Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults

BackgroundEstablishing normative isokinetic muscle strength values and prediction models for knee joints in non-athletic healthy Chinese adults aids in clinical assessments, diagnosis, and rehabilitation. However, there has been limited research on these normal reference values, particularly involvi...

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Main Authors: Kun Liu, Lulu Yin, Ye Zhang, Gongliang Liu, Ping Fang, Yanhong Ma, Lihua Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Bioengineering and Biotechnology
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Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2025.1573267/full
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author Kun Liu
Lulu Yin
Ye Zhang
Gongliang Liu
Ping Fang
Yanhong Ma
Lihua Huang
author_facet Kun Liu
Lulu Yin
Ye Zhang
Gongliang Liu
Ping Fang
Yanhong Ma
Lihua Huang
author_sort Kun Liu
collection DOAJ
description BackgroundEstablishing normative isokinetic muscle strength values and prediction models for knee joints in non-athletic healthy Chinese adults aids in clinical assessments, diagnosis, and rehabilitation. However, there has been limited research on these normal reference values, particularly involving large sample cohorts. Therefore, this study aimed to develop normative reference values and predictive models for knee joint isokinetic muscle strength across different age groups and genders in non-athletic healthy Chinese adults.MethodsA total of 2,208 participants aged between 20–70 years old were included in the study. The participants were divided into two groups by gender and further divided into five age groups: 20–29, 30–39, 40–49, 50–59 and 60–69 years old, resulting in a total of 10 groups. Key parameters, including peak torque of knee flexors and extensors, relative peak torque, peak torque ratio of flexors to extensors, peak torque angle and work, were collected using an isokinetic dynamometer at angular velocities of 60°/s and 180°/s. Two-way analysis of variance was utilised to analyse the characteristics and differences of these parameters amongst different age groups and genders. Pearson correlation coefficients were calculated to examine the relationships between these parameters and gender, age, height, weight and body mass index. Predictive models were developed using linear regression and various machine learning techniques.ResultsMales exhibited significantly higher knee isokinetic strength values than females across all age groups, with knee extensor strength 20.47%–38.01% higher and knee flexor strength 22.91%–43.42% higher at both 60°/s and 180°/s. Muscle strength showed a moderate negative correlation with age, indicating a decline with increasing age. Extension strength values were greater than flexion, and measurements at 180°/s were lower compared to 60°/s. The multilayer perceptron regressor demonstrated the highest predictive capability among the models tested.ConclusionThis study provides comprehensive normative reference values and predictive models for knee joint isokinetic muscle strength in non-athletic healthy Chinese adults. The results highlight significant gender and age differences, offering valuable data for clinical assessments and personalized rehabilitation strategies to improve knee joint health and overall quality of life.
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spelling doaj-art-b07ad9680ccc46c0bcc9dd69acf0dad52025-08-20T02:33:18ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852025-05-011310.3389/fbioe.2025.15732671573267Normative isokinetic knee strength values and prediction models in non-athletic Chinese adultsKun Liu0Lulu Yin1Ye Zhang2Gongliang Liu3Ping Fang4Yanhong Ma5Lihua Huang6Department of Rehabilitation Medicine, Shanghai Sixth People’s Hospital, Shanghai, ChinaKey Laboratory of Exercise and Health Sciences (Shanghai University of Sport), Ministry of Education, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Sixth People’s Hospital, Shanghai, ChinaBackgroundEstablishing normative isokinetic muscle strength values and prediction models for knee joints in non-athletic healthy Chinese adults aids in clinical assessments, diagnosis, and rehabilitation. However, there has been limited research on these normal reference values, particularly involving large sample cohorts. Therefore, this study aimed to develop normative reference values and predictive models for knee joint isokinetic muscle strength across different age groups and genders in non-athletic healthy Chinese adults.MethodsA total of 2,208 participants aged between 20–70 years old were included in the study. The participants were divided into two groups by gender and further divided into five age groups: 20–29, 30–39, 40–49, 50–59 and 60–69 years old, resulting in a total of 10 groups. Key parameters, including peak torque of knee flexors and extensors, relative peak torque, peak torque ratio of flexors to extensors, peak torque angle and work, were collected using an isokinetic dynamometer at angular velocities of 60°/s and 180°/s. Two-way analysis of variance was utilised to analyse the characteristics and differences of these parameters amongst different age groups and genders. Pearson correlation coefficients were calculated to examine the relationships between these parameters and gender, age, height, weight and body mass index. Predictive models were developed using linear regression and various machine learning techniques.ResultsMales exhibited significantly higher knee isokinetic strength values than females across all age groups, with knee extensor strength 20.47%–38.01% higher and knee flexor strength 22.91%–43.42% higher at both 60°/s and 180°/s. Muscle strength showed a moderate negative correlation with age, indicating a decline with increasing age. Extension strength values were greater than flexion, and measurements at 180°/s were lower compared to 60°/s. The multilayer perceptron regressor demonstrated the highest predictive capability among the models tested.ConclusionThis study provides comprehensive normative reference values and predictive models for knee joint isokinetic muscle strength in non-athletic healthy Chinese adults. The results highlight significant gender and age differences, offering valuable data for clinical assessments and personalized rehabilitation strategies to improve knee joint health and overall quality of life.https://www.frontiersin.org/articles/10.3389/fbioe.2025.1573267/fullisokinetic strengthknee jointnormal reference valuemachine learningprediction models
spellingShingle Kun Liu
Lulu Yin
Ye Zhang
Gongliang Liu
Ping Fang
Yanhong Ma
Lihua Huang
Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults
Frontiers in Bioengineering and Biotechnology
isokinetic strength
knee joint
normal reference value
machine learning
prediction models
title Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults
title_full Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults
title_fullStr Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults
title_full_unstemmed Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults
title_short Normative isokinetic knee strength values and prediction models in non-athletic Chinese adults
title_sort normative isokinetic knee strength values and prediction models in non athletic chinese adults
topic isokinetic strength
knee joint
normal reference value
machine learning
prediction models
url https://www.frontiersin.org/articles/10.3389/fbioe.2025.1573267/full
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