Skip to main content
Article thumbnail
Location of Repository

Quantitative Mechanical Properties of the Relaxed Biceps and Triceps Brachii Muscles in Patients with Subacute Stroke: A Reliability Study of the Myoton-3 Myometer

By Li-ling Chuang, Ching-yi Wu, Keh-chung Lin and Shih-yu Lur

Abstract

Objective. Test-retest reliability of the myotonometer was investigated in patients with subacute stroke. Methods. Twelve patients with substroke (3 to 9 months poststroke) were examined in standardized testing position twice, 60 minutes apart, with the Myoton-3 myometer to measure tone, elasticity, and stiffness of relaxed bilateral biceps and triceps brachii muscles. Intrarater reliability of muscle properties was determined using intraclass correlation coefficient (ICC), the standard error of measurement (SEM), and the minimal detectable change (MDC). Results. Intrarater reliability of muscle properties of bilateral biceps and triceps brachii muscles were good (ICCs = 0.79–0.96) except for unaffected biceps tone (ICC = 0.72). The SEM and MDC of bilateral biceps and triceps brachii muscles indicated small measurement error (SEM% <10%, MDC% <25%). Conclusion. The Myoton-3 myometer is a reliable tool for quantifying muscle tone, elasticity, and stiffness of the biceps and triceps brachii in patients with subacute stroke

Topics: Clinical Study
Publisher: Hindawi Publishing Corporation
OAI identifier: oai:pubmedcentral.nih.gov:3350849
Provided by: PubMed Central
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.pubmedcentral.nih.g... (external link)
  • Suggested articles

    Citations

    1. (1999). A .D .P a n d y a n ,G .R .J o h n s o n ,C .I .P r i c e ,R .H .C u r l e s s
    2. (2010). A neurophysiological and clinical study of Brunnstrom recovery stages in the upper limb following stroke,”
    3. (1975). A practical method for grading the cognitive state of patients for the clinician,”
    4. (2010). a r u s i a k ,K .K i s i e l - S a j e w i c z ,A .J a s k´ olska, and A. Jask´ olski, “HighermusclepassivestiffnessinParkinson’sdiseasepatients than in controls measured by myotonometry,”
    5. (1995). A.Vain,“Estimationofthefunctionalstateofskeletalmuscle,” in Control of Ambulation Using Functional Neuromuscular Stimulation,P .H .V e l t i n ka n dH
    6. (2004). Ankle stiffness and tissue compliance in stroke survivors: a validation of Myotonometer measurements,”
    7. (2001). Assessing the spastic condition of individuals with upper motoneuron involvement: validity of the myotonometer,” Archives of PhysicalMedicineandRehabilitation,vol.82,no.10,pp.1416–1420,
    8. (2006). Assessment of skeletal muscle fatigue of road maintenance workers based on heart rate monitoring and myotonometry,”
    9. (2005). Can mechanical myotonometry or electromyography be used for the prediction of intramuscular pressure?”
    10. (2011). Changes in viscoelastic properties of skeletal muscles induced by subthalamic stimulation in patients with Parkinson’s disease,”
    11. (2007). Construct validity of myotonometric measurements of muscle compliance as a measure of strength,”
    12. (2006). Correlation between impairment and motor performance during reaching tasks in subjects with spastic hemiparesis,”
    13. (1993). Criteria for clinically important changes in outcomes: development, scoring and evaluation of rheumatoid arthritis patient and trial profiles,”
    14. (2010). E .d eV l u g t ,J .H .d eG r o o t ,K .E .S c h e n k e v e l d ,J .H .A r e n d z e n
    15. (2009). Foundations of Clinical Research: Applications to Practice, Pearson/Prentice Hall, Upper Saddle River,
    16. (2005). How to assess the reliability of measurements in rehabilitation,”
    17. (2008). Human resting muscle tone (HRMT): narrative introduction and modern concepts,”
    18. (2002). Inter- and intrarater reliability of the Ashworth scale and the disability assessment scale in patients with upper-limb poststroke spasticity,”
    19. (2006). Interpreting change scores of tests and measures used in physical therapy,”
    20. (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity,”
    21. (2004). Intra- and interrater reliabilities of the myotonometer when assessing the spastic condition of children with cerebral palsy,”
    22. (2009). Intrarater and interrater reliability of myotonometer measurements of muscle tone in children,”
    23. (2008). l i b i g l o u ,W .Z .R y m e r ,R .L .H a r v e y ,a n dM .M . Mirbagheri, “The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke,”
    24. (2008). Methodical Guide: Principles of Applying Myoton
    25. (1970). Movement Therapy in Hemiplegia,H a r p e r&
    26. (2000). Muscle and tendon stiffness in patients with upper motor neuron lesion following a stroke,”
    27. (2007). Myoton-3: Examples of Patterns, Reports and Results’ Visualization for Studies of Muscle Tone, Elasticity and Stiffness,
    28. (2009). New approach in the assessment of the tone, elasticity and the muscular resistance: nominal scales vs
    29. (2011). olski, “Increased muscle belly and tendon stiffness in patientswithParkinson’sdisease,asmeasuredbymyotonometry,”Movement Disorders,
    30. (1980). Post-stroke hemiplegia; crural muscle strength and structure,”
    31. (2003). Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke,”
    32. (2003). Reliability of a new, handheld device for assessing skeletal muscle stiffness,”
    33. (2005). Reliability of gait performance tests in men and women with hemiparesis after stroke,”
    34. (2012). Reliability, validity, andresponsivenessofMyotonometricmeasurementofmuscle tone, elasticity, and stiffness in patients with stroke,”
    35. (2000). Reliability: what is it, and how is it measured?”
    36. (2004). Reliable change and minimum important difference (MID) proportions facilitated group responsiveness comparisons using individual threshold criteria,”
    37. (2006). Repeatability of trapezius muscle tone assessment by a myometric method,”
    38. (2008). Reproducibility and minimal detectable change of three-dimensional kinematic analysis of reaching tasks in people with hemiparesis after stroke,”
    39. (2001). Smallest real difference, a link between reproducibility and responsiveness,”
    40. (1989). Spastic hypertonia: mechanisms and measurement,”
    41. (1992). Spasticity measurement in stroke: a pilot study,”
    42. (1998). Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine,”
    43. The effectiveness of two novel techniques in establishing the mechanical and contractile responses of biceps femoris,”
    44. (1992). The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement,”
    45. (1995). Towards a clinical measurement of spasticity?”
    46. (1998). Understanding and measurement of muscle tone as related to clinical muscle pain,”

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.