Hsieh C Y, Phillips R B
Los Angeles College of Chiropractic, CA 90609.
J Manipulative Physiol Ther. 1990 Feb;13(2):72-82.
The purpose of this study was to investigate the reliability of manual dynamometry. Three testers participated and performed the doctor- and patient-initiated testing methods as described in the applied kinesiology literature. Three muscles from each subject were tested. Fifteen normal volunteer adults had their muscles tested by the doctor-initiated method and another 15 had their muscles tested by the patient-initiated method. Each tester took two observations per muscle. The testing procedures were repeated 7 days later. The results showed that the intratester reliability coefficients were 0.55, 0.75 and 0.76 for testers 1, 2 and 3, respectively, when the doctor-initiated method was used; 0.96, 0.99 and 0.97 when the patient-initiated method was used. The intertester reliability coefficients were 0.77 and 0.59 on day 1 and day 2, respectively, for the doctor-initiated method; 0.95 and 0.96 for the patient-initiated method. It is concluded that manual dynamometry is an acceptable procedure for the patient-initiated method and is not acceptable for the doctor-initiated method.
本研究的目的是调查握力计测量的可靠性。三名测试人员参与其中，并按照应用运动机能学文献中描述的由医生发起和由患者发起的测试方法进行操作。对每个受试者的三块肌肉进行测试。15名正常成年志愿者通过医生发起的方法进行肌肉测试，另外15名通过患者发起的方法进行肌肉测试。每位测试人员对每块肌肉进行两次观察。7天后重复测试程序。结果显示，在使用医生发起的方法时，测试人员1、2和3的测试者内可靠性系数分别为0.55、0.75和0.76；在使用患者发起的方法时，可靠性系数分别为0.96、0.99和0.97。对于医生发起的方法，测试人员之间在第1天和第2天的可靠性系数分别为0.77和0.59；对于患者发起的方法，可靠性系数分别为0.95和0.96。结论是，握力计测量对于患者发起的方法是一种可接受的程序，而对于医生发起的方法则不可接受。
