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Updated: Jul 23, 2025

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
[Avoiding cognitive bias : example of quantified assessment of muscle strength]
Guillaume Servant1,2, Simon Barrue-Belou1,3, Boris Gojanovic4
1Physiothérapeute, Département de physiothérapie et laboratoire d'analyse du mouvement, Swiss Olympic Medical Center, Hôpital de La Tour, 1217 Meyrin/Genève.
Abstract:
Optimizing treatments requires the prevention of diagnostic errors. The use of shortcuts, cognitive biases, may lead to errors of judgement that can impair clinical reasoning and distort decision-making. Objective, quantifiable and comparable assessment is a safeguard against this, and for instance force quantification is used for this purpose. We will present here the use of hand-held dynamometers with recommendations for best practice as well as simple but essential tools for interpreting the results. Indeed, the use of these easy-to-use dynamometers requires rigour to ensure the quality of measurements and data analysis by/for the clinician. The use of this equipment should be widely promoted and democratized in informed clinical practice.

