Considerations and Practical Options for Measuring Muscle Strength: A Narrative Review

Bohannon, Richard W.

doi:10.1155/2019/8194537

Cited by 67 publications

(65 citation statements)

References 106 publications

(125 reference statements)

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“…78,79 HGS, which can be considered a measure of muscle function, may also be associated with dynamic, physical functions. 80 Cross-sectional evidence from 110 women aged 67.4 ± 5.9 years indicated that HGS on the dominant (r = -0.20; p = 0.03) and non-dominant hand (r = -0.20; p = 0.03) is correlated with the timed-up-and-go test. 81 The 6-min walk test is a popular method for assessing physical functioning and fitness.…”

Section: Hgs and Dynamic Assessments Of Functionmentioning

confidence: 99%

What are the association patterns between handgrip strength and adverse health conditions? A topical review

et al. 2020

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Measures of handgrip strength can be used to conveniently assess overall muscle strength capacity. Although stand-alone measures of handgrip strength provide robust health information, the clinical meaningfulness to determine prevention and treatment options for weakness remains limited because the etiology of muscle weakness remains unclear. Moreover, clinical outcomes associated with handgrip strength are wide-ranging. Therefore, disentangling how handgrip strength is associated with health conditions that are metabolically or neurologically driven may improve our understanding of the factors linked to handgrip strength. The purpose of this topical review was to highlight and summarize evidence examining the associations of handgrip strength with certain health outcomes that are metabolically and neurologically driven. From this perusal of the literature, we posit that stand-alone handgrip strength be considered an umbrella assessment of the body systems that contribute to strength capacity, and a panoptic measurement of muscle strength that is representative of overall health status, not a specific health condition. Recommendations for future strength capacity–related research are also provided.

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Section: Hgs and Dynamic Assessments Of Functionmentioning

confidence: 99%

What are the association patterns between handgrip strength and adverse health conditions? A topical review

et al. 2020

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“…Therapist assessed: resisted by therapist either through range or statically. 32 Swelling A measure of the size and width of bleed or affected limb. • EQ5D-5L (Euroqol 5-Dimensions 5-Levels) 16 The EQ5D was generally viewed positively as it enabled all participants to reference their normal, rather than asking about specific activities.…”

Section: Moodmentioning

confidence: 99%

Physiotherapy outcome measures of haemophilia acute bleed episodes: What matters to patients?

et al. 2019

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Introduction The research was conducted at a UK teaching hospital and Haemophilia Comprehensive Care Centre (CCC) as part of a research programme investigating physiotherapy for acute bleed management. Aim The aim of the study was to understand the perspectives of people with haemophilia (PWH) on validated outcome measures (OM) and whether these measures capture changes relevant to them whilst recovering from an acute bleed episode. Methods Any person with haemophilia registered to the CCC who reported an acute bleed within the past 2 years was invited to participate. Semi‐structured interviews or workshops (activity‐focused discussions with small groups) were conducted with PWH who had received physiotherapy treatment in the previous two years. These were used to explore opinions of PWH of commonly used outcome measures. Results Eight male PWH participated, mean age 61 years, ranging between 39 and 71. Seven participants had severe haemophilia A and 1 had von Willebrands. Participants described numerical rating scales of pain as abstract and expressed a preference for verbal or visual descriptors. In relation to function, the men generally found haemophilia‐specific OM to be more relevant. The EuroQol 5‐Dimension 5‐Level (EQ5D‐5L) and Haemophilia and Exercise Project Test Questionnaire (HEP‐Test‐Q) were considered as good measures due to brevity and ability to capture relevant changes promptly. Conclusion Participants in this study reported a preference for short OMs that allow them to reference their ability during the acute bleed episode in comparison with their normal function.

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“…Specifically, the lower limb muscle strength, especially in the ankle dorsiflexors, is a significant predictor of walking speed and distance, as reflected in the Timed Up and Go Test (TUG) [2,3], the 6-Minute Walk Test [2], and the Five Times Sit-To-Stand Test (FTSTS) [4]. Clinically, muscle strength is usually assessed manually or with a handheld dynamometer [5]. However, these assessments measure the open kinetic chain muscle strength and thus cannot simulate the actions used in daily life.…”

Section: Introductionmentioning

confidence: 99%

Reliability of the Lateral Step-Up Test and Its Correlation with Motor Function and Activity in Chronic Stroke Survivors

Kwong

2020

BioMed Research International

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Background. The Lateral Step-Up Test (LSUT) has been used to evaluate the closed kinetic chain functional muscle strength in people with orthopaedic or neurological conditions. No study has systematically investigated the intrarater, interrater, and test-retest reliabilities of this measure in stroke survivors. In addition, correlations of the LSUT count with other stroke-specific impairment and function measurements remain unidentified. Objectives. This study was aimed at investigating (1) the interrater, intrarater, and test-retest reliability of the LSUT; (2) minimum detectable change in LSUT counts; and (3) correlation between LSUT counts and stroke-specific impairment and function measurements. Methods. Thirty-three stroke survivors were assessed with LSUT and a battery of stroke-specific impairment and function measurements, including Fugl-Meyer assessment of lower extremity (FMA-LE), lower limb muscle strength, Five Times Sit-to-Stand Test (FTSTS), Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and Activities-specific Balance Confidence (ABC) scale, by two assessors. Their performance on LSUT was reassessed 1 week later to establish the test-retest reliability. The intraclass correlation coefficient (ICC) was used to assess the reliability of LSUT, and Spearman’s rho was used to quantify the strength of correlations between LSUT counts and secondary outcomes. Results. The LSUT counts exhibited good to excellent intrarater, interrater, and test-retest reliability (ICC: 0.869–0.991). The minimum detectable change in the average LSUT count was 1 step. LSUT counts correlated significantly with the FMA-LE score, lower limb muscle strength (except for the hip abductors), FTSTS time, BBS score, TUG time, and ABC score. Conclusions. The LSUT is a reliable, valid, and easily administered measure of the closed kinetic chain functional muscle strength of stroke survivors.

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Considerations and Practical Options for Measuring Muscle Strength: A Narrative Review

Cited by 67 publications

References 106 publications

What are the association patterns between handgrip strength and adverse health conditions? A topical review

What are the association patterns between handgrip strength and adverse health conditions? A topical review

Physiotherapy outcome measures of haemophilia acute bleed episodes: What matters to patients?

Reliability of the Lateral Step-Up Test and Its Correlation with Motor Function and Activity in Chronic Stroke Survivors

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