scholarly journals Comparison of isometric triceps brachii force measurement in different elbow positions

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901878390
Author(s):  
Ante Prkić ◽  
Jetske Viveen ◽  
Bertram The ◽  
Christiaan JA van Bergen ◽  
Koen LM Koenraadt ◽  
...  
Keyword(s):  
Learning Curve ◽  
Repeated Measures ◽  
Force Measurement ◽  
Intraclass Correlation ◽  
Elbow Extension ◽  
Triceps Brachii ◽  
Flexion Extension ◽  
Extension Force ◽  
Triceps Brachii Muscle ◽  
Test Retest Reliability

Purpose: Objective and reliable force measurement is necessary to monitor the rehabilitation after triceps brachii pathology, injuries, and posterior approach–based surgery. It is unclear at which amount of extension the triceps is best tested and if comparison to the uninjured sided is reliable. This study aims to identify the most reliable elbow position at which elbow extension force is measured using a dynamometer. Furthermore, it aims to compare the extension strength of the dominant arm with that of the nondominant arm. Methods: Isometric elbow extension force of the dominant and nondominant arms of healthy subjects was measured. The measurements were taken in three sequences per arm in 0, 30, 60, 90, and 120 degrees of flexion. A subgroup repeated the measurements to analyze test–retest reliability using intraclass correlation. Results: We included a total of 176 volunteers. The repeated measures analysis of variance for within-subject effect showed the lowest variation coefficient at 30 degrees of flexion. Extension forces showed a mean difference of 3.2–6.9 N in advantage of the dominant arm, resulting in ratios from 1.05 to 1.09. Learning curve analysis showed that during the first session in dominant and nondominant arms, less forces were exerted. Conclusion: The most reliable isometric triceps brachii muscle strength measurement was at 30 degrees of flexion of the elbow. Considering the learning curve, a first tryout session for both arms is indicated. Then, a second measurement suffices as no further learning curve is observed.

scholarly journals Test–retest reliability of laser evoked pain perception and fMRI BOLD responses

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yanzhi Bi ◽  
Xin Hou ◽  
Jiahui Zhong ◽  
Li Hu
Keyword(s):  
Resting State ◽  
Repeated Measures ◽  
Subjective Experience ◽  
Pain Perception ◽  
Primary Motor Cortex ◽  
Intraclass Correlation ◽  
Retest Reliability ◽  
Repeated Measures Design ◽  
Brain Responses ◽  
Test Retest Reliability

AbstractPain perception is a subjective experience and highly variable across time. Brain responses evoked by nociceptive stimuli are highly associated with pain perception and also showed considerable variability. To date, the test–retest reliability of laser-evoked pain perception and its associated brain responses across sessions remain unclear. Here, an experiment with a within-subject repeated-measures design was performed in 22 healthy volunteers. Radiant-heat laser stimuli were delivered on subjects’ left-hand dorsum in two sessions separated by 1–5 days. We observed that laser-evoked pain perception was significantly declined across sessions, coupled with decreased brain responses in the bilateral primary somatosensory cortex (S1), right primary motor cortex, supplementary motor area, and middle cingulate cortex. Intraclass correlation coefficients between the two sessions showed “fair” to “moderate” test–retest reliability for pain perception and brain responses. Additionally, we observed lower resting-state brain activity in the right S1 and lower resting-state functional connectivity between right S1 and dorsolateral prefrontal cortex in the second session than the first session. Altogether, being possibly influenced by changes of baseline mental state, laser-evoked pain perception and brain responses showed considerable across-session variability. This phenomenon should be considered when designing experiments for laboratory studies and evaluating pain abnormalities in clinical practice.

