Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease

Volitional assessment of quadriceps muscle endurance is clinically relevant in patients with chronic obstructive pulmonary disease (COPD). However, studies that determine the construct validity of volitional tests by comparing them to non-volitional measures are lacking. Therefore, the aim of the cu...

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Main Authors: Anouk A. F. Stoffels, Neeltje A. E. Allard, Martijn A. Spruit, Peter Klijn, Maria T. E. Hopman, Roy Meys, Frits M. E. Franssen, Silvie Timmers, Bram van den Borst, Hieronymus W. H. van Hees
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語言:英语
出版: MDPI AG 2024-01-01
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在線閱讀:https://www.mdpi.com/2075-4418/14/2/190
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author Anouk A. F. Stoffels
Neeltje A. E. Allard
Martijn A. Spruit
Peter Klijn
Maria T. E. Hopman
Roy Meys
Frits M. E. Franssen
Silvie Timmers
Bram van den Borst
Hieronymus W. H. van Hees
author_facet Anouk A. F. Stoffels
Neeltje A. E. Allard
Martijn A. Spruit
Peter Klijn
Maria T. E. Hopman
Roy Meys
Frits M. E. Franssen
Silvie Timmers
Bram van den Borst
Hieronymus W. H. van Hees
author_sort Anouk A. F. Stoffels
collection DOAJ
container_title Diagnostics
description Volitional assessment of quadriceps muscle endurance is clinically relevant in patients with chronic obstructive pulmonary disease (COPD). However, studies that determine the construct validity of volitional tests by comparing them to non-volitional measures are lacking. Therefore, the aim of the current study is to evaluate the correlation between volitional and non-volitional quadriceps muscle endurance in patients with COPD. Quadriceps muscle endurance was evaluated in twenty-six patients with COPD. A volitional isometric and a volitional isokinetic protocol were performed on a computerised dynamometer to determine the isometric time and isokinetic work fatigue index, respectively. Non-volitional assessment of quadriceps muscle endurance was evaluated using repetitive electrical stimulations to establish the isometric muscle force decline. Sixteen patients (61 ± 8 years, 63% male, FEV<sub>1</sub> 47 (32–53)%) performed all three quadriceps endurance tests conforming to pre-defined test criteria. Both volitional isometric time and isokinetic work fatigue index did not significantly correlate with non-volitional muscle force decline (both <i>p</i> > 0.05). There was a strong correlation between volitional isometric time and isokinetic work fatigue index (rho = −0.716, <i>p</i> = 0.002). To conclude, this study suggests that volitional measures evaluate partly different aspects of quadriceps muscle endurance compared to non-volitional measures. Accordingly, these outcome measures cannot be used interchangeably.
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spelling doaj-art-9abd3010982b42e0bb2bc4053fa6af9d2025-08-19T23:48:00ZengMDPI AGDiagnostics2075-44182024-01-0114219010.3390/diagnostics14020190Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary DiseaseAnouk A. F. Stoffels0Neeltje A. E. Allard1Martijn A. Spruit2Peter Klijn3Maria T. E. Hopman4Roy Meys5Frits M. E. Franssen6Silvie Timmers7Bram van den Borst8Hieronymus W. H. van Hees9Department of Pulmonary Diseases, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Physiology, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Research and Development, Ciro, 6085 NM Horn, The NetherlandsDepartment of Pulmonology, Merem Pulmonary Rehabilitation Centre, 1213 VX Hilversum, The NetherlandsDepartment of Physiology, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Research and Development, Ciro, 6085 NM Horn, The NetherlandsDepartment of Research and Development, Ciro, 6085 NM Horn, The NetherlandsHuman and Animal Physiology, Wageningen University, 6708 WD Wageningen, The NetherlandsDepartment of Pulmonary Diseases, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Pulmonary Diseases, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsVolitional assessment of quadriceps muscle endurance is clinically relevant in patients with chronic obstructive pulmonary disease (COPD). However, studies that determine the construct validity of volitional tests by comparing them to non-volitional measures are lacking. Therefore, the aim of the current study is to evaluate the correlation between volitional and non-volitional quadriceps muscle endurance in patients with COPD. Quadriceps muscle endurance was evaluated in twenty-six patients with COPD. A volitional isometric and a volitional isokinetic protocol were performed on a computerised dynamometer to determine the isometric time and isokinetic work fatigue index, respectively. Non-volitional assessment of quadriceps muscle endurance was evaluated using repetitive electrical stimulations to establish the isometric muscle force decline. Sixteen patients (61 ± 8 years, 63% male, FEV<sub>1</sub> 47 (32–53)%) performed all three quadriceps endurance tests conforming to pre-defined test criteria. Both volitional isometric time and isokinetic work fatigue index did not significantly correlate with non-volitional muscle force decline (both <i>p</i> > 0.05). There was a strong correlation between volitional isometric time and isokinetic work fatigue index (rho = −0.716, <i>p</i> = 0.002). To conclude, this study suggests that volitional measures evaluate partly different aspects of quadriceps muscle endurance compared to non-volitional measures. Accordingly, these outcome measures cannot be used interchangeably.https://www.mdpi.com/2075-4418/14/2/190muscle endurancechronic obstructive pulmonary diseasevolitionalnon-volitionalquadriceps
spellingShingle Anouk A. F. Stoffels
Neeltje A. E. Allard
Martijn A. Spruit
Peter Klijn
Maria T. E. Hopman
Roy Meys
Frits M. E. Franssen
Silvie Timmers
Bram van den Borst
Hieronymus W. H. van Hees
Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease
muscle endurance
chronic obstructive pulmonary disease
volitional
non-volitional
quadriceps
title Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease
title_full Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease
title_fullStr Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease
title_full_unstemmed Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease
title_short Relationship between Volitional and Non-Volitional Quadriceps Muscle Endurance in Patients with Chronic Obstructive Pulmonary Disease
title_sort relationship between volitional and non volitional quadriceps muscle endurance in patients with chronic obstructive pulmonary disease
topic muscle endurance
chronic obstructive pulmonary disease
volitional
non-volitional
quadriceps
url https://www.mdpi.com/2075-4418/14/2/190
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