Use of Hand-held Dynamometry to Obtain Objective Measures of Lower Extremity Force Production With Chronic Stroke
Study Details
Study Description
Brief Summary
This study wants to know if using handheld dynamometry (HHD) to test leg strength in persons who have had a stroke, will reduce mistakes and give therapists better information to use for therapy. This study will collect normal values of leg muscle peak force production, cumulative peak force production, and sustained peak force production in patients with chronic stroke.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
The Activbody Activ5 device will be used for data collection with all information logged and stored through the device's app and transferred to secure files. Assessment of isometric muscle strength and power will be performed as follows:
-
Hip flexors with the participant seated and hips and knees flexed at 90 degrees
-
Knee extensors with the participant seated and hips and knees flexed at 90 degrees
-
Knee flexors with the participant seated and hips and knees flexed at 90 degrees
-
Ankle plantarflexors with the participant lying supine with the ankle in plantargrade and hips and knees extended
-
Ankle dorsiflexors with the participant lying supine with the ankle relaxed and hips and knees extended
-
Hip abductors with the participant lying supine and hips and knees extended
-
Hip adductors with the participant lying supine and hips and knees extended
-
Hip extensors with the participant lying prone and hips and knees extended 1 session, two trials per side
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: Average Force Production Average force production of bilateral lower extremities will be collected using the handheld dynamometer, Activbody Activ5. |
Other: Average Force Production
Average force production will be collected using the hand-held dynamometer, Activbody Activ5. Assessment of isometric muscle strength and power will be performed as follows:
Hip flexors with the participant seated and hips and knees flexed at 90 degrees
Knee extensors with the participant seated and hips and knees flexed at 90 degrees
Knee flexors with the participant seated and hips and knees flexed at 90 degrees
Ankle plantarflexors with the participant lying supine with the ankle in plantargrade and hips and knees extended
Ankle dorsiflexors with the participant lying supine with the ankle relaxed and hips and knees extended
Hip abductors with the participant lying supine and hips and knees extended
Hip adductors with the participant lying supine and hips and knees extended
Hip extensors with the participant lying prone and hips and knees extended
|
Outcome Measures
Primary Outcome Measures
- Hand-held Dynamometry Measurement of Average Force Production [1 year]
Average force production of lower extremity isometric strength measured in pounds (lb)
Secondary Outcome Measures
- Hand-held Dynamometry Measurement of Peak Force Production [1 year]
Peak force production of lower extremity isometric strength measured in pounds (lb)
Other Outcome Measures
- Hand-held Dynamometry Measurement of Time to Peak Force [1 year]
Time required to reach peak force production of lower extremity isometric strength measured in seconds (sec)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age 18 years or older
-
Stroke > 3 months
-
Ability to follow two-step commands
-
Ability to assume all test positions and maintain for duration of testing (i.e. upright seated, prone, side lying, supine)
Exclusion Criteria:
-
Lower extremity contractures preventing full passive range of motion (ROM)
-
Vital signs contraindicated for exercise (i.e. resting heart rate > 100 bpm < 50 bpm, resting systolic blood pressure > 200 mmHg or < 90 mmHg, resting diastolic blood pressure > 110 mmHg, oxygen saturation < 90%)
-
Symptoms contraindicated for testing (i.e. shortness of breath, angina, dizziness, severe headache, sudden onset of numbness or weakness, painful calf suggestive of deep vein thrombosis)
-
Active infection and/or injury at location of testing site
-
Other diagnosed co-morbidities that would impact physical participation
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Vanderbilt University Medical Center | Nashville | Tennessee | United States | 37209-2069 |
Sponsors and Collaborators
- Vanderbilt University Medical Center
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
- Short-term recovery of limb muscle strength after acute stroke. Archives of Physical Medicine and Rehabilitation
- Portable fixed dynamometry: Towards remote muscle strength measurements in patients with motor neuron disease.
- Considerations and practical options for measuring Muscle Strength: A narrative review. BioMed Research International
- Assessment of lower limb muscle strength and power using hand-held and fixed dynamometry: A reliability and validity study.
- Assessment of isometric muscle strength and rate of torque development with hand-held dynamometry: Test-retest reliability and relationship with gait velocity after stroke.
- The validity and reliability of two commercially available load sensors for Clinical Strength Assessment. Sensors
- Strength testing in motor neuron diseases.
Publications
None provided.- 230030