Source:http://linkedlifedata.com/resource/pubmed/id/10454724
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1999-9-23
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pubmed:abstractText |
Maximal voluntary isometric contraction (MVIC) is a standard tool for assessment of muscle strength in treatment trials for amyotrophic lateral sclerosis (ALS). There is need for more practical bedside techniques especially for severely disabled patients. Hand-held dynamometry (HH-Dyn) is an inexpensive and easy-to-handle device. MVIC was measured in five proximal muscle groups bilaterally and compared with HH-Dyn in 43 ALS patients. After a training period we found good intrarater correlation for HH-Dyn (r = 0.99), with a low coefficient of variation. Measurements tended to become more accurate after repeated testing due to practice effects in examiners and patients. Overall correlation between HH-Dyn and MVIC was good [r = 0.85 (P < 0.01)]. Strength-range-specific analysis showed a significant linear correlation up to 20 kg (44 lbs.) [r = 0.57 (P < 0.01)]. However, we found a tendency to underestimate muscle strength above 10 kg by HH-Dyn as compared with MVIC, but this became meaningful only above a force of 20 kg. HH-Dyn provides a strength estimate with a precision close to MVIC in weak muscle groups (MRC grade 4). With standardization and appropriate training, HH-Dyn is a useful bedside test, providing an alternative to MVIC for follow-up assessment in ALS.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0148-639X
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 1999 John Wiley & Sons, Inc.
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pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1265-70
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10454724-Adult,
pubmed-meshheading:10454724-Aged,
pubmed-meshheading:10454724-Amyotrophic Lateral Sclerosis,
pubmed-meshheading:10454724-Feasibility Studies,
pubmed-meshheading:10454724-Female,
pubmed-meshheading:10454724-Hand Strength,
pubmed-meshheading:10454724-Humans,
pubmed-meshheading:10454724-Isometric Contraction,
pubmed-meshheading:10454724-Male,
pubmed-meshheading:10454724-Middle Aged
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pubmed:year |
1999
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pubmed:articleTitle |
Comparison of maximal voluntary isometric contraction and Drachman's hand-held dynamometry in evaluating patients with amyotrophic lateral sclerosis.
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pubmed:affiliation |
Department of Neurology, Julius-Maximilians-University Wuerzburg, Josef-Schneider Strasse 11, D-97080 Wuerzburg, Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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