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Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: A systematic review

Stark, T.W., Walker, B., Phillips, J.K., Fejer, R. and Beck, R. (2011) Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: A systematic review. PM & R, 3 (5). pp. 472-479.

Link to Published Version: http://dx.doi.org/10.1016/j.pmrj.2010.10.025
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Abstract

Objective: To examine the current evidence regarding the reliability and validity of hand-held dynamometry for assessment of muscle strength in the clinical setting. Data Sources: A search was conducted of the following databases: Cochrane, MEDLINE, PubMed, PEDro, OTseeker, Index to Chiropractic Literature (ICL), and MANTIS, from inception until January 29, 2010. Study Selection: The MeSH subject heading "muscle strength dynamometer" was searched, in isolation and in combination with the text word phrases "hand-held dynamometer" and "isokinetic." Four hundred fifty-four different studies met this search and were reviewed for possible inclusion. Data Extraction: Two independent reviewers assessed the quality of the included manuscripts. The PEDro data collection system was used in conjunction with the Cochrane Diagnostic Test Accuracy Description. A third reviewer was used when there was disagreement between the primary reviewers. Data Synthesis: Seventeen manuscripts met the inclusion criteria for this review, with a total of 19 studies (2 of the manuscripts involved 2 separate studies) that compared hand-held dynamometry with an identified reference standard (isokinetic muscle strength testing). The results demonstrated minimal differences between hand-held dynamometry and isokinetic testing. Conclusions: Considering hand-held dynamometry's ease of use, portability, cost, and compact size, compared with isokinetic devices this instrument can be regarded as a reliable and valid instrument for muscle strength assessment in a clinical setting.

Publication Type: Journal Article
Murdoch Affiliation: School of Chiropractic and Sports Science
Publisher: Elsevier
Copyright: © 2011 American Academy of Physical Medicine and Rehabilitation.
URI: http://researchrepository.murdoch.edu.au/id/eprint/4410
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