Hand‐held Dynamometry Correlation With the Gold Standard Isokinetic Dynamometry: A Systematic Review

Stark, Timothy; Walker, Bruce F.; Phillips, Jacqueline K.; Fejer, René; Beck, Randy

doi:10.1016/j.pmrj.2010.10.025

Cited by 549 publications

(488 citation statements)

References 38 publications

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“…2,3 In a recent meta-analysis comparing HHD with isokinetic dynamometry, authors concluded that although the HHD is a reliable and valid instrument for measuring muscle strength, validity and reliability can be compromised when testing large joints such as the hip and knee. 4 The difficulty in comparing studies involving handheld dynamometry includes the variety of types of handheld dynamometers and differences in protocol and positioning. 4 Given the difficulty of stabilizing large joints such as the knee during testing with an HHD, we chose to use a stabilization strap.…”

Section: Discussionmentioning

confidence: 99%

“…4 The difficulty in comparing studies involving handheld dynamometry includes the variety of types of handheld dynamometers and differences in protocol and positioning. 4 Given the difficulty of stabilizing large joints such as the knee during testing with an HHD, we chose to use a stabilization strap. In addition, other studies have not accounted for body weight in the analysis, so it is difficult to compare our values with those reported elsewhere.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent systematic review comparing handheld dynamometry to isokinetic dynamometry, authors determined that these variations result from a lack of consistency with respect to application of handheld dynamometry. 4 A lack of standardization of patient placement, varying positions of the practitioner, and dissimilar rates at which force is applied were reported. 4 This lack of testing standardization can significantly affect the clinical usefulness of handheld dynamometers in assessing muscle strength.…”

mentioning

confidence: 99%

“…4 A lack of standardization of patient placement, varying positions of the practitioner, and dissimilar rates at which force is applied were reported. 4 This lack of testing standardization can significantly affect the clinical usefulness of handheld dynamometers in assessing muscle strength.…”

mentioning

confidence: 99%

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Test-Retest Reliability and Validity of Isometric Knee-Flexion and -Extension Measurement Using 3 Methods of Assessing Muscle Strength

Toonstra

Mattacola²

2013

Journal of Sport Rehabilitation

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Context: Physicians and clinicians need portable, efficient, and cost-effective assessment tools to determine the effectiveness of rehabilitation programs after knee injury. Progress in rehabilitation should be evaluated using valid and reliable measurement methods. Objective: To examine the test-retest reliability of portable fixed dynamometry (PFD), handheld dynamometry (HHD), and isokinetic dynamometry (IKD). In addition, the authors sought to examine the validity of PFD and HHD by comparing differences in peak torque of the knee flexors and extensors to that of the "gold standard" IKD. Design: Repeated measures. Participants: 16 healthy subjects (age 29.3 ± 7.2 y, height 167.4 ± 8.04 cm, mass 73.7 ± 20.0 kg). Main Outcome Measures: The dependent variables were peak torque (normalized to body weight) of the knee flexors and extensors; the independent variables were trial (trial 1, trial 2) and instrument (IKD, PFD, and HHD). Results: Test-retest reliability was high for both PFD and IKD. However, fair to poor reliability was found for HHD. There were no differences in peak torque (Nm) between IKD and PFD. However, significant differences in peak torque were observed between IKD and HHD and between PFD and HHD. Conclusions: PFD provides reliable measures of strength and also demonstrates similar output measures as IKD. Its portability, ease of use, and cost provide clinicians an effective means of measuring strength.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Test-Retest Reliability and Validity of Isometric Knee-Flexion and -Extension Measurement Using 3 Methods of Assessing Muscle Strength

Toonstra

Mattacola²

2013

Journal of Sport Rehabilitation

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“…Handheld dynamometry (HHD) provides the clinician working in a clinical setting with objective assessment results comparable to isokinetic dynamometry for shoulder strength assessment (5). Despite the established reliability and validity of a HHD, the disadvantage of its use is inaccessibility with each unit often exceeding $1,000AUD.…”

Section: Introductionmentioning

confidence: 99%

The use of a sphygmomanometer to measure shoulder isometric strength: a validity and reliability study

2017

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Introduction: A sphygmomanometer is an instrument commonly used to measure blood pressure that can potentially be used to objectively assess shoulder isometric muscle strength. Objective: To establish the criterion validity and the intra-rater reliability of the sphygmomanometer for the assessment of shoulder isometric muscular strength compared to the handheld dynamometer. To determine if there is a statistically significant difference for shoulder strength between dominant and non-dominant sides. Methods: A test-retest study design was developed, where a rater assessed shoulder flexion and abduction isometric strength of 13 healthy university students, using a commercially available sphygmomanometer and a handheld dynamometer. Results: The criterion validity of the sphygmomanometer was found to be good for both right and left shoulder flexion and abduction strength assessment (Pearson's r = 0.90-0.97). The intra-rater reliability of the sphygmomanometer was calculated to be good for both right and left flexion and abduction (ICC = 0.96-0.99). The handheld dynamometer also showed good intra-rater reliability for each of the strength measures assessed (ICC = 0.94-0.98). Significant differences (p < 0.01) were identified between dominant and non-dominant sides for shoulder strength. Conclusion: A sphygmomanometer is a simple and easily accessible tool that provides clinicians with accurate objective values for isometric shoulder strength assessment.

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Resistive strength training for arm rehabilitation after stroke

Hoegg,

Elsner,

Saunders

et al. 2021

CDSR

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Hand‐held Dynamometry Correlation With the Gold Standard Isokinetic Dynamometry: A Systematic Review

Abstract: Considering hand-held dynamometry's ease of use, portability, cost, and compact size, compared with isokinetic devices this instrument can be regarded as a reliable and valid instrument for muscle strength assessment in a clinical setting.

Cited by 549 publications

References 38 publications

Test-Retest Reliability and Validity of Isometric Knee-Flexion and -Extension Measurement Using 3 Methods of Assessing Muscle Strength

Test-Retest Reliability and Validity of Isometric Knee-Flexion and -Extension Measurement Using 3 Methods of Assessing Muscle Strength

The use of a sphygmomanometer to measure shoulder isometric strength: a validity and reliability study

Resistive strength training for arm rehabilitation after stroke

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