ArticleBMC musculoskeletal disorders2025
Responsiveness of hand-held dynamometry for measuring changes in trunk muscle strength in people with chronic low back pain.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
- Numerical study on the effect of microgravity on biomechanics in human lumbar intervertebral discs.NPJ microgravity · 2025Article
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3 authors.
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Abstract
objectiveTo assess the responsiveness of a hand-held dynamometer (HHD) in evaluating changes in trunk isometric strength in people with chronic low back pain (LBP).
backgroundReduced trunk muscle strength has been associated with pain incidence and severity in people with chronic LBP. Trunk muscle strength is an important functional outcome that is measured in clinical practice and research. However, the responsiveness of clinical tools such as HHD for measuring changes in trunk muscle strength remains underexplored.
methodsMaximum isometric trunk strength was measured using both a HHD and an isokinetic dynamometer (ID) in 21 participants with chronic LBP both before and after 6 weeks of progressive trunk resistance exercises. Effect sizes (ES) and standardised response mean (SRM) were used to evaluate the internal responsiveness of the HHD measures. External responsiveness was determined by correlating the change scores measured with the HHD with those obtained using the ID.
resultsFollowing the progressive resistance exercise programme, there was a significant improvement in trunk muscle strength measured with the HHD with moderate to large ES (0.40-0.85) and SRM (0.60- 0.74), indicating moderate to high internal responsiveness. Pearson's correlations revealed a weak correlation between changes in trunk strength measured with the HHD and those measured with the ID (r = 0.22- 0.26), indicating inadequate external responsiveness.
conclusionsAlthough the use of a HHD was shown to have internal responsiveness for detecting changes in trunk muscle strength, the inadequate external responsiveness warrants further investigation. Future research should also explore the responsiveness of HHD in people with chronic LBP with higher pain and disability levels using comparable measurement setups.
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