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Cybex Test Report Tool to Assess Strength and Deficiency in Involved Hamstrings The purpose of this rating scale is to assist in analysis of a graded Cybex test report. This scale should be used by Athletic Trainers, Physical Therapists, Sports Medicine Physicians and their athletes to determine strength and deficiency in involved hamstrings. This is important in rehabilitation to show regression and progression. This scale could be a major factor in determining return to play or activity. Also, this scale could be used to predict potential pathology. The rating scale was conceived based on Cybex isokinetic test reports located in the Esby Training Room. Analysis of Cybex test reports requires experience with exercise physiology, rehabilitation, and biomechanics, of the lower extremity. The data used to rate strength and deficiency are in peak torque (FtLbs) ratio of hamstrings to quadriceps. It is to be understood that in ambulation, the hamstrings decelerate the powerful quadriceps and in order to do this efficiently, the hamstrings must produce 50% of the torque produced by the quadriceps. If the hamstrings can not do produce this 50%, there is potential for injury or further injury to the entire lower extremity. If the hamstrings are producing >75% of the quadriceps torque, you must suspect involvement of the quadriceps. A score of 5 indicates the hamstrings are >75% the strength of quadriceps A score of 4 indicates the hamstrings are 74-51% the strength of quadriceps A score of 3 indicates the hamstrings are 50% the strength of quadriceps A score of 2 indicates the hamstrings are 49-40% the strength of quadriceps A score of 1 indicate the hamstrings are <40% the strength of quadriceps A score of 5 indicates the hamstrings are >75% the strength of quadriceps This is an area of concern. Your quadriceps should be significantly stronger than hamstrings, if the hamstrings are >75% the strength of quadriceps, you should suspect weak or injured quadriceps. A score of 4 indicates the hamstrings are 74-51% the strength of quadriceps This is an optimal range. For general population, the lower end of the range is acceptable; however athletes should be in the higher end of the range. A score of 3 indicates the hamstrings are 50% the strength of quadriceps This is a borderline. Hamstring strengthening is suggested. A score of 2 indicates the hamstrings are 49-40% the strength of quadriceps Hamstrings are weak and strengthening is necessary to prevent injury. A score of 1 indicate the hamstrings are <40% the strength of quadriceps Significant involvement exists. Pathology must be identified to facilitate proper rehabilitation. DATE Example: PATIE DX NT PEAK TORQ UE QUAD S 11/11/0 Joe Left 2nd 150(ftl 0 Bazook Degree bs) a hamstri ng strain PEAK TORQ UE HAMS PEAK TORQ UE QUAD S/ HAMS 50(ftlbs 30% ) RATIN REPO G RT TYPE 1 Isokine tic short bilatera l If you notice, the rating is a 1, therefore, there is significant involvement and rehabilitation must be started.