肌力定量检查方法研究进展

doi:10.3969/j.issn.1006-9771.2017.07.005

Abstract

Abstract: As the manual muscle testing is not sensitive enough to reflect the change of muscle strength, more and more people begin to use isokinetic dynamometry and handheld dynamometer for quantitative tests of muscle strength measurement. This paper briefly introduced the history of clinical approaches of muscle strength measurement, compared the advantages and disadvantages of various quantitative muscle strength testing, on which the specific techniques of clinical muscle strength measurement were discussed.

Key words: muscle strength, quantitative tests, isokinetic dynamometry, handheld dynamometer, measurement, rehabilitation, review

CLC Number:

R741.04

LIU Gen-lin, LI Jian-jun, ZHOU Hong-jun, KANG Hai-qiong, ZHENG Ying, HAO Chun-xia, ZHANG Ying, WEI Bo, LU Xiao-lei, YUAN Yuan. Advance in Quantitative Tests of Muscle Strength Measurement (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(7): 766-769.

References

[1] Wright WG. Muscle training in the treatment of infantile paralysis [J]. Bost Med Surg J, 1912, 167(17): 567-574.
[2] Lovett RW, Martin EG. Certain aspects of infantile paralysis and a description of a method of muscle testing [J]. JAMA, 1916, 66: 729-733.
[3] Lovett RW. The Treatment of Infantile Paralysis [M]. Philadelphia: Blakiston's Son, 1917: 1-2.
[4] 恽晓平. 康复疗法评定学[M]. 北京:华夏出版社, 2005: 106, 176.
[5] 王盛,姜文君. 徒手肌力检查发展史及分级进展[J]. 中国康复理论与实践, 2015, 21(6): 666-669.
[6] Kendall FP, McCreary EK, Provance PG, et al. Muscles, Testing and Function, with Posture and Pain [M]. 5th ed. Baltimore: Lippincott Williams & Wilkins, 2005.
[7] Medical Research Council. Aids to examination of the peripheral nervous system. Memorandum No. 45 [R]. London: Her Majesty's Stationary Office, 1976.
[8] Hislop HJ, Perrine JJ. The isokinetic concept of exercise [J]. Phys Ther, 1967, 47(2): 114-117.
[9] Schmidt RT, Toews JV. Grip strength as measured by the Jamar dynamometer [J]. Arch Phys Med Rehabil, 1970, 51(6): 321-327.
[10] Edwards RH, McDonnell M. Hand-held dynamometer for evaluating voluntary-muscle function [J]. Lancet, 1974, 28(2): 757-758.
[11] Medical Research Council of the United Kingdom. Aid to Examination of the Peripheral Nervous System: Memorandum No. 45 [R]. Palo Alto: Pedragon House, 1978.
[12] Carlsöö S. A back and lift test [J]. Appl Ergon, 1980, 11(2): 66-72.
[13] Gaul JS Jr. Intrinsic motor recovery–a long-term study of ulnar nerve repair [J]. J Hand Surg Am, 1982, 7(5): 502-508.
[14] Bohannon RW. Manual muscle test scores alone provide a limited indication of the functional independence of home care patients [J]. Int J Rehabil Res, 1999, 22(2): 151-152.
[15] Kendall HO, Kendall FP. Care during recovery period in paralytic poliomyelitis [R]. US Public Health Service. Bulletin 242. Rev, 1939: 1-96.
[16] Daniels L, Williams M, Worthingham C. Muscle Testing. Techniques of Manual Examination [M]. Philadelphia: W B Saunders Co., 1947.
[17] Lovett RW, Martin EG. The spring balance muscle test [J]. Am J Orthop Surg, 1916, 214: 415-424.
[18] Dyck PJ, Boes CJ, Mulder D, et al. History of standard scoring, notation, and summation of neuromuscular signs. A current survey and recommendation [J]. J Peripher Nerv Syst, 2005, 10(2): 158-173.
[19] Mankin HJ. Boston's contributions to the development of orthopaedics in the United States. A brief history [J]. Clin Orthop Relat Res, 2000, 374: 47-54.
[20] Molnar GE, Alexander J. Objective, quantitative muscle testing in children: a pilot study [J]. Arch Phys Med Rehabil, 1973, 54(5): 224-228.
[21] 夏晴,王立新,范利华. 肢体肌肉功能评定研究进展[J]. 法医学杂志, 2011, 27(4): 290-294.
[22] 俞泳,何红晨,何成奇. 等速肌力测试和训练技术在我国康复医学领域应用现状[J]. 华西医学, 2010, 25(12): 2300-2302.
[23] Sisto SA, Dyson-Hudson T. Dynamometry testing in spinal cord injury [J]. J Rehabil Res Dev, 2007, 44(1): 123-136.
[24] Magnusson SP, Gleim GW, Nicholas JA. Subject variability of shoulder abduction strength testing [J]. Am J Sports Med, 1990, 18(4): 349-353.
[25] Leggin BG, Neuman RM, Iannotti JP, et al. Intrarater and interrater reliability of three isometric dynamometers in assessing shoulder strength [J]. J Shoulder Elbow Surg, 1996, 5(1): 18-24.
[26] Wong CK, Moskovitz N. New assessment of forearm strength: reliability and validity [J]. Am J Occup Ther, 2010, 64(5): 809-813.
[27] Noreau L, Vachon J. Comparison of three Methods to assess muscular strength in individuals with spinal cord injury [J]. Spinal Cord, 1998, 36(10): 716-723.
[28] Kolber MJ, Cleland JA. Strength testing using hand-held dynamometry [J]. Phys Ther Rev, 2005, 10(2): 99-112.
[29] Schwartz S, Cohen ME, Herbison GJ, et al. Relationship between two measures of upper extremity strength: manual muscle test compared to hand-held myometry [J]. Arch Phys Med Rehabil, 1992, 73(11): 1063-1068.
