Clinical assessment of hip strength using a hand‐held dynamometer is reliable

Scandinavian Journal of Medicine and Science in Sports - Tập 20 Số 3 - Trang 493-501 - 2010
Kristian Thorborg1, Jesper Petersen1, S. Peter Magnusson2, Per Hölmich1
1Department of Orthopaedic Surgery, Amager Hospital, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
2Institute of Sports Medicine Copenhagen, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark

Tóm tắt

Hip strength assessment plays an important role in the clinical examination of the hip and groin region. The primary aim of this study was to examine the absolute test–retest measurement variation concerning standardized strength assessments of hip abduction (ABD), adduction (ADD), external rotation (ER), internal rotation (IR), flexion (FLEX) and extension (EXT) using a hand‐held dynamometer. Nine subjects (five males, four females), physically active for at least 2.5 h a week, were included. Twelve standardized isometric strength tests were performed twice with a 1‐week interval in between by the same examiner. The test order was randomized to avoid systematic bias. Measurement variation between sessions was 3–12%. When the maximum value of four measurements was used, test–retest measurement variation was below 10% in 11 of the 12 individual hip strength tests and below 5% in five of the 12 tests. No systematic differences were present. Standardized strength assessment procedures of hip ABD, ER, IR, FLEX, with test–retest measurement variation below 5%, hip ADD below 6% and hip EXT below 8%, make it possible to determine even small changes in hip strength at the individual level.

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