Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Validity and Test-Retest Reliability of a Novel Push Low-Cost Hand-Held Dynamometer for Knee Strength Assessment During Different Force Ranges

Version 1 : Received: 20 December 2021 / Approved: 21 December 2021 / Online: 21 December 2021 (12:32:53 CET)

A peer-reviewed article of this Preprint also exists.

Macedo, M.C.; Souza, M.A.; Ferreira, K.R.; Campos, L.O.; Souza, I.S.O.; Barbosa, M.A.; Brito, C.J.; Intelangelo, L.; Barbosa, A.C. Validity and Test-Retest Reliability of a Novel Push Low-Cost Hand-Held Dynamometer for Knee Strength Assessment during Different Force Ranges. Diagnostics 2022, 12, 186. Macedo, M.C.; Souza, M.A.; Ferreira, K.R.; Campos, L.O.; Souza, I.S.O.; Barbosa, M.A.; Brito, C.J.; Intelangelo, L.; Barbosa, A.C. Validity and Test-Retest Reliability of a Novel Push Low-Cost Hand-Held Dynamometer for Knee Strength Assessment during Different Force Ranges. Diagnostics 2022, 12, 186.

Journal reference: Diagnostics 2022, 12, 186
DOI: 10.3390/diagnostics12010186

Abstract

The objective was to assess the instrumental validity and the test-retest reliability of a low-cost hand-held push dynamometer adapted from a load-cell based hanging scale (tHHD) to collect compressive forces in different ranges of compressive forces. Three independent raters applied 50 pre-established compressions each on the tHHD centered on a force platform in 3 distinct ranges: ~70 N, ~160 N, ~250 N. Knee isometric strength was also assessed on 19 subjects in two sessions (48h apart) using the tHHD anchored by an inelastic adjustable strap. Knee extension and flexion were assessed with the participant seated on a chair with the feet resting on the floor, knees, and hips flexed at 90°. The isometric force peaks were recorded and compared. The ICC and the Cronbach’s α showed excellent consistency and agreement for both instrumental validity and test-retest reliability, as the correlation and determination coefficients. The SEM and the MDC analysis returned adequate low values with a coefficient of variation less than 5%. The Bland-Altman results showed consistency and high levels of agreement. The tHHD is a valid method to assess the knee isometric strength, showing portability, cost-effectiveness, and user-friendly interface to provide an effective form to assess the knee isometric strength.

Keywords

muscle strength; knee assessment; isometric contraction

Subject

MEDICINE & PHARMACOLOGY, Sport Sciences & Therapy

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