原创力文档retest reliability of measuring hip extensor muscle strength in different testing positions in young people with cerebral palsy测试测量的可靠性臀部伸肌肌肉力量在不同的测试位置与脑瘫的年轻人.pdfVIP
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retest reliability of measuring hip extensor muscle strength in different testing positions in young people with cerebral palsy测试测量的可靠性臀部伸肌肌肉力量在不同的测试位置与脑瘫的年轻人
Dyball et al. BMC Pediatrics 2011, 11:42
/1471-2431/11/42
RESEARCH ARTICLE Open Access
Retest reliability of measuring hip extensor
muscle strength in different testing positions in
young people with cerebral palsy
*
Kate M Dyball, Nicholas F Taylor and Karen J Dodd
Abstract
Background: In young people with spastic diplegic cerebral palsy weakness of the hip extensor muscles are
associated with limitations in activity. It is important that clinicians can reliably measure hip extensor muscle
strength to monitor changes over time and the effects of any interventions. Previous research has demonstrated
high reliability for measuring strength of all muscles of the lower limb, with the exception of the hip extensors.
Therefore the aim of this study was to examine the retest reliability of measuring hip extensor strength in young
people with cerebral palsy.
Methods: Using a test-retest reliability research design, 19 participants with spastic diplegic cerebral palsy (Gross
Motor Function Classification System Levels II and III) (mean 19 y 2 mo [S D 2 y 5 mo]) attended two testing
sessions held 12 weeks apart. Three trials with a hand-held dynamometer were taken at each testing session in
supine, prone and standing. Retest reliability was calculated with Intraclass Correlation Coefficients (ICC(2,1)) and
with units of measurement (kilograms) converted to a percentage strength change.
Results: ICC values ranged from .74 to .78 in supine, .75 to .80 in prone, and .73 to .75 in standing. To be 95%
confident that real change had occurred, an individual’s strength would need to increase 55 to 60% in supine, 86
to 102% in prone, and 102 to 105% in standing. To be 95% confident that real change had occurred across
groups, strength would need to increase 4 to 8% in supine, 22 to
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