[30] 窦祖林,南登昆. 徒手肌力检查与定量肌力检查相关性初探[J]. 中国康复医学杂志, 1992, 7(3): 109-111.
[31] Beasley WC. Quantitative muscle testing: principles and applications to research and clinical services [J]. Arch Phys Med Rehabil, 1961, 42(42): 398-425.
[32] Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers [J]. Phys Ther, 1996, 76(3): 248-259.
[33] Burns SP, Spanier DE. Break-technique handheld dynamometry: Relation between angular velocity and strength measurements [J]. Arch Phys Med Rehabil, 2005, 86(7): 1420-1426.
[34] Agre JC, Magness JL, Hull SZ, et al. Strength testing with a portable dynamometer: reliability for upper and lower extremities [J]. Arch Phys Med Rehabil, 1987, 68(7): 454-458.
[35] Kilmer DD, McCrory MA, Wright NC, et al. Strength Measurement Using Hand-Held Dynamometry [R]. Washington D.C.: U.S. Department of Education, National Institute on Disability and Rehabilitation Research, 1997.
[36] Bohannon RW. Test-retest reliability of handheld dynamometry during a single session of strength assessment [J]. Phys Ther, 1986, 66(2): 206-209.
[37] Whitley JD, Smith LE. Larger correlations obtained by using "average" rather than "best" strength scores [J]. Res Quar Exer Sport, 1963, 34(2): 248-249.
[38] Bohannon RW. Make tests and break tests of elbow ?exor muscle strength [J]. Phys Ther, 1988, 68(2): 193-194.
[39] Bohannon RW. Shoulder position in?uences elbow extension force in healthy individuals [J]. J Orthop Sports Phys Ther, 1990, 12(3): 111-114.
[40] Bohannon RW. Measuring knee extensor muscle strength [J]. Am J Phys Med Rehabil, 2001, 80(1): 13-18.
[41] Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years [J]. Arch Phys Med Rehabil, 1997, 78(1): 26-32.
[42] Lu YM, Lin JH, Hsiao SF, et al. The relative and absolute reliability of leg muscle strength testing by a handheld dynamometer [J]. J Strength Cond Res, 2011, 25(4): 1065-1071.
[43] Bohannon RW, Bubela DJ, Wang YC, et al. Adequacy of belt-stabilized testing of knee extension strength [J]. J Strength Cond Res, 2011, 25(7): 1963-1967.
[44] Smidt N, van der Windt DA, Assendelft WJ, et al. Interobserver reproducibility of the assessment of severity of complains, grip strength, and pressure pain threshold in patients with lateral epicondylitis [J]. Arch Phys Med Rehabil, 2002, 83(8): 1145-1150.
[45] Krause DA, Neuger MD, Lambert KA, et al. Effects of examiner strength on reliability of hip-strength testing using a handheld dynamometer [J]. J Sport Rehabil, 2014, 23(1): 56-64.
[46] Newman BL, Pollock CL, Hunt MA. Reliability of maximal isometric lateral trunk flexion strength measurement in athletes using hand-held dynamometry [J]. J Sport Rehabil, 2012, Technical Notes (6).
[47] Geary K, Green BS, Delahunt E. Intrarater reliability of neck strength measurement of rugby union players using a handheld dynamometer [J]. J Manipulative Physiol Ther, 2013, 36(7): 444-449.
[48] Shahidi B, Johnson CL, Curran-Everett D, et al. Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain [J]. BMC Musculoskelet Disord, 2012, 13: 215.
[49] Altman DG. Practical Statistics for Medical Research [M]. London: Chapmanand Hall, 1991.
[50] Van der Ploeg RJO, Fidler V, Oosteruis HJ. Hand-held myometry: reference values [J]. J Neurol Neurosurg Psychiatry, 1991, 54(3): 244-247.
[51] Thorborg K, Bandholm T, Holmich P. Hip and knee strength assessments using a hand-held dynamometer with external belt-fixation are inter-tester reliable [J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(3): 550-555.
[52] Katoh M. Comparison of reliability of isometric leg muscle strength measurements made using a hand-held dynamometer with and without a restraining belt [J]. J Phys Ther Sci, 2009, 21(1): 37-42.
[53] Kelln BM, McKeon PO, Gontkof LM, et al. Hand-held dynamometry: reliability of lower extremity muscle testing in healthy, physically active, young adults [J]. J Sport Rehabil, 2008, 17(2): 160-170.
[54] Wikholm JB, Bohannon RW. Hand-held dynamometer measurements: tester strength makes a difference [J]. J Orthop Sports Phys Ther, 1991, 13(4): 191-198.
[55] Schrama PPM, Stenneberg MS, Lucas C, et al. Intraexaminer reliability of handheld dynamometry in the upper extremity: a systematic review [J]. Arch Phys Med Rehabil, 2014, 95(12): 2444-2469.
[56] Liu GL, Li JJ, Zhou HJ, et al. A simple way to improve the relative and absolute reliability of handheld dynamometer measurements using learners [J]. Int J Clin Exp Med, 2016, 9(1): 199-208.
[57] 王艳萍,王娜,瓮长水,等. 长期卧床高龄老年人握力的重测信度[J]. 中国康复理论与实践, 2009, 15(3): 259-260.
[58] 蒋奇永,徐秀林. 等长肌力测试的研究与应用[J]. 中国组织工程研究与临床康复, 2011, 15(15): 2813-2816.

