Lower extremity handheld dynamometry strength measurement in children with cerebral palsy

Lower extremity handheld dynamometry strength measurement in children with cerebral palsy

The purpose of this study was to evaluate the evidence on reliability of handheld dynamometry protocols to quantify maximal isometric strength of the muscles of the lower extremities of children with cerebral palsy.

A systematic search of Cochrane, MEDLINE, CINAHL, and PubMed up to December 2013 and best-evidence synthesis were performed. Seven eligible studies were identified. Best-evidence synthesis revealed “unknown” to “moderate” evidence. Intraclass correlation coefficient values were “positive” for most muscle groups for intrarater reliability and showed mixed results for interrater reliability.

Because of small sample sizes (10-25) in all included studies, the final level of evidence remains “unknown.” Reliability data obtained in the included studies of handheld dynamometry in children with cerebral palsy are promising, despite low levels of evidence. When these protocols are applied very carefully, they may prove relevant to different clinical settings.

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Monica TanakaResearch article posted by: Monica Tanaka

Monica is our Physiospot Editor. She is a trained journalist with a keen interest in the physiotherapy profession. As Physiospot Editor, Monica explores stories and physiotherapy news for us with fresh eyes. She is a science and health communicator with experience implementing strategic communications in the not-for-profit, academic, and public sectors. Thanks to physiotherapists, Monica has kept up her love of cross-country skiing and cycling over the years.

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