1. Validity and reliability of Eforto®, a system to (self-)monitor grip strength and muscle fatigability in older persons.
- Author
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Dobbeleer, L. De, Swart, M.M., Geerds, M.A.J., Baggen, R.J., Jansen, A.S., Tielemans, R., Silva, H. de, Lieten, S., Barbé, K., Peeters, G.M.E.E., Vollenbroek-Hutten, M.M.R., Melis, R.J.F., Bautmans, I., Dobbeleer, L. De, Swart, M.M., Geerds, M.A.J., Baggen, R.J., Jansen, A.S., Tielemans, R., Silva, H. de, Lieten, S., Barbé, K., Peeters, G.M.E.E., Vollenbroek-Hutten, M.M.R., Melis, R.J.F., and Bautmans, I.
- Abstract
01 april 2023, Item does not contain fulltext, INTRODUCTION: We developed Eforto®, an innovative system for (self-)monitoring of grip strength (GS) and muscle fatigability (Fatigue Resistance (FR = time until GS decreased to 50% of maximum during sustained contraction) and grip work (GW = area under the strength-time curve)). The Eforto® system consists of a rubber bulb that is wirelessly connected to a smartphone-based application, and a telemonitoring platform. The aim was to evaluate the validity and reliability of Eforto® to measure muscle fatigability. METHODS: Community-dwelling older persons (n = 61), geriatric inpatients (n = 26) and hip fracture patients (n = 25) were evaluated for GS and muscle fatigability. In community dwellers fatigability was tested twice in the clinic (once with Eforto®, once with Martin Vigorimeter (MV), standard analog handgrip system) and for six consecutive days as a self-assessment at home with Eforto®. In hospitalized participants, fatigability was tested twice using Eforto®, once by a researcher and once by a health professional. RESULTS: Criterion validity was supported by good to excellent correlations between Eforto® and MV for GS (r = 0.95) and muscle fatigability (FR r = 0.81 and GW r = 0.73), and no significant differences in measurements between both systems. Inter-rater and intra-rater reliability for GW were moderate to excellent (intra-class correlation: 0.59-0.94). The standard error of measurement for GW was small for geriatric inpatients and hip fracture patients (224.5 and 386.5 kPa*s) and higher for community-dwellers (661.5 kPa*s). DISCUSSION/CONCLUSION: We established the criterion validity and reliability of Eforto® in older community-dwelling persons and hospitalized patients, supporting the implementation of Eforto® for (self-)monitoring of muscle fatigability.
- Published
- 2023