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Objetivo: Verificar a associação entre a força de preensão manual (FPM) e indicadores nutricionais em pacientes em tratamento hemodialítico do Oeste da Bahia. Métodos: Trata-se de um estudo transversal, realizado com pacientes adultos e idosos, cadastrados em uma unidade de hemodiálise do Oeste da Bahia. Foi aplicado questionário estruturado com questões referentes às condições sociodemográficas e realizada análise das variáveis antropométricas, de composição corporal, clínicas e bioquímicas. A FPM foi medida do lado não fistuloso com um dinamômetro hidráulico da marca SAEHAN® (Saehan corporation SH5001). A análise dos dados foi realizada com o auxílio do software Stata 13.1. Resultados: Foram avaliados 113 pacientes, com predominância do sexo masculino (60,55%) e faixa etária de 35 a 59 anos (57,52%). Foram encontradas associações positivas entre a altura e a FPM, sendo que quanto maior a altura, maior é a força (p = 0,020). O maior peso corporal após sessão de hemodiálise também se apresentou associado à maior FPM (p = 0,002). A medida da prega cutânea tricipital mostrou associação inversa (p = 0,007) e o ângulo de fase foi positivamente associado à FPM (p = 0,018). Conclusão: A força de preensão manual foi associada positivamente a altura, peso corporal após sessão de hemodiálise e ângulo de fase. Em contrapartida, a FPM associou-se negativamente à prega cutânea tricipital. (AU)
Objective: To assess the association between handgrip strength (HGS) and nutritional indicators in patients undergoing hemodialysis in western Bahia State, Brazil. Methods: This is a cross-sectional study conducted with adult and elderly patients attending a hemodialysis unit in western Bahia. A structured questionnaire containing sociodemographic questions was administered, and anthropometric, body composition, clinical, and biochemical variables were analyzed. HGS was measured on the non-fistula side using a Saehan® hydraulic dynamometer. Data analysis was performed using Stata version 13.1. Results: A total of 113 patients were evaluated, most of whom were male (60.55%) and aged between 35 and 59 years (57.52%). Positive associations were found between height and HGS; the higher the patient height, the higher the HGS (p = 0.020). Higher post-dialysis body weight was also associated with higher HGS (p = 0.002). Triceps skinfold thickness was inversely associated (p = 0.007) with HGS, whereas phase angle showed a positive association (p = 0.018). Conclusion: HGS was positively associated with height, post-dialysis body weight, and phase angle but negatively associated with triceps skinfold thickness. (AU)
Subject(s)
Humans , Male , Female , Nutrition Assessment , Renal Dialysis , Renal Insufficiency, Chronic , Muscle Strength Dynamometer , Brazil , Anthropometry , Cross-Sectional StudiesABSTRACT
@#Introduction: Isometric shoulder strength is vital in the management of individuals suffering from shoulder diseases such as rotator cuff tears. Normal values for the working Filipino population who are at risk of developing shoulder problems are lacking. The objective of this study was to determine the isometric baseline isometric shoulder strengths in scaption of healthy Filipino individuals aged 20- 30 years old without a history of a shoulder injury. Materials and methods: This is a cross-sectional descriptive study measuring the isometric strength values using the handheld IDO isometer of dominant and nondominant shoulder of healthy Filipino individuals aged 20 to 30 years old. Results: There is no significant difference in the mean isometric shoulder strength between the dominant and nondominant arm for both sexes. The male gender scored higher values compared to the female gender and is statistically significant. Conclusion: There is no difference in isometric shoulder strength between the dominant and non-dominant shoulder. Strength differences favour the male gender.
