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What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?
Garcia, Patrícia Azevedo; Sampaio, Raphaela Xavier; de Moura, Júlia Araújo; de Souza, Phylipi Figuêiredo; da Costa, Ludmille Bezerra; Dos Santos Mendes, Felipe Augusto.
Afiliação
  • Garcia PA; Postgraduate Program in Rehabilitation Sciences, University of Brasilia (UnB), Campus Ceilândia, Brasília, DF, Brazil. Electronic address: patriciaagarcia@hotmail.com.
  • Sampaio RX; Postgraduate Program in Rehabilitation Sciences, University of Brasilia (UnB), Campus Ceilândia, Brasília, DF, Brazil.
  • de Moura JA; Postgraduate Program in Rehabilitation Sciences, University of Brasilia (UnB), Campus Ceilândia, Brasília, DF, Brazil.
  • de Souza PF; Graduation in Physical Therapy, University of Brasilia (UnB), Brasília, DF, Brazil.
  • da Costa LB; Graduation in Physical Therapy, University of Brasilia (UnB), Brasília, DF, Brazil.
  • Dos Santos Mendes FA; Postgraduate Program in Rehabilitation Sciences, University of Brasilia (UnB), Campus Ceilândia, Brasília, DF, Brazil.
Braz J Phys Ther ; 28(4): 101104, 2024.
Article em En | MEDLINE | ID: mdl-39146868
ABSTRACT

BACKGROUND:

Handgrip strength (HGS) testing is a highly recommended method for screening for sarcopenia in older adults. However, there is no consensus on the optimal protocol and number of trials for screening sarcopenia in older adults with cognitive impairment.

OBJECTIVE:

To investigate the use of the first trial (FT), the mean of three trials (MT), and the highest value (HT) from three trials of the HGS test to screen for sarcopenia in older adults with cognitive impairment. Additionally, to analyze the consistency, agreement, and measurement error in the diagnosis of muscle weakness.

METHODS:

176 older adults with cognitive impairment were evaluated. The HGS test was repeated three times. Analyses were performed using the Friedman repeated measures test with Wilcoxon post-hoc, intraclass correlation coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC95), and Kappa index tests.

RESULTS:

There was no significant difference between the first trial (FT) and the mean of three trials (MT) (d = 0.17 [95 % CI -0.08, 0.42]), but both differed significantly from the highest value (HT) (p < 0.001). The ICC indicated a reliability of 0.97 (95 % CI 0.95, 0.98) across all participants, while the kappa index demonstrated over 80 % agreement. The SEM for the first measure of HGS ranged from 0.59 to 2.12 kgf. The MDC95 ranged from 1.64 to 5.87 kgf.

CONCLUSION:

For HGS testing, there was excellent consistency between the FM and MT. All three testing methods demonstrated excellent agreement in diagnosing muscle weakness. The measurement errors confirm that FT can be reliably used to monitor changes during rehabilitation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Força da Mão / Sarcopenia / Disfunção Cognitiva Limite: Aged / Humans Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Força da Mão / Sarcopenia / Disfunção Cognitiva Limite: Aged / Humans Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil