Leszczak Justyna, Wołoszyn Natalia, Brożonowicz Justyna, Bylicki Krzysztof, Ciąpała Gabriela, Grzegorczyk Joanna, Wiśniowska-Szurlej Agnieszka
Faculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, Poland.
Donum Corde Rehabilitation and Medical Care Center, Budy Głogowskie, Poland.
Med Sci Monit. 2025 Jul 29;31:e949357. doi: 10.12659/MSM.949357.
BACKGROUND Virtual reality (VR) technologies are increasingly used as a complement to conventional rehabilitation. Pablo technology is based on the phenomenon of biofeedback, and is used during exercise. In addition to the therapeutic module, the Pablo system allows assessment of grip strength of the hand and fingers. This study aimed to evaluate the credibility and reliability of the cylindrical, lateral, and 2-point lateral hand-grip strength measurement in 104 healthy young adults using the Pablo (Tyromotion) VR gaming device. MATERIAL AND METHODS The study was conducted in Poland in a group of 104 people aged 20-26. Assessment was conducted of cylindrical hand grip strength, lateral thumb-finger grip strength, and 3 sets of 2-point lateral between-fingers grip strength: II-III, III-IV, and IV-V. The tests were carried out on the right and left hands using the Pablo Plus system. The tests were conducted twice, with an interval of 2 weeks between each test, and by 2 independent investigators. RESULTS Based on the high values of the interclass correlation coefficient (ICC), which was >0.9, and Cronbach's alpha index, which was >0.9, good reliability was demonstrated for all variables: lateral, cylindrical, and 2-point lateral (II-III, III-IV, and IV-V) grips. There was also high consistency of measurements between investigators and between tests conducted 2 weeks apart. CONCLUSIONS The Pablo Tyromotion interactive device has good intra-rater and inter-rater reliability. It can therefore be concluded that the interactive dynamometer is an appropriate instrument for measuring precision grip and grip strength.
背景 虚拟现实（VR）技术越来越多地被用作传统康复的补充手段。巴勃罗技术基于生物反馈现象，在运动过程中使用。除治疗模块外，巴勃罗系统还可对手部和手指的握力进行评估。本研究旨在使用巴勃罗（泰罗运动）VR游戏设备评估104名健康年轻成年人的圆柱状、侧方和两点侧方握力测量的可信度和可靠性。
材料与方法 该研究在波兰对104名年龄在20 - 26岁的人群进行。评估了圆柱状握力、拇指 - 手指侧方握力以及三组两点侧方指间握力：食指 - 中指、中指 - 无名指和无名指 - 小指。使用巴勃罗增强版系统对左右手进行测试。测试进行两次，每次测试间隔2周，由两名独立的研究人员进行。
结果 基于组内相关系数（ICC）>0.9以及克朗巴哈α系数>0.9的高值，所有变量（侧方、圆柱状和两点侧方（食指 - 中指、中指 - 无名指和无名指 - 小指）握力）均显示出良好的可靠性。研究人员之间以及相隔2周进行的测试之间的测量结果也具有高度一致性。
结论 巴勃罗泰罗运动交互式设备具有良好的评分者内和评分者间可靠性。因此可以得出结论，该交互式测力计是测量精确握力和握力强度的合适工具。
