Hand-held dynamometer identifies asymmetries in torque of the quadriceps muscle after anterior cruciate ligament reconstruction

Almeida, Gabriel Peixoto Leão; Albano, Thamyla Rocha; Melo, Antonio Kayro Pereira

doi:10.1007/s00167-018-5245-3

Cited by 40 publications

(50 citation statements)

References 51 publications

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“…Regarding the fact that higher ICC were found for the non-fixed method, in comparison with the fixed method, it is worth mentioning that both methods showed excellent reliability. Greater reliability results for the non-fixed method seem to diverge from the trend shown in the study by Almeida et al, 16 which evaluated the rectus femoris of 70 participants before the reconstruction of the anterior cruciate ligament, and demonstrated an intra-examiner reliability of 0.98 [ 0.98-0.99] with the fixed method. It is important to mention that the study did not express inter-examiner reliability, nor did it compare the non-fixed method.…”

Section: Anterior Carpal Surfacecontrasting

confidence: 58%

“…For the fixed method, a system of suction cups was used, adhered to rigid surfaces, connected to the HHD through a Mulligan-type inelastic belt . 16 In the non-fixed method, the examiner supported the device with one hand, in a vector contrary to the movement, stabilizing with the contralateral hand the segment proximal to the joint of the evaluated movement. 14,[17][18][19][20] The isometric contraction was sustained for three seconds, guided by an audible beep from the equipment.…”

Section: Methodsmentioning

confidence: 99%

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Comparison of Methods for Evaluating Upper Limb Strength by Hand-Held Dynamometry

Júnior

Menezes

Santos

et al. 2021

Rev Bras Med Esporte

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Introduction The upper limbs are segments of the human body responsible for primary activities of daily life, and the muscles are essential structures for performing these activities. There have been few studies on intra- and inter-examiner reliability of the hand-held dynamometer (HHD) in healthy subjects, and none have been published that compare dynamometric evaluation methods in the main muscles in this segment. Objective Evaluate intra-examiner and inter-examiner assessment reliability of the hand-held dynamometry of upper limb muscles in healthy individuals, as well as comparing the assessment reliability between fixed and non-fixed methods. Methods Healthy subjects aged over 18 years were recruited for the study. The isometric contraction for ten muscle groups of the dominant upper limb was tested. For the fixed method, we used a system of suction cups, connected to the HHD by an inelastic belt. For the non-fixed method, the examiner supported the device by hand. The isometric contraction was sustained for three seconds. Each measurement was repeated three times, considering the highest value obtained. The reliability was calculated using the intraclass correlation coefficient (ICC). The dispersion between measurements was expressed by a Bland-Altman plot. Results The sample consisted of 25 volunteers, all right-handed. The intra-examiner ICC was 0.89-0.99 for the non-fixed method, and 0.43 to 0.85 for the fixed method. Inter-examiner reliability showed equivalent behavior. This study showed that evaluation of upper limb muscle strength using an isometric dynamometer has excellent intra-examiner and inter-examiner reliability. The supine position was chosen due to the need to propose a feasible protocol for clinical practice that could be replicated for the majority of publics and in different environments. The non-fixed method showed better reliability overall, demonstrating the feasibility of this tool without the need for adaptations, additional devices, or increased operating costs for this evaluation. Conclusion Comparison between the fixed and non-fixed HHD methods demonstrated superiority of the non-fixed method in terms of reliability. Level of evidence II; Investigation of a diagnostic exam - Development of diagnostic criteria with consecutive patients.

