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Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
Muscle strength testing with one repetition maximum in the arm/shoulder for people aged 75 + - test-retest
E Rydwik1, C Karlsson, K Frändin
1Department of Geriatric Medicine, Research and Development Unit, Jakobsberg Hospital, Karolinska Institutet, Järfälla, Sweden. elisabeth.rydwik@sll.se
Objective:
To investigate the reliability of a muscle strength test of the arm/shoulder in elderly people, aged 75 and older, and to compare subjects with and without previous muscle strength training experience.
Design:
Reliability study - test-retest.
Setting:
Research centre for the elderly.
Main Measures:
One repetition maximum (1 RM) was measured using an arm/shoulder strength-training device (Pull Down, Norway). Two measurements were conducted, approximately one week apart.
Results:
Forty people were included in the study and 34 completed both sessions. Eleven participants had previous muscle strength training experience on the indicated device. There was a high correlation between the test sessions, r = 0.97 for both groups. The analysis of 95% limits of agreement for the mean difference was -4.3/+6.9 kg for the group without and -3.0/+6.4 kg for the group with previous experience, respectively.
Conclusion:
One repetition maximum evaluated by the Pull Down device seems to be a reliable and safe method for dosing and evaluating a muscle strength training programme for elderly people. The observed variation of approximately -4/+7 kg cannot be interpreted as an effect of muscle training, but is more likely an effect of learning, fluctuations in daily condition and/or motivation.
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