Test–Retest Reliability, Training, and Detraining Effects Associated With the Dynavision D2™ Mode A Visuomotor Reaction Time Test

2021 ◽  
pp. 1-9
Author(s):  
Adam J. Wells ◽  
Bri-ana D.I. Johnson
Keyword(s):  
Reaction Time ◽  
Repeated Measures ◽  
Intraclass Correlation ◽  
Analysis Of Covariance ◽  
Repeated Testing ◽  
Retest Reliability ◽  
Sports Science ◽  
Test Retest Reliability ◽  
Mode A ◽  
Training And Detraining

Context: The Dynavision D2™ Mode A test (ModeA) is a 1-minute reaction time (RT) test commonly used in sports science research and clinical rehabilitation. However, there is limited data regarding the effect of repeated testing (ie, training) or subsequent periods of no testing (ie, detraining) on test–retest reliability and RT performance. Therefore, the purpose of this study was to examine the test–retest reliability, training, and detraining effects associated with the D2™ ModeA test. Design: Repeated measures/reliability. Methods: Twenty-four recreationally active men and women completed 15 training sessions consisting of 2 ModeA tests per session (30 tests). The participants were then randomized to either 1 or 2 weeks of detraining prior to completing 15 retraining sessions (30 tests). The training and retraining periods were separated into 10 blocks for analysis (3 tests per block). The number of hits (hits) and the average RT per hit (AvgRT) within each block were used to determine RT performance. Intraclass correlation coefficients, SEM, and minimum difference were used to determine reliability. Repeated-measures analysis of variance/analysis of covariance were used to determine training and detraining effects, respectively. Results: The ModeA variables demonstrated excellent test–retest reliability (intraclass correlation coefficient2,3 > .93). Significant improvements in hits and AvgRT were noted within training blocks 1 to 5 (P < .05). No further improvements in RT performance were noted between training blocks 6 through 10. There was no effect of detraining period on RT. The RT performance was not different between blocks during retraining. Conclusions: It appears that 15 tests are necessary to overcome the training effect and establish reliable baseline performance for the ModeA test. Detraining for 1 to 2 weeks did not impact RT performance. The authors recommend that investigators and clinicians utilize the average of 3 tests when assessing RT performance using the D2 ModeA test.

scholarly journals Quantitative Mechanical Properties of the Relaxed Biceps and Triceps Brachii Muscles in Patients with Subacute Stroke: A Reliability Study of the Myoton-3 Myometer

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Li-ling Chuang ◽  
Ching-yi Wu ◽  
Keh-chung Lin ◽  
Shih-yu Lur
Keyword(s):  
Standardized Testing ◽  
Muscle Tone ◽  
Intraclass Correlation ◽  
Minimal Detectable Change ◽  
Intrarater Reliability ◽  
Triceps Brachii ◽  
Muscle Properties ◽  
Subacute Stroke ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement

Objective. Test-retest reliability of the myotonometer was investigated in patients with subacute stroke.Methods. Twelve patients with substroke (3 to 9 months poststroke) were examined in standardized testing position twice, 60 minutes apart, with the Myoton-3 myometer to measure tone, elasticity, and stiffness of relaxed bilateral biceps and triceps brachii muscles. Intrarater reliability of muscle properties was determined using intraclass correlation coefficient (ICC), the standard error of measurement (SEM), and the minimal detectable change (MDC).Results. Intrarater reliability of muscle properties of bilateral biceps and triceps brachii muscles were good (ICCs=0.79–0.96) except for unaffected biceps tone (ICC=0.72). The SEM and MDC of bilateral biceps and triceps brachii muscles indicated small measurement error (SEM%<10%, MDC%<25%).Conclusion. The Myoton-3 myometer is a reliable tool for quantifying muscle tone, elasticity, and stiffness of the biceps and triceps brachii in patients with subacute stroke.

scholarly journals Reliability of Safe Maximum Lifting Determinations of a Functional Capacity Evaluation

2002 ◽  
Vol 82 (4) ◽  
pp. 364-371 ◽  
Author(s):  
Douglas P Gross ◽  
Michele C Battié
Keyword(s):  
Functional Capacity ◽  
Repeated Measures ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Functional Capacity Evaluation ◽  
Measurement Variability ◽  
Retest Reliability ◽  
Repeated Measures Design ◽  
Test Retest Reliability

