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  • Reliability of Quadriceps F...
    Sentanin, Anna Claudia; de Facio, Carina Araujo; da Silva, Marcela Maria Carvalho; Sousa, Fernanda Cristina; Arcuri, Juliano Ferreira; Mendes, Renata Gonçalves; Di Lorenzo, Valéria Amorim Pires

    Physical Therapy, 09/2021, Letnik: 101, Številka: 9
    Journal Article

    Abstract Objective This study aimed to evaluate the intrarater and interrater reliability of isometric quadriceps strength (IQS) using a portable dynamometer in individuals with chronic obstructive pulmonary disease (COPD) and to verify their tolerance to the protocol. Methods A cross-sectional reliability study was conducted with 50 individuals with stable COPD (34 men and 16 women; mean age = 70 years SD = 8). The main outcome measure was obtained using a portable dynamometer (Microfet 2) to assess IQS. Two masked raters performed 2 assessments in the dominant lower limb on 2 nonconsecutive days. The intraclass correlation coefficient (ICC) was used to verify the intrarater and interrater reliability and was considered excellent when >0.90, with a 5% significance level. Results Rater 1 and 2 intrarater reliability was as follows: ICC = 0.96 (95% CI = 0.94 to 0.98) and ICC = 0.97 (95% CI = 0.95 to 0.98), respectively. The interrater reliability was as follows: ICC = 0.96 (95% CI = 0.93 to 0.98). The minimum detectable difference was 4 to 5 peak isometric strength, in mean, for intrarater and interrater reliability. Not all patients presented relevant changes in physiological responses, dyspnea, and lower limb fatigue. Conclusion There was an excellent intrarater and interrater reliability for IQS, and the participants tolerated the protocol. Impact This tool can be used to assess quadriceps strength in clinical practice in patients with COPD.