Joint torque variability and repeatability during cyclic flexion-extension of the elbow

Laurent Ballaz, Maxime Raison, Christine Detrembleur, Guillaume Gaudet, Martin Lemay

Joint torques are generally of primary importance for clinicians to analyze the effect of a surgery and to obtain an indicator of functional capability to perform a motion. Given the current need to standardize the functional evaluation of the upper limb, the aim of this paper is to assess (1) the variability of the calculated maximal elbow joint torque during cyclic elbow flexion-extension movements and (2) participant test-retest repeatability in healthy young adults. Calculations were based on an existing non-invasive method including kinematic identification and inverse dynamics processes. Twelve healthy young adults (male n = 6) performed 10 elbow flexion-extension movement carrying five different dumbbells (0, 1, 2, 3 and 4 kg) with several flexion-extension frequencies (½, (1)/3, ¼ Hz) to evaluate peak elbow joint torques. Whatever the condition, the variability coefficient of trial peak torques remained under 4 %. Bland and Altman plot also showed good test-retest, whatever the frequency conditions for the 0, 1, 2, and 3 kg conditions. The good repeatability of the flexion-extension peak torques represents a key step to standardize the functional evaluation of the upper limb.