Reliability and validity of the modified sphygmomanometer test for the assessment of strength of upper limb muscles after stroke

Martins, Júlia Caetano; Teixeira-Salmela, Luci Fuscaldi; Souza, Lucas Araújo Castro e; Aguiar, Larissa Tavares; Lara, Eliza Maria; Moura, Juliana Braga; Faria, Christina Danielli Coelho de Morais

doi:10.2340/16501977-1978

Cited by 22 publications

(23 citation statements)

References 34 publications

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“…Hand Grip Strength [HGS] is the maximal power of forceful voluntary flexion of all fingers under normal biokinetic conditions [6]. Hand Grip Strength [HGS] is one of the best indicators of the overall strength of the upper limb and it is evaluated as a component of hand function according to American Society of Hand Therapists (ASHT) [7]. The use of Hand Grip Strength is a single, simple and inexpensive method for assessing general muscle strength and function [8].…”

Section: Introductionmentioning

confidence: 99%

Effect of push-up exercises on hand grip strength in diplegic children.

Hegazy¹,

El-Negamy²,

Kamal³

et al. 2019

biomedicalresearch

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Background: Diplegia is a spastic form of cerebral palsy with lower limbs more affected than upper limbs. The hand is effector organ of upper extremity for support, manipulation and prehension. Purpose: The purpose of this study is to determinethe effect of push-up exercises on hand grip strength in spastic diplegic cerebral palsied children. Subjects and methods: Sixty spastic diplegic children with age ranged from 4 to 7 years from both sexes participated in this study. They were chosen from physical therapy department, Mubarak Central Hospital, Giza Governorate, Egypt. Subjects were divided randomly into three groups A, B and C, of equal number [twenty patients each]. Each patient was evaluated pre and post-treatment individually by using Peabody Developmental Motor Scale (PDMS-2) to determine standard scores of grasping subtest and age equivalent for fine motor activities and Baseline pneumatic squeeze handheld dynamometer to detect maximum hand grip strength. Control group (A) received traditional physiotherapy program for spastic diplegia and the two study groups (B and C) received the same traditional physiotherapy program in addition to push-up exercises on stable surface for group B in form of wide base push-up exercises, while group C in form of narrow base push-up exercises. The treatment protocol was conducted for three successive months and six times per week. Results: The results of this study revealed significant improvement in hand grip strength, standard scores of grasping and age equivalent in the three groups equally. Conclusion: Conventional physiotherapy program is effective as push-up exercises in improving hand function in spastic diplegic children. Push-up exercises only do not add benefits on hand grip strength.

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Section: Introductionmentioning

confidence: 99%

Effect of push-up exercises on hand grip strength in diplegic children.

Hegazy¹,

El-Negamy²,

Kamal³

et al. 2019

biomedicalresearch

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“…The strength assessment is especially important for providing data to inform a treatment diagnosis and accurate reporting of measurable outcomes for patients with neurological and musculoskeletal conditions. Additionally, muscle strength is correlated with a patient's functional capacity, and its accurate assessment provides objective data for measuring progress with intervention and informing discharge planning decisions [1,2]. sufficient muscle strength is required around the shoulder girdle to perform activities of daily living by providing stabilization for elbow and wrist movement.…”

Section: Introductionmentioning

confidence: 99%

“…A possible alternative to the HHD is the aneroid sphygmomanometer; a well-known and low-cost tool that is commonly acquired to assess blood pressure. studies have shown moderate reliability of the sphygmomanometer, when compared to an HHD, to assess hand grip strength in Parkinson's disease [17], upper limb muscles after stroke [2] and isometric strength of hip muscles [18]. some of those studies also showed adaptations on the sphygmomanometer, such as removing the inflatable cuff, to assess isometric muscle strength [17,19,20].…”

Section: Introductionmentioning

confidence: 99%

“…Both hand-held dynamometry and the sphygmomanometer test (sT) have been shown to be preferable alternatives over manual muscle tests [1,21]. The HHD has been shown to detect weakness in shoulder external and internal rotator muscles deemed normal by manual muscle testing [22], but previous studies have only investigated the correlation between the sT and the HHD for upper limbs in patients after stroke [2,23]. The present study aims to present novel insights about the use of the sphygmomanometer compared to the HHD.…”

Section: Introductionmentioning

confidence: 99%

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Validity and reliability of shoulder strength assessment during scaption, internal rotation and external rotation using an anchored, non-modified sphygmomanometer

Barbosa¹,

Intelangelo²,

Bordachar³

et al. 2018

Hum Mov.

