A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1016/j.pmrj.2018.08.377 http://hdl.handle.net/1843/41479 https://orcid.org/0000-0002-9084-1019 http://orcid.org/0000-0002-6556-6203 https://orcid.org/0000-0001-8358-8636 https://orcid.org/0000-0001-9784-9729 |
Resumo: | Background: The mean of 3 trials is commonly employed to report measures of muscle strength after a stroke. However, consistent and reliable results have been found for single trial dynamometric measures of grip, pinch, and trunk strength in individuals with stroke. Nevertheless, no studies were found that investigated whether only a single trial could be used for the assessment of the strength of both the upper and lower limb muscles. Objective: To determine the best scoring method (one vs the means of 2 or 3 trials) to measure the strength of the upper and lower limb muscles in individuals with sub-acute and chronic stroke. Design: Cross-sectional observational study. Setting: Research laboratory, participants' homes, and community-based settings. Participants: Fifty-five individuals at the sub-acute (mean age: 61 ± 13 years; 3.7 ± 0.7 months poststroke) and 59 at the chronic poststroke phases (mean age: 57 ± 130 years; 90 ± 71 months poststroke). Main outcome measurements: Bilateral maximum isometric strength measures of the shoulder, elbow, and wrist flexors/extensors; shoulder abductors; hip, knee, and ankle flexors/extensors; and hip abductors were obtained with a hand-held dynamometer. Methods: After familiarization, 3 trials of maximal isometric strength were obtained for all evaluated muscle groups. One-way analysis of variance was used to compare the results obtained with the first vs the means of 2 and 3 trials for all the assessed muscle groups. Results: The values provided by the different scoring methods were similar for all evaluated muscle groups in individuals with sub-acute (.68 ≤ P ≤ .99) and chronic (.69 ≤ P ≤ .99) stroke. Conclusions: A single trial, after familiarization, may be used for measuring the strength of the upper and lower limb muscles with hand-held dynamometers in individuals with sub-acute and chronic stroke. This increases the clinical applicability of hand-held dynamometers for strength measurement, as it reduces the assessment burden placed on the participants and therapists. |
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2022-05-09T16:38:22Z2022-05-09T16:38:22Z2019-04114372378https://doi.org/10.1016/j.pmrj.2018.08.3771934-1563http://hdl.handle.net/1843/41479https://orcid.org/0000-0002-9084-1019http://orcid.org/0000-0002-6556-6203https://orcid.org/0000-0001-8358-8636https://orcid.org/0000-0001-9784-9729Background: The mean of 3 trials is commonly employed to report measures of muscle strength after a stroke. However, consistent and reliable results have been found for single trial dynamometric measures of grip, pinch, and trunk strength in individuals with stroke. Nevertheless, no studies were found that investigated whether only a single trial could be used for the assessment of the strength of both the upper and lower limb muscles. Objective: To determine the best scoring method (one vs the means of 2 or 3 trials) to measure the strength of the upper and lower limb muscles in individuals with sub-acute and chronic stroke. Design: Cross-sectional observational study. Setting: Research laboratory, participants' homes, and community-based settings. Participants: Fifty-five individuals at the sub-acute (mean age: 61 ± 13 years; 3.7 ± 0.7 months poststroke) and 59 at the chronic poststroke phases (mean age: 57 ± 130 years; 90 ± 71 months poststroke). Main outcome measurements: Bilateral maximum isometric strength measures of the shoulder, elbow, and wrist flexors/extensors; shoulder abductors; hip, knee, and ankle flexors/extensors; and hip abductors were obtained with a hand-held dynamometer. Methods: After familiarization, 3 trials of maximal isometric strength were obtained for all evaluated muscle groups. One-way analysis of variance was used to compare the results obtained with the first vs the means of 2 and 3 trials for all the assessed muscle groups. Results: The values provided by the different scoring methods were similar for all evaluated muscle groups in individuals with sub-acute (.68 ≤ P ≤ .99) and chronic (.69 ≤ P ≤ .99) stroke. Conclusions: A single trial, after familiarization, may be used for measuring the strength of the upper and lower limb muscles with hand-held dynamometers in individuals with sub-acute and chronic stroke. This increases the clinical applicability of hand-held dynamometers for strength measurement, as it reduces the assessment burden placed on the participants and therapists.engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIAPM&RForça muscularAcidente vascular cerebralDinamômetro de força muscularMembros superioresMembros inferioresMuscle strengthStrokeDynamometersUpper limb musclesLower limb musclesA Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://onlinelibrary.wiley.com/doi/epdf/10.1016/j.pmrj.2018.08.377Larissa Tavares AguiarJúlia Caetano MartinsLudmylla Ferreira QuintinoSherindan Ayessa Ferreira de BritoLuci Fuscaldi Teixeira-SalmelaChristina Danielli Coelho de Morais Fariaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/41479/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALA Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke.pdfA Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke.pdfapplication/pdf355508https://repositorio.ufmg.br/bitstream/1843/41479/2/A%20Single%20trial%20may%20be%20used%20for%20measuring%20muscle%20strength%20with%20dynamometers%20in%20individuals%20with%20stroke.pdf5bf7bd85b11c9540a3e90648f30b583dMD521843/414792022-05-09 13:38:23.594oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-05-09T16:38:23Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
