Reliability of hand-held dynamometry in spinal muscular atrophy

被引:117
|
作者
Merlini, L
Mazzone, ES
Solari, A
Morandi, L
机构
[1] Ist Ortoped Rizzoli, Neuromuscular Unit, I-40136 Bologna, Italy
[2] Ist Nazl Neurol C Besta, Lab Epidemiol, Milan, Italy
[3] Ist Nazl Neurol C Besta, Dept Neuromuscular Dis, Milan, Italy
关键词
clinical trial; hand-held myometry; maximal voluntary isometric contraction; reliability; spinal muscular atrophy;
D O I
10.1002/mus.10166
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We have assessed the reliability of hand-held myometry in 33 patients with spinal muscular atrophy (SMA), testing elbow flexion, handgrip, three-point pinch, knee flexion, knee extension, and foot dorsiflexion, and determining intraclass correlation coefficients (ICC). Interrater reliability was high for upper limbs, with an ICC of 0.92 for three-point pinch and 0.98 for elbow flexion and grip. For lower limbs interrater reliability was good with ICC>0.85 for all measures except foot dorsiflexion. Test-retest results were excellent with ICC >0.91 in all instances. Hand-held myometry is easily performed in SMA patients of various ages and muscle strengths, is a reliable measure of limb muscle strength, and can be used in longitudinal studies and clinical trials. (C) 2002 Wiley Periodicals, Inc.
引用
收藏
页码:64 / 70
页数:7
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