Comparison of maximal voluntary isometric contraction and hand-held dynamometry in measuring muscle strength of patients with progressive lower motor neuron syndrome

Visser, Jeldican; Mans, E. J.; Visser, M. de; Berg-Vos, Renske M. Van den; Franssen, Hessel; Jong, J.M.B.V. de; Berg, Leonard H. van den; Wokke, John H. J.; Haan, Rob J. de

doi:10.1016/s0960-8966(03)00135-4

Cited by 67 publications

(45 citation statements)

References 26 publications

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“…This is consistent with results from other neurologic conditions for lower-extremity muscles tested via HHD, where comparably high values have been reported for both same-day (r = 0.91-0.99, ICCs = 0.86-0.99) and between-session (ICCs = 0.90-0.98) test-retest reliability. 21,[27][28][29][30] High reliability of a similar lateral trunk flexion protocol has also previously been reported in people with spinal cord injury (ICCs = 0.86-0.99). 35 Comparable reliability has also been reported for the non-HHD assessments used in this study: the trunk flexion test has been shown to have high reliability in people with MS (ICC = 0.995), 38 needed to detect real change outside of the inherent variability of the tests.…”

Section: Resultssupporting

confidence: 67%

“…Handheld dynamometry has been found to have high test-retest reliability in controls, [23][24][25][26] in elderly persons who fall, 27 and in other neurologic populations. 21,[28][29][30][31] In people with MS, test-retest reliability of HHD has been reported only for knee flexion and extension, where it has been shown to have acceptable reliability. 22 Test-retest reliability has not been investigated in the ankle, hip, or trunk in people with MS.…”

Section: Participantsmentioning

confidence: 99%

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Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Mañago¹,

Hebert²,

Schenkman³

2017

International Journal of MS Care

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Background: Strength training in people with multiple sclerosis (MS) is an important component of rehabilitation, but it can be challenging for clinicians to quantify strength accurately and reliably. This study investigated the psychometric properties of a clinical strength assessment protocol using handheld dynamometry and other objective, quantifiable tests for the lower extremities and trunk in people with MS.

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Section: Resultssupporting

confidence: 67%

Section: Participantsmentioning

confidence: 99%

Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Mañago¹,

Hebert²,

Schenkman³

2017

International Journal of MS Care

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“…The highest achieved values during strength measurements obtained for each leg were summed to establish an overall strength score for a given muscle group. [29][30][31] Overall strength scores for the seven muscle groups were then added to derive a total lower-extremity muscle strength score expressed relative to body mass. This summative approach to quantifying muscle strength has been implemented in previous studies of strength and neurological impairment in the SCI population.…”

Section: Leg Strengthmentioning

confidence: 99%

Effects of underwater treadmill training on leg strength, balance, and walking performance in adults with incomplete spinal cord injury

Stevens

Caputo

Fuller

et al. 2014

The Journal of Spinal Cord Medicine

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Objective: To document the effects of underwater treadmill training (UTT) on leg strength, balance, and walking performance in adults with incomplete spinal cord injury (iSCI). Design: Pre-test and post-test design. Setting: Exercise physiology laboratory. Participants: Adult volunteers with iSCI (n = 11). Intervention: Participants completed 8 weeks (3 × /week) of UTT. Each training session consisted of three walks performed at a personalized speed, with adequate rest between walks. Body weight support remained constant for each participant and ranged from 29 to 47% of land body weight. Increases in walking speed and duration were staggered and imposed in a gradual and systematic fashion. Outcome measures: Lower-extremity strength (LS), balance (BL), preferred and rapid walking speeds (PWS and RWS), 6-minute walk distance (6MWD), and daily step activity (DSA). Results: Significant (P < 0.05) increases were observed in LS (13.1 ± 3.1 to 20.6 ± 5.1 N·kg ), 6MWD (97 ± 80 to 177 ± 122 m), and DSA (593 ± 782 to 1310 ± 1258 steps) following UTT. Conclusion: Physical function and walking ability were improved in adults with iSCI following a structured program of UTT featuring individualized levels of body weight support and carefully staged increases in speed and duration. From a clinical perspective, these findings highlight the potential of UTT in persons with physical disabilities and diseases that would benefit from weight-supported exercise.

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“…Esses valores de coeficiente de correlação intraclasse são muito semelhantes aos de trabalhos que utilizaram diferentes dinamômetros para avaliar desempenho muscular em diferentes articulações e indivíduos (8)(9)(10) . Outro objetivo do trabalho foi analisar diretamente se os déficits coletados no equipamento DIM seriam semelhantes aos déficits encontrados no equipamento Biodex System 3 operando no modo isométrico e isocinético.…”

Section: Discussionunclassified

“…Uma alternativa a esse problema seria a utilização de testes isométricos que poderiam reproduzir os déficits encontrados em testes realizados em dinamômetros isocinéticos computadorizados. Vários autores utilizaram um modelo de dinamômetro isomé-trico portátil chamado Hand-Held dynamometry (8)(9)(10) . Esse equipamento é um dinamômetro manual digital que pode ser utilizado para mensurar torque isométrico em varias articulações realizando testes de força manual.…”

Section: Introductionunclassified

Confiabilidade e validade de um dinamômetro isométrico modificado na avaliação do desempenho muscular em indivíduos com reconstrução do ligamento cruzado anterior

Vasconcelos¹,

Bevilaqua-Grossi²,

Shimano³

et al. 2009

Rev. bras. ortop.

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RESUMOObjetivo: Analisar a confiabilidade e validade de um dinamô-metro isométrico modificado (DIM) na avaliação dos déficits no desempenho muscular dos extensores e flexores do joelho em indivíduos normais e com reconstrução do LCA. Métodos: Foram convidados 60 voluntários do sexo masculino a participar do estudo, divididos em três grupos de 20 indivíduos: grupo controle (GC), grupo com reconstrução do LCA com tendão patelar (GTP) e grupo com reconstrução do LCA com tendões flexores (GTF). Todos os indivíduos realizaram teste isométrico dos extensores e flexores do joelho no DIM; os déficits de força muscular coletados foram comparados posteriormente com os testes realizados no Biodex System 3 operando no modo isométrico e isocinético nas velocidades de 60º/s e 180 o /s. Foram realizados cálculos de correlação intraclasse ICC para avaliar a confiabilidade do DIM, cálculos da especificidade, sensibilidade e coeficiente de concordância Kappa, respectivamente, para avaliar a validade do DIM em detectar déficits musculares e comparações intragrupos e intergrupos na realização dos quatro testes de força utilizando-se do método ANOVA. Resultados: O DIM demonstrou excelente confiabilidade teste-reteste e validade na aBSTRaCT Objectives: The aim of this study was to evaluate the reliability and validity of a modified isometric dynamometer (MID) in performance deficits of the knee extensor and flexor muscles in normal individuals and in those with ACL reconstructions. Methods: Sixty male subjects were invited to participate of the study, being divided into three groups with 20 subjects each: control group (GC), group of individuals with ACL reconstruction with patellar tendon graft (GTP, and group of individuals with ACL reconstruction with hamstrings graft (GTF). All individuals performed isometric tests in the MID

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Comparison of maximal voluntary isometric contraction and hand-held dynamometry in measuring muscle strength of patients with progressive lower motor neuron syndrome

Cited by 67 publications

References 26 publications

Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Effects of underwater treadmill training on leg strength, balance, and walking performance in adults with incomplete spinal cord injury

Confiabilidade e validade de um dinamômetro isométrico modificado na avaliação do desempenho muscular em indivíduos com reconstrução do ligamento cruzado anterior

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