SECTION I - KINESIOLOGY / RESEARCH PAPER
Reliability of a Trunk Flexion and Extensor Muscle Strength Test with Hand-Held and Isokinetic Dynamometers
in Female Athletes
1
Sports Research Centre, Department of Sports Sciences, Miguel Hernández University of Elche, Alicante, Spain.
Submission date: 2023-03-04
Final revision date: 2023-06-28
Acceptance date: 2023-09-20
Publication date: 2023-11-28
Corresponding author
Journal of Human Kinetics 2024;92:43-52
KEYWORDS
TOPICS
ABSTRACT
An accurate trunk muscle strength assessment seems very important to design and individualize training and rehabilitation programs in clinical and sport settings. Hand-held dynamometers (HHDs) are interesting alternatives to isokinetic dynamometers for assessing trunk isometric muscle strength because they are inexpensive instruments and easy to use. This cross-sectional observational study aimed to examine the reliability of two novel sitting tests for assessing trunk flexion and extension isometric strength using an HHD and their relationship with two other novel isometric tests that use an isokinetic dynamometer. Twenty-four female amateur athletes (age: 24.5 ± 2.64 years; body height: 164.45 ± 6.33 cm; body mass: 63.17 ± 10.35 kg) participated in this study. A test-retest design was carried out one-week apart to examine the reliability. The relationship and the degree of agreement between the HHD and the isokinetic dynamometer measurements were analysed using Pearson correlation and Bland-Altman analysis, respectively. In general, the reliability of all isometric strength tests was good, with ICCs ranging from 0.65 to 0.87 and typical error < 15%. Pearson correlations were moderate, with values of r = 0.47 (R2 = 0.22) and r = 0.42 (R2 = 0.18) for flexion and extension strength, respectively. Bland-Altman plots showed no agreement between HHDs and isokinetic measurements. All trunk isometric tests using both, an isokinetic dynamometer and HHDs, provide reliable measurements for assessing trunk flexion and extension strength. According to the comparative analysis, both measurement types are different and cannot be used interchangeably. Health and sport professionals should choose the test that best suits the biomechanical characteristics required for functional goals or success in a given sport.
REFERENCES (27)
1.
Almutairi, M. K., Hunter, G. R., Lein, D. H., Kim, S., Bryan, D. R., Inacio, M. … & Singh, H. (2023). Enhancement of Muscle Shortening Torque Preloaded with Muscle Lengthening is Joint-Specific. Journal of Human Kinetics, 87, 11–21. https://doi.org/10.5114/jhk/16....
2.
Barbado, D., Lopez-Valenciano, A., Juan-Recio, C., Montero-Carretero, C., Van Dieën, J. H., & Vera-Garcia, F. J. (2016). Trunk stability, trunk strength and sport performance level in judo. PloS One, 11(5), e0156267. https://doi.org/10.1371/journa....
3.
Cho, K. H., Beom, J. W., Lee, T. S., Lim, J. H., Lee, T. H., & Yuk, J. H. (2014). Trunk muscles strength as a risk factor for nonspecific low back pain: A pilot study. Annals of Rehabilitation Medicine, 38(2), 234–240. https://doi.org/10.5535/arm.20....
4.
Collado-Mateo, D., Dominguez-Muñoz, F., Batalha, N., Parraça, J., Tomas-Carus, P. & Adsuar, J. (2018). Test-Retest Reliability of Isokinetic Arm Strength Measurements in Competitive Swimmers. Journal of Human Kinetics, 65(1), 5–11. https://doi.org/10.2478/hukin-....
5.
Correia, J. P., Oliveira, R., Vaz, J. R., Silva, L., & Pezarat-Correia, P. (2016). Trunk muscle activation, fatigue and low back pain in tennis players. Journal of Science and Medicine in Sport, 19(4), 311–316. https://doi.org/10.1016/j.jsam....
6.
De Blaiser, C., De Ridder, R., Willems, T., Danneels, L., & Roosen, P. (2018). Reliability and validity of trunk flexor and trunk extensor strength measurements using handheld dynamometry in a healthy athletic population. Physical Therapy in Sport, 34, 180–186. https://doi.org/10.1016/J.PTSP....
7.
Demoulin, C., Grosdent, S., Smeets, R., Verbunt, J., Jidovtseff, B., Mahieu, G., … Vanderthomme, M. (2012). Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature. En Norasteh, A. A. (Ed.), Low Back Pain (141–166). InTech.
8.
Estrázulas, J. A., Estrázulas, J. A., de Jesus, K., de Jesus, K., da Silva, R. A., & Libardoni dos Santos, J. O. (2020). Evaluation isometric and isokinetic of trunk flexor and extensor muscles with isokinetic dynamometer: A systematic review. Physical Therapy in Sport, 45, 93–102. https://doi.org/10.1016/J.PTSP....
9.
Evans, K., Refshauge, K. M., & Adams, R. (2007). Trunk muscle endurance tests: Reliability, and gender differences in athletes. Journal of Science and Medicine in Sport, 10(6), 447–455. https://doi.org/10.1016/j.jsam....
10.
