{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:54:25Z","timestamp":1773392065747,"version":"3.50.1"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:p>\n                    Myotome testing is often used to detect radiculopathy in patients with low back pain and radiating leg pain. While myotomes are typically assessed by testing the strength of maximum voluntary contraction, some authors suggest endurance should also be assessed, through sustained and\/or repeated contractions. Repeated (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20097) strength tests of the big toe extensor were conducted in two patients with confirmed L5 radiculopathy. Rank-sum tests were conducted for each participant to determine whether their affected leg was weaker. Weakness was observed in both patients with radiculopathy (P1 &amp;amp; P2); however, while weakness was apparent from the first trial in participant P1, it only became detectable after repeated trials in participant P2. Our results suggest that myotome assessment could, in some cases, benefit from repeated strength trials, although further research is needed to confirm the robustness of this conclusion. Additional studies should be conducted in individuals with confirmed radiculopathy to further investigate whether some patients with no immediate weakness show a strength deficit after repeated trials.\n                  <\/jats:p>","DOI":"10.3389\/fresc.2026.1670617","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:49:24Z","timestamp":1773384564000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Strength vs. endurance in myotome assessment\u2014a case for (further studies on) repeated measurements"],"prefix":"10.3389","volume":"7","author":[{"given":"Alexia","family":"Coulombe-L\u00e9v\u00eaque","sequence":"first","affiliation":[{"name":"Research Center on Aging, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux de L'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de L\u2019Estrie - CHUS)","place":["Sherbrooke, QC, Canada"]},{"name":"Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke","place":["Sherbrooke, QC, Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Dehors","sequence":"additional","affiliation":[{"name":"Research Center on Aging, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux de L'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de L\u2019Estrie - CHUS)","place":["Sherbrooke, QC, Canada"]},{"name":"Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke","place":["Sherbrooke, QC, Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9","family":"Pelletier","sequence":"additional","affiliation":[{"name":"Faculty of Sciences, Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al","place":["Montr\u00e9al, QC, Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Cabana","sequence":"additional","affiliation":[{"name":"Research Center on Aging, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux de L'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de L\u2019Estrie - CHUS)","place":["Sherbrooke, QC, Canada"]},{"name":"Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke","place":["Sherbrooke, QC, Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Pierre","family":"Dumas","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke","place":["Sherbrooke, QC, Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaume","family":"L\u00e9onard","sequence":"additional","affiliation":[{"name":"Research Center on Aging, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux de L'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de L\u2019Estrie - CHUS)","place":["Sherbrooke, QC, Canada"]},{"name":"Faculty of Medicine and Health Sciences, Universit\u00e9 de Sherbrooke","place":["Sherbrooke, QC, Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/j.ncl.2007.01.008","article-title":"Lumbosacral radiculopathy","volume":"25","author":"Tarulli","year":"2007","journal-title":"Neurol Clin"},{"key":"B2","first-page":"1250","volume-title":"Neuroanatomy Through Clinical Cases","author":"Blumenfeld","year":"2021"},{"key":"B3","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1017\/S0317167100013767","article-title":"Clinical predictors of EMG-confirmed cervical and lumbosacral radiculopathy","volume":"40","author":"Hassan","year":"2013","journal-title":"Can J Neurol Sci"},{"key":"B4","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.spinee.2013.08.003","article-title":"An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy","volume":"14","author":"Kreiner","year":"2014","journal-title":"Spine J"},{"key":"B5","first-page":"1583","volume-title":"Dutton\u2019s Orthopaedic: Examination, Evaluation and Intervention, Fifth Edition","author":"Dutton","year":"2020"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2474-14-206","article-title":"Accuracy of physical examination for chronic lumbar radiculopathy","volume":"14","author":"Iversen","year":"2013","journal-title":"BMC Musculoskelet Disord"},{"key":"B7","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1179\/204577211X13207446293695","article-title":"International standards for neurological classification of spinal cord injury (revised 2011)","volume":"34","author":"Kirshblum","year":"2011","journal-title":"J Spinal Cord Med"},{"key":"B8","first-page":"1609","volume-title":"Orthopedic Physical Assessment\u2014e-Book","author":"Magee","year":"2020"},{"key":"B9","first-page":"467","volume-title":"Daniels and Worthingham\u2019s Muscle Testing: Techniques of Manual Examination","author":"Hislop","year":"2002"},{"key":"B10","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.jcm.2011.04.001","article-title":"A narrative review of manual muscle testing and implications for muscle testing research","volume":"10","author":"Conable","year":"2011","journal-title":"J Chiropr Med"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12891-016-1383-2","article-title":"Accuracy of clinical neurological examination in diagnosing lumbo-sacral radiculopathy: a systematic literature review","volume":"18","author":"Tawa","year":"2017","journal-title":"BMC Musculoskelet Disord"},{"key":"B12","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1038\/s41562-017-0189-z","article-title":"Redefine statistical significance","volume":"2","author":"Benjamin","year":"2018","journal-title":"Nat Hum Behav"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.14245\/ns.2244194.097","article-title":"Reliability and diagnostic accuracy of standard dermatomes and myotomes for determining the pathologic level in surgically verified patients with cervical radiculopathy","volume":"19","author":"Hong","year":"2022","journal-title":"Neurospine"}],"container-title":["Frontiers in Rehabilitation Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fresc.2026.1670617\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:49:25Z","timestamp":1773384565000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fresc.2026.1670617\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":13,"alternative-id":["10.3389\/fresc.2026.1670617"],"URL":"https:\/\/doi.org\/10.3389\/fresc.2026.1670617","relation":{},"ISSN":["2673-6861"],"issn-type":[{"value":"2673-6861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"article-number":"1670617"}}