A comparison of muscle strength testing for great toe extension

Hara, Yukinori; Matsudaira, Ko; Hara, Nobuhiro; Oka, Hiroyuki

doi:10.1007/s00776-011-0143-2

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…In 1995, Jönsson et al, reported an improvement in the function of the extensor hallucis longus after surgical treatment of disc herniation and affection of the L5 nerve root, but the classification of the force ratios was only categorical and not absolute [ 33 ]. Further studies also did not present absolute data obtained by dynamometry, such as Hara et al, in 2011, who assessed extensor muscle strength by placing the middle finger of the investigator on the toe [ 34 ]. Riandini et al, used a Hoggan Microfet 3 but presented their data only relative [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Increase in Lower Limb Strength after Multimodal Pain Management in Patients with Low Back Pain

Kaiser¹,

Brambrink²,

Benditz³

et al. 2022

Medicina

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Background and Objectives: The aim of the present study was to evaluate the efficacy of a multimodal pain therapy (MPM) regarding the objective parameter muscle strength of segment-dependent lower limb muscle groups before and after such a treatment. Materials and Methods: 52 patients with a history of low back pain and/or leg pain received standardized multimodal pain management. Strength of segment indicating lower limb muscles were assessed for each patient before and after ten days of treatment by handheld dynamometry. Results: Overall strength increased significantly from 23.6 kg ± 6.6 prior to treatment to 25.4 ± 7.3 after treatment, p ≤ 0.001. All muscle groups significantly increased in strength with exception of great toe extensors. Conclusions: Despite lower basic strength values at the beginning of treatment, all investigated muscle groups, except for the great toe extensors, showed a significant increase of overall strength after completion of the multimodal pain management concept. Increased overall strength could help with avoiding further need of medical care by supporting patients’ autonomy in daily life activities, as well as maintaining working abilities. Thus, our study is the first to show a significant positive influence on lower limb strength in patients with low back pain after a conservative MPM program.

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Section: Discussionmentioning

confidence: 99%

Increase in Lower Limb Strength after Multimodal Pain Management in Patients with Low Back Pain

Kaiser¹,

Brambrink²,

Benditz³

et al. 2022

Medicina

View full text Add to dashboard Cite

show abstract

“…In 1995, Jönsson et al reported an improvement in the function of the extensor hallucis longus after surgical treatment of disc herniation and affection of the L5 nerve root, but the classi cation of the force ratios was only categorical and not absolute [30]. Further studies also did not present absolute data obtained by dynamometry, such as Hara et al in 2011, who assessed extensor muscle strength by placing the middle nger of the investigator on the toe [31]. Riandini et al used a Hoggan Microfet 3 but presented their data only relative [32].…”

Section: Discussionmentioning

confidence: 99%

Increase in Lower Limb Strength After Multimodal Pain Therapy in Patients With Low Back Pain

Kaiser

Brambrink

Benditz

et al. 2021

Preprint

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Study DesignProspective Study DesignObjectivesThe aim of the present study was to evaluate the efficacy of a multimodal pain therapy (MPM) regarding the objective parameter muscle strength of segment-dependent lower limb muscle groups before and after such a treatment. Methods52 patients with a history of low back pain and/or leg pain received standardized multimodal pain management. Strength of segment indicating lower limb muscles were assessed for each patient before and after ten days of treatment by handheld dynamometry. ResultsOverall strength increased significantly from 23.6kg ± 6.6 prior to treatment to 25.4 ± 7.3 after treatment, p≤0.001. All muscle groups significantly increased in strength with exception of great toe extensors. ConclusionDespite lower basic strength values at the beginning of treatment, all investigated muscle groups, with the exception of the great toe extensors, showed a significant increase of overall strength after completion of the multimodal pain management concept. Increased overall strength could help with avoiding further need of medical care by supporting patients’ autonomy in daily life activities, as well as maintaining working abilities. Thus, our study is the first to show a significant positive influence on lower limb strength in patients with low back pain after a conservative MPM program.

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“…[18][19][20][21][22][23][24] Multiple studies have also reported an association of great toe strength (GTS) with age and sex, making it a potential clinical biomarker that could be used to detect or evaluate the onset and progression of different health conditions. [7,[25][26][27][28][29] Despite its critical biomechanical and functional roles, GTS, particularly great toe extension strength (GTES), is often overlooked during routine clinical practice due to the lack of a reliable and robust tool for GTES measurement and the subjective nature of existing methods. [30][31][32][33] To address the clinical need and limitations of existing GTS measurement methods and devices, we recently developed the ToeScale, a novel, portable device.…”

Section: Introductionmentioning

confidence: 99%

Characterization of Great Toe Extension Strength Using ToeScale - A Novel Portable Device

Chandrashekhar,

Fonseca Perez,

Wang

2024

Preprint

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Great toe strength (GTS) weakness is linked to declines in balance and mobility. Assessing GTS, particularly great toe extension strength (GTES) accurately is often neglected in clinical evaluations due to cumbersome and subjective methods. This study aims to characterize the force development curve output from the ToeScale and examine GTES variations with age, sex, BMI, and grip strength (GS) using traditional analyses and machine learning (ML). We conducted a pilot, cross-sectional feasibility study with convenience samples. We assessed GS using a hand-grip dynamometer and GTES using the ToeScale. Data analysis included descriptive statistics, correlations, independent samples t-tests, and accuracy and area under the curve (AUC) scores for three ML models. Thirty-one participants (Males: 9, Females: 22), 14 young (18-24 years), and 17 older (&gt;65 years) adults participated in the study. Males had significantly higher peak GTES than females in both age groups. Associations between GTES parameters with BMI and GS varied by age and sex. ML model accuracies and AUC scores were low-moderate but aligned with traditional analyses. Future studies with larger samples and optimized ML models are needed.

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A comparison of muscle strength testing for great toe extension

Cited by 5 publications

References 11 publications

Increase in Lower Limb Strength after Multimodal Pain Management in Patients with Low Back Pain

Increase in Lower Limb Strength after Multimodal Pain Management in Patients with Low Back Pain

Increase in Lower Limb Strength After Multimodal Pain Therapy in Patients With Low Back Pain

Characterization of Great Toe Extension Strength Using ToeScale - A Novel Portable Device

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