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Purpose. To determine the validity, intra-rater reliability, and inter-rater reliability of an anchored sphygmomanometer for assessing shoulder strength during scaption, lateral rotation, and medial rotation. The hand-held dynamometer (HHD) was used as the standard measurement tool for this purpose. Methods. Fifty subjects (23 years old ±3 years) were included in the validity study. shoulder strength was assessed using an HHD and a sphygmomanometer, both anchored to a fixed ladder by an inextensible belt. Twenty-three subjects (25 years old ±3 years) were included in the reliability study. Two raters assessed strength, each taking two measurements one week apart, using the fixed sphygmomanometer. Results. Validity results showed high to very high magnitude correlations, and no differences were found between the sphygmomanometer and the HHD measurements or among trials. Intra-class coefficient of correlation (Icc) showed high reliability between measurement tools and among trials. Intra-rater results showed very high Icc, very high correlation, low coefficient of variation (cV) with adequate standard error of measurement (sEM), and minimal detectable change (MDc). Inter-rater results showed moderate to high Icc, high to very high correlation, acceptable sEM and cV, but not adequate MDc. The anchored sphygmomanometer is a low-cost tool that provides objective measurements. The results obtained from the anchored sphygmomanometer were found to be similar to those obtained from an HHD, which has a valid predictive model. Conclusions. The sphygmomanometer is suitable for monitoring shoulder strength during scaption, internal rotation, and external rotation. The anchored sphygmomanometer enables coaches and physical therapists to establish the maximal voluntary isometric contraction and monitor exercise program outcomes at a low cost. However, caution is recommended when interpreting results between raters.

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“…There are several MAS methods used in several studies with the bag method as the most common method as it is easier to stabilize and gives more consistent results. [10][11][12][13] Most of the studies done in the past assumed the 90 o knee flexed in sitting position in order to assess the isometric knee extensor muscle strength. 7,9,14 This posture is disadvantageous for quadriceps femoris muscle because the muscle is not in its optimal length considering its length-tension relationship and moment arm length.…”

Section: Introductionmentioning

confidence: 99%

Knee Extensor Strength Prediction Formula Using Modified Aneroid Sphygmomanometer in Healthy Female Adults

Setiawan¹,

Prananta²,

Novitri³

2018

IJIHS

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Objective: To discover isometric knee extensor muscle strength prediction formula using hand-held dynamometer (HHD) through the use of modified aneroid sphygmomanometer (MAS). Isometric knee extensor muscle strength examination is required to diagnose and evaluate the treatment of quadriceps femoris weakness. Methods: This was a quantitative observational and correlational analysis study with cross-sectional design. Isometric knee extensor muscle strength was measured using HHD and MAS with 60 o knee flexion in sitting position. Correlation tests were performed to investigate the correlation between HHD, MAS, and other variables. Regression test was carried out to analyze knee extensor strength regression using HHD through MAS. Results: Subjects enrolled were 25 healthy females aged 23-52 years old. The correlation between HHD and MAS was significant while age, body weight, body height, and body mass index (BMI) did not show correlation with HHD and MAS. The isometric knee extensor muscle strength using HHD could be predicted by formula = 0.1041xMAS. Conclusions: Isometric knee extensor muscle strength measured using HHD strongly correlates with that of using MAS with 60 o knee flexion in sitting position and can be predicted from measurement values of MAS. The formula is only suitable for females.

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Reliability and validity of the modified sphygmomanometer test for the assessment of strength of upper limb muscles after stroke

Abstract: The MST showed adequate measurement properties for the assessment of the strength of the upper limb muscles of subjects with chronic stroke. After familiarization a single trial provided adequate strength values.

Cited by 22 publications

References 34 publications

Effect of push-up exercises on hand grip strength in diplegic children.

Effect of push-up exercises on hand grip strength in diplegic children.

Validity and reliability of shoulder strength assessment during scaption, internal rotation and external rotation using an anchored, non-modified sphygmomanometer

Knee Extensor Strength Prediction Formula Using Modified Aneroid Sphygmomanometer in Healthy Female Adults

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