The Experts below are selected from a list of 381 Experts worldwide ranked by ideXlab platform
Emiel Van Trijffel - One of the best experts on this subject based on the ideXlab platform.
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Intraexaminer Reliability of hand held dynamometry in the upper extremity a systematic review
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Patrick P M Schrama, Martijn S Stenneberg, Cees Lucas, Emiel Van TrijffelAbstract:Abstract Objective To summarize and appraise the literature on the Intraexaminer Reliability of hand-held dynamometry (HHD) in the upper extremity. Data Sources MEDLINE, CINAHL, and EMBASE were searched for relevant studies published up to December 2011. In addition, experts were contacted, and journals and reference lists were hand searched. Study Selection To be included in the review, articles needed to (1) use a repeated-measures, within-examiner(s) design; (2) include symptomatic or asymptomatic individuals, or both; (3) use HHD to measure muscle strength in any of the joints of the shoulder, elbow, or wrist with the "make" or the "break" technique; (4) report measurements in kilogram, pound, or torque; (5) use a device that is placed between the examiner's hand and the subject's body; and (6) present estimates of Intraexaminer Reliability. Data Extraction Quality assessment and data extraction were performed by 2 reviewers independently. Data Synthesis Fifty-four studies were included, of which 26 (48%) demonstrated acceptable Intraexaminer Reliability. Seven high-quality studies showed acceptable Reliability for flexion and extension of the elbow in healthy subjects. Conflicting results were found for shoulder external rotation and abduction. Reliability for all other movements was unacceptable. Higher estimates were reached for within-sessions Reliability and if means of trials were used. Conclusions Intraexaminer Reliability of HHD in upper extremity muscle strength was acceptable only for elbow measurements in healthy subjects. We provide specific recommendations for future research. Physical therapists should not rely on HHD measurements for evaluation of treatment effects in patients with upper extremity disorders.
Patrick P M Schrama - One of the best experts on this subject based on the ideXlab platform.
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Intraexaminer Reliability of hand held dynamometry in the upper extremity a systematic review
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Patrick P M Schrama, Martijn S Stenneberg, Cees Lucas, Emiel Van TrijffelAbstract:Abstract Objective To summarize and appraise the literature on the Intraexaminer Reliability of hand-held dynamometry (HHD) in the upper extremity. Data Sources MEDLINE, CINAHL, and EMBASE were searched for relevant studies published up to December 2011. In addition, experts were contacted, and journals and reference lists were hand searched. Study Selection To be included in the review, articles needed to (1) use a repeated-measures, within-examiner(s) design; (2) include symptomatic or asymptomatic individuals, or both; (3) use HHD to measure muscle strength in any of the joints of the shoulder, elbow, or wrist with the "make" or the "break" technique; (4) report measurements in kilogram, pound, or torque; (5) use a device that is placed between the examiner's hand and the subject's body; and (6) present estimates of Intraexaminer Reliability. Data Extraction Quality assessment and data extraction were performed by 2 reviewers independently. Data Synthesis Fifty-four studies were included, of which 26 (48%) demonstrated acceptable Intraexaminer Reliability. Seven high-quality studies showed acceptable Reliability for flexion and extension of the elbow in healthy subjects. Conflicting results were found for shoulder external rotation and abduction. Reliability for all other movements was unacceptable. Higher estimates were reached for within-sessions Reliability and if means of trials were used. Conclusions Intraexaminer Reliability of HHD in upper extremity muscle strength was acceptable only for elbow measurements in healthy subjects. We provide specific recommendations for future research. Physical therapists should not rely on HHD measurements for evaluation of treatment effects in patients with upper extremity disorders.
Jacqueline Oldham - One of the best experts on this subject based on the ideXlab platform.
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Intraexaminer Reliability of identifying a dysfunctional segment in the thoracic and lumbar spine
Journal of Manipulative and Physiological Therapeutics, 2006Co-Authors: Louise Potter, Christopher J Mccarthy, Jacqueline OldhamAbstract:Objective To examine the intrarater Reliability of identifying a manipulable lesion in the lumbar and thoracic spine. Methods An experienced osteopath used dynamic and static examination to assess 12 asymptomatic subjects for signs of joint dysfunction in the thoracic and lumbar spine. The selected segment was marked with an UV invisible mark. A second examiner visualized these marks with an UV lamp and recorded them on acetates for analysis; this process was then repeated an hour later. The distance from the marks to a fixed point was measured and within-day intrarater Reliability was calculated using intraclass correlation coefficients (ICCs). Results The ICC(1,1) for the thoracic spine was 0.70 (95% confidence interval [CI], 0.27-0.90). In the lumbar spine the ICC(1,1) was 0.96 (95% CI, 0.87-0.99). Conclusion This study shows that the lumbar spine joint perceived to be the joint most likely to benefit from a high-velocity low-amplitude thrust can be identified with good within-day Reliability in an asymptomatic sample using a defined examination protocol. However, the Reliability in identifying a joint exhibiting signs of segmental dysfunction in the thoracic spine was poor.
