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Knee Surgery, Sports Traumatology, Arthroscopy
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2019

30.10.2018 | KNEE

Hand-held dynamometer identifies asymmetries in torque of the quadriceps muscle after anterior cruciate ligament reconstruction

verfasst von: Gabriel Peixoto Leão Almeida, Thamyla Rocha Albano, Antônio Kayro Pereira Melo

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 8/2019

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Abstract

Purpose

To verify the validity and diagnostic accuracy of the hand-held dynamometer (HHD) with the isokinetic dynamometer for evaluating the quadriceps strength of subjects who have undergone ACL reconstruction (ACLR).

Methods

This validity and diagnostic accuracy study was conducted prospectively by examining 70 consecutive participants who had undergone ACLR at least 6 months previously. All participants performed strength evaluation of the quadriceps muscle using the HHD and isokinetic dynamometer.

Results

The HHD presented high test–retest reliability [intraclass correlation coefficient (ICC) = 0.98], moderate to good validity with the isokinetic dynamometer when compared for the quadriceps strength (r = 0.62), 100% perfect specificity [LR + infinity, 95% confidence interval (CI) 81.4%–100%] to identify those with LSI > 10%, and a sensitivity of 63.4% (48.9%–76.3%).

Conclusion

The HHD is an instrument valid and reliable of low cost and easy handling compared to the isokinetic dynamometer to evaluate the quadriceps torque and the limb symmetry index after the ACLR with high diagnostic accuracy.

Level of evidence

I.
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Metadaten
Titel
Hand-held dynamometer identifies asymmetries in torque of the quadriceps muscle after anterior cruciate ligament reconstruction
verfasst von
Gabriel Peixoto Leão Almeida
Thamyla Rocha Albano
Antônio Kayro Pereira Melo
Publikationsdatum
30.10.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 8/2019
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-018-5245-3

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