Validity and reliability of isometric knee extension muscle strength measurements using a belt-stabilized hand-held dynamometer: a comparison with the measurement using an isokinetic dynamometer in a sitting posture

Masahiro Hirano, Munenori Katoh, Masahiro Gomi, Saori Arai, Masahiro Hirano, Munenori Katoh, Masahiro Gomi, Saori Arai

Abstract

[Purpose] This study aimed to determine the validity and reliability of isometric knee extension muscle strength measurements using a belt-stabilized hand-held dynamometer compared to that using an isokinetic dynamometer with the participant in a sitting posture. [Participants and Methods] Forty-two university students participated. The isometric knee extension muscle strength was measured using a hand-held dynamometer and an isokinetic dynamometer. For both measurements, the participants were in the similar sitting posture. The sitting posture maintained trunk stability, with the hands on the bed, and the non-measurement-side toe touching the floor or table. The intra-class correlation coefficient and the relevance were verified. [Results] Intra-rater correlation coefficient (1, 1) of the two measurements was ≥0.75. A significant difference was found in the measurement value between males and females. No significant difference was found between the measurements value of the two devices. A significant positive correlation was found in the measurement value of two devices in the male participants. [Conclusion] When compared to the standard method of isometric knee extension muscle strength measurements using an isokinetic dynamometer with the participant in the sitting posture, measurements using the belt-stabilized hand-held dynamometer were considered valid and highly reliable in the male participants.

Keywords: Hand-Held dynamometer; Isometric knee extension muscle strength; Validity.

Conflict of interest statement

There is no conflict of interest.

2020©by the Society of Physical Therapy Science. Published by IPEC Inc.

Figures

Fig. 1.
Fig. 1.
Measurement method for isometric knee extension muscle strength measurement with the participant in the sitting position. In the sitting position, the knee joint was flexed at 90°, with the toe of the non-measurement side lower limb touching the floor/table, and the upper limbs supporting the trunk on the body side. a. HHD: Handheld dynamometer, b. IKD: Isokinetic dynamometer.

References

    1. Bohannon RW: Hand-held compared with isokinetic dynamometry for measurement of static knee extension torque (parallel reliability of dynamometers). Clin Phys Physiol Meas, 1990, 11: 217–222.
    1. Reed RL, Den Hartog R, Yochum K, et al. : A comparison of hand-held isometric strength measurement with isokinetic muscle strength measurement in the elderly. J Am Geriatr Soc, 1993, 41: 53–56.
    1. Martin HJ, Yule V, Syddall HE, et al. : Is hand-held dynamometry useful for the measurement of quadriceps strength in older people? A comparison with the gold standard Bodex dynamometry. Gerontology, 2006, 52: 154–159.
    1. Bohannon RW, Bubela DJ, Wang YC, et al. : Adequacy of belt-stabilized testing of knee extension strength. J Strength Cond Res, 2011, 25: 1963–1967.
    1. Katoh M, Hiiragi Y, Uchida M: Validity of isometric muscle strength measurements of the lower limbs using a hand-held dynamometer and belt: a comparison with an isokinetic dynamometer. J Phys Ther Sci, 2011, 23: 553–557.
    1. Toonstra J, Mattacola CG: Test-retest reliability and validity of isometric knee-flexion and -extension measurement using 3 methods of assessing muscle strength. J Sport Rehabil, 2013, 22: 10.1123/jsr.2013.TR7.
    1. Kim WK, Kim DK, Seo KM, et al. : Reliability and validity of isometric knee extensor strength test with hand-held dynamometer depending on its fixation: a pilot study. Ann Rehabil Med, 2014, 38: 84–93.
    1. Hansen EM, McCartney CN, Sweeney RS, et al. : Hand-held dynamometer positioning impacts discomfort during quadriceps strength testing: a validity and reliability study. Int J Sports Phys Ther, 2015, 10: 62–68.
    1. Muff G, Dufour S, Meyer A, et al. : Comparative assessment of knee extensor and flexor muscle strength measured using a hand-held vs. isokinetic dynamometer. J Phys Ther Sci, 2016, 28: 2445–2451.
    1. Martins J, da Silva JR, da Silva MR, et al. : Reliability and validity of the belt-stabilized handheld dynamometer in hip- and knee-strength tests. J Athl Train, 2017, 52: 809–819.
    1. Chamorro C, Armijo-Olivo S, De la Fuente C, et al. : Absolute reliability and concurrent validity of hand held dynamometry and isokinetic dynamometry in the hip, knee and ankle joint: systematic review and meta-analysis. Open Med (Wars), 2017, 12: 359–375.
    1. Wang CY, Olson SL, Protas EJ: Test-retest strength reliability: hand-held dynamometry in community-dwelling elderly fallers. Arch Phys Med Rehabil, 2002, 83: 811–815.
    1. Katoh M, Yamasaki H: Comparison of reliability of isometric leg muscle strength measurements made using a hand-held dynamometer with and without a restraining belt. J Phys Ther Sci, 2009, 21: 37–42.
    1. Katoh M, Yamasaki H: Test-retest reliability of isometric leg muscle strength measurements made using a hand-held dynamometer restrained by a belt: comparisons during and between sessions. J Phys Ther Sci, 2009, 21: 239–243.
    1. Katoh M, Isozaki K: Reliability of isometric knee extension muscle strength measurements of healthy elderly subjects made with a hand-held dynamometer and a belt. J Phys Ther Sci, 2014, 26: 1855–1859.
    1. Suzuki T: Reliability of measurements of knee extensor muscle strength using a pull-type hand-held dynamometer. J Phys Ther Sci, 2015, 27: 967–971.
    1. Mentiplay BF, Perraton LG, Bower KJ, et al. : Assessment of lower limb muscle strength and power using hand-held and fixed dynamometry: a reliability and validity study. PLoS One, 2015, 10: e0140822.
    1. Katoh M: Reliability of isometric knee extension muscle strength measurements made by a hand-held dynamometer and a belt: a comparison of two types of device. J Phys Ther Sci, 2015, 27: 851–854.
    1. Usa H, Matsumura M, Ichikawa K, et al. : A maximum muscle strength prediction formula using theoretical grade 3 muscle strength value in Daniels et al.’s manual muscle test, in consideration of age: an investigation of hip and knee joint flexion and extension. Rehabil Res Pract, 2017, 2017: 3985283.
    1. Ushiyama N, Kurobe Y, Momose K: Validity of maximal isometric knee extension strength measurements obtained via belt-stabilized hand-held dynamometry in healthy adults. J Phys Ther Sci, 2017, 29: 1987–1992.
    1. Neil SE, Myring A, Peeters MJ, et al. : Reliability and validity of the Performance Recorder 1 for measuring isometric knee flexor and extensor strength. Physiother Theory Pract, 2013, 29: 639–647.
    1. Hirano M, Gomi M, Katoh M: Effects of trunk stability on isometric knee extension muscle strength measurement while sitting. J Phys Ther Sci, 2016, 28: 2474–2476.
    1. Hislop H, Avers D, Brown M: Daniels and Worthingham’s Muscle Testing: techniques of manual examination and performance testing, ninth edition. Tokyo: Elsevier 2014, pp 248–252 (in Japanese).
    1. Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics, 1977, 33: 159–174.
    1. Katoh M, Hiiragi Y, Hirano M, et al. : Isometric knee muscle strength measurement using a belt-stabilized hand-held dynamometer and an isokinetic dynamometer with and without trunk fixation: investigation of agreement of measurement values and factors influencing measurement. J Phys Ther Sci, 2019, 31: 878–883.

Source: PubMed

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