Jorquera-Cáceres Ivonne, Vega-Arriagada Danayra, Núñez-González Dannae, Guzmán-Muñoz Eduardo, Castillo-Retamal Marcelo, Yuing-Farias Tuillang, Berral de la Rosa Francisco José, Mendez-Rebolledo Guillermo
Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile.
Facultad de Salud, Universidad Santo Tomás, Santiago, Chile.
Andes Pediatr. 2024 Jun;95(3):252-262. doi: 10.32641/andespediatr.v95i3.4956.
The measurement of isometric muscle torque with hand-held dynamometry is a technique little studied in the pediatric setting for the evaluation of maximal isometric muscle strength.
to determine the reliability of hand-held dynamometry to obtain the maximal isometric torque of upper and lower limb muscle groups in Chilean children and adolescents.
Crosssectional study. Seventy-two participants aged between 7 and 15 years were selected from a school in Talca. Maximal isometric torque was recorded in 15 muscle groups of upper and lower limbs through hand-held dynamometry. Intra- and inter-rater evaluation was used, applying the intraclass correlation coefficient (ICC) to determine the reliability of the tests and Bland-Altman plots to evaluate concordance.
The results demonstrated good to excellent inter-rater reliability (ICC = 0.850.98) and intra-rater reliability (ICC = 0.87-0.98). Only two groups, hip extensors and abductors, showed good inter-rater reliability (ICC = 0.85 and ICC = 0.88, respectively); and one group, the ankle dorsiflexors, showed good intra-rater reliability (ICC = 0.87). 100% of the tests presented at least 95.8% inter- and intra-rater agreement on the Bland-Altman plots.
The evaluation of isometric muscle torque using hand-held dynamometry is a reliable procedure for use in different growth periods.
使用手持测力计测量等长肌肉扭矩是一种在儿科环境中很少用于评估最大等长肌肉力量的技术。
确定手持测力计在智利儿童和青少年中获取上肢和下肢肌肉群最大等长扭矩的可靠性。
横断面研究。从塔尔卡的一所学校选取了72名年龄在7至15岁之间的参与者。通过手持测力计记录上肢和下肢15个肌肉群的最大等长扭矩。采用评分者间和评分者内评估,应用组内相关系数(ICC)来确定测试的可靠性,并使用布兰德-奥特曼图来评估一致性。
结果显示评分者间可靠性良好至优秀(ICC = 0.85 - 0.98),评分者内可靠性也良好至优秀(ICC = 0.87 - 0.98)。只有两组,即髋部伸肌和外展肌,显示出良好的评分者间可靠性(分别为ICC = 0.85和ICC = 0.88);一组,即踝背屈肌,显示出良好的评分者内可靠性(ICC = 0.87)。在布兰德-奥特曼图上,100%的测试在评分者间和评分者内的一致性至少为95.8%。
使用手持测力计评估等长肌肉扭矩是一种在不同生长阶段都可靠的方法。