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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: J Pediatr Health Care. 2020 Jun 5;34(5):424–434. doi: 10.1016/j.pedhc.2020.04.007

TABLE 4.

Muscle Strength, Power and Torque Outcomes

n Baseline n 6 Weeks n 12 Weeks
Force plate
Peak power (watts)
  Healthy 23 1487.6 ± 811.1 19 1662.2 ± 848.6 19 1658.3 ± 888.9
  HbSSa 20 1054.3 ± 477.8* 20 1066.3 ± 577.9** 20 1071.1 ± 537.2‡‡,***
Jump height (cm)
  Healthy 23 28.0 ± 8.5 19 27.8 ± 7.6 19 27.7 ± 8.3
  HbSS 20 25.2 ± 5.2 20 25.1 ± 5.5 20 25.6 ± 5.8
Biodex Ankle
Plantar flexion isometric MVC torques (Nm)
−10°
  Healthy 21 53.6 ± 36.9 19 62.3 ± 44.2 18 64.6 ± 42.5
  HbSS 21 44.7 ± 22.2 21 50.7 ± 33.1 20 52.5 ± 31.6‡‡
  Healthy 22 50.0 ± 31.0 20 52.0 ± 31.8 19 53.7 ± 28.9
  HbSS 21 39.0 ± 20.0 21 43.3 ° 26.3 20 39.6 ± 21.6
10°
  Healthy 23 42.2 ± 24.7 20 43.4 ± 24.5 19 44.1 ± 23.2
  HbSS 21 27.3 ± 17.1* 34.1 ± 21.4 20 31.1 ± 17.0
20°
  Healthy 23 33.5 ± 19.5 20 32.7 ± 17.4 19 35.5 ± 19.0
  HbSS 21 21.2 ± 11.8* 21 23.6 ± 16.2 20 23.0 ± 13.5***
Dorsiflexion isometric MVC torques (Nm)
−10°
  Healthy 21 12.5 ± 6.9 9.8 ± 5.7 19 13.6 ± 8.9 18 13.5 ± 9.1
  HbSS 21 9.8 ± 5.7 21 9.8 ± 4.8 20 11.6 ± 6.7‡‡
 Healthy 22 15.7 ± 10.7 20 16.4 ± 11.1 19 17.0 ± 10.0
  HbSS 21 12.3 ± 7.3 21 12.6 ± 7.9 20 14.5 ± 9.0‡‡
10°
  Healthy 23 16.9 ± 12.1 20 19.8 ± 13.0 19 22.6 ± 17.5
  HbSS 21 13.3 ± 8.3 21 15.4 ± 9.0 20 15.9 ± 9.9
20°
  Healthy 23 18.1 ± 13.4 20 20.5 ± 12.4 19 21.6 ± 12.9
  HbSS 21 14.9 ± 9.3 21 15.5 ± 8.6 20 17.3 ± 10.3‡‡
Biodex Knee
Extension peak torque (Nm) 60°/sec
  Healthy 23 65.8 ± 44.1 20 69.0 ± 44.2 19 64.3 ± 42.8
  HbSS 21 49.6 ± 27.6 21 47.8 ± 27.6 20 41.8 ± 21.1***
Flexion peak torque (Nm)
60°/sec
  Healthy 23 25.5 ± 14.7 20 29.2 ± 19.2 19 29.8 ± 20.4
  HbSS 21 22.4 ± 13.3 21 23.2 ± 11.7 20 21.7 ± 11.5
Handgrip
Dominate hand max (kg)
  Healthy 23 22.7 ± 9.6 20 21.9 ± 9.9 19 24.1 ± 9.2
  HbSS 21 15.6 ± 8.6* 21 16.2 ± 7.9** 20 16.5 ± 7.8***
a

HbSS, type SS sickle cell disease; MVC, maximal voluntary contraction.

*

P<0.05, HbSS vs. Healthy at baseline.

**

P<0.05, HbSS vs. Healthy at 6 Weeks.

****

P<0.05, HbSS vs. Healthy at 12 Weeks.

P<0.05, 12 Weeks vs. Baseline in Healthy.

‡‡

P<0.05, 12 Weeks vs. Baseline in HbSS.