Evidence map›Paper›PMID 39906058›Full record

ArticleInternational journal of sports physical therapy2025

Reliability and Agreement of Hand-Held Dynamometry Using Three Standard Rater Test Positions.

Frank Aerts, Holly Sheets, Chance Anderson, Natalie Bussie, Rose Hoskins, Amanda Maninga, Emily Novak

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Article in International journal of sports physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Frank AertsDoctor of Physical Therapy Program Manchester University.
Holly SheetsDoctor of Physical Therapy Program Manchester University.
Chance AndersonDoctor of Physical Therapy Program Manchester University.
Natalie BussieDoctor of Physical Therapy Program Manchester University.
Rose HoskinsDoctor of Physical Therapy Program Manchester University.
Amanda ManingaDoctor of Physical Therapy Program Manchester University.
Emily NovakDoctor of Physical Therapy Program Manchester University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of portable hand-held dynamometers is increasing in popularity due to their ease of use in different clinical settings, convenient size, portability, and overall affordability. Reported reliability for external fixation and rater-stabilized hand-held dynamometry (HHD) strength measurements have been found to be 'good' to 'excellent'. Inconsistent agreement has been found between the two stabilization methods and isokinetic HHD testing. Purpose / Hypothesis: Determine the reliability and agreement of HHD measurements in three different rater test positions against three different mechanically produced force magnitudes. The study compared measurements obtained by rater-stabilization to external fixation methods. Study Design: Intra-rater and inter-rater reliability study. Methods: Ten raters took measurements in three different rater test positions against three different force magnitudes created by an external force. Raters were blinded to the randomized force magnitudes. The rater's measurements were compared to measurements taken against an external fixation stabilization device. To establish reliability, Intraclass Correlation Coefficient (ICC), and Standard Error of Measurement (SEM), and Minimal Detectable Change (MDC) were used. To establish agreement, error rates between the rater-stabilized and external fixation stabilization measurements were calculated. Results: ICC's were found to be 'excellent' at .97 and above. The relative SEM ranged from 0.2% to 0.9 % and the relative MDC ranged from 0.7% to 2.8%. The overall error rate was 15.5% and was influenced by force magnitude. Conclusion: The use of standardized rater test positions resulted in 'excellent' intra-rater, inter-rater reliability, low SEM, and low MDC for rater-stabilized HHD measurements. A systematic error was observed, with rater-stabilized measurements resulting in higher values compared with values obtained with the external fixation method. Level of Evidence: 3.

Indexed as

agreementdynamometryhand-heldmechanical forcereliabilitytest position

Identifiers

PMID39906058
PMCPMC11788088

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