2019
DOI: 10.1080/10669817.2019.1586167
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Reliability and validity of measurements of cervical retraction strength obtained with a hand-held dynamometer

Abstract: Objectives: The purpose of this study was to describe the reliability and validity of measurements of cervical retraction strength obtained with a hand held dynamometer (HHD) from healthy adults. Background: Impaired neck muscle strength is related to neck pain, abnormal posture, and various cervical pathologies. While sophisticated devices to objectively measure neck strength exist, many are not practicable in typical orthopedic practices or have questionable validity and reliability. Methods: Forty participa… Show more

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Cited by 11 publications
(17 citation statements)
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“…To provide some context, the minimal detectable change previously observed for a HHD when assessing neck strength is approximately 2.1 to 3.8 kgf. 35 This detectable change is smaller than the mean bias observed in this study, meaning a change is unlikely to be detected when the HHD and MHHD are used interchangeably and that some rehabilitation programmes may be deemed ineffective or that a reduction in strength of less than 2.1 kgf is not considered meaningful.…”
Section: Discussionmentioning
confidence: 53%
See 1 more Smart Citation
“…To provide some context, the minimal detectable change previously observed for a HHD when assessing neck strength is approximately 2.1 to 3.8 kgf. 35 This detectable change is smaller than the mean bias observed in this study, meaning a change is unlikely to be detected when the HHD and MHHD are used interchangeably and that some rehabilitation programmes may be deemed ineffective or that a reduction in strength of less than 2.1 kgf is not considered meaningful.…”
Section: Discussionmentioning
confidence: 53%
“…7 That said, the overall mean bias was reduced and equal to, or lower than, the minimal detectable changes previously noted. 35 This suggests that the HHD and MHHD can be used interchangeably when the correction equations are applied. When considering the 95% LOA for the same variables noted earlier, narrower limits were observed, with the scores on the HHD ranging from 14.0 to 21.8 kgf for extension and 15.9 to 24.1 kgf for flexion when compared to the MHHD, respectively.…”
Section: Discussionmentioning
confidence: 99%
“…Both intra-rater and inter-rater reliability were excellent (ICCs=0.88 -0.97) similar to that of our study. 20 A study by Tarca BD investigated the reliability of HHD for assessing isometric abdominal flexion strength. 35 participants were recruited for test-test reliability on subsequent days.…”
Section: Discussionmentioning
confidence: 99%
“…The near-effects were quantified through commonly used clinical tests and measurements, described in Table 2 . These outcomes were chosen because they have been used in research to measure various domains of sensorimotor and neuromotor control and have demonstrated clinical usefulness and psychomotor soundness [ 5 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ].…”
Section: Methodsmentioning
confidence: 99%
“…Points were accumulated by achieving correct cranial-cervical flexion and return to neutral. control and have demonstrated clinical usefulness and psychomotor soundness [5,22,23,24,25,26,27,28,29,30,31,32]. Far-effects: Ultimately, this training is being explored to determine if its impact can be detected for on-field outcomes, including game performance and injury risk.…”
Section: Cervical Posturementioning
confidence: 99%