title |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
spellingShingle |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study Larissa Tavares Aguiar Muscle strength Stroke Dynamometers Upper limb muscles Lower limb muscles Força muscular Acidente vascular cerebral Dinamômetro de força muscular Membros superiores Membros inferiores |
title_short |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
title_full |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
title_fullStr |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
title_full_unstemmed |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
title_sort |
A Single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: a cross-sectional study |
author |
Larissa Tavares Aguiar |
author_facet |
Larissa Tavares Aguiar Júlia Caetano Martins Ludmylla Ferreira Quintino Sherindan Ayessa Ferreira de Brito Luci Fuscaldi Teixeira-Salmela Christina Danielli Coelho de Morais Faria |
author_role |
author |
author2 |
Júlia Caetano Martins Ludmylla Ferreira Quintino Sherindan Ayessa Ferreira de Brito Luci Fuscaldi Teixeira-Salmela Christina Danielli Coelho de Morais Faria |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Larissa Tavares Aguiar Júlia Caetano Martins Ludmylla Ferreira Quintino Sherindan Ayessa Ferreira de Brito Luci Fuscaldi Teixeira-Salmela Christina Danielli Coelho de Morais Faria |
dc.subject.por.fl_str_mv |
Muscle strength Stroke Dynamometers Upper limb muscles Lower limb muscles |
topic |
Muscle strength Stroke Dynamometers Upper limb muscles Lower limb muscles Força muscular Acidente vascular cerebral Dinamômetro de força muscular Membros superiores Membros inferiores |
dc.subject.other.pt_BR.fl_str_mv |
Força muscular Acidente vascular cerebral Dinamômetro de força muscular Membros superiores Membros inferiores |
description |
Background: The mean of 3 trials is commonly employed to report measures of muscle strength after a stroke. However, consistent and reliable results have been found for single trial dynamometric measures of grip, pinch, and trunk strength in individuals with stroke. Nevertheless, no studies were found that investigated whether only a single trial could be used for the assessment of the strength of both the upper and lower limb muscles. Objective: To determine the best scoring method (one vs the means of 2 or 3 trials) to measure the strength of the upper and lower limb muscles in individuals with sub-acute and chronic stroke. Design: Cross-sectional observational study. Setting: Research laboratory, participants' homes, and community-based settings. Participants: Fifty-five individuals at the sub-acute (mean age: 61 ± 13 years; 3.7 ± 0.7 months poststroke) and 59 at the chronic poststroke phases (mean age: 57 ± 130 years; 90 ± 71 months poststroke). Main outcome measurements: Bilateral maximum isometric strength measures of the shoulder, elbow, and wrist flexors/extensors; shoulder abductors; hip, knee, and ankle flexors/extensors; and hip abductors were obtained with a hand-held dynamometer. Methods: After familiarization, 3 trials of maximal isometric strength were obtained for all evaluated muscle groups. One-way analysis of variance was used to compare the results obtained with the first vs the means of 2 and 3 trials for all the assessed muscle groups. Results: The values provided by the different scoring methods were similar for all evaluated muscle groups in individuals with sub-acute (.68 ≤ P ≤ .99) and chronic (.69 ≤ P ≤ .99) stroke. Conclusions: A single trial, after familiarization, may be used for measuring the strength of the upper and lower limb muscles with hand-held dynamometers in individuals with sub-acute and chronic stroke. This increases the clinical applicability of hand-held dynamometers for strength measurement, as it reduces the assessment burden placed on the participants and therapists. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-04 |
dc.date.accessioned.fl_str_mv |
2022-05-09T16:38:22Z |
dc.date.available.fl_str_mv |
2022-05-09T16:38:22Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/41479 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1016/j.pmrj.2018.08.377 |
dc.identifier.issn.pt_BR.fl_str_mv |
1934-1563 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-9084-1019 http://orcid.org/0000-0002-6556-6203 https://orcid.org/0000-0001-8358-8636 https://orcid.org/0000-0001-9784-9729 |
url |
https://doi.org/10.1016/j.pmrj.2018.08.377 http://hdl.handle.net/1843/41479 https://orcid.org/0000-0002-9084-1019 http://orcid.org/0000-0002-6556-6203 https://orcid.org/0000-0001-8358-8636 https://orcid.org/0000-0001-9784-9729 |
identifier_str_mv |
1934-1563 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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PM&R |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
EEF - DEPARTAMENTO DE FISIOTERAPIA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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UFMG |
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