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Section: Anterior Carpal Surfacecontrasting

confidence: 58%

Section: Methodsmentioning

confidence: 99%

Comparison of Methods for Evaluating Upper Limb Strength by Hand-Held Dynamometry

Júnior

Menezes

Santos

et al. 2021

Rev Bras Med Esporte

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“…However, measuring muscle strength with this method is expensive and requires special training, whereas measurement of quadriceps muscle strength with an analogue dynamometer is an easy and inexpensive method. The reliability of this method was shown in the study (14). Measurements made with an analogue dynamometer are generally used after knee ligament injuries and the reconstruction of these injuries.…”

Section: Methodsmentioning

confidence: 93%

“…The most reliable method for measuring muscle strength is the biodex dynamometer (14). However, measuring muscle strength with this method is expensive and requires special training, whereas measurement of quadriceps muscle strength with an analogue dynamometer is an easy and inexpensive method.…”

Section: Methodsmentioning

confidence: 99%

Does the Cannulated Screw Tension Band Improve Quadriceps Muscle Strength, Atrophy, Implant Irritation and Functional Results in Patella Fractures Compared to the Kirschner Wire Tension Band?

Hançerli¹,

Doğan²,

Çalışkan³

et al. 2021

hamidiyemedj

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Background:We aimed to evaluate the effects of the cannulated screw tension band and Kirschner (K) wire tension band methods on quadriceps muscle strength and atrophy, implant irritation and functional results in the treatment of patella fractures. Materials and Methods:In this study, 70 patients with a diagnosis of patella fracture, who were operated in our clinic between January 2015 and May 2019, were retrospectively evaluated. Patients were operated in two separate groups: in group 1, 21 patients were fitted with a cannulated screw tension band, and in group 2, 49 patients were treated by the K wire tension band method. The Lysholm score was used for clinical evaluation. The loss of extensor muscle strength in the patients was measured with an analogue dynamometer.Results: There was no difference in the effect of two different techniques, age, gender, and fracture type on the duration of fracture union in the surgical treatment of patella fractures (p>0.05). Clinically, there was no difference in Lysholm score between the two groups (p>0.05). Knee extensor muscle strength decreased in both groups compared to the healthy side (p<0.05), and the two groups were similar (p>0.05). We found that the thigh diameter was decreased compared to the healthy side in patients who underwent surgery for patella fracture (p=0.001). There was no difference in thigh diameter difference between the two groups (p>0.05). Conclusion:With the two different techniques, quadriceps muscle strength, atrophy and clinical results were similar. In the K-wire tension band method, more implant removal was required due to irritation.

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“…The fixed method used a system of suction cups adhered to rigid surfaces that were connected to the dynamometer through a Mulligan inelastic belt 15,16 . During the non-fixed method, the examiner supported the device with one hand, in a direction contrary to the movement, stabilizing the segment proximal to the moving joint under assessment 14,[17][18][19][20] .…”

Section: Methodsmentioning

confidence: 99%

Comparison of fixed and non-fixed methods of hand-held dynamometry

Nepomuceno¹,

Menezes²,

Ribeiro³

et al.

Authorea

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Introduction: Hand-held dynamometry (HHD) is a technique used for evaluating muscle strength. The reproducibility and reliability of this instrument have been little reported. Method: Healthy individuals aged >18 years were recruited. Isometric strength was tested for ten upper limb muscle groups. The fixed method was performed using a system with suction cups connected to the dynamometer through an inelastic belt. However, during the non-fixed method, the examiner supported the device with the hand. The reproducibility and reliability were calculated using the intraclass correlation coefficient (ICC). Result: A total of 25 right-handed volunteers participated. The reliability ICC values (0.89-0.99) of the non-fixed method were higher than those of the fixed method (0.43-0.85). The reproducibility of the non-fixed method was also superior to that of the fixed method. Discussion: The comparison between the HHD methods suggested the non-fixed method has greater reproducibility and reliability.

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Hand-held dynamometer identifies asymmetries in torque of the quadriceps muscle after anterior cruciate ligament reconstruction

Cited by 40 publications

References 51 publications

Comparison of Methods for Evaluating Upper Limb Strength by Hand-Held Dynamometry

Comparison of Methods for Evaluating Upper Limb Strength by Hand-Held Dynamometry

Does the Cannulated Screw Tension Band Improve Quadriceps Muscle Strength, Atrophy, Implant Irritation and Functional Results in Patella Fractures Compared to the Kirschner Wire Tension Band?

Comparison of fixed and non-fixed methods of hand-held dynamometry

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