Interest of isokinetic in the cauda equina syndrome.

OBJECTIVE: The isokinetic allows precise and reproducible measurement of muscle strength in the normal state and in various pathological contexts. Its use in neurological diseases is limited, despite its vast scope. To report the profile isokinetic knee during the decisive cauda equina syndrome as a buoyant building program, through 2 comments.

OBSERVATIONS: Observation 1: patient aged 58 years, without particular pathological ATCDS, which has a cauda equina syndrome of herniated disc L4/L5 made. On physical examination, quadriceps (Q) 4 and hamstrings (IJ) to 5 bilaterally, the bullpen ankle 1of both sides. The isokinetic evaluation of the knee found a strength deficit and Q IJ with an imbalance of IJ/Q ratios on both sides, what motivated a sun rehabilitation of muscles by isokinetic knee? Observation 2: patient aged 44, without specific disease ATCDS, which has a cauda equina syndrome of, herniated disc L4/L5 made. On physical examination, quadriceps (Q), hamstrings (IJ) and relievers ankle are 4 bilaterally. The isokinetic evaluation of the knee found a strength deficit and Q IJ with an imbalance of IJ/Q ratios on both sides, which helped steer functional rehabilitation.

DISCUSSION/CONCLUSION: The isokinetic concept is based on the performance of a unidirectional analytical movement at a constant angular speed set by the experimenter. The resistance is variable, managed by the dynamometer and permanently locked to the subject's efforts capabilities. The isokinetic can be used in various pathological contexts and can adapt to the patient's potential, including the neurological patient. Isokinetic quantifies the importance of muscle weakness, develop and monitor well oriented building programs.