Giavarina, D. (2015). Understanding Bland Altman analysis. Biochemia Medica, 25(2), 141–151. https://doi.org/10.11613/BM.20....
11.
Gómez, H. B., Zarco, R. C., Arias, D. C., García, M. del P. D., Hernández, S. R. L., & Martínez, E. (2005). Isokinetic examination of the trunk in asymptomatic patients from Centro Nacional de Rehabilitación. Acta Ortopédica Mexicana, 19(2), 49–55.
12.
Harding, A. T., Weeks, B. K., Horan, S. A., Little, A., Watson, S. L., & Beck, B. R. (2017). Validity and test–retest reliability of a novel simple back extensor muscle strength test. SAGE Open Medicine, 5, 205031211668884. https://doi.org/10.1177/205031....
13.
Jubany, J., Busquets, A., Marina, M., Cos, F., & Angulo-Barroso, R. (2015). Reliability and validity of a custom-made instrument including a hand-held dynamometer for measuring trunk muscle strength. Journal of Back and Musculoskeletal Rehabilitation, 28(2), 317–326. https://doi.org/10.3233/BMR-14....
14.
Karthikbabu, S., & Chakrapani, M. (2017). Hand-Held Dynamometer is a Reliable Tool to Measure Trunk Muscle Strength in Chronic Stroke. Journal of Clinical and Diagnostic Research: JCDR, 11(9), YC09–YC12. https://doi.org/10.7860/JCDR/2....
15.
Martin Bland, J., & Altman, D. G. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet, 1(8476), 307–310.
16.
Moreland, J., Finch, E., Stratford, P., Balsor, B., & Gill, C. (1997). Interrater reliability of six tests of trunk muscle function and endurance. Journal of Orthopaedic and Sports Physical Therapy, 26(4), 200–208. https://doi.org/10.2519/jospt.....
17.
Moreno-Navarro, P., Manca, A., Martinez, G., Ventura, L., Barbado, D., Vera-García, F. J., & Deriu, F. (2021). Test-Retest Reliability and Known-Groups Validity of Trunk Muscle Tests in People With Multiple Sclerosis: A Cross-Sectional, Case-Control Study. Physical Therapy, 101(5), pzab049. https://doi.org/10.1093/ptj/pz....
18.
Morini, S., Ciccarelli, A., Cerulli, C., Giombini, A., Di Cesare, A., & Ripani, M. (2008). Functional anatomy of trunk flexion-extension in isokinetic exercise: Muscle activity in standing and seated positions. Journal of Sports Medicine and Physical Fitness, 48(1), 17–23.
19.
Mueller, S., Stoll, J., Mueller, J., & Mayer, F. (2012). Validity of isokinetic trunk measurements with respect to healthy adults, athletes and low back pain patients. Isokinetics and Exercise Science, 20(4), 255–266. https://doi.org/10.3233/IES-20....
20.
Munro, B. H. (2005). Statistical Methods for Health Care Research (5th ed.). Philadelphia: Lippincott Williams & Wilkins.
21.
Overholser, B. R., & Sowinski, K. M. (2008). Biostatistics primer: Part 2. Nutrition in Clinical Practice, 23(1), 76–84. https://doi.org/10.1177/011542....
22.
Rossi, D. M., Morcelli, M. H., Cardozo, A. C., Denadai, B. S., Gonçalves, M., & Navega, M. T. (2017). Rate of force development and muscle activation of trunk muscles in women with and without low back pain: A case-control study. Physical Therapy in Sport, 26, 41–48. https://doi.org/10.1016/j.ptsp....
23.
Shahtahmassebi, B., Hebert, J. J., Hecimovich, M. D., & Fairchild, T. J. (2017). Associations between trunk muscle morphology, strength and function in older adults. Scientific Reports 7(1), 10907. https://doi.org/10.1038/s41598....
24.
Steele, J., Fisher, J., Perrin, C., Conway, R., Bruce-Low, S., & Smith, D. (2019). Does change in isolated lumbar extensor muscle function correlate with good clinical outcome? A secondary analysis of data on change in isolated lumbar extension strength, pain, and disability in chronic low back pain. Disability and Rehabilitation, 41(11), 1287–1295. https://doi.org/10.1080/096382....
25.
Vlažná, D., Krkoška, P., Kuhn, M., Dosbaba, F., Batalik, L., Vlčková, E., Voháňka, S., & Adamová, B. (2021). Assessment of Lumbar Extensor Muscles in the Context of Trunk Function, a Pilot Study in Healthy Individuals. Applied Sciences, 11(20), 9518. https://doi.org/10.3390/APP112....
26.
Weir, J. P. (2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. Journal of Strength and Conditioning Research, 19(1), 231–240. https://doi.org/10.1519/15184.....
27.
Zouita Ben Moussa, A., Zouita, S., Ben Salah, F., Behm, D., & Chaouachi, A. (2020). Isokinetic trunk strength, validity, reliability, normative data and relation to physical performance and low back pain: a review of the literature. International Journal of Sports Physical Therapy, 15(1), 160–174. https://doi.org/10.26603/ijspt....
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