Validity and Reliability of the Measurement of the Quardriceps Femoris Muscle Strength with a Hand-Held Dynamometer on the Affected Side in Hemiplegic Patients.

Accession number;04A0211069
Title;Validity and Reliability of the Measurement of the Quardriceps Femoris Muscle Strength with a Hand-Held Dynamometer on the Affected Side in Hemiplegic Patients.
Author; PIAO C (China Rehabilitation Res. Center, Bei Jing, Chn) YOSHIMOTO N (Univ. Hospital Of Occupational And Environmental Health, Kitakyushu, Jpn) SHITAMA H (Univ. Hospital Of Occupational And Environmental Health, Kitakyushu, Jpn) MAKINO K (Univ. Occupational And Environmental Health, Kitakyushu, Jpn) WADA F (Univ. Occupational And Environmental Health, Kitakyushu, Jpn) HACHISUKA K (Univ. Occupational And Environmental Health, Kitakyushu, Jpn)
Journal Title;J UOEH Occup Environ Health
Journal Code:Z0840A
ISSN:0387-821X
VOL.26;NO.1;PAGE.1-11(2004)
Figure&Table&Reference;FIG.4, TBL.1, REF.16
Pub. Country;Japan
Language;English
Abstract;The purpose of this study was to investigate validity and reliability of measuring the quadriceps femoris muscle strength on the affected side in hemiplegic patients with a hand-held dynamometer (HDD) to prepare for a multi-center cooperative study. Measurements of the known weights (8.972 and 18.665 kg) with HHD were 8.98.+-.0.00 kg and 18.57.+-.0.00 kg, respectively, and measurements with HHD were almost consistent with those with KIN-COM (gold standard), because the Pearson's product-moment correlation coefficient was 0.99 (P<0.001). There were significant differences in measurements of the quadriceps femoris muscle strength on the affected side in a hemiplegic patient between just anterior to the face of the ankle and 7 cm proximal to the ankle, and on a chair with or without a backrest (t-test, P<0.05), but no significant difference was found between the 90.DEG. and 60.DEG. flexed position of the knee (t-test, 0.1>P>0.05). There were also no significant differences in muscle strength measured by three different examiners and on four trials, but significant differences were found among three patients (General Linear Model, P<0.001). Therefore, by using the standardized measuring procedure, the HHD is reliable to measure strength of the quadriceps femoris muscle on the affected side in hemiplegic patients. (author abst.)
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