Test–retest reliability of upper-limb isometric strength assessment using a functional electromechanical dynamometer and its correlation with handgrip strength in morbidly obese individuals
摘要
The reliability of isometric strength measurements in morbidly obese individuals is a critical area of research due to the connection with functional performance. The objectives of this study were to assess the test–retest reliability of upper-limb isometric strength using functional electromechanical dynamometer (FEMD), and to investigate the correlation between upper-limb isometric strength and handgrip strength measurements.
MethodsTwenty-one morbidly obese women and men (age: 43.53 ± 9.99 years, height: 157.22 ± 7.12 cm, weight: 105.09 ± 12.31 kg, Body Mass Index: 43 ± 5.4 kg/m2) participated in the study. All participants were evaluated for anthropometric parameters, handgrip strength and upper-limb isometric strength.
ResultsThe FEMD provides high reliability for assessing upper-limb isometric strength in both dominant [ICC of 0.89 (95% CI 0.81–0.96) and a CV of 5.98%] and non-dominant [ICC of 0.92 (95% CI 0.82–0.97) and a CV of 5.59%] arms, and moderate concurrent validity was found between upper-limb isometric strength and handgrip strength measurements for the non-dominant limb (r = 0.51, p = 0.021), while no significant correlation was found on the dominant side (r = 0.41, p = 0.071).
ConclusionsOur results suggest that FEMD is a reliable tool for assessing upper-limb isometric strength in morbidly obese individuals and establishing a standardized protocol. Moderate concurrent validity was found between upper-limb isometric strength and handgrip strength. The FEMD could be introduced as a training and assessment tool in individuals with morbid obesity, allowing the systematization and control of training load components during functional movements.