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intratester and intertester Reliability of neck isometric dynamometry
Archives of Physical Medicine and Rehabilitation, 2004Co-Authors: Nikolaos Strimpakos, Vasiliki Sakellari, Georgios Gioftsos, Jacqueline OldhamAbstract:Abstract Strimpakos N, Sakellari V, Gioftsos G, Oldham J. Intratester and intertester Reliability of neck isometric dynamometry. Arch Phys Med Rehabil 2004;85:1309–16. Objective To evaluate the reproducibility of measurement for maximum voluntary isometric contractions of the cervical musculature in different movements. Design Repeated test-retest measurements. Setting A department of physiotherapy. Participants Thirty-three healthy subjects (17 men, 16 women; age range, 19–63y) for the Intraexaminer study and 10 healthy subjects (4 men, 6 women; age range, 20–37y) for the interexaminer study. Interventions Maximum isometric strength in sitting and standing for flexion, extension, lateral flexion, and rotation using a custom isomyometer device. Three tests, performed 5 to 8 days apart, to assess Intraexaminer Reliability. Two examiners, each performing 1 trial, measuring on the same day to assess interexaminer Reliability. Main outcome measures Intraexaminer and interexaminer Reliability of neck muscle strength. Results The standing position showed better reproducibility than the sitting position. The intraclass correlation coefficient (ICC 1,3 ) was above .84 for all tests in any movement and position and above .93 when the first test was excluded. The standard error (SE) of measurement ( 2,1 ranged from .88 to .94 and the SE from 10.7 to 20.8N ( Conclusions A reliable protocol for measuring neck strength has been developed. Standing position and a full practice session produces more reliable measurements.
Martijn S Stenneberg - One of the best experts on this subject based on the ideXlab platform.
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Intraexaminer Reliability of hand held dynamometry in the upper extremity a systematic review
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Patrick P M Schrama, Martijn S Stenneberg, Cees Lucas, Emiel Van TrijffelAbstract:Abstract Objective To summarize and appraise the literature on the Intraexaminer Reliability of hand-held dynamometry (HHD) in the upper extremity. Data Sources MEDLINE, CINAHL, and EMBASE were searched for relevant studies published up to December 2011. In addition, experts were contacted, and journals and reference lists were hand searched. Study Selection To be included in the review, articles needed to (1) use a repeated-measures, within-examiner(s) design; (2) include symptomatic or asymptomatic individuals, or both; (3) use HHD to measure muscle strength in any of the joints of the shoulder, elbow, or wrist with the "make" or the "break" technique; (4) report measurements in kilogram, pound, or torque; (5) use a device that is placed between the examiner's hand and the subject's body; and (6) present estimates of Intraexaminer Reliability. Data Extraction Quality assessment and data extraction were performed by 2 reviewers independently. Data Synthesis Fifty-four studies were included, of which 26 (48%) demonstrated acceptable Intraexaminer Reliability. Seven high-quality studies showed acceptable Reliability for flexion and extension of the elbow in healthy subjects. Conflicting results were found for shoulder external rotation and abduction. Reliability for all other movements was unacceptable. Higher estimates were reached for within-sessions Reliability and if means of trials were used. Conclusions Intraexaminer Reliability of HHD in upper extremity muscle strength was acceptable only for elbow measurements in healthy subjects. We provide specific recommendations for future research. Physical therapists should not rely on HHD measurements for evaluation of treatment effects in patients with upper extremity disorders.
Cees Lucas - One of the best experts on this subject based on the ideXlab platform.
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Intraexaminer Reliability of hand held dynamometry in the upper extremity a systematic review
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Patrick P M Schrama, Martijn S Stenneberg, Cees Lucas, Emiel Van TrijffelAbstract:Abstract Objective To summarize and appraise the literature on the Intraexaminer Reliability of hand-held dynamometry (HHD) in the upper extremity. Data Sources MEDLINE, CINAHL, and EMBASE were searched for relevant studies published up to December 2011. In addition, experts were contacted, and journals and reference lists were hand searched. Study Selection To be included in the review, articles needed to (1) use a repeated-measures, within-examiner(s) design; (2) include symptomatic or asymptomatic individuals, or both; (3) use HHD to measure muscle strength in any of the joints of the shoulder, elbow, or wrist with the "make" or the "break" technique; (4) report measurements in kilogram, pound, or torque; (5) use a device that is placed between the examiner's hand and the subject's body; and (6) present estimates of Intraexaminer Reliability. Data Extraction Quality assessment and data extraction were performed by 2 reviewers independently. Data Synthesis Fifty-four studies were included, of which 26 (48%) demonstrated acceptable Intraexaminer Reliability. Seven high-quality studies showed acceptable Reliability for flexion and extension of the elbow in healthy subjects. Conflicting results were found for shoulder external rotation and abduction. Reliability for all other movements was unacceptable. Higher estimates were reached for within-sessions Reliability and if means of trials were used. Conclusions Intraexaminer Reliability of HHD in upper extremity muscle strength was acceptable only for elbow measurements in healthy subjects. We provide specific recommendations for future research. Physical therapists should not rely on HHD measurements for evaluation of treatment effects in patients with upper extremity disorders.