Abstract Background and Purpose. Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The interrater and test-retest reliability of determinations of maximal safe lifting during kinesiophysical FCEs were examined in a sample of people who were off work and receiving workers' compensation. Subjects. Twenty-eight subjects with low back pain who had plateaued with treatment were enrolled. Five occupational therapists, trained and experienced in kinesiophysical methods, conducted testing. Methods. A repeated-measures design was used, with raters testing subjects simultaneously, yet independently. Subjects were rated on 2 occasions, separated by 2 to 4 days. Analyses included intraclass correlation coefficients (ICCs) and 95% confidence intervals. Results. The ICC values for interrater reliability ranged from .95 to .98. Test-retest values ranged from .78 to .94. Discussion and Conclusion. Inconsistencies in subjects' performance across sessions were the greatest source of FCE measurement variability. Overall, however, test-retest reliability was good and interrater reliability was excellent.

Intra- and Intersession Reliability of Surface Electromyography on Muscles Actuating the Forearm During Maximum Voluntary Contractions

2016 ◽  
Vol 32 (6) ◽  
pp. 558-570 ◽  
Author(s):  
Guillaume Gaudet ◽  
Maxime Raison ◽  
Fabien Dal Maso ◽  
Sofiane Achiche ◽  
Mickael Begon
Keyword(s):  
Surface Electromyography ◽  
Biceps Brachii ◽  
Intraclass Correlation ◽  
Isometric Contractions ◽  
Triceps Brachii ◽  
Pronator Quadratus ◽  
Pronator Teres ◽  
Flexion Extension ◽  
Long Head ◽  
Voluntary Contractions

The aim of this study is to determine the intra- and intersession reliability of nonnormalized surface electromyography (sEMG) on the muscles actuating the forearm during maximum voluntary isometric contractions (MVIC). A subobjective of this study is to determine the intra- and intersession reliability of forearm MVIC force or torque, which is a prerequisite to assess sEMG reliability. Eighteen healthy adults participated at 4 different times: baseline, 1-h post, 6-h post, and 24-h post. They performed 3 MVIC trials of forearm flexion, extension, pronation, and supination. sEMG of the biceps brachii short head, brachialis, brachioradialis, triceps brachii long head, pronator teres, and pronator quadratus were measured. The intraclass correlation coefficient (ICC) on MVIC ranged from 0.36 to 0.99. Reliability was excellent for flexion, extension, and supination MVIC for both intra- and intersession. The ICC on sEMG ranged from 0.58 to 0.99. sEMG reliability was excellent for brachialis, brachioradialis, and pronator quadratus, and good to excellent for triceps brachii, biceps brachii, and pronator teres. This study shows that performing 3 MVICs is sufficient to obtain highly reliable maximal sEMG over 24 h for the main muscles actuating the forearm. These results confirm the potential of sEMG for muscle motor functional monitoring.

The Work Endurance Recovery Method for Quantifying Training Loads in Judo

2016 ◽  
Vol 11 (7) ◽  
pp. 913-919 ◽  
Author(s):  
Jose Morales ◽  
Emerson Franchini ◽  
Xavier Garcia-Massó ◽  
Mónica Solana-Tramunt ◽  
Bernat Buscà ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Perceived Exertion ◽  
A Priori ◽  
Intraclass Correlation ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Recovery Method ◽  
Repeated Measures Analysis ◽  
Judo Athletes ◽  
Test Retest Reliability

Purpose:To adapt the work endurance recovery (WER) method based on randori maximal time to exhaustion (RMTE) for combat situations in judo.Methods:Eleven international-standard judo athletes (7 men and 4 women; mean age 20.73 ± 2.49 y, height 1.72 ± 0.11 m, body mass 67.36 ± 10.67 kg) were recruited to take part in the study. All participants performed a maximal incremental test (MIT), a Wingate test (WIN), a Special Judo Fitness Test (SJFT), and 2 RMTE tests. They then took part in a session at an international training camp in Barcelona, Spain, in which 4 methods of load quantification were implemented: the WER method, the Stagno method, the Lucia method, and the session rating of perceived exertion (RPEsession).Results:RMTE demonstrated a very high test–retest reliability (intraclass correlation coefficient = .91), and correlations of the performance tests ranged from moderate to high: RMTE and MIT (r = .66), RMTE and WIN variables (r = .38–.53), RMTE and SJFT variables (r = .74–.77). The correlation between the WER method, which considers time to exhaustion, and the other systems for quantifying training load was high: WER and RPEsession (r = .87), WER and Stagno (r = .77), WER and Lucia (r = .73). A comparative repeated-measures analysis of variance of the normalized values of the quantification did not yield statistically significant differences.Conclusions:The WER method using RMTE is highly adaptable to quantify randori judo sessions and enables one to plan a priori individualized training loads.

