Manual muscle testing: does it meet the standards of an adequate screening test?
Manual muscle testing: does it meet the standards of an adequate screening test?
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DOI：
10.1191/0269215505cr873oa
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发表时间：
2005-09-01
影响因子：
3
通讯作者：
Bohannon, RW
中科院分区：
文献类型：
--
作者：
Bohannon, RW
目的：描述手动肌肉测试的敏感性、特异性、阳性预测值、阴性预测值和诊断准确性。设计：横断面力量数据的二次分析。设置：急性康复单位。参与者：107名连续合格康复住院患者的便利样本。干预：不适用。主要结局指标：通过手动肌肉测试和手持测力仪测量膝关节伸展力。结果：描述了手动肌肉测试检测膝关节伸展力15%、20%、25%和30%侧间差异和缺陷的能力。虽然手工肌肉测试的特异性是可以接受的（大多数> 80%），但其对两侧差异和相对于正常的缺陷的敏感性从未超过75%。结论：本研究结果对徒手肌力测试作为力量障碍筛查方法的适用性提出了质疑。
Objective: To describe the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of manual muscle testing.Design: Secondary analysis of cross-sectional strength data.Setting: Acute rehabilitation unit.Participants: Convenience sample of 107 consecutive qualifying rehabilitation inpatients.Intervention: Not applicable.Main outcome measures: Knee extension forces measured by manual muscle testing and hand-held dynamometry.Results: The ability of manual muscle testing to detect 15, 20, 25 and 30% between-side differences and deficits in knee extension force was described. Although the specificity of manual muscle testing was acceptable ( mostly > 80%), its sensitivity to differences between sides and to deficits relative to normal never exceeded 75%. Its diagnostic accuracy was never greater than 78%.Conclusion: The results of this study cast doubt on the suitability of manual muscle testing as a screening test for strength impairments.