 56.
    Paulos LE, Wnorowski DC, Beck CL (1991) Rehabilitation following knee surgery. Sport Med 11: 257–275CrossRefGoogle Scholar
  57. 57.
    Perrin DH (1993) Isokinetic exercise and assessment. Human Kinetics, ChampaignGoogle Scholar
  58. 58.
    Perrine JJ, Edgerton R (1978) Muscle force-velocity and power-velocity relationships under isokinetic loading. Med Sci Sports Exerc 10: 159–166Google Scholar
  59. 59.
    Pincivero DM, Lephart SM, Karunakara RA (1997) Reliability and precision of isokinetic strength and muscular endurance for quadriceps and hamstrings. Int J Sport Med 18: 113–117CrossRefGoogle Scholar
  60. 60.
    o.Pryor JF, Wilson GJ, Murphy AJ (1994) The effectiveness of eccentric, concentric and isometric rate of force development tests. J Hum Mov Stud 27: 153–172Google Scholar
  61. 61.
    Rothmuller C, Cafarelli E (1995). Effects of vibration on antagonist muscle coactivation during progressive fatigue in humans. J Physiol 485: 857–864PubMedGoogle Scholar
  62. 62.
    Ryushi T, Hakkinen K, Kauhanen H et al (1988) Muscle fibre characteristics, muscle cross-section area and force production in strength in athletes, physically active males and females. Scand J Sports Sci 10: 7–15Google Scholar
  63. 63.
    Sale DG (1991) Testing strength and power. In: MacDougall J, Wenger H, Green H (eds) Physiological testing of the high performance athlete, 2nd edn. Human Kinetics, Champaign, pp 21–106Google Scholar
  64. 64.
    Sale DG, MacDougall D (1981) Specificity in strength training: A review for coach and athlete. Can J Appl Sport Sci 6: 87–92Google Scholar
  65. 65.
    Sale DG, Martine JE, Moroz DE (1992) Hypertrophy without increased isometric strength after weight training. Eur J Appl Phsyiol 64: 51–55CrossRefGoogle Scholar
  66. 66.
    Secher NH (1975) Isometric rowing strength of experienced and inexperienced oarsmen. Med Sports Exerc 7: 280–283Google Scholar
  67. 67.
    Smith AT (1975) Foundations of gravitational biology. In: Foundation of space biology and medicine. Nauka II, Moscow, pp 141–175Google Scholar
  68. 68.
    Solomonow M, Baratta R, Zhou BH et al (1988) Electromyogram co-activation patterns of the elbow antagonist muscles during slow isokinetic movement. Exp Neurol 100: 470–477PubMedCrossRefGoogle Scholar
  69. 69.
    Svantesson U, Sunnerhagen SK (1997) Stretch-shortening cycle in patients with upper motor lesions due to stroke. Eur J Appl Physiol 75: 312–318CrossRefGoogle Scholar
  70. 70.
    Ter Haar Romeny B, Denier van der Gon J, Gilen C (1982) Changes in recruitment order of motor units in the human biceps brachii. Exp Neurol 78: 360–368Google Scholar
  71. 71.
    Ter Haar Romeny B, Denier van der Gon J, Gilen C (1984) Relation between location of motor units in the human biceps brachii and its critical firing levels for different tasks. Exp Neurol 85: 631–650Google Scholar
  72. 72.
    Thorstensson A, Hulten B, Karlsson J (1976). Effects of strength training on enzyme activities and fibre characteristics in human skelatal muscle. Acta Physiol Scand 96: 392–398PubMedCrossRefGoogle Scholar
  73. 73.
    Tihanyi J, Apor P, Feket G (1982) Force-velocity-power characteristics and fiber composition in human knee extensor muscles. Eur J Appl Physiol 48: 331–343CrossRefGoogle Scholar
  74. 74.
    Viitasalo JT, Hakkinen K, Komi PV (1981) Isometric and dynamic force production and muscle fibre composition in man. J Hum Mov Stud 7: 199–209Google Scholar
  75. 75.
    Wagman I, Pierce D, Burges R (1965) Proprioceptive influence in volitional control of individual motor units. Nature 207: 957–958PubMedCrossRefGoogle Scholar
  76. 76.
    Wilson GJ, Murphy AJ (1996) The use of isometric test of muscular function in athletic assessment. Sport Med 22 (1): 19–37CrossRefGoogle Scholar
  77. 77.
    Wilson GJ, Walshe AD, Fisher MR (1997) The development of an isokinetic squat device: Reliability and relationship to functional performance. Eur J Appl Physiol 75: 455–461Google Scholar
  78. 78.
    Winter DA, Wells RP, Orr GW (1981) Error in the use of isokinetic dynamometers. Eur J Appl Physiol 46: 397–408CrossRefGoogle Scholar
  79. 79.
    Westing SH, Seger JY, Thorstensson A (1990) Effect of electrical stimulation on concentric and eccentric torque-velocity relationships during knee extension in man. Acta Physiol Scand 140: 7–22CrossRefGoogle Scholar
  80. 80.
    Worrel TW, Borchert B, Erner K, Fritz J, Leerar P (1993) Effect of lateral step-up exercise protocol on quadriceps and lower extremity performance. J Orthop Sports Phys Ther 18 (6): 646–653Google Scholar
  81. 81.
    Young WB, Bilby GE (1993) The effect of voluntary effort to influence speed of contraction on strength, muscular power and hypertrophy development. J Strength Cod Res 7: 172–178Google Scholar
  82. 82.
    Zenkevich LA (1944) Assay on evolution of the motor system of animals. J Obshch Biol 5: 129Google Scholar

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  • Carmelo Bosco

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