Validity and reliability of evaluating hip abductor strength using different normalization methods in a functional electromechanical device

• Published in: PloS one Vol. 13; no. 8; p. e0202248
• Main Authors: Cerda Vega, Enrique, Jerez-Mayorga, Daniel, Machado Payer, Ramón, Campos Jara, Christian, Guzman-Guzman, Iris, Reyes Ponce, Alvaro, Chirosa, Luis Javier
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 20.08.2018; Public Library of Science (PLoS)
• Subjects: Activities of daily living; Biology and Life Sciences; Body mass; Coefficient of variation; Correlation; Correlation coefficient; Correlation coefficients; Dynamometers; Electromechanical devices; Engineering and Technology; Fat-free; Fat-free body mass; Health aspects; Hip; Hip muscles; Measuring instruments; Medicine and Health Sciences; Methods; Muscle contraction; Muscle strength; Muscles; Muscular strength; Pelvis; Physical Sciences; Physiological aspects; Physiology; Reliability analysis; Research and Analysis Methods; Supine position; Validity; Vega, Daniel; Chile; Malawi; Spain
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0202248

The hip abductor muscles are vitally important for pelvis stability, and common strength deficits can negatively affect functionality. The muscle strength can be measured using different dynamometers and be evaluated in three positions (side-lying, standing, and supine). Obtained strength data can be expressed in different ways, with data normalization providing more objective and comparable results. The aim of this study was to establish the validity and reliability of three protocols in evaluating the isometric strength of the hip abductor muscles. A new functional electromechanical dynamometer assessed strength in three positions, with findings subjected to three data normalization methods. In two identical sessions, the hip abductor strengths of 29 subjects were recorded in the side-lying, standing, and supine positions. Peak force was recorded in absolute terms and normalized against body mass, fat-free mass, and an allometric technique. The peak force recorded in the side-lying position was 30% and 27% higher than in the standing and supine positions, respectively, independent of data normalization methodology. High inter-protocol correlations were found (r: 0.72 to 0.98, p ≤ 0.001). The supine position with allometric data normalization had the highest test-retest reliability (0.94 intraclass correlation coefficient and 5.64% coefficient of variation). In contrast, the side-lying position with body mass data normalization had a 0.66 intraclass correlation coefficient and 9.8% coefficient of variation. In conclusion, the functional electromechanical dynamometer is a valid device for measuring isometric strength in the hip abductor muscles. The three assessed positions are reliable, although the supine position with allometric data normalization provided the best results.