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Quantification of the forearm muscles mechanical properties using Myotonometer: Intra- and Inter-Examiner reliability and its relation with hand grip strength
Institution:1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bitlis Eren University, Bitlis, Turkey;2. Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey;3. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey;1. Programa de Engenharia Biomédica (COPPE), Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil;2. Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK;3. Department of Clinical and Experimental Sciences, Università degli Studi di Brescia, Brescia, Italy;4. Laboratorio di Ingegneria del Sistema Neuromuscolare (LISiN), Politecnico di Torino, Torino, TO, Italy;5. PolitoBIOMed Lab, Politecnico di Torino, Torino, Italy;1. Research Centre on Aging, CIUSSS de l’Estrie - CHUS, Sherbrooke, QC, Canada;2. Department of Mechanical Engineering, Université de Sherbrooke, Sherbrooke, QC, Canada;3. School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada;4. Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, QC, Canada;5. Research Centre on Health, CIUSSS du Saguenay-Lac-Saint-Jean, Chicoutimi, QC, Canada;1. Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL, Canada;2. Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada;1. Department of Biomedical Engineering, Lund University, Lund, Sweden;2. Department of Radiation Sciences, Radiation Physics, Biomedical Engineering, Umeå University, Umeå, Sweden;1. Univ Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, F-42023 Saint-Etienne, France;2. Université du Québec à Montréal (UQAM), Montréal, Canada;3. Unité de Myologie, Service de Physiologie Clinique et de l’Exercice, Centre Référent Maladies Neuromusculaires Euro-NmD, CHU de Saint-Etienne, France;4. Institut Universitaire de France (IUF), Paris, France;1. School of Kinesiology, University of Michigan, Ann Arbor, MI, USA;2. Department of Orthopaedic Surgery, Michigan Medicine, Ann Arbor, MI, USA;3. Department of Physical Medicine and Rehabilitation, Michigan Medicine, Ann Arbor, MI, USA;4. Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA;5. Michigan Robotics Institute, University of Michigan, Ann Arbor, MI, USA;6. Department of Physical Therapy, College of Health Sciences, University of Michigan-Flint, Flint, MI, USA
Abstract:The primary objective of this study was to investigate the reliability of the myotonometer in the mechanical properties of the forearm muscles m. extensor carpi radialis brevis (ECRB), and m. flexor carpi ulnaris (FCU)] in healthy individuals. The secondary objective was to investigate the relationship between the handgrip strength and mechanical properties of these forearm muscles. The mechanical properties (muscle tone, stiffness, and elasticity) of the ECRB and FCU were measured using the MyotonPRO device. Examiner 1 performed two sets of measurements with a time interval of 30 min to determine intra-examiner reliability. Examiner 2 performed measurements during the interval between the two sets of examiner 1. The intra- and inter-examiner reliabilities were excellent (ICC?0.82) for muscle tone, stiffness, and elasticity of the FCU. Both intra- and inter-examiner reliability in the evaluation of ECRB muscle tone, elasticity, and stiffness was moderate to excellent (ICCs = 0.56–0.98). The muscle tone and stiffness properties of the FCU were positively correlated with the handgrip strength (p <.05). The study findings indicate that the MyotonPRO device is a reliable tool to quantify ECRB, and FCU muscles mechanical properties in healthy individuals.
Keywords:Physiotherapy  Biomechanics  Strength  Skeletal Muscle  Reliability Study
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