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Validity and reliability of a low-cost dynamometer to assess maximal isometric strength of upper limb
Authors:Natalia Romero-Franco  Juan C Fernández-Domínguez  Juan A Montaño-Munuera  Javier Romero-Franco  Pedro Jiménez-Reyes
Institution:1. Nursing and Physiotherapy Department, University of the Balearic Islands, Palma, Spain;2. Physiotherapy Department, Catholic University of San Antonio, Murcia, Spain;3. UNICAJA Jaen Athletic Club, Jaen, Spain;4. Centre for Sport Studies, King Juan Carlos University, Madrid, Spain
Abstract:Muscle imbalance and deficit are key parameters for guiding rehabilitation and sports sessions and avoiding injuries. However, the high cost and non-portable nature of most instruments employed for muscle strength assessment frequently hamper an affordable evaluation in field conditions. This study evaluated the validity and reliability of a low-cost digital dynamometer to assess the maximal isometric strength of upper limb muscles. Fourteen physically active volunteers performed the main movements of the upper limb at maximal isometric strength: flexion-extension, internal-external rotation and abduction-adduction of the shoulder; and flexion-extension of both elbow and wrist. Validity was examined by comparing the strength values from the low-cost digital dynamometer and those measured by an isokinetic dynamometer, assumed as the gold standard. The correlation between both devices was perfect (r > 0.913), while Bland-Altman plots showed absolute agreement between both devices, the maximum range of the values of bias was ?0.99–1.00 N in wrist extension. Inter-tester and intra-tester reliability were excellent for all movements (ICC ≥ 0.855). The low-cost digital dynamometer showed strong validity and excellent reliability in assessing maximal isometric strength during the main movements of the upper limb. Professionals may use it for an affordable isometric muscle strength assessment in field situations.
Keywords:Reliability  validity  dynamometry  maximal isometric strength  upper limb
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