Measuring Strength with the CITEC Hand-held Dynamometer (CITEC dynamometry, hand-held dynamometry)
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General Information
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| Author/s or Creator/s |
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C.I.T. Techniques, 9752 CR Haren, NL
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| Objectives |
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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.
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| Category of Outcome Measure |
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| Disease Type |
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Used |
Validated |
| Anterior Horn Cell Disease |
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X |
| Peripheral Nerve |
X |
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| Muscle |
X |
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| Chronology of Development |
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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.
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| Time to Complete |
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10-30 minutes, depending of the number of muscle groups
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| 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.
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| Age Group |
Children (2 to 11 Years)
Adolescents (12 to 15 Years)
Adults (16 Years and Over)
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| Age Related Limitations |
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The patient must be able to comply and to produce his maximum strength on demand.
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| Languages |
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Original |
Definitive Validated Translation |
Informal Translation |
| Dutch |
X |
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| English UK |
X |
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| German |
X |
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| Italian |
X |
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| Conditions of Use and Contact Information |
| Postal Address |
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Rijksstraatweg 384, HAREN, 9752 CR , The Netherlands
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Device
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| Device Name |
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CITEC hand-held dynamometer
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| Description |
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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.
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| Purpose/Use |
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To measure maximal isometric force in defined muscle groups (for example knee extensors or flexors)
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| Address |
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Rijksstraatweg 384, HAREN, 9752 CR , The Netherlands
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| Instruction Manual Availability |
An instruction manual is available
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Reference 1
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| Reference Details |
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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
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Reference 2
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| Reference Details |
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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
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Reference 3
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| Reference Details |
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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
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Reference 4
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| Reference Details |
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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
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Reference 5
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| Reference Details |
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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
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Reference 6
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| Reference Details |
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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
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Reference 7
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| Reference Details |
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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
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Reference 8
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| Reference Details |
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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
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Reference 9
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| Reference Details |
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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
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Reference 10
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| Reference Details |
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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
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Reference 11
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| Reference Details |
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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
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| Other Information |
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A Pub Med search with "hand-held dynamometry" gives > 60 further citations!
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Reference 12
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| Reference Details |
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A manual is available on the website www.citec.nu in four languages (Dutch, German, English, Italian).
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| Other Information |
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More specific instructions in the literature on normal values.
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