提高手腕强度评估可靠性:对手持动力测量协议及其临床影响的审查
Diego Mazzocato1, Valentina Biasol1, Pasquale Arcuri2
1Independent Researcher, 40100 Bologna, Italy.
Journal of clinical medicine
|July 29, 2025
概括
标准化手持动力测量 (HHD) 协议对于可靠的手腕强度测量至关重要. 一致的程序提高了临床和研究环境中的准确性,改善了肌肉力量评估.
科学领域:
- 康复医学 康复医学 康复医学
- 生物机械工程 生物机械工程
- 临床测量 临床测量
背景情况:
- 手持动力计 (HHD) 是评估肌肉力量的常见工具,特别是在手腕.
- HHD测量可靠性的变化源于不一致的测试协议,影响临床和研究实用性.
- 需要标准化的协议来克服手腕强度评估的HHD应用中的挑战.
研究的目的:
- 进行关于手腕强度测量的手持式动力计的文献范围审查.
- 确定影响手腕强度评估中HHD测量可靠性的因素.
- 为临床实践中标准化HHD协议提供建议.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在EBSCO,PEDro,PubMed,Scopus和Cochrane图书馆进行了搜索,使用与HHD,手腕,前臂,肌肉和力量相关的MeSH术语.
- 三名独立审稿人选了文章,以盲目的选择来确保客观性.
主要成果:
- 当使用标准化的协议时,HHD可以产生可靠的肌肉强度测量.
- 经常报告高的内部检查员可靠性 (ICC 0.710.90).
- 检查员之间的可靠性显示出更大的变化,特别是在多个检查员的情况下;精确的动力计放置和患者定位是减少变化的关键.
结论:
- 对于手腕强度评估而言,HHD的可靠性取决于标准化测试程序.
- 实施经过验证,标准化的协议对于改善临床环境中的测量一致性和可靠性至关重要.
- 为了在临床实践中广泛建立和实施这些协议,需要进一步的研究.
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