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Intrarater and interrater reliability of hand held dynamometer for healthy quadriceps femoris: the effect of muscle strength

Year 2011, Volume: 1 Issue: 2, 124 - 128, 31.01.2014

Abstract

Objective: The primary purpose of this study was to examine the intrarater and interrater reliability of hand-held dynamometry to assess Quadriceps Femoris (QF) muscle strength. The second purpose of the study was to detect the effect of muscle strength on reliability.
Method: Forty voluntary undergraduate students of physical education program (20 male, 20 female; mean age: 21,8±1,84 yr) and 50 undergraduate students of physiotherapy program (25 male, 25 female; mean age: 20,9±1,38 yr) participated in this study. Dominant side QF muscle strength was measured using by a HHD. The measurements were taken by two final year physiotherapy students on two occasions, with a week between tests. The Intraclass Correlation Coefficients (ICC) was calculated for reliability.
Results: ICC for intrarater reliability was 0.82 for the physical education students and 0.83 for the physiotherapy students. Similar results were found for interrater reliability (ICC=0.84 for the physical education students; ICC=0.83 for the physiotherapy students). On the other hand, physically active students were seen to have higher QF muscle strength compared to sedentary students (p<0.05).
Conclusion: Our study show that HHD shows excellent interrater and intrarater reliability for assessing QF muscle strength in healthy young adults. The reliability is not influenced by muscle strength.

Key words: Hand- held dynamometer, muscle strength, healthy subjects, sports, reliability 

References

  • Sogabe A, Mukai N, Miyakawa S, Mesaki N, Maeda K, Yamamoto T, Gallagher PM, Schrager M, Fry AC. Influence of knee alignment on quadriceps cross-sectional area. J Biomech. 2009; 42(14): 2313-7.
  • Suzuki M, Yamada S, Inamura A, Omori Y, Kirimoto H, Sugimura S, Miyamoto M. Reliability and validity of measurements of knee extension strength obtained from nursing home residents with dementia. Am J Phys Med Rehabil. 2009; 88(11): 924-33.
  • Noreau L, Vachon J. Comparison of three methods to assess muscular strength in individuals with spinal cord injury. Spinal Cord. 1998; 36(10): 716-23.
  • Frese E, Brown M, Norton BJ. Clinical reliability of manual muscle testing. Middle trapezius and gluteus medius muscles. Phys Ther. 1987; 67 (7): 1072-6.
  • O’Shea SD, Taylor NF, Paratz JD. Measuring muscle strength for people with chronic obstructive pulmonary disease: retest reliability of hand-held dynamometry. Arch Phys Med Rehabil. 2007; 88(1): 32-6.
  • Deones VL, Wiley SC, Worrell T. Assessment of quadriceps muscle performance by a hand-held dynamometer and an isokinetic dynamometer. J Orthop Sports Phys Ther. 1994; 20 (6): 296-301.
  • Schaubert KL, Bohannon RW. Reliability and validity measures obtained from community-dwelling elderly persons. J Strength Cond Res. 2005; 19 (3): 717-20.
  • Roy MAG, Doherty TJ. Reliability of hand-held dynamometry in assessment of knee extensor strength after hip. Am J Phys Med Rehabil. 2004; 83: 813-818.
  • Busse ME, Hughes G, Wiles CM, Rosser AE. Use of hand-held dynamometry in the evaluation of lower limb muscle strength in people with Huntington’s disease. J Neurol. 2008; 255: 1534-1540.
  • Kelln BM, McKeon PO, Lauren M, Hertel J. Hand-Held Dynamometry: Reliability of Lower Extremity Muscle Testing in Healthy, Physically Active, Young Adults. J Sport Rehabil. 2008; 17: 160-170.
  • Thorborg K, Couppé C, Petersen J, Magnusson SP, Hölmich P. Eccentric hip adduction and abduction strength in elite soccer players and matched controls: a cross-sectional study. Br J Sports Med. 2011: 45 (1): 10-13.
  • Bohannon RW. Measuring knee extensor muscle strength. Am J Phys Med Rehabil. 2001; 80: 13-18.
  • Thorborg K, Petersen J, Magnusson P, Hölmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010; 20: 493-501.
  • Bohannon RW. Alternatives for measuring knee extension strength of the elderly at home. Clin Rehabil. 1998; 12 (5): 434-40.
  • Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of Neck Disability Index in patients with neck pain: a Turkish version study. Spine. 2009; 34 (16): 1732-5.
  • Portney LG, Watkins MP. Foundation of Clinical Research: Applications to Practice. Norwalk, CT: Appleton & Lange; 1993.
  • 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.
  • Reinking MF, Bockrath-Pugliese K, Worrell T. Assessment of quadriceps muscle performance by hand-held, isometric, and isokinetic dynamometry in patients with knee dysfunction. J Orthop Sports Phys Ther. 1996; 24(3): 154-159.

Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi

Year 2011, Volume: 1 Issue: 2, 124 - 128, 31.01.2014

Abstract

Amaç: Bu çalışmanın birinci amacı Quadriseps Femoris (QF) kas kuvveti değerlendirmesinde hand- held dinamometrenin (HHD) intrarater ve interrater güvenirliğini incelemekti. Çalışmanın ikinci amacı kas kuvvetinin güvenirliğe etkisini belirlemekti.
Yöntem: Çalışmaya gönüllü 40 beden eğitimi programı lisans öğrencisi (BEÖ) (20 kadın, 20 erkek; ortalama yaş: 21,8±1,84 yıl) ve 50 fizyoterapi programı lisans öğrencisi (FÖ) (25 kadın, 25 erkek; ortalama yaş: 20,9±1,38 yıl) katıldı. Dominant taraf QF kas kuvveti HHD kullanılarak ölçüldü. Ölçümler iki son sınıf fizyoterapi öğrencisi tarafından bir hafta ara ile alındı. Güvenirlik için Intraclass Correlation Coefficients (ICC) hesaplandı.
Bulgular: Intrarater güvenirlik için ICC beden eğitimi öğrencilerinde 0.82 ve fizyoterapi öğrencilerinde 0.83 bulundu. Benzer sonuçlar interrater güvenirlik katsayısında da bulundu. (BEÖ öğrenciler için ICC=0.84; FÖ öğrenciler için ICC=0.83). Diğer taraftan, BEÖ öğrencilerinin QF kas kuvvetinin FÖ’ne göre daha yüksek olduğu görüldü (p<0.05).
Sonuç: Çalışmamız genç sağlıklı yetişkinlerde QF kas kuvveti değerlendirmesinde HHD’nin interrater ve intrarater ölçümcü güvenirliğinin mükemmel olduğunu ve güvenirliğin kas kuvvetinden etkilenmediğini gösterdi.

Anahtar Kelimeler : Hand-held dinamometre, QF kas kuvveti, sağlıklı birey, spor, güvenirlik

