Same-session and between-day intra-rater reliability of hand-held dynamometer measurements of isometric shoulder extensor strength

Takenori Awatani, Seigo Mori, Junji Shinohara, Hiroya Koshiba, Miki Nariai, Yasutaka Tatsumi, Akinori Nagata, Ikuhiro Morikita, Takenori Awatani, Seigo Mori, Junji Shinohara, Hiroya Koshiba, Miki Nariai, Yasutaka Tatsumi, Akinori Nagata, Ikuhiro Morikita

Abstract

[Purpose] The purpose of present study was to establish the same-session and between-day intra-rater reliability of measurements of extensor strength in the maximum abducted position (MABP) using hand-held dynamometer (HHD). [Subjects] Thirteen healthy volunteers (10 male, 3 female; mean ± SD: age 19.8 ± 0.8 y) participated in the study. [Methods] Participants in the prone position with maximum abduction of shoulder were instructed to hold the contraction against the ground reaction force, and peak isometric force was recorded using the HHD on the floor. Participants performed maximum isometric contractions lasting 3 s, with 3 trials in one session. Between-day measurements were performed in 2 sessions separated by a 1-week interval. Intra-rater reliability was determined using intraclass correlation coefficients (ICC). Systematic errors were assessed using Bland-Altman analysis for between-day data. [Results] ICC values for same-session data and between-day data were found to be "almost perfect". Systematic errors not existed and only random error existed. [Conclusion] The measurement method used in this study can easily control for experimental conditions and allow precise measurement because the lack of stabilization and the impact of tester strength are removed. Thus, extensor strength in MABP measurement is beneficial for muscle strength assessment.

Keywords: Prone; Random error; Shoulder abduction.

References

    1. Gola R, Urbanik C, Iwańska D, et al. : Relationship between muscle strength and front crawl swimming velocity. Hum Mov, 2014, 15: 110–115.
    1. Bohannon RW: Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil, 1997, 78: 26–32.
    1. van den Beld WA, van der Sanden GA, Sengers RC, et al. : Validity and reproducibility of hand-held dynamometry in children aged 4–11 years. J Rehabil Med, 2006, 38: 57–64.
    1. Kolber M, Cleland J: Strength testing using hand-held dynamometry. Phys Ther Rev, 2005, 10: 99–112.
    1. Wikholm JB, Bohannon RW: Hand-held dynamometer: tester strength makes a difference. J Orthop Sports Phys Ther, 1991, 13: 191–198.
    1. Stone CA, Nolan B, Lawlor PG, et al. : Hand-held dynamometry: tester strength is paramount, even in frail populations. J Rehabil Med, 2011, 43: 808–811.
    1. Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics, 1977, 33: 159–174.
    1. Bland JM, Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet, 1986, 1: 307–310.
    1. Bland JM, Altman DG: Measuring agreement in method comparison studies. Stat Methods Med Res, 1999, 8: 135–160.
    1. Katoh M: Test-retest reliability of isometric shoulder muscle strength measurement with a handheld dynamometer and belt. J Phys Ther Sci, 2015, 27: 1719–1722.
    1. Hirano M, Katoh M: Absolute reliability of shoulder joint horizontal adductor muscle strength measurements using a handheld dynamometer. J Phys Ther Sci, 2015, 27: 2125–2127.

Source: PubMed

3
구독하다