Accuracy of a portable lower-limb muscle strength measuring device with a training function.
Atsushi Nawata, Hiroshi Koga, Rieko Sasaki and 4 others
PMID 38832216WHAT IT FOUND
In 104 healthy young adults, the portable LocomoScan gave consistent knee extension force over two weeks, with measurement error about 20%.
It related to Cybex torque and muscle mass but did not agree closely enough to replace them.
Key findings
01The LCS knee extension force was reproducible over two weeks in 104 healthy university students, with ICCs of 0.943, 0.934 and 0.921 and a maximum measurement error of 132.2 N (20.7%).
02LCS force correlated with Cybex knee extension torque (r=0.798 raw, r=0.839 lower-leg-length corrected), but agreement with Cybex was only moderate to substantial (ICC 0.465 raw, ICC 0.791 corrected).
03LCS force correlated with right lower limb muscle mass (r=0.747), but intraclass agreement was 0.031.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study used healthy university students, not older adults or patients, so it does not show how the device performs in the people most likely to need lower-limb strength assessment. LCS values did not agree closely with Cybex torque, and the authors caution against comparing the values directly. Muscle mass correlated with LCS force, but intraclass agreement was 0.031, so the two measurements were not interchangeable. The device measured only the right lower limb, and the posture had no backrest, so hip extension and upper-body stabilization may have affected the force. All measurements were taken by one assessor, so examiner variability was not tested. The study did not test whether the device predicts falls, gait speed, sarcopenia, locomotive syndrome, or treatment outcomes.
Declared interests
Government grants from the Ministry of Health, Labour and Welfare in Japan and Japan Society for the Promotion of Science funded the work. The authors declared no benefits or funding from a commercial party related to the subject.
The easy way to misread this
Do not treat LCS values as interchangeable with Cybex torque or as a way to estimate muscle mass. It related to both, but agreement with Cybex was only moderate to substantial and agreement with muscle mass was 0.031, and the study tested only healthy university students.