首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Measuring intrinsic hand strength in healthy adults: The accuracy intrarater and inter-rater reliability of the Rotterdam Intrinsic Hand Myometer
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Measuring intrinsic hand strength in healthy adults: The accuracy intrarater and inter-rater reliability of the Rotterdam Intrinsic Hand Myometer

机译:在健康成人中测量内在手动强度:鹿特丹内部手力计的准确性intrarenter和帧间间可靠性

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Study DesignClinical measurement study. IntroductionMeasuring the isometric strength generated during isolated hand joint motions is a challenging feat. The Rotterdam Intrinsic Hand Myometer (RIHM; med.engineers, Rotterdam, Netherlands) permits measurement of isolated movements of the hand. To date, there is limited evidence on the inter-rater reliability and limited adult normative data of RIHM. Given that multiple raters, often with varying degrees of experience, are needed to collect normative data, inter-rater reliability testing and a comparison of novice and experienced raters are needed. Purposes of the StudyThe purposes of this study were to test the accuracy, intrarater reliability, and inter-rater reliability of the RIHM in healthy-handed adults. MethodsRIHM accuracy was tested through use of precision class F weights. Adults 18 years or older without upper limb dysfunction were recruited. Each participant was tested by 4 raters, 3 occupational therapy graduate students, and an experienced certified hand therapist, through use of a calibrated RIHM. Five strength measures were tested bilaterally (ie, thumb carpometacarpal palmar abduction, index finger metacarpophalangeal [MP] abduction, index finger MP flexion, thumb MP flexion, and small finger MP abduction) 3 times per a standardized protocol. Statistical methods were used to test accuracy, inter-rater reliability, and intrarater/response stability. ResultsThe accuracy of RIHM device error was 5% or less. Reliability testing included the participation of 19 women and 10 men (n?= 29). All raters were in excellent agreement across all muscles (intraclass correlation coefficient, ≥0.81). Low standard error of measurement values of ≤8.3 N (1.9 lb) across raters were found. The response stability and/or intrarater reliability of the novice and certified hand therapist raters were not statistically different. DiscussionThe RIHM has an acceptable instrument error; the RIHM and its standardized procedure have excellent inter-rater reliability and response stability when testing those without hand limitations; and the response stability and/or intrarater reliability of expert and novice raters were consistent. ConclusionsThe use of the RIHM is justified when multiple raters of varying expertise collect normative data or conduct cohort studies on persons with healthy hands. Future research is warranted. Level of EvidenceNot applicable.
机译:研究指导测量研究。引入孤立的手联结运动期间产生的等距强度是一个具有挑战性的壮举。鹿特丹内在的手测米计(Rihm; Med.Engineers,鹿特丹,荷兰)允许测量手的隔离运动。迄今为止,有关RATM互补性的有限证据和RIHM的有限成人规范数据。鉴于多种评估者通常需要不同程度的经验,以收集规范数据,需要帧间的可靠性测试和新手和经验丰富的评估者的比较。该研究的目的本研究的目的是测试RIHM在健康的成年人中的准确性,内在可靠性和帧间间可靠性。方法通过使用精确等级F重量来测试方法。招募了18岁或以上的成年人,没有上肢功能障碍。每位参与者通过使用校准的Rihm来测试4位评估者,3名职业治疗研究生,以及经验丰富的认证的手动治疗师。双侧测试了五种强度措施(即拇指烧伤型肉腹Palmar Bualcaply,指数手指Metacarpophalangeal [MP]展示,指数手指MP屈曲,拇指MP屈曲和小手指MP绑架)每标准化方案3次。统计方法用于测试准确性,帧间间可靠性和Intrarrate /响应稳定性。 REALLYSTHE RIHM设备误差的准确性为5%或更少。可靠性测试包括参与19名女性和10名男子(n?= 29)。所有评价者都伴随着所有肌肉的良好一致性(腹部相关系数,≥0.81)。发现,在评分器上的≤8.3n(1.9磅)的低标准误差。新手和认证的手工治疗师评分器的响应稳定性和/或检测性可靠性并不统计学不同。讨论RIHM具有可接受的仪器错误; RIHM及其标准化程序在无手术限制时具有优异的帧间间可靠性和响应稳定性;和专家和新手评估者的反应稳定性和/或检测性可靠性一致。结论当多种专业知识收集规范数据或对健康手的人进行队列研究时,rihm的使用是合理的。未来的研究是有保证的。适用的evidencenot水平。

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