Strength and power assessments have been around for decades, but technology has upped the game on physical performance testing. Data-driven assessment helps all athletes reach their performance potential, and helps injured athletes quickly return to play.
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There is a wide range of assessments for strength and power, and many of them have been used for decades. However, technology has upped the game on physical performance testing, giving us new tools to accurately measure multiple performance elements, including strength in different phases of muscle contraction, bilateral strength and power, and agonist:antagonist strength and power ratios.
Our high-tech tools enable us to not only assess more accurately, but to design training protocols that optimize specific performance metrics. These tools give us quantitative data to measure changes from baseline, and they give athletes important feedback that helps them improve, to reach their full performance potential.
The combination of Proteus Motion and Kineo Intelligent Load technologies allow us to conduct the most comprehensive whole body assessments for strength and power available.
The Kineo strength assessment leverages artificial intelligence for the first time in the industry. It allows us to measure all phases of muscle contraction — concentric, eccentric, isokinetic and isometric. We can test bilaterally to show strength deficits between healthy and injured limbs, and push/pull to assess agonist:antagonist ratios.
Performance feedback is displayed on a screen in real time, giving the athlete a visual cue for comparison and improvement.
Results from Proteus power tests and Kineo strength assessments are displayed in charts and graphs that give both therapist and athlete a visual representation of results.
The Proteus power test is designed to measure the power capabilities of the upper body, lower body, and core, to give us an overall assessment of an athlete’s readiness to return to play after an injury and rehab. It lets us compare bilateral metrics, so we can see how the injured side compares to the non-injured side. For uninjured athletes, it helps identify and correct bilateral imbalances. We can also compare strength and power ratios of agonist to antagonist muscle groups, to optimize performance.
Once the data are gathered, they are used to create a score based on power production per pound of body mass across all exercises. The score is calculated using the average power in watts produced, divided by the athlete’s body weight. The athlete is also given a percentile ranking based on all Proteus tests of users with the same body weight.
Poteus skills execution training
In addition to Proteus and Kineo, NYDNRehab has added the MAD-UP blood flow restriction training device to our tech toolbox. MAD-UP is the most advanced personal blood flow restriction training device available. Blood flow restriction training is a new technology which allows athletes to maintain strength and induce muscle hypertrophy while training with much lighter loads.
If you have an injury to a joint, tendon, muscle or even your spine, you will be able to induce muscle hypertrophy and maintain strength while working out with much lighter weights. Good examples are old muscle tears, a knee or hip with osteoarthritis, or an old herniated disc that prevents you from lifting your max, and therefore creates strength imbalances. Using BFR MAD-UP, you will be able to restore strength and improve muscle balance in that area.
At NYDNRehab, we offer BFR training packages with MAD-UP to help you build muscle mass fast.
Whether you are an injured athlete eager to return to play, or a fierce competitor who wants to reach new heights, assessing your strength and power with high tech equipment that yields quantitative results can be a game changer.
The assessment tools used in NYDNRehab’s performance lab have been used by pro athletes in football, soccer and hockey, from major leagues like the NFL, MBA, MLB, NHL, and major soccer leagues. If you want to go pro, or just play like one, schedule a high-tech comprehensive strength and power assessment at NYDNRehab today.
Dr.Kalika has revolutionized Achilles tendon care by using high resolution diagnostic ultrasonography for structural diagnosis, combined with gait and motion analysis technology. The NYDNRehab motion and gait analysis lab is the only private lab in the US to feature research-grade technologies found only in the world’s top research labs, and made available to patients in our private clinic. Dr.Kalika’s modern approach to athletic Achilles tendon injuries has put him on the radar of some of the world’s top distance runners, pro athletes and professional ballet dancers.
Dr. Mikhail Bernshteyn MD (Internist) 
Dr. Michael Goynatsky DPT 
Dr. Daniela Escudero DPT 
Dr. Michelle Agyakwah DC 
Dr. Tatyana Kapustina L. Ac. 
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
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