Inter- and Intra-Rater Reliability of Handheld Dynamometry for Lower Extremity Strength Testing in Pre-Professional Dancers
- 15 June 2021
- journal article
- research article
- Published by SAGE Publications in Journal of Dance Medicine & Science
- Vol. 25 (2), 86-95
- https://doi.org/10.12678/1089-313x.061521c
Abstract
Handheld dynamometry (HHD) using external fixation has demonstrated high inter- and intra-rater reliability. Handheld dynamometry offers an objective way to quantify strength; however, setting up external stabilization devices for HHD can be time consuming. This study examined the reliability of HHD for lower extremity strength in dancers using body weight stabilization. Twenty-six pre-professional dancers (age: 20.64 ± 2.21 years) were recruited and assessed by three testers: an experienced physical therapist (ePT), a novice physical therapist (nPT), and a student physical therapist (SPT). To avoid testing fatigue, dancers were divided into two testing groups and were evaluated on separate weekends. Testers used HHD to test isometric force production of six muscle groups in the first cohort and seven different muscle groups in the second cohort. Testing positions were standardized and utilized a “make” test protocol. Intra-class correlation coefficients (ICC), 95% confidence interval, and standard error of measurement were calculated for each position. Inter-rater reliability was > 0.75 for all ICC measures except knee extension and ankle eversion. Intra-rater reliability was > 0.75 for all ICC measures except the ePT (tester A) day 2 for hip extension, internal rotation seated, knee extension, and ankle dorsiflexion; nPT (tester B) day 1 knee flexion; and SPT (tester C) for day 1 knee extension and ankle eversion and days 1 and 2 for ankle dorsiflexion and inversion. It is concluded that HHD can reliably measure force production of hip, knee, and ankle muscle groups without use of external fixation devices.Keywords
This publication has 21 references indexed in Scilit:
- Risk factors for musculoskeletal injury in preprofessional dancers: a systematic reviewBritish Journal of Sports Medicine, 2015
- Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity StudyPLOS ONE, 2015
- Are maturation, growth and lower extremity alignment associated with overuse injury in elite adolescent ballet dancers?Physical Therapy in Sport, 2014
- Injuries in pre-professional ballet dancers: Incidence, characteristics and consequencesJournal of Science and Medicine in Sport, 2014
- Reliability and Validity of Isometric Knee Extensor Strength Test With Hand-Held Dynamometer Depending on Its Fixation: A Pilot StudyAnnals of Rehabilitation Medicine, 2014
- Hip- and knee-strength assessments using a hand-held dynamometer with external belt-fixation are inter-tester reliableKnee Surgery, Sports Traumatology, Arthroscopy, 2012
- Normalizing Hip Muscle Strength: Establishing Body-Size-Independent MeasurementsArchives of Physical Medicine and Rehabilitation, 2011
- Clinical assessment of hip strength using a hand‐held dynamometer is reliableScandinavian Journal of Medicine & Science in Sports, 2010
- Reliability of handheld dynamometry in assessment of hip strength in adult male football playersJournal of Science and Medicine in Sport, 2010
- Statistical power analyses using G*Power 3.1: Tests for correlation and regression analysesBehavior Research Methods, 2009