Absolute reliability and concurrent validity of hand held dynamometry and isokinetic dynamometry in the hip, knee and ankle joint: systematic review and meta-analysis

Chamorro, Claudio; Armijo‐Olivo, Susan; Fuente, Carlos de la; Fuentes, J. Rodrigo; Chirosa, Luís Javier

doi:10.1515/med-2017-0052

Cited by 135 publications

(144 citation statements)

References 48 publications

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“…In order to measure the strength of the quadriceps, a handheld dynamometer ( μTAS, Anima Co. , Ltd. ) was used 23 ) . In a seated posture, the patient gripped the end of the bed with both hands for truncal stabilization.…”

Section: Endpointsmentioning

confidence: 99%

Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

2020

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To assess the effect of manual lymph drainage (MLD) on pain in Japanese patients up to 10 days after a total knee arthroplasty (TKA). Methods: This study was a randomized controlled trial performed at a University Medical Center. Patients who underwent unilateral TKA and received once daily MLD for 20 minutes prior to standard physical therapy up to 10 days after TKA were investigated. Pain at rest, knee extension muscle contraction, and maximum load were assessed using the visual analog scale (mm) before surgery, after drain removal, and after the fifth MLD. As secondary outcomes, the circumference, range of motion, muscle strength, walking speed, and walking rate were evaluated. Result: Forty-one patients aged 45-85 participated in this study, 21 of whom were assigned to the intervention (MLD group) and 20 who were not (control group). Ten days after TKA, no significant difference was evident between the MLD and control groups for resting pain [4.5 mm (1.6-10.8) vs 7.0 mm (1.8-25.5), respectively, p=0.17], pain during knee extension muscle contraction [12.3 mm (4.5-24.8) vs 20.8 mm (6.4-31.8), p=0.41], and pain at maximum load [13.0 mm (8.3-39.8) vs 16.0 mm (4.6-32.5), p=0.73]. There were no significant differences between groups in terms of secondary outcomes. Conclusion: This study shows that MLD up to 10 days after TKA does not affect pain.

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Section: Endpointsmentioning

confidence: 99%

Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

2020

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“…Moreover, the exclusion of these studies will allow to collect standardised, comparable data facilitating meta-analysis. 25 Information sources and search strategy Text word synonyms and database-specific subject headings for knee OA, knee arthroplasty and hip abductor function will be used. We will search the electronic databases Embase via embase.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Hip abductor muscle strength in patients after total or unicompartmental knee arthroplasty for knee osteoarthritis or avascular necrosis: a systematic review and meta-analysis protocol

et al. 2020

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IntroductionReduced hip abductor strength may indirectly lead to changes in knee kinematics and functional impairment and has been reported in patients with patellofemoral pain and knee osteoarthritis (OA). Limited information is available regarding hip abductor strength following total or unicompartmental knee arthroplasty (TKA/UKA). The aims of this systematic review are to synthesise the evidence of hip abductor muscle strength deficits in patients following TKA/UKA and to determine influencing factors for these deficits.Methods and analysisEmbase, Medline, SportDiscus, the Web of Science Core Collection and Scopus will be searched for human-based clinical studies investigating hip abductor muscle strength after TKA/UKA for knee OA or avascular necrosis (AVN). Articles studying hip abductor strength after knee arthroplasty for post-traumatic OA will not be considered. No restriction on study design, prosthesis design, surgical approach, patient characteristics or severity of OA/AVN will be applied. We will search articles published between 1 January 1990 and the date of our last search. Only articles in English or German language will be considered for inclusion. Studies reporting manually measured muscle strength or measurements performed at hip abduction angles other than 0° will be excluded. References will be screened by two reviewers independently. Where necessary, a third author will make the final decision. The assessment of quality and risk of bias will be performed with the modified Newcastle-Ottawa scale. Data will be extracted and presented in a tabular form. Depending on availability, comparable subgroup and meta-analyses will be conducted. Patient characteristics such as age, sex and surgical approach or rehabilitation programme will be analysed, if sufficient data are available.Ethics and disseminationNo ethics approval is required. The results will be published in a peer-reviewed journal and as conference presentation.

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“…A commonly used compromise between MMT and ID devices is a portable device known as the handheld dynamometer [ 12 ], a clinical instrument that quantifies isometric strength. However, it is known that measurements obtained with the handheld dynamometer are influenced by the practitioner's strength [ 13 ]. Therefore, researchers recommend the use of a belt to stabilize the device [ 14 ] and offering improved measurement.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Validity and Reliability of A Low-Cost Microcontroller-Based Load Cell Amplifier for Measuring Lower Limb and Upper Limb Muscular Force

Gaudet

Handrigan

2020

Sensors

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Lower and upper limb maximum muscular force development is an important indicator of physical capacity. Manual muscle testing, load cell coupled with a signal conditioner, and handheld dynamometry are three widely used techniques for measuring isometric muscle strength. Recently, there is a proliferation of low-cost tools that have potential to be used to measure muscle strength. This study examined both the criterion validity, inter-day reliability and intra-day reliability of a microcontroller-based load cell amplifier for quantifying muscle strength. To do so, a low-cost microcontroller-based load cell amplifier for measuring lower and upper limb maximal voluntary isometric muscular force was compared to a commercial grade signal conditioner and to a handheld dynamometer. The results showed that the microcontroller-based load cell amplifier correlated nearly perfectly (Pearson's R-values between 0.947 to 0.992) with the commercial signal conditioner and the handheld dynamometer, and showed good to excellent association when calculating ICC scores, with values of 0.9582 [95% C.I.: 0.9297–0.9752] for inter-day reliability and of 0.9269 [95% C.I.: 0.8909–0.9533] for session one, intra-day reliability. Such results may have implications for how the evaluation of muscle strength measurement is conducted in the future, particularly for offering a commercial-like grade quality, low cost, portable and flexible option.

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Absolute reliability and concurrent validity of hand held dynamometry and isokinetic dynamometry in the hip, knee and ankle joint: systematic review and meta-analysis

Cited by 135 publications

References 48 publications

Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

Hip abductor muscle strength in patients after total or unicompartmental knee arthroplasty for knee osteoarthritis or avascular necrosis: a systematic review and meta-analysis protocol

Assessing the Validity and Reliability of A Low-Cost Microcontroller-Based Load Cell Amplifier for Measuring Lower Limb and Upper Limb Muscular Force

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