Use of Hand-held Dynamometry to Obtain Objective Measures of Lower Extremity Force Production With Chronic Stroke

NCT ID: NCT05941962

Last Updated: 2025-05-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-05

Study Completion Date

2025-07-26

Brief Summary

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This study wants to know if using handheld dynamometry (HHD) to test leg strength in persons who have had a stroke, will reduce mistakes and give therapists better information to use for therapy. This study will collect normal values of leg muscle peak force production, cumulative peak force production, and sustained peak force production in patients with chronic stroke.

Detailed Description

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The Activbody Activ5 device will be used for data collection with all information logged and stored through the device's app and transferred to secure files. Assessment of isometric muscle strength and power will be performed as follows:

* Hip flexors with the participant seated and hips and knees flexed at 90 degrees
* Knee extensors with the participant seated and hips and knees flexed at 90 degrees
* Knee flexors with the participant seated and hips and knees flexed at 90 degrees
* Ankle plantarflexors with the participant lying supine with the ankle in plantargrade and hips and knees extended
* Ankle dorsiflexors with the participant lying supine with the ankle relaxed and hips and knees extended
* Hip abductors with the participant lying supine and hips and knees extended
* Hip adductors with the participant lying supine and hips and knees extended
* Hip extensors with the participant lying prone and hips and knees extended 1 session, two trials per side

Conditions

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Chronic Stroke Weakness, Muscle

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Average Force Production

Average force production of bilateral lower extremities will be collected using the handheld dynamometer, Activbody Activ5.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* Stroke \> 3 months
* Ability to follow two-step commands
* Ability to assume all test positions and maintain for duration of testing (i.e. upright seated, prone, side lying, supine)

Exclusion Criteria

* Lower extremity contractures preventing full passive range of motion (ROM)
* Vital signs contraindicated for exercise (i.e. resting heart rate \> 100 bpm \< 50 bpm, resting systolic blood pressure \> 200 mmHg or \< 90 mmHg, resting diastolic blood pressure \> 110 mmHg, oxygen saturation \< 90%)
* Symptoms contraindicated for testing (i.e. shortness of breath, angina, dizziness, severe headache, sudden onset of numbness or weakness, painful calf suggestive of deep vein thrombosis)
* Active infection and/or injury at location of testing site
* Other diagnosed co-morbidities that would impact physical participation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vanderbilt University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Cathey Norton

Primary Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Cathey Norton

Role: CONTACT

615-460-6715

Facility Contacts

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Cathey Norton, PT, DPT

Role: primary

6154606715

Cathey Norton

Role: backup

615-460-6715

References

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Andrews AW, Bohannon RW. Short-term recovery of limb muscle strength after acute stroke. Arch Phys Med Rehabil. 2003 Jan;84(1):125-30. doi: 10.1053/apmr.2003.50003.

Reference Type BACKGROUND
PMID: 12589633 (View on PubMed)

Bakers JNE, van den Berg LH, Ajeks TG, Holleman MJ, Verhoeven J, Beelen A, Visser-Meily JMA, van Eijk RPA. Portable fixed dynamometry: towards remote muscle strength measurements in patients with motor neuron disease. J Neurol. 2021 May;268(5):1738-1746. doi: 10.1007/s00415-020-10366-9. Epub 2020 Dec 23.

Reference Type BACKGROUND
PMID: 33355879 (View on PubMed)

Bohannon RW. Considerations and Practical Options for Measuring Muscle Strength: A Narrative Review. Biomed Res Int. 2019 Jan 17;2019:8194537. doi: 10.1155/2019/8194537. eCollection 2019.

Reference Type BACKGROUND
PMID: 30792998 (View on PubMed)

Mentiplay BF, Perraton LG, Bower KJ, Adair B, Pua YH, Williams GP, McGaw R, Clark RA. Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study. PLoS One. 2015 Oct 28;10(10):e0140822. doi: 10.1371/journal.pone.0140822. eCollection 2015.

Reference Type BACKGROUND
PMID: 26509265 (View on PubMed)

Mentiplay BF, Tan D, Williams G, Adair B, Pua YH, Bower KJ, Clark RA. Assessment of isometric muscle strength and rate of torque development with hand-held dynamometry: Test-retest reliability and relationship with gait velocity after stroke. J Biomech. 2018 Jun 25;75:171-175. doi: 10.1016/j.jbiomech.2018.04.032. Epub 2018 Apr 27.

Reference Type BACKGROUND
PMID: 29731325 (View on PubMed)

Merry K, Napier C, Chung V, Hannigan BC, MacPherson M, Menon C, Scott A. The Validity and Reliability of Two Commercially Available Load Sensors for Clinical Strength Assessment. Sensors (Basel). 2021 Dec 16;21(24):8399. doi: 10.3390/s21248399.

Reference Type BACKGROUND
PMID: 34960492 (View on PubMed)

Shefner JM. Strength Testing in Motor Neuron Diseases. Neurotherapeutics. 2017 Jan;14(1):154-160. doi: 10.1007/s13311-016-0472-0.

Reference Type BACKGROUND
PMID: 27600518 (View on PubMed)

Related Links

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https://doi.org/10.1053/apmr.2003.50003

Short-term recovery of limb muscle strength after acute stroke. Archives of Physical Medicine and Rehabilitation

https://doi.org/10.1007/s00415-020-10366-9

Portable fixed dynamometry: Towards remote muscle strength measurements in patients with motor neuron disease.

https://doi.org/10.1371/journal.pone.0140822

Assessment of lower limb muscle strength and power using hand-held and fixed dynamometry: A reliability and validity study.

https://doi.org/10.1016/j.jbiomech.2018.04.032

Assessment of isometric muscle strength and rate of torque development with hand-held dynamometry: Test-retest reliability and relationship with gait velocity after stroke.

https://doi.org/10.1007/s13311-016-0472-0

Strength testing in motor neuron diseases.

Other Identifiers

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230030

Identifier Type: -

Identifier Source: org_study_id

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