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Handheld Dynamometer for Hamstring Strength Test Using Two Different Hand Placements/Methods: An Interrater

Thomas A Koc1, Jenna Tucker1, Jennifer Gentile1

  • 1Department of Physical Therapy, Kean University, Union, New Jersey 07083, USA.

Rehabilitation Research and Practice
|December 18, 2024
PubMed
Summary
This summary is machine-generated.

Comparing proximal stabilization and fulcrum methods for handheld dynamometer hamstring strength testing in DPT students, this study found no significant differences between techniques. Both methods demonstrated good interrater reliability for assessing muscle strength.

Keywords:
DPT studentsfulcrumhamstringproximal

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Area of Science:

  • Biomechanics and Kinesiology
  • Musculoskeletal Assessment
  • Physical Therapy Research

Background:

  • Handheld dynamometers offer reliable muscle strength measurement.
  • Manual muscle testing utilizes proximal stabilization and fulcrum methods, with unclear superiority for strength assessment.
  • Investigating optimal techniques for accurate muscle strength evaluation is crucial in physical therapy.

Purpose of the Study:

  • To compare hamstring strength measurements between proximal stabilization and fulcrum methods using a handheld dynamometer.
  • To determine the interrater reliability of Doctor of Physical Therapy (DPT) students employing these two manual muscle testing techniques.

Main Methods:

  • A descriptive-comparative study utilized a digital handheld dynamometer (Microfet 2 MMT-Wireless).
  • Participants performed knee flexion in a prone position, with dynamometer placement on the lower leg for 5 seconds.
  • Each testing method (proximal stabilization, fulcrum) was repeated three times, with averages calculated for analysis.

Main Results:

  • No statistically significant differences were found between the proximal stabilization and fulcrum methods for hamstring strength (p > 0.05).
  • Excellent interrater reliability was observed for both methods, with Intraclass Correlation Coefficients (ICC) of 0.742 and 0.752 respectively (p ≤ 0.001).
  • DPT students demonstrated consistent strength measurements across repetitions and between raters for both techniques.

Conclusions:

  • Both proximal stabilization and fulcrum methods are viable for assessing hamstring strength in healthy adults using handheld dynamometry.
  • The study confirms good interrater reliability among DPT students for both manual muscle testing techniques.
  • These findings support the use of either method for consistent muscle strength assessment in clinical and research settings.