Measuring Strength with the CITEC Hand-held Dynamometer (CITEC dynamometry, hand-held dynamometry)

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General Information
Background
Author/s or Creator/s
C.I.T. Techniques, 9752 CR Haren, NL
Objectives
A hand-held device for measuring muscle strength in the large muscle groups in defined positions. Normal values for healthy children aged 4-16 years have been published. The device has been used and validated in different neuromuscular disorders (78 PubMed citations) and is presently used in the German Duchenne-CsA and in the Dysferlinopathy-deflazacort trials.
Category of Outcome Measure
Impairment
 
Disease Type
  Used Validated
Anterior Horn Cell Disease   X
Peripheral Nerve X  
Muscle X  
Chronology of Development
Hand-held dynamometry with different models of dynamometers has been performed since many years, and also normal values have been published earlier. The CITEC hand-held dynamometer is manufactured by a Dutch company, and normal values for healthy children aged 4-16 years have been published in 2001.
Time Information
Time to Recall
At Assessment
Recall Period
Not Applicable
Time to Complete
10-30 minutes, depending of the number of muscle groups
Application
Mode of Assessment
Administered by trained evaluator
Administered by untrained evaluator
Administration by an untrained evaluator is possible, but in the scope of a controlled trial should be used after training.
Age Group
Children (2 to 11 Years)
Adolescents (12 to 15 Years)
Adults (16 Years and Over)
 
Age Related Limitations
The patient must be able to comply and to produce his maximum strength on demand.
Languages
  Original Definitive Validated Translation Informal Translation
Dutch X    
English UK X    
German X    
Italian X    
Conditions of Use and Contact Information
Conditions of Use
Free Access
 
Copyright Owner
Not applicable
Contact Name
Not applicable
Organisation Name
C.I.T. Techniques
Postal Address
Rijksstraatweg 384, HAREN, 9752 CR , The Netherlands
URL (Web Address)
www.citec.nu
Email Address
info@citec.nu
Phone
+31 50 - 406 17 54
Device
Device Name
CITEC hand-held dynamometer
Product Number
Not applicable
Description
The Citec dynamometer is a small hand-held device that is used to measure maximal isometric force. It is to be applicated in defined positions and locations depending on the muscle groups to be measured.
Purpose/Use
To measure maximal isometric force in defined muscle groups (for example knee extensors or flexors)
Organisation Name
C.I.T. Technics
Address
Rijksstraatweg 384, HAREN, 9752 CR , The Netherlands
Web Address (URL)
www.citec.nu
Email
info@citec.nu
Phone
+31 50 - 406 17 54
Instruction Manual Availability
An instruction manual is available
Reference 1
Type of Reference
Key Reference
Reference Details
Beenakker EAC.; van der Hoeven JH,; Fock JM.; et al.; (2001) Reference values of maximum isometric muscle force obtained in 270 children aged 4-16 years by hand-held dynamometry, Neuromuscular Disorders, Vol 11, pp 441-446, Elsevier Science
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 2
Type of Reference
Validation Reference
Reference Details
Merlini L.; Mazzone ES.; Solari A.; et al (2002) Reliability of hand-held dynamometry in spinal muscular atrophy, Muscle & Nerve, Vol 26, pp 64-70, Wiley Periodicals
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 3
Type of Reference
Miscellaneous
Reference Details
Merlini L.; Cicognani A.; Malaspina E.; et al.; (2003) Early prednisone treatment in Duchenne muscular dystrophy, Muscle & Nerve, Vol 27, pp 222-227, Wiley Periodicals
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 4
Type of Reference
Miscellaneous
Reference Details
Ireland ML.; Willson JD.; Ballantyne BT.; et al.; (2003) Hip strength in females with and without patellofemoral pain, J Ortop Sports Phys Ther, Vol 33, pp 671-676
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 5
Type of Reference
Miscellaneous
Reference Details
Takken T.; Elst E.; Spermon N,; et al.; (2003) The physiological and physical determinants of functional ability measures in children with juvenile dermatomyositis, Rheumatology, Vol 42, pp 591-595, British Society of Rheumatology
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 6
Type of Reference
Miscellaneous
Reference Details
Rose KJ.; Burns J.; Ryan MM,; et al.; (2008) Reliability of quantifying foot and ankle muscle strength in very young children, Muscle Nerve, Vol 37, pp 626-631
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 7
Reference Type
Miscellaneous
Reference Details
Kolber MJ.; Beekhuisen K.; Cheng MS.; et al.; (2007) The reliability of hand-held dynamometry in measuring isometric strength of the shoulder internal and external rotator musculature using a stabilization device, Physiother Theory Pract, Vol 23, pp 119-124
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 8
Reference Type
Miscellaneous
Reference Details
Crompton J.; Galea MP.; Phillips B.; (2007) Hand-held dynamometry for muscle strength measurement in children with cerebral palsy, Dev Med Child Neurol, Vol 49, pp 106-111
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 9
Reference Type
Miscellaneous
Reference Details
Whittaker RG.; Ferenczi E.; Hilton-Jones D.; (2006) Myotonic dystrophy: practical issues relating to assessment of strength, J Neurol Neurosurg Psychiatry, Vol 77, pp 1282-1283
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 10
Reference Type
Miscellaneous
Reference Details
van den Beld WA.; van der Sanden GA.; Sengers RC.; et al.; (2006) Validity and reproducibility of hand-held dynamometry in children aged 4-11 years, J Rehabil Med, Vol 38, pp 57-64
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
Unknown
Reference 11
Reference Type
Miscellaneous
Reference Details
Beenakker EA.; Maurits NM.; Fock JM.; et al.; (2005) Functional ability and muscle force in healthy children and ambulant Duchenne muscular dystrophy patients, Eur J Paediatr Neurol, Vol 9, pp 387-393
Web Address (URL)
Not applicable
Reference File ID
Not applicable
Other Information
A Pub Med search with "hand-held dynamometry" gives > 60 further citations!
Reference 12
Reference Type
Manual
Reference Details
A manual is available on the website www.citec.nu in four languages (Dutch, German, English, Italian).
Web Address (URL)
www.citec.nu
Reference File ID
Not applicable
Other Information
More specific instructions in the literature on normal values.