🆕📑 New publication: "Hip and Knee Bilateral Deficit Across Bilateral, Unilateral, and Split-Load Leg Press Conditions" by Pisz et al.! 🔗Read more at: brnw.ch/21x3iot #Strength #Dynamometry #Isokinetic #OpenAccess #MDPI

Ask every patient >50 — or anyone with HF, T2DM, CKD, or frailty risk: "Do you resistance train?" "Can you rise from a low chair without your arms?" "Had a fall in the past year?" "How much protein daily?" Consider grip dynamometry. 60 seconds. Validated prognostic tool.

How to assess strength in clinic: • Grip dynamometry: <26 kg (M) / <16 kg (F) = low (EWGSOP2) • 5-rep chair stand: slow = high-risk signal • Gait speed: <0.8 m/s = sarcopenia red flag "Can you rise from a chair without your arms?" 10 seconds. Costs nothing. Vital sign.

Rawdon, C., Shell, D., Le, R., & Mason, K. (2025). Muscular strength measurements through hand-held and anchored dynamometry: A study of test-retest and interrater reliability. Journal of Human Sport and Exercise, 20(4), 1309-1321. doi.org/10.55860/gzbbh308

Far too much of the shoulder exercises I see are with 2-10 pound weights. The @ArmCarecom or @VALDPerformance dynamometry should give you an idea for what sort of poundage the athlete is currently at. From there, you want to look at the normative data (as it compares to BW).

Join us for a practical course designed to help clinicians build confidence, enhance clinical reasoning, and develop hands-on skills using hand-held dynamometry and ForceDecks. hubs.la/Q04gYlTz0

𝑀𝑆𝑆𝐸'𝑠 𝑀𝑂𝑁𝑇𝐻𝐿𝑌 𝐹𝐸𝐴𝑇𝑈𝑅𝐸: Zhou and colleagues examined sex-specific impact of stroke on task endurance for an isometric knee extension exercise. This is important because females often have worse motor-related functional outcomes than males post stroke and fatigability may be a contributing factor. Using dynamometry, they found female stroke survivors had a shorter task duration (that is, were more fatigable) than neurotypical females, whereas this difference was not observed between male stroke survivors and neurotypical males. Read this featured article in Medicine & Science in Sports & Exercise: okt.to/Xw5k9J

good to know dynamometry

The science behind the "Launch": Preflight Medical Data Collection! The Understanding the human body at its limits. Before launch Astronaut Sophie Adenot was undergoing intense Medical Baseline Data Collection (BDC) 🫀 But what exactly is happening? Here’s the breakdown ;) What are BDCs? Before an astronaut launches, scientists need a "gold standard" of their healthy state on Earth. These Baseline Data Collections involve high-tech screenings to record every vital parameter. This data is later compared with post-flight results to see exactly how space changed the body. The Technology & Experiments: • Isokinetic Dynamometry (The "Chair"): You see Sophie strapped into a complex robotic chair. This measures muscle strength and torque in specific joints. In microgravity, muscles atrophy quickly (Sarcopenia); this device helps quantify exactly how much strength is lost!!! • Metabolic & Cardiovascular Tracking: From blood pressure cuffs to electrodes, every heartbeat and respiratory cycle is logged to study how the heart adapts to fluid shifts in space. So why does this matter? ✨ This isn't just for space travel. By studying Sophie’s body, scientists gain insights into: Sarcopenia: The age-related loss of muscle mass. Osteoporosis: Space is like "fast-forwarded aging" for bones. The data helps develop treatments for elderly patients on Earth. Every drop of sweat and every data point collected now is a step toward safer long-duration missions to the Moon and beyond!! (Please correct me if the Informations are not correct! ✨ If you want to add something or know something, feel free to let me know!) #SophieAdenot #EpsilonMission #ESA #SpaceMedicine #Science #AstronautTraining #DeepSpace #Space

What to monitor if you or your patients are on GLP-1 therapy: 1. DEXA scan at baseline provides body composition data, not just weight 2. Grip strength (handgrip dynamometry) 3. Protein intake: minimum 1.6g/kg lean body mass 4. Resistance training: non-negotiable 5. Creatine supplementation: strong evidence for lean mass preservation The drug is a tool. The protocol around it determines the outcome.

