Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry

# Background and Purpose Hamstring strength testing is crucial in assessing this important muscle group during rehabilitation and injury prevention. The purpose of this study was to evaluate the reliability and validity of measuring strength in a maximally lengthened position using a handheld dynam...

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Main Authors: Jakob Kristiansen, Christina Eddy, Stig Peter Magnusson
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-03-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.94011
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author Jakob Kristiansen
Christina Eddy
Stig Peter Magnusson
author_facet Jakob Kristiansen
Christina Eddy
Stig Peter Magnusson
author_sort Jakob Kristiansen
collection DOAJ
description # Background and Purpose Hamstring strength testing is crucial in assessing this important muscle group during rehabilitation and injury prevention. The purpose of this study was to evaluate the reliability and validity of measuring strength in a maximally lengthened position using a handheld dynamometer (HHD) compared to isokinetic testing. # Methods Twenty healthy and active participants were recruited, and isometric strength testing was performed both on the Biodex machine and isometric end-range hamstring testing with the HHD on two occasions. # Results Significant strong correlations (r= 0.87, p \< 0.0001) were found between strength testing on the Biodex machine and the HHD for both the right and left sides. Bland-Altman plots demonstrated agreement between the two measurements. Excellent intra-rater reliability (ICC= 0.91-0.93) and moderate to good inter-rater reliability (ICC = 0.71-0.83) for the HHD test was demonstrated. # Conclusions The HHD provides a reliable and valid alternative to isokinetic testing for assessing hamstring strength in a maximally lengthened position. This assessment can be valuable in monitoring rehabilitation progress and detecting deficits before and after returning to play. The HHD is an accessible and cost-effective option for assessing hamstring strength at long lengths in a clinical setting. # Level of evidence 3
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spelling doaj-art-6a69eb0e358c4c439396558b32d861042025-02-11T20:28:17ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-03-01193Reliability and Validity of the End Range Hamstring Strength Test with Handheld DynamometryJakob KristiansenChristina EddyStig Peter Magnusson# Background and Purpose Hamstring strength testing is crucial in assessing this important muscle group during rehabilitation and injury prevention. The purpose of this study was to evaluate the reliability and validity of measuring strength in a maximally lengthened position using a handheld dynamometer (HHD) compared to isokinetic testing. # Methods Twenty healthy and active participants were recruited, and isometric strength testing was performed both on the Biodex machine and isometric end-range hamstring testing with the HHD on two occasions. # Results Significant strong correlations (r= 0.87, p \< 0.0001) were found between strength testing on the Biodex machine and the HHD for both the right and left sides. Bland-Altman plots demonstrated agreement between the two measurements. Excellent intra-rater reliability (ICC= 0.91-0.93) and moderate to good inter-rater reliability (ICC = 0.71-0.83) for the HHD test was demonstrated. # Conclusions The HHD provides a reliable and valid alternative to isokinetic testing for assessing hamstring strength in a maximally lengthened position. This assessment can be valuable in monitoring rehabilitation progress and detecting deficits before and after returning to play. The HHD is an accessible and cost-effective option for assessing hamstring strength at long lengths in a clinical setting. # Level of evidence 3https://doi.org/10.26603/001c.94011
spellingShingle Jakob Kristiansen
Christina Eddy
Stig Peter Magnusson
Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry
International Journal of Sports Physical Therapy
title Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry
title_full Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry
title_fullStr Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry
title_full_unstemmed Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry
title_short Reliability and Validity of the End Range Hamstring Strength Test with Handheld Dynamometry
title_sort reliability and validity of the end range hamstring strength test with handheld dynamometry
url https://doi.org/10.26603/001c.94011
work_keys_str_mv AT jakobkristiansen reliabilityandvalidityoftheendrangehamstringstrengthtestwithhandhelddynamometry
AT christinaeddy reliabilityandvalidityoftheendrangehamstringstrengthtestwithhandhelddynamometry
AT stigpetermagnusson reliabilityandvalidityoftheendrangehamstringstrengthtestwithhandhelddynamometry