Advance in Quantitative Tests of Muscle Strength Measurement (review)

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	SHAO Weiting, LEI Jianghua. Effect of response interruption and redirection as a behavioral intervention on vocal stereotypy in children with autism spectrum disorder: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 10-20.
[2]	LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110.
[3]	WANG Zihao, LI Xinhua, JIANG Huiping, GUO Sainan, LIANG Qiuman, SHI Tingqi. Short-term knee function after total knee arthroplasty and related factors [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 111-118.
[4]	WANG Hangyu, GE Keke, FAN Yonghong, DU Lilu, ZOU Min, FENG Lei. Effect of active music therapy on cognitive function for older adults with cognitive impairment: a systematic review based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 36-43.
[5]	WEN Jianing, JIN Qiuyan, ZHANG Qi, LI Jie, SI Qi. Effect of cognitively engaging physical activity on developing executive function of children and adolescents: a systematic review based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 44-53.
[6]	GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
[7]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[8]	ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.
[9]	WANG Junyu, YANG Yong, YUAN Xun, XIE Ting, ZHUANG Jie. Effect of high-intensity interval training on executive function for healthy children and adolescents: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1012-1020.
[10]	WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028.
[11]	YANG Yaru, YANG Jian. School-based physical activity-related health services and their health benefits within the World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1040-1047.
[12]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[13]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.
[14]	CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109.
[15]	JIANG Changhao, HUANG Chen, GAO Xiaoyan, DAI Yuanfu, ZHAO Guoming. Effect of neurofeedback training on cognitive function in the elderly: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 903-909.