If the knee looks good, it probably is. That includes ROM dynamometry (don't guess, assess). Local problems cause local inhibition, so good strength makes the knee less likely. Post-activity knee pain even a hint of hip history? Check the hips. More nickilicphysio.substack.com/…

I was reassured that I measure 38.5 cm. What a simple way to assess muscle mass. I shall incorporate this along with dynamometry at my clinic & BCA. Adding to this post an infographic on how to measure calf circumference #sarcopenia #strengthtraining

🧠💪 𝗗𝗲𝗯𝗶𝗹𝗶𝗱𝗮𝗱 𝗮𝗱𝗾𝘂𝗶𝗿𝗶𝗱𝗮 𝗽𝗼𝗿 𝗲𝗻𝗳𝗲𝗿𝗺𝗲𝗱𝗮𝗱 𝗰𝗿𝗶́𝘁𝗶𝗰𝗮 (𝗖𝗜𝗪/𝗖𝗜𝗣/𝗖𝗜𝗠)🚨🫁 @BioMedCentral 👇🏼👇🏼👇🏼👇🏼 📑🔗🔑🔓 t.me/ClubCrit ⬇️⬇️⬇️⬇️ 🧵👇 📌La 𝘾𝙄𝙒 es una debilidad 𝙙𝙞𝙛𝙪𝙨𝙖, 𝙨𝙞𝙢𝙚́𝙩𝙧𝙞𝙘𝙖, que aparece 𝘥𝘦𝘴𝘱𝘶𝘦́𝘴 del ingreso a UCI (no suele ser la causa de ingreso) 🏥➡️. Afecta extremidades músculos respiratorios 🫁, 𝙧𝙚𝙨𝙥𝙚𝙩𝙖 𝙘𝙖𝙧𝙖 😮, y se asocia a más VM, más estancia y peor pronóstico 📉. 🧩🧠 𝘾𝙄𝙒 𝙣𝙤 𝙚𝙨 “𝙪𝙣𝙖 𝙨𝙤𝙡𝙖 𝙘𝙤𝙨𝙖”: 𝘾𝙄𝙋 𝙫𝙨 𝘾𝙄𝙈 (𝙮 𝙨𝙪𝙚𝙡𝙚𝙣 𝙘𝙤𝙚𝙭𝙞𝙨𝙩𝙞𝙧) 🧬⚡️ 🔵 𝘾𝙄𝙋 = polineuropatía axonal (motor sensitivo) 🧠➡️🦵 🟠 𝘾𝙄𝙈 = miopatía (pérdida de filamentos gruesos/necrosis, etc.) 💪🧫 📌 En UCI, lo más común es el 𝙘𝙤𝙢𝙗𝙤 𝘾𝙄𝙋 𝘾𝙄𝙈 🧩🧩. 👀 Clínica: hiporreflexia/areflexia, debilidad generalizada, dificultad para destete 😮‍💨. 🛏️✅ 𝘿𝙞𝙖𝙜𝙣𝙤́𝙨𝙩𝙞𝙘𝙤 𝙗𝙚𝙙𝙨𝙞𝙙𝙚: 𝙈𝙍𝘾 𝙙𝙞𝙣𝙖𝙢𝙤𝙢𝙚𝙩𝙧𝙞́𝙖 (𝙘𝙤𝙢𝙤 𝙨𝙘𝙧𝙚𝙚𝙣𝙞𝙣𝙜) 🔍💪 Si el paciente coopera 🧠✅: 🧮 𝙈𝙍𝘾 𝙨𝙪𝙢 𝙨𝙘𝙤𝙧𝙚 (𝙈𝙍𝘾𝙨𝙨) en cuanto despierta y al alta de UCI (mínimo) 🤝 𝙃𝙖𝙣𝙙𝙜𝙧𝙞𝙥 𝙙𝙮𝙣𝙖𝙢𝙤𝙢𝙚𝙩𝙧𝙮 como screening rápido durante la estancia 📌 Cortes sugeridos: HGD <11 kg (hombres) o <7 kg (mujeres) = alerta 🚨 👉 La idea: no esperar a “ver si camina” en sala 🏥😬. 