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After completing the questionnaire, participants performed the five clinical muscle performance tests with one examiner, followed by a short break (approx. 10 min).
If so, muscle fatigue would have occurred after performing the first set of muscle performance tests.
After the ten-minute rest period, participants performed the same five clinical muscle performance tests with the second examiner.
In order to assess whether muscle fatigue introduced after performing the first set of muscle performance tests could have affected the reliability of the muscle endurance tests, a post hoc analysis was conducted comparing the mean holding time in seconds achieved from the first and the second assessment (on the same day).
For all muscle performance tests, both legs were tested together.
Secondly, the order of the five muscle performance tests was random.
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Insufficient muscle strength and endurance will lead to an inability to support the weight of their body and cause the poor performance on this test.
Grimmer et al. [ 26] described a muscle performance test targeting neck flexor muscle endurance [ 26].
Drawing on the existing literature and the clinical practice we developed a new dynamic muscle performance test, which targets neck extensor muscle' endurance.
Firstly, some of the patients experienced increased pain during the muscle endurance performance tests and neck pain has in patients been shown to affect muscle performance [ 74, 75].
To test muscle performance, we monthly monitored motor endurance by a standard treadmill test starting at 2 months of age.
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