Article

Objective: To examine maximality of muscular effort in patients with expected muscle strength deficiency using acceptance-rejection cutoff values derived from isokinetic testing of maximal and feigned effort in normal subjects. Design: A retrospective study of 34 patients with orthopedic, rheumatic, or neurologic disorders for which financial compensation was sought. Results: The relevant scores in all patients save one were less than the respective cutoff values that in normal subjects differentiate maximal effort (below cutoff) from feigned weakness (above cutoff) at a 95% level of confidence. Conclusions: If normal subjects-based cutoff values are accepted as benchmarks for validation of muscle strength deficiency claims, this study indicates that subject to a given protocol, patients performed at a maximal level of effort.

Langue : ANGLAIS

Identifiant basis : 2003225178