🧠😵‍💫 𝙎𝙞 𝙝𝙖𝙮 𝙘𝙤𝙢𝙖/𝙙𝙚𝙡𝙞𝙧𝙞𝙪𝙢: 𝙪𝙨𝙖 𝙝𝙚𝙧𝙧𝙖𝙢𝙞𝙚𝙣𝙩𝙖𝙨 “𝙞𝙣𝙨𝙩𝙧𝙪𝙢𝙚𝙣𝙩𝙖𝙡𝙚𝙨” ⚡️🧪 La CIW 𝙣𝙤 𝙥𝙪𝙚𝙙𝙚 𝙚𝙫𝙖𝙡𝙪𝙖𝙧𝙨𝙚 𝙗𝙞𝙚𝙣 con delirium 😵‍💫. Opciones: 🟣 𝙋𝙀𝙉𝙏 (peroneal nerve test) rápido ⏱️ (~10 min) para detectar reducción de CMAP y gatillar estudios completos 🧠 NCS/EMG si debilidad persiste o diagnóstico es incierto 🩻 𝙐𝙡𝙩𝙧𝙖𝙨𝙤𝙣𝙞𝙙𝙤 𝙣𝙚𝙪𝙧𝙤𝙢𝙪𝙨𝙘𝙪𝙡𝙖𝙧: nervios (CIP) y masa/arquitectura muscular (CIM) diafragma (TFdi) 📌 Incluso alteraciones electrofisiológicas “sin debilidad visible” predicen peor pronóstico a largo plazo ⚠️. 5/7 🚨🫁 “𝙍𝙚𝙙 𝙛𝙡𝙖𝙜𝙨” 𝙚𝙣 𝙨𝙖𝙡𝙖: 𝙛𝙖𝙡𝙡𝙖 𝙣𝙚𝙪𝙧𝙤𝙢𝙪𝙨𝙘𝙪𝙡𝙖𝙧 𝙧𝙚𝙨𝙥𝙞𝙧𝙖𝙩𝙤𝙧𝙞𝙖 (𝙥𝙧𝙤𝙜𝙧𝙚𝙨𝙞𝙤́𝙣 𝙨𝙞𝙡𝙚𝙣𝙘𝙞𝙤𝙨𝙖) 😨 En planta, CIW puede dar 𝙞𝙣𝙨𝙪𝙛𝙞𝙘𝙞𝙚𝙣𝙘𝙞𝙖 𝙧𝙚𝙨𝙥𝙞𝙧𝙖𝙩𝙤𝙧𝙞𝙖 𝙣𝙚𝙪𝙧𝙤𝙢𝙪𝙨𝙘𝙪𝙡𝙖𝙧 🫁⚠️ con Rx casi normal 🩻😬 y gases que empeoran tarde ⏳. Señales: 🤧 tos débil no moviliza secreciones 🥤 tos post-deglución (disfagia) 🗣️ habla “entrecortada” (pausas para respirar) 😮‍💨 respiración rápida y superficial 👉 Si aparecen: re-evaluar, buscar sepsis, considerar vigilancia estrecha o reingreso a UCI 🏥🔁. 6/7 🛡️🏃‍♂️ 𝙋𝙧𝙚𝙫𝙚𝙣𝙘𝙞𝙤́𝙣/𝙩𝙧𝙖𝙩𝙖𝙢𝙞𝙚𝙣𝙩𝙤 𝙚𝙣 𝙐𝘾𝙄: 𝙡𝙤 𝙦𝙪𝙚 𝙎𝙄́ 𝙧𝙚𝙙𝙪𝙘𝙚 𝙙𝙚𝙗𝙞𝙡𝙞𝙙𝙖𝙙 No hay fármaco mágico 💊🚫. Lo que más funciona es “UCI bien hecha” ✅: 🧠 minimizar sedación profunda (facilita interacción movilidad) 🧩 𝘼𝘽𝘾𝘿𝙀𝙁 𝙗𝙪𝙣𝙙𝙡𝙚 (dolor, despertar/respirar, sedación, delirium, movilidad, familia) 🏃‍♀️ 𝙢𝙤𝙫𝙞𝙡𝙞𝙯𝙖𝙘𝙞𝙤́𝙣 𝙩𝙚𝙢𝙥𝙧𝙖𝙣𝙖 (ideal 2–3 días si fisiológicamente estable) 🎯 rehab funcional (sentarse, pararse, caminar) y re-evaluación continua 📌 Evitar inmovilidad = evitar CIW (en parte) 🛌🚫. 🧠🧑‍⚕️ 𝘿𝙚𝙨𝙥𝙪𝙚́𝙨 𝙙𝙚𝙡 𝙖𝙡𝙩𝙖: 𝘾𝙄𝙒 = 𝙋𝙄𝘾𝙎 (𝙣𝙤 𝙩𝙚𝙧𝙢𝙞𝙣𝙖 𝙚𝙣 𝙐𝘾𝙄) 🧩📆 La debilidad puede durar meses-años ⏳💪 y se asocia a 𝙋𝙄𝘾𝙎: físico cognitivo salud mental 🧠😥. 📌 Por eso proponen: 🏥 documentar fuerza (MRCss) antes de egreso de UCI 🔁 continuidad de rehabilitación nutrición longitudinal 🍽️ 👥 clínicas de seguimiento post-UCI para coordinar fisio, psicología, nutrición y medicina familiar 🧑‍⚕️🤝 👉 Mensaje final: “sobrevivir” no es el final; 𝙧𝙚𝙘𝙪𝙥𝙚𝙧𝙖𝙧 𝙛𝙪𝙣𝙘𝙞𝙤́𝙣 es el objetivo 🎯💙. ‼️Si te