Test-Retest Reproducibility and Smallest Real Difference of 5 Hand Function Tests in Patients With Stroke

2009 ◽  
Vol 23 (5) ◽  
pp. 435-440 ◽  
Author(s):  
Hui-Mei Chen ◽  
Christine C. Chen ◽  
I-Ping Hsueh ◽  
Sheau-Ling Huang ◽  
Ching-Lin Hsieh
Keyword(s):  
Measurement Error ◽  
Repeated Measures ◽  
Hand Function ◽  
Intraclass Correlation ◽  
Real Difference ◽  
Strength Tests ◽  
Grip Test ◽  
Block Test ◽  
Test Retest Reliability ◽  
Nine Hole Peg Test

Objective. To investigate the test-retest reproducibility and smallest real difference (SRD) of 3 hand strength tests (grip, palmar pinch, and lateral pinch) and 2 dexterity tests (the Box and Block test [BBT] and the Nine Hole Peg test [NHPT]) in patients with stroke. Methods. The 5 tests were administered on 62 stroke patients in 2 sessions, 3 to 7 days apart. The intraclass correlation coefficient (ICC) was used to determine the level of reproducibility between measurements on 2 sessions. The SRD was used to determine the extent of measurement error because of chance variation in individual patients. SRD percentage (SRD relative to mean score) was used to compare test-retest reliability across tests. We analyzed the group as a whole, then in 2 subgroups (hand spasticity vs none). Results. The test-retest reproducibility of all 5 tests was high for all the patients, with ICCs ranging from 0.85 to 0.98. The SRDs for the more/less affected hand were: 2.9/4.7 kg for the grip test; 1.2/1.3 kg for the palmar pinch test; 1.4/1.0 kg for the lateral pinch test; 5.5/7.8 blocks/minute for the BBT; and 32.8/6.2 seconds for the NHPT. Unacceptably high SRD percentages (>30%) were found for the affected hand using the NHPT (54%), palmar pinch (35%), and lateral pinch (34%). When comparing these indices for participants with spasticity versus none for all 5 tests, the ICCs were lower and the SRD and SRD percentage were higher for the spasticity group. Conclusions. All 5 tests demonstrated satisfactory test-retest reproducibility for a diverse group of patients with stroke. However, all tests showed higher levels of measurement error when performed with the more affected hand and in patients with hypertonicity of that hand. Thus, baseline and postrehabilitation change scores using these common tests of strength and dexterity must be interpreted with some caution, especially in poorly controlled clinical trials. Repeated measures ought to be incorporated to examine reliability within a trial that includes participants with a hypertonic hand.

scholarly journals Assessment of Pain Response in Capsaicin-Induced Dynamic Mechanical Allodynia Using a Novel and Fully Automated Brushing Device

2013 ◽  
Vol 18 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Kristian G du Jardin ◽  
Lise S Gregersen ◽  
Turid Røsland ◽  
Kathrine H Uggerhøj ◽  
Lars J Petersen ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Repeated Measures ◽  
Mechanical Allodynia ◽  
Quantitative Assessment ◽  
Intraclass Correlation ◽  
Intradermal Injection ◽  
Retest Reliability ◽  
Dynamic Mechanical ◽  
Test Retest Reliability ◽  
Post Hoc

