Reliability and Validity of Clinical Tests for Measuring Strength or Endurance of Cervical Muscles: A Systematic Review and Meta-analysis

Selistre, Luiz Fernando Approbato; Melo, Cristiane de Sousa; Noronha, Marcos de

doi:10.1016/j.apmr.2020.11.018

Cited by 18 publications

(20 citation statements)

References 54 publications

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“…For AUC, the values of 0–0.5, 0.5–0.7, 0.7–0.9, 0.9–1, and 1 were regarded as none, low, moderate, high, and perfect predictive power, respectively [ 30 ]. For correlation coefficient, the values of 0–0.25, 0.26–0.49, 0.50–0.69, 0.70–0.89, and 0.90–1.00 were graded as little, low, moderate, high, and very high correlation, respectively [ 31 ]. For ICC, the values of 0–0.50, 0.51–0.75, 0.76–0.90, and 0.91–1.0 were graded as poor, moderate, good, and excellent, respectively [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of Appendicular Muscle Mass in Sarcopenia in Older Adults Using Ultrasonography: A Systematic Review and Meta-Analysis

Zhao

Jiang

et al. 2022

Gerontology

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Background: The measurement of appendicular muscle mass is essential for the diagnosis of sarcopenia. Ultrasonography is an accurate and convenient method used to evaluate muscle mass. Objective: The aim of the study was to evaluate the diagnostic value of ultrasonography for appendicular muscle mass in sarcopenia in older adults and find out proper ultrasound parameters. Methods: Medline, Embase, Cochrane, and Web of Science databases were searched for relevant articles. Published studies on the validity and/or reliability of ultrasonography for quantifying muscle mass of the limbs in sarcopenia in the older population were included. A systematic review was conducted based on specific muscles and reference methods. A meta-analysis was conducted to assess the validity and reliability of the ultrasonography. Results: Forty articles were included in this review. There were nine, nine, nine, and four studies included in the qualitative synthesis for a diagnostic test, correlation coefficient, intra-class reliability, and inter-class reliability, respectively. The diagnostic value of rectus femoris (RF) or gastrocnemius (GM) thickness on ultrasonography for sarcopenia or low muscle mass was moderate (the area under summary receiver operating characteristic curve [SROC] = 0.76, 95% confidence interval [CI]: 0.72–0.79, SROC = 0.80, 95% CI: 0.76–0.83, respectively). The pooled correlation between muscle mass on dual-energy X-ray (DXA) or bioelectrical impedance analysis (BIA) and muscle thickness (MT) on ultrasound was moderate (r = 0.56, 95% CI: 0.49–0.62). There was a low-to-moderate correlation between muscle mass on DXA or BIA and cross-sectional area (CSA) on ultrasound (r = 0.267–0.584). The correlation was high to very high between muscle mass from DXA and the ultrasound-predicted formula (r = 0.85–0.963). The CSA from ultrasound had a high or very high correlation with that from computed tomography or magnetic resonance imaging (r = 0.826, intra (inter)-correlation coefficient [ICC] = 0.998–0.999). The respective meta-analyses showed good inter-rater and intra-rater reliabilities (ICC > 0.9). Conclusion: Ultrasonography is a reliable and valid diagnostic method for the quantitative assessment of appendicular muscle mass in sarcopenia in older people. The thickness and CSA of the RF or GM seem to be proper ultrasound parameters to predict muscle mass in sarcopenia. Multicenter studies with large samples and the application of new ultrasonic techniques will be the future research directions.

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Section: Methodsmentioning

confidence: 99%

Evaluation of Appendicular Muscle Mass in Sarcopenia in Older Adults Using Ultrasonography: A Systematic Review and Meta-Analysis

Zhao

Jiang

et al. 2022

Gerontology

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“…To evaluate the level of muscle strength of the flexors, extensors and rotators of the cervical region, The Lafayette Hand-Held Dynamometer was used, with its proven reliability and validity. 8 From this evaluation, it was possible to obtain the baseline data to be used as a comparison after the application of the exercise protocol.…”

