手持式动力计:测量关节扭矩发展速度和峰值扭矩的有效性和可靠性
Katherine McNabb1, María B Sánchez1, James Selfe1
1Department of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom.
PloS one
|August 16, 2024
概括
手持式动力表 (HHD) 在部肌肉强度测试中显示出良好的可靠性,但与异动力动力表 (IKD) 相比,它存在一些有效性问题. 扭矩发展的晚期阶段速度 (RTD) 测量更可靠,更适合临床使用.
科学领域:
- 生物力学 生物力学
- 运动学 运动学
- 运动医学 运动医学
背景情况:
- 使用扭矩发展速率 (RTD) 和峰值扭矩 (PT) 评估部肌肉的强度存在临床挑战.
- 手持式动力表 (HHD) 为异动力学动力表 (IKD) 提供了一个便携式替代品,但它们的有效性和可靠性需要研究.
研究的目的:
- 为了评估HHD与IKD之间的构造有效性,用于测量部肌肉RTD和PT.
- 为了确定HHD在RTD和PT测量中的可靠性.
- 为了检查RTD和PT在关节运动中的关系.
主要方法:
- 30名健康成年人 (30±8岁) 在同一天参加了两次测试.
- 进行了最大的自愿同度收缩,用于部曲,延伸,绑架,引,内部和外部旋转.
- 使用HHD和IKD测量RTD (在0-50,0-100,0-150,0-200ms) 和PT,并将其正常化为体重.
主要成果:
- 在HHD和IKD之间的早期RTD (0-50ms) 中发现了显著的系统偏差和广泛的协议极限.
- RTD0-200ms显示出更低的偏差和更窄的协议限制,表明更好的有效性.
- PT测量显示,对于大多数部运动,设备之间的一致性很好.
- 对于所有RTD和PT测量 (0.5-0.95) 的HHD,评价者内部可靠性 (ICC2,1) 是中等到优异的.
- 在PT和晚期RTD (RTD0-150ms,RTD0-200ms) 之间观察到强烈的线性相关性 (r = .7到 .87).
结论:
- 虽然HHD在部肌肉RTD和PT中显示出出色的内定值可靠性,但其对IKD的有效性是有问题的,特别是在早期RTD测量中.
- 临床医生可以利用HHD进行部PT评估,但应对早期RTD保持谨慎.
- 晚期的RTD测量 (RTD0-150ms,RTD0-200ms) 是更可靠和有效的,与PT的相关性很好.
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