Document Detail


Long-term stability of hand-held dynamometric measurements in children who have myelomeningocele.
MedLine Citation:
PMID:  1589465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The long-term stability of hand-held dynamometric measurements was assessed in 30 muscle groups of 12 children with myelomeningocele, before and after a 23-day interval. Measurements from a majority of the muscle groups had excellent stability, based on statistical indicators of association (Pearson Product-Moment Correlation Coefficients, r =.76-.98) and agreement (intraclass correlation coefficients, ICC = .75-.99). Muscle groups with lower long-term stability were the right and left wrist extensors and flexors, the left hip adductors and extensors, the left knee flexors, and the right and left knee extensors. Upper-extremity muscle groups had higher long-term stability than did lower-extremity muscle groups. The results indicate that the dynamometric measurements were highly reliable when the test-retest interval was 23 days. Other researchers have previously shown high reliability for these measurements over shorter periods of time. Improved reliability might be obtained by supporting the lower extremity during hip extension tests; padding the dynamometer end pieces, especially when testing over bony prominences; and using a smaller, digital dynamometer. The hand-held dynamometer appears to warrant use and further investigation with pediatric populations.
Authors:
S K Effgen; D A Brown
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Physical therapy     Volume:  72     ISSN:  0031-9023     ISO Abbreviation:  Phys Ther     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-06-23     Completed Date:  1992-06-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  458-65     Citation Subset:  AIM; IM    
Affiliation:
Program in Pediatric Physical Therapy, Hahnemann University, Philadelphia, PA 19102.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Female
Hand / physiopathology*
Humans
Isometric Contraction / physiology*
Male
Meningomyelocele / physiopathology*
Muscles / physiopathology
Posture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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