Section: Methodsmentioning

confidence: 99%

Efeitos da fisioterapia na cefaleia do tipo tensional

2022

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Introdução: A Cefaleia do Tipo Tensional (CTT) é a mais frequente dentro do grupo das cefaleias primárias, sendo responsável por gerar um alto impacto socioeconômico para a sociedade, além de prejudicar as relações sociais, profissionais e familiares. Objetivos: Analisar os efeitos de um protocolo de intervenção fisioterapêutica, incluindo técnicas de terapia manual, alongamentos e fortalecimento muscular sobre a funcionalidade, dor e incapacidade em pacientes com CTT. Métodos: Trata-se de um estudo de caráter intervencionista, exploratório-descritivo com abordagem quantitativa, realizado com cinco indivíduos com quadro sintomático de CTT. A dor foi avaliada através da Escala Analógica Visual (EVA); a incapacidade pelo Neck Disability Index (NDI) e o impacto da cefaléia em atividades de vida diária (AVD) mediante aplicação do Headache Impact Test (HIT-6) antes e após intervenção. Foram realizadas seis sessões de fisioterapia, uma vez por semana, durante seis semanas. Resultados: Houve redução no padrão de dor pós-intervenção (4,2 ± 2,28 x 0,2 ± 0,45; p=0,0189). No quesito incapacidade, houve diferença entre os períodos pré e pós-intervenção (11,4 ± 1,54 x 6,6 ± 2,30; p=0,0220). Além disso, após a intervenção, houve redução nos níveis do HIT-6 quando comparado ao período pré-intervenção (51 ± 7,45 x 59,6 ± 3,91; p=0,0381). Conclusão: O protocolo de intervenção fisioterapêutica mostrou-se eficaz na redução do padrão de dor, incapacidade e impacto da cefaleia nas AVD de pacientes com CTT.

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“…Many investigators have used electromyographic measures based on flight exposure to assess neck and shoulder fatigue and found prolonged muscle activation, indicating that muscle fatigue may be a risk factor for the development of neck and shoulder pain (Ang et al, 2005;Harrison et al, 2009;Salmon et al, 2011). In the general population, the strength and endurance of cervical muscles are decreased in patients with neck pain (Falla et al, 2004;Selistre et al, 2021). Hämäläinen et al, (1998) investigated the effects of a training program on pilots and found that dynamic endurance trainers had less sick leave and +Gz limitation due to neck complaints than resistance training.…”

Section: Training Protocolmentioning

confidence: 99%

Physical exercise improved muscle strength and pain on neck and shoulder in military pilots

Wei

Liu

et al. 2022

Front. Physiol.

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Purpose: To evaluate the effects of physical exercise on neck and shoulder muscle strength and pain in military pilots.Method: Embase, PubMed, and Cochrane Library databases were searched studies published up to April 1, 2022. Studies that met the screening criteria were included in the final meta-analysis. We calculated neck and shoulder maximal voluntary isometric contractions (MVICs), prevalence of pain, and pain intensity. Heterogeneity was explored by subgroup and sensitivity analyses.Result: A total of 15 studies with 907 participants were included. In the exercise group, muscle strength was significantly increased in four directions of neck motion: flexion (standardized mean difference (SMD) = 0.45; 95% CI, 0.08–0.82), extension (SMD = 0.63; 95% CI, 0.27–1.00), right lateral flexion (Rtflx) (SMD = 0.53; 95% CI, 0.12–0.94), and left lateral flexion (Ltflx) (SMD = 0.50; 95% CI, 0.09–0.91). Subgroup analysis showed that fighter pilots, strength plus endurance training, and a follow-up period <20 weeks exhibited more significant muscle strength improvements than helicopter pilots, simple strength training, and a follow-up period ≥20 weeks. Overall, the pooled odds ratio (OR) for the effect of physical exercise on the prevalence of neck pain was not statistically significant (I2 = 60%). Sensitivity analysis revealed that the heterogeneity was restored after removing each of two studies (I2 = 47%), and the pooled OR was statistically significant (OR = 0.46; 95% CI, 0.23 to 0.94, or OR = 0.47; 95% CI, 0.24–0.91). Furthermore, compared with observational studies (OS), the reduction in the prevalence of neck pain was more significant in randomized controlled trials (RCTs) (OR = 0.37; 95% CI, 0.18–0.78). No significant differences in the effects of exercise on shoulder muscle strength and neck and shoulder pain intensity were observed.Conclusion: Physical exercise can improve neck muscle strength in military pilots. After removing studies that may be the source of heterogeneity, exercise showed a protective effect on neck pain, especially in RCTs. The conclusion that exercise had no effects on shoulder muscle strength and pain intensity should be taken with caution.

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Reliability and Validity of Clinical Tests for Measuring Strength or Endurance of Cervical Muscles: A Systematic Review and Meta-analysis

Cited by 18 publications

References 54 publications

Evaluation of Appendicular Muscle Mass in Sarcopenia in Older Adults Using Ultrasonography: A Systematic Review and Meta-Analysis

Evaluation of Appendicular Muscle Mass in Sarcopenia in Older Adults Using Ultrasonography: A Systematic Review and Meta-Analysis

Efeitos da fisioterapia na cefaleia do tipo tensional

Physical exercise improved muscle strength and pain on neck and shoulder in military pilots

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