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Objective To investigate the reliability and validity of a novel hand-held dynamometer, OE-210, for muscles strength of low-er extremities. Methods From March 1st to August 30th, 2016, 38 young adults were tested the muscle strength of quadriceps and ham-strings with OE-210 dynamometer by 2 rators, and were retested by one of the raters three days later. The isokinetic test was also conducted on all the subjects one day afterwards. The intraclass correlation coefficient (ICC) of OE-210 test results and the Pearson's correlation coeffi-cient between results of OE-210 and isokinetic test were calculated. Results The ICC of test-retest were 0.718 to 0.924, and the ICC of in-ter-rater were 0.784 to 0.870. The correlation between muscle performance measured with 2 tools were significant (P<0.001), that was light to medium on quadriceps (r=0.270-0.413), and strong on hamstrings (r=0.582-0.668). Conclusion OE-210 dynamometer was reliable for muscle strength measurement on quadriceps and hamstrings, and the conditions for valid application need further research.
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Objective To explore an objective evaluation model for the elderly extremity muscle strength. Methods Evaluation index system of extremity muscle strength was established by analyzing the structure and movement mechanism of the limbs of the elderly,and an evaluation model of extremity muscle strength of the elderly based on entropy weight-fuzzy comprehensive evaluation was proposed.More-over,the muscle strength data of the elderly are collected by the hand-held dynamometry MicroFet3.Results The entropy weight method was used to obtain the objective weight of each index,and the disadvantages of the given weight by the expert in the fuzzy comprehensive evaluation method were eliminated, which could effectively assist the doctor to give the correct evaluation. Conclusion Actual examples showed that the proposed evaluation model is effective and objective,which helps to overcome the subjectivity of manual muscle testing to achieve the rehabilitation treatment and classification management of the elderly.A new idea is put forward to evaluate the strength of the ex-tremity in the elderly.
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Objective To assess the reliability of strength of shoulder rotator cuff using a hand-held dynamometer among subjects with spinal cord injury. Methods 20 spinal cord injury subjects without shoulder pain participated in this study. A hand-held dynamometer was used to assess the strength of shoulder rotator cuff. Two therapists (A/B) obtained the strength of shoulder rotator cuff. One of the therapists assessed again 5days later. The intra-and inter-reliability (ICC) of strength of shoulder rotator was calculated. Results The strength of rota-tor cuff was assessed by the hand-held dynamometer. The intra-reliability of external and internal muscle strength was 0.94 and 0.95, respec-tively. The inter-reliability was 0.91 and 0.93, respectively. Conclusion A hand-held dynamometer is a feasible and reliable tool to assess the strength of rotator cuff among subjects with spinal cord injury.
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@#Objective To assess the reliability of strength of shoulder rotator cuff using a hand-held dynamometer among subjects with spinal cord injury. Methods 20 spinal cord injury subjects without shoulder pain participated in this study. A hand-held dynamometer was used to assess the strength of shoulder rotator cuff. Two therapists (A/B) obtained the strength of shoulder rotator cuff. One of the therapists assessed again 5days later. The intra- and inter-reliability (ICC) of strength of shoulder rotator was calculated. Results The strength of rotator cuff was assessed by the hand-held dynamometer. The intra-reliability of external and internal muscle strength was 0.94 and 0.95, respectively. The inter-reliability was 0.91 and 0.93, respectively. Conclusion A hand-held dynamometer is a feasible and reliable tool to assess the strength of rotator cuff among subjects with spinal cord injury.
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OBJECTIVE: The purpose of this study was to determine the knee extension force of healthy Korean adults by using a hand-held dynamometer and evaulate the relationship of knee extension force between each decade. METHOD: One hundred and twenty healthy subjects (60 males, 60 females) between the ages of 20 and 79 years were tested for knee extension force by using Nicholas Manual Muscle Tester (MMT). Data were analyzed for means, standard deviations, test-retest reliability and correlation with variables by using the SPSS(R) software package. RESULTS: The mean value of the knee extension force was 25.9 +/- 5.8 kg in the males and 16.5 +/- 4.1 kg in the females. Significant difference between each decade was found in the males but not in the females. The knee extension force of the males was stastically correlated with all of variables, i.e., age, weight and height, but the knee extension force of the females, was correlated only with weight. Intratester correlation coefficients were high for the Nicholas MMT to measure the knee extension force for healthy adults. Also the difference between the dominant and nondominant side for the knee extensor force was not significant, stastically. CONCLUSION: This MMT may be useful to quickly and objectively evaluate force in the clinical setting.