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首页> 美国卫生研究院文献>Open Medicine >Absolute Reliability and Concurrent Validity of Hand Held Dynamometry and Isokinetic Dynamometry in the Hip Knee and Ankle Joint: Systematic Review and Meta-analysis
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Absolute Reliability and Concurrent Validity of Hand Held Dynamometry and Isokinetic Dynamometry in the Hip Knee and Ankle Joint: Systematic Review and Meta-analysis

机译：髋部膝部和踝关节手部测功和等速测功的绝对可靠性和并行有效性：系统评价和荟萃分析

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The purpose of the study is to establish absolute reliability and concurrent validity between hand-held dynamometers (HHDs) and isokinetic dynamometers (IDs) in lower extremity peak torque assessment. Medline, Embase, CINAHL databases were searched for studies related to psychometric properties in muscle dynamometry. Studies considering standard error of measurement SEM (%) or limit of agreement LOA (%) expressed as percentage of the mean, were considered to establish absolute reliability while studies using intra-class correlation coefficient (ICC) were considered to establish concurrent validity between dynamometers. In total, 17 studies were included in the meta-analysis. The COSMIN checklist classified them between fair and poor. Using HHDs, knee extension LOA (%) was 33.59%, 95% confidence interval (CI) 23.91 to 43.26 and ankle plantar flexion LOA (%) was 48.87%, CI 35.19 to 62.56. Using IDs, hip adduction and extension; knee flexion and extension; and ankle dorsiflexion showed LOA (%) under 15%. Lower hip, knee, and ankle LOA (%) were obtained using an ID compared to HHD. ICC between devices ranged between 0.62, CI (0.37 to 0.87) for ankle dorsiflexion to 0.94, IC (0.91to 0.98) for hip adduction. Very high correlation were found for hip adductors and hip flexors and moderate correlations for knee flexors/extensors and ankle plantar/dorsiflexors.
机译：该研究的目的是在下肢峰值扭矩评估中建立手持式测功机（HHD）和等速测功机（ID）之间的绝对可靠性和同时有效性。搜索Medline，Embase，CINAHL数据库中与肌肉测力法中的心理测量特性有关的研究。考虑测量标准误差（％）或标准极限LOA​​（％）表示为平均值的百分比的研究被认为建立绝对可靠性，而使用类内相关系数（ICC）的研究被认为建立测力计之间的并发有效性。荟萃分析总共包括17项研究。 COSMIN清单将它们分为公平和不良两类。使用HHDs时，膝关节伸展LOA（％）为33.59％，95％置信区间（CI）为23.91至43.26，踝plant屈LOA（％）为48.87％，CI为35.19至62.56。使用ID，髋关节内收和伸展；膝盖屈伸踝背屈显示LOA（％）低于15％。与HHD相比，使用ID获得下髋，膝和踝的LOA（％）。装置之间的ICC介于0.62，CI（0.37至0.87）之间（用于踝背屈）至0.94，IC（0.91至0.98）之间用于髋关节内收。髋内收肌和髋屈肌的相关性非常高，膝关节屈肌/伸肌和脚踝/背屈肌的相关性中等。

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