sirve: ❤️ Me gusta | 🔁 Repost | ➕ Follow para más #MedED en #ClubCrit 😄🧠🫶 📚📖 Más en el blog #ClubCrit 👉 [buff.ly/qm5qV6t] #Neurocritical #NeuroX #NeuroICU #Rehab #Neurology #Rehabilitation #Neurocritical #POCUS #POCUS #LungUltrasound #JVP #ICU #CriticalCare #CuidadoCrítico #MedTwitter #CritCare #Diagnóstico #icu #intensivecare #diagnosis #management #UCI #Tratamiento #MedicinaBasadaEnEvidencia #POCUS #MedEd #Medicina #Emergencias #FOAMed #FOAMcc #MedX #IntensiveCare #EducaciónMédica #MedIntensiva #MedXCommunity #MedicinaCrítica #MedED #CritCare #ICUmanagement #MustRead #LecturaRecomendada

There is no single ‘best’ testing position It’s the stable position you can create repeatedly within your specific practice. Teaching dynamometry involves helping you understand the fundamentals of testing & then applying to your practice Learn more👇🏼 getbacktosport.com/how-to-us…

Now OPEN for enrolment Do you want some help: 🗺️ Navigating the field of dynamometry? 👌🏼 Understanding the critical methodological factors between good & useless tests? 🫵Choosing the right HHD for your practice? DM me for a discount code & go here 👇🏼 getbacktosport.com/how-to-us…

Mi scusi, ma cosa c'entra la composizione del gruppo di studio, la loro provenienza e le loro identità??? E piuttosto limitativo ''Upper-body strength was primarily evaluated using handgrip dynamometry'' bjsm.bmj.com/content/early/2…

A must read paper covering all aspects of hand held dynamometry 👏👏👏

4. “Upper-body strength was primarily evaluated using handgrip dynamometry” Prob: Styrke måles primært med håndgreb, kondition måles sjældent. Der måles ikke reel sport, konkurrence el. Præstation. Det svarer til at vurdere hvem der bedst til fodbold, ved at måle håndstyrke.