帕金森病老年患者握力测试的可靠性
Reliability of the Handgrip Strength Test in Elderly Subjects With Parkinson Disease.
作者信息
Villafañe Jorge H, Valdes Kristin, Buraschi Riccardo, Martinelli Marco, Bissolotti Luciano, Negrini Stefano
机构信息
IRCCS Don Gnocchi Foundation, Milan, Italy.
Drexel University, Philadelphia, PA, USA.
出版信息
Hand (N Y). 2016 Mar;11(1):54-8. doi: 10.1177/1558944715614852. Epub 2016 Jan 14.
BACKGROUND
The handgrip strength test is widely used by clinicians; however, little has been investigated about its reliability when used in subjects with Parkinson disease (PD). The purpose of this study was to investigate the test-retest reliability of the handgrip strength test for subjects with PD.
METHODS
The PD group consisted of 15 patients, and the control group consisted of 15 healthy subjects. Each patient performed 3 pain-free maximal isometric contractions on each hand on 2 occasions, 1 week apart. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), and 95% limits of agreement (LOA) were calculated. The 2-way analysis of variance (ANOVA) was conducted to determine the differences between sides and groups.
RESULTS
Test-retest reliability of measurements of grip strength was excellent for dominant (ICC = 0.97; P = .001) and non-dominant (ICC = 0.98; P = .001) hand of participant with PD and (ICC = 0.99; P = .001) and (ICC = 0.99; P = .001) respectively, of healthy group.
CONCLUSIONS
The Jamar hand dynamometer had fair to excellent test-retest reliability to test grip strength in participants with PD.
背景
握力测试被临床医生广泛使用；然而，关于其在帕金森病（PD）患者中使用时的可靠性研究较少。本研究的目的是调查PD患者握力测试的重测可靠性。
方法
PD组由15名患者组成，对照组由15名健康受试者组成。每位患者在两只手上各进行3次无痛的最大等长收缩，分两次进行，间隔1周。计算组内相关系数（ICC）、测量标准误差（SEM）和95%一致性界限（LOA）。进行双向方差分析（ANOVA）以确定两侧和两组之间的差异。
结果
PD患者优势手（ICC = 0.97；P = 0.001）和非优势手（ICC = 0.98；P = 0.001）以及健康组优势手（ICC = 0.99；P = 0.001）和非优势手（ICC = 0.99；P = 0.001）的握力测量重测可靠性均极佳。
结论
Jamar握力计在测试PD患者握力时具有较好至极佳的重测可靠性。
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