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Comparisons of Test-Retest Reliability of Strength Measurement of Gluteus Medius Strength between Break and Make Test in Subjects with Pelvic Drop

  • Jeon, In-Cheol (Department of Physical Therapy, College of Life & Health Science, Hoseo University)
  • Received : 2019.05.07
  • Accepted : 2019.06.11
  • Published : 2019.06.30

Abstract

Purpose: The purpose of this study was to compare the reliability of unilateral hip abductor strength assessment in side-lying with break and make test in subjects with pelvic drop. Hip abduction muscles are very important in the hip joint structures. Therefore, it is essential to evaluate their strength in a reliable way. Methods: Twenty-five subjects participated in this study. Unilateral isometric hip abductor muscle strength was measured in side-lying, with use of a specialized tensiometer using smart KEMA system for make test, of a hand held dynamometer for break test. Coefficients of variation, and intra class correlation coefficients were calculated to determine test-retest reliability of hip abductor strength. Results: In make test, maximal hip abductor strength in the side-lying position was significantly higher compared with break test (p<0.05). Additionally, Test-retest reliability of hip abductor strength measurements in terms of coefficients of variation (3.7% for make test, 16.1% for break test) was better in the side-lying position with make test. All intraclass correlation coefficients with break test were lower than make test (0.90 for make test, 0.73 for break test). Conclusion: The side-lying body position with make test offers more reliable assessment of unilateral hip abductor strength than the same position with break test. Make test in side-lying can be recommended for reliable measurement of hip abductor strength in subjects with pelvic drop.

Keywords

References

  1. Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. St Louis, Mosby, 2002.
  2. Widler KS, Glatthorn JF, Bizzini M et al. Assessment of hip abductor muscle strength. A validity and reliability study. J Bone Joint Surg Am. 2009;91(11):2666-72. https://doi.org/10.2106/JBJS.H.01119
  3. Cynn HS, Oh JS, Kwon OY et al. Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying, Arch Phys Med Rehabil. 2006;87(11):1454-8. https://doi.org/10.1016/j.apmr.2006.08.327
  4. Trendelenburg F. Ueber den Gang bei angeborener Huftgelenksluxation. Dstch Med Wochenschr. 1895:21(2):21-4. https://doi.org/10.1055/s-0029-1199617
  5. Krause DA, Schlagel SJ, Stember BM et al. Influence of lever arm and stabilization on measures of hip abduction and adduction torque obtained by hand-held dynamometry. Arch Phys Med Rehabil. 2007;88(1):37-42. https://doi.org/10.1016/j.apmr.2006.09.011
  6. Park JJ, So HJ, Shin WS. Effects of gluteus medius strengthening training using pressure biofeedback unit for muscle function and balance in stroke patients. J Kor Phys Ther. 2015; 27(4):221-7. https://doi.org/10.18857/jkpt.2015.27.4.221
  7. Schwartz S, Cohen ME, Herbison GJ et al. Relationship between two measures of upper extremity strength: manual muscle test compared to hand-held myometry. Arch Phys Med Rehabil. 1992;73:1063-8.
  8. Agre JC, Magness JL, Hull SZ et al. Strength testing with a portable dynamometer: reliability for upper and lower extremities. Arch Phys Med Rehabil. 1987;68(7):454-8.
  9. Arnold CM, Warkentin KD, Chilibeck PD et al. The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults. J Strength Cond Res. 2010;24(3):815-24. https://doi.org/10.1519/JSC.0b013e3181aa36b8
  10. Kendall KD, Schmidt C, Ferber R. The relationship between hip-abductor strength and the magnitude of pelvic drop in patients with low back pain. J Sport Rehabil. 2010;19(4):422-35. https://doi.org/10.1123/jsr.19.4.422
  11. Yoon TL. Validity and reliability of an inertial measurement unit-based 3D angular measurement of shoulder joint motion. J Kor Phys Ther. 2017;29(3):145-51. https://doi.org/10.18857/jkpt.2017.29.3.145
  12. Crossley KM, Bennell KL, Cowan SM et al. Analysis of outcome measures for persons with patellofemoral pain: Which are reliable and valid?.Arch Phys Med Rehabil. 2004;85(5):815-22. https://doi.org/10.1016/S0003-9993(03)00613-0
  13. Koh EK, Jung DY. The reliability of flexor hallucis longus stretch test in subjects with asymmetric hallux valgus angles. J Kor Phys Ther. 2016;28(2):124-7. https://doi.org/10.18857/jkpt.2016.28.2.124
  14. Stratford PW, Balsor BE. A comparison of make and break tests using a hand-held dynamometer and the Kin-Com. J Orthop Sports Phys Ther. 1994;19(1):28-32. https://doi.org/10.2519/jospt.1994.19.1.28
  15. McBeth JM, Earl-Boehm JE, Cobb SC et al. Hip muscle activity during 3 side-lying hip-strengthening exercises in distance runners. J Athl Train. 2012;47(1):15-23. https://doi.org/10.4085/1062-6050-47.1.15
  16. Desmyttere G, Gaudet S, Begon M. Test-retest reliability of a hip strength assessment system in varsity soccer players. Phys ThER Sport. 2019; 37(2):138-43. https://doi.org/10.1016/j.ptsp.2019.03.013

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