References

  • Sogabe A, Mukai N, Miyakawa S, Mesaki N, Maeda K, Yamamoto T, Gallagher PM, Schrager M, Fry AC. Influence of knee alignment on quadriceps cross-sectional area. J Biomech. 2009; 42(14): 2313-7.
  • Suzuki M, Yamada S, Inamura A, Omori Y, Kirimoto H, Sugimura S, Miyamoto M. Reliability and validity of measurements of knee extension strength obtained from nursing home residents with dementia. Am J Phys Med Rehabil. 2009; 88(11): 924-33.
  • Noreau L, Vachon J. Comparison of three methods to assess muscular strength in individuals with spinal cord injury. Spinal Cord. 1998; 36(10): 716-23.
  • Frese E, Brown M, Norton BJ. Clinical reliability of manual muscle testing. Middle trapezius and gluteus medius muscles. Phys Ther. 1987; 67 (7): 1072-6.
  • O’Shea SD, Taylor NF, Paratz JD. Measuring muscle strength for people with chronic obstructive pulmonary disease: retest reliability of hand-held dynamometry. Arch Phys Med Rehabil. 2007; 88(1): 32-6.
  • Deones VL, Wiley SC, Worrell T. Assessment of quadriceps muscle performance by a hand-held dynamometer and an isokinetic dynamometer. J Orthop Sports Phys Ther. 1994; 20 (6): 296-301.
  • Schaubert KL, Bohannon RW. Reliability and validity measures obtained from community-dwelling elderly persons. J Strength Cond Res. 2005; 19 (3): 717-20.
  • Roy MAG, Doherty TJ. Reliability of hand-held dynamometry in assessment of knee extensor strength after hip. Am J Phys Med Rehabil. 2004; 83: 813-818.
  • Busse ME, Hughes G, Wiles CM, Rosser AE. Use of hand-held dynamometry in the evaluation of lower limb muscle strength in people with Huntington’s disease. J Neurol. 2008; 255: 1534-1540.
  • Kelln BM, McKeon PO, Lauren M, Hertel J. Hand-Held Dynamometry: Reliability of Lower Extremity Muscle Testing in Healthy, Physically Active, Young Adults. J Sport Rehabil. 2008; 17: 160-170.
  • Thorborg K, Couppé C, Petersen J, Magnusson SP, Hölmich P. Eccentric hip adduction and abduction strength in elite soccer players and matched controls: a cross-sectional study. Br J Sports Med. 2011: 45 (1): 10-13.
  • Bohannon RW. Measuring knee extensor muscle strength. Am J Phys Med Rehabil. 2001; 80: 13-18.
  • Thorborg K, Petersen J, Magnusson P, Hölmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010; 20: 493-501.
  • Bohannon RW. Alternatives for measuring knee extension strength of the elderly at home. Clin Rehabil. 1998; 12 (5): 434-40.
  • Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of Neck Disability Index in patients with neck pain: a Turkish version study. Spine. 2009; 34 (16): 1732-5.
  • Portney LG, Watkins MP. Foundation of Clinical Research: Applications to Practice. Norwalk, CT: Appleton & Lange; 1993.
  • 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.
  • Reinking MF, Bockrath-Pugliese K, Worrell T. Assessment of quadriceps muscle performance by hand-held, isometric, and isokinetic dynamometry in patients with knee dysfunction. J Orthop Sports Phys Ther. 1996; 24(3): 154-159.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emine Aslan Telci

Ummuhan Baş Aslan This is me

Uğur Cavlak This is me

Publication Date January 31, 2014
Submission Date November 2, 2013
Published in Issue Year 2011 Volume: 1 Issue: 2

Cite

APA Aslan Telci, E., Baş Aslan, U., & Cavlak, U. (2014). Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi. Clinical and Experimental Health Sciences, 1(2), 124-128.
AMA Aslan Telci E, Baş Aslan U, Cavlak U. Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi. Clinical and Experimental Health Sciences. January 2014;1(2):124-128.
Chicago Aslan Telci, Emine, Ummuhan Baş Aslan, and Uğur Cavlak. “Sağlıklı Quadriseps Femoris kasında Handheld Dinamometrenin Intrarater Ve Interrater güvenirliği: Kas Kuvvetinin Etkisi”. Clinical and Experimental Health Sciences 1, no. 2 (January 2014): 124-28.
EndNote Aslan Telci E, Baş Aslan U, Cavlak U (January 1, 2014) Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi. Clinical and Experimental Health Sciences 1 2 124–128.
IEEE E. Aslan Telci, U. Baş Aslan, and U. Cavlak, “Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi”, Clinical and Experimental Health Sciences, vol. 1, no. 2, pp. 124–128, 2014.
ISNAD Aslan Telci, Emine et al. “Sağlıklı Quadriseps Femoris kasında Handheld Dinamometrenin Intrarater Ve Interrater güvenirliği: Kas Kuvvetinin Etkisi”. Clinical and Experimental Health Sciences 1/2 (January 2014), 124-128.
JAMA Aslan Telci E, Baş Aslan U, Cavlak U. Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi. Clinical and Experimental Health Sciences. 2014;1:124–128.
MLA Aslan Telci, Emine et al. “Sağlıklı Quadriseps Femoris kasında Handheld Dinamometrenin Intrarater Ve Interrater güvenirliği: Kas Kuvvetinin Etkisi”. Clinical and Experimental Health Sciences, vol. 1, no. 2, 2014, pp. 124-8.
Vancouver Aslan Telci E, Baş Aslan U, Cavlak U. Sağlıklı quadriseps femoris kasında handheld dinamometrenin intrarater ve interrater güvenirliği: Kas kuvvetinin etkisi. Clinical and Experimental Health Sciences. 2014;1(2):124-8.

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