Influence of number of records on reliability of myotonometric measurements of muscle stiffness at rest and contraction.

Abstract

The aim of this study was to determine an effect of myotonometric records' number on stiffness measurements' reliability in muscles at rest and contraction. Muscle stiffness was measured using Myoton-3 device. Twenty records were taken for: (i) biceps (BB) and triceps brachii (TB) at rest and for BB at 10% of maximal voluntary contraction (MVC) in healthy elderlies (HE) and in Parkinson's disease patients (PD); and (ii) brachioradialis (BR) at rest and at 25, 50 and 80% MVC in healthy young (HY) subjects. Also, in HY group, the 3-records mode was used for BR's measurements at maximal contraction. Each measurement taken with 20-records was classed into five records groups: the whole 20- and the first 15-, 10-, 5- and 3-records. Test-retest reliability for these records groups was analyzed. In HE and PD group measurements' reliability was excellent for all groups of records (20-3 rec- ords). In HY group, for the five groups of records taken at rest and submaximal levels of contraction (25, 50 and 80% MVC) the meas- urements reliability: (i) was mostly excellent or rarely average; and (ii) only in one per three 50% MVC conditions was unacceptable, i.e., for the 3-records group. The reliability of 3-records mode measurements at maximal contraction were unacceptable. Reliable myotonometric stiffness measurements in muscles at rest and during submaximal contractions can be achieved with less than 20 records (15, 10, 5 records) and even for the most of measurements with 3 records in HY and HE as well as in the PD patients. Myotonometric stiffness measurements with 3-records mode during maximal contraction were not reliable.