Mulder-Brouwer Angelique N, Rameckers Eugene A A, Bastiaenen Caroline H
University for Professionals in Pediatric Physical Therapy (Ms Mulder-Brouwer and Dr Rameckers), AVANSplus, Breda, the Netherlands; Medicort, Centre for Physiotherapy (Ms Mulder-Brouwer), Utrecht, the Netherlands; Department of Rehabilitation Medicine (Dr Rameckers), CAPHRI, Maastricht University, and Centre of Expertise, Adelante Valkenburg, the Netherlands; Department of Epidemiology (Dr Bastiaenen, Dr Rameckers), Research Group Function and Rehabilitation CAPHRI, Maastricht University, Maastricht, the Netherlands.
Pediatr Phys Ther. 2016 Summer;28(2):136-53. doi: 10.1097/PEP.0000000000000228.
The purpose of this study was to evaluate the evidence on reliability of handheld dynamometry protocols to quantify maximal isometric strength of the muscles of the lower extremities of children with cerebral palsy.
A systematic search of Cochrane, MEDLINE, CINAHL, and PubMed up to December 2013 and best-evidence synthesis were performed.
Seven eligible studies were identified. Best-evidence synthesis revealed "unknown" to "moderate" evidence. Intraclass correlation coefficient values were "positive" for most muscle groups for intrarater reliability and showed mixed results for interrater reliability.
Because of small sample sizes (10-25) in all included studies, the final level of evidence remains "unknown." Reliability data obtained in the included studies of handheld dynamometry in children with cerebral palsy are promising, despite low levels of evidence. When these protocols are applied very carefully, they may prove relevant to different clinical settings.
本研究旨在评估关于手持测力计协议量化脑瘫患儿下肢肌肉最大等长肌力可靠性的证据。
对截至2013年12月的Cochrane、MEDLINE、CINAHL和PubMed进行系统检索并进行最佳证据综合分析。
确定了7项符合条件的研究。最佳证据综合分析显示证据等级为“未知”至“中等”。组内相关系数值在大多数肌肉群中，评定者内信度为“阳性”，评定者间信度结果不一。
由于所有纳入研究的样本量较小（10 - 25），最终证据水平仍为“未知”。尽管证据水平较低，但在纳入的脑瘫患儿手持测力计研究中获得的可靠性数据很有前景。当非常谨慎地应用这些协议时，它们可能在不同临床环境中具有相关性。
