To increase the chances for replication, studies using MMT should specify parameters of the tests used, such as exact procedures and instrumentation, duration of test, peak force, and timing of application of force.
Objective: The purpose of this study is to investigate the difference in results (strong/facilitated vs weak/functionally inhibited) between short (1 second) and long (3 seconds) manual muscle tests (MMTs) on the same subject and to pilot the use of thin-film force transducers for characterizing the parameters of MMT and for measuring maximum voluntary isometric contraction (MVIC). Method: Forty-four healthy chiropractic students were tested. A thin-film force transducer recorded force over time during MVIC of the middle deltoid and 1-and 3-second MMTs of the same subjects. The MMTs were graded as strong (able to resist the testing pressure) or weak (unable to resist testing pressure, breaking away). Results: Forty-two short tests were strong, and 2 were weak. Thirty-nine long tests were strong, and 5 were weak. κ (0.54) showed fair agreement for results between short and long tests. Peak force in both short and long weak tests was higher than that in strong tests when expressed as a proportion of maximum contraction. All manual tests used less force than MVICs. Conclusions: This study demonstrated that a study of this nature is feasible. Longer test durations demonstrate some muscle weaknesses that are not evident on 1-second MMTs. Thin-film transducers show promise for recording MMT parameters for research purposes.
Objective: Establishing objective descriptive data regarding manual muscle testing (MMT) as used in Applied Kinesiology, including "patient-started" versus "examinerstarted" variations (J Chiropr Med 2005;4:1-10)
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