BACKGROUND: Dynamic mechanical allodynia is traditionally induced by manual brushing of the skin. Brushing force and speed have been shown to influence the intensity of brush-evoked pain. There are still limited data available with respect to the optimal stroke number, length, force, angle and speed. Therefore, an automated brushing device (ABD) was developed, for which brushing angle and speed could be controlled to enable quantitative assessment of dynamic mechanical allodynia.OBJECTIVES: To compare the ABD with manual brushing using capsaicin-induced allodynia, and to investigate the role of stroke angle and speed on pain intensity.METHODS: Experimental dynamic mechanical allodynia was induced by an intradermal injection of capsaicin (100 μg) into the volar forearm of 12 healthy, male volunteers. Dynamic mechanical allodynia was rated on a 10 cm visual analogue scale (VAS) after each set of strokes at angles of 30°, 60° and 90° with speeds of 17 mm/s, 21 mm/s and 25 mm/s for each angle. A two-way ANOVA with repeated measures was performed to assess the influence of brushing parameters. To evaluate test-retest reliability, Bland-Altman 95% limits of agreement, including a coefficient of repeatability and an intraclass correlation coefficient (ICC), were determined.RESULTS: The angle and speed exhibited a significant impact on pain intensity (P<0.001 and P<0.015, respectively). Post hoc analysis showed that the highest pain intensity was recorded with an angle of 30° regardless of brushing speed. The ABD demonstrated superior test-retest reliability (coefficient of repeatability = 1.9 VAS; ICC=0.91) compared with manual brushing (coefficient of repeatability = 2.8 VAS; ICC=0.80; P<0.05). The most reliable combination of parameters (coefficient of repeatability = 1.3 VAS; ICC=0.97) was an angle of 60° and a speed of 21 mm/s.CONCLUSIONS: A controlled, automatic brushing method can be used for quantitative investigations of allodynic reactions, and is more reliable for quantitative assessment of dynamic mechanical allodynia compared with traditional manual brushing.

scholarly journals Test–Retest Reliability of Video Head Impulse Test in Healthy Individuals and Individuals with Dizziness

2019 ◽  
Vol 30 (09) ◽  
pp. 744-752 ◽  
Author(s):  
Niraj Kumar Singh ◽  
Rajeshwari Govindaswamy ◽  
Nirmala Jagadish
Keyword(s):  
Repeated Measures ◽  
Intraclass Correlation ◽  
Head Impulse Test ◽  
Video Head Impulse Test ◽  
Healthy Individuals ◽  
Large Variability ◽  
Retest Reliability ◽  
Head Impulse ◽  
Vestibular Pathology ◽  
Test Retest Reliability

AbstractVideo head impulse test (vHIT) is widely accepted as a test for the assessment of functional integrity of semicircular canals (SCCs). It allows for the evaluation of the functioning of all six SCCs independent of each other. It works on the principle of the vestibulo-ocular reflex (VOR). In individuals with vestibular pathologies, the VOR is impaired, and hence, the use of vHIT may provide vital information about the functional status of SCCs and the VOR pathway originating from them.In the recent past, studies reported excellent test–retest reliability of vHIT in healthy individuals. However, these studies used analysis of variance or the nonparametric counterpart Wilcoxon signed-rank test, which are insufficient statistical methods for conclusions about test–retest reliability. Further, because vHIT assesses VOR function in individuals with vestibular pathologies, it is important to assess test–retest reliability in the pathological group as well. Therefore, the present study aimed to evaluate test–retest reliability of vHIT in healthy individuals and individuals with vestibular pathology.Repeated measures.Twenty healthy individuals with no history of vestibular pathology and 20 individuals with known vestibular pathology were included.Each participant underwent vHIT testing for all three SCCs of both sides on four different occasions. VOR gain and the presence of pathological saccades were noted and analyzed for each recording.Intraclass correlation coefficient (ICC) revealed excellent test–retest reliability for VOR gain in both groups (ICC ≥ 0.76). Kappa coefficient analysis for the presence of refixation saccades demonstrated moderate to excellent agreement between test sessions (K ≥ 0.63) for the lateral canal. For the anterior and posterior SCC, there was large variability between sessions for refixation saccades.This study provides evidence about test–retest reliability of VOR gain and refixation saccades assessed using vHIT in healthy individuals and individuals with vestibulopathies. These findings suggest that both measures are highly reliable and replicable across test sessions, except refixation saccades in vertical canals which varied between sessions in some individuals.

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