Clinical assessment of hip strength using a hand-held dynamometer is reliable

K Thorborg, J Petersen, S P Magnusson, P Hölmich

211 Citations (Scopus)

Abstract

Hip strength assessment plays an important role in the clinical examination of the hip and groin region. The primary aim of this study was to examine the absolute test-retest measurement variation concerning standardized strength assessments of hip abduction (ABD), adduction (ADD), external rotation (ER), internal rotation (IR), flexion (FLEX) and extension (EXT) using a hand-held dynamometer. Nine subjects (five males, four females), physically active for at least 2.5 h a week, were included. Twelve standardized isometric strength tests were performed twice with a 1-week interval in between by the same examiner. The test order was randomized to avoid systematic bias. Measurement variation between sessions was 3-12%. When the maximum value of four measurements was used, test-retest measurement variation was below 10% in 11 of the 12 individual hip strength tests and below 5% in five of the 12 tests. No systematic differences were present. Standardized strength assessment procedures of hip ABD, ER, IR, FLEX, with test-retest measurement variation below 5%, hip ADD below 6% and hip EXT below 8%, make it possible to determine even small changes in hip strength at the individual level.
Original languageEnglish
JournalScandinavian Journal of Medicine & Science in Sports
Volume20
Issue number3
Pages (from-to)493-501
Number of pages9
ISSN0905-7188
DOIs
Publication statusPublished - 1 Jun 2010

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