Exploring the use of a novel Manual Muscle Test measure in patients presenting with musculoskeletal pain; an observational study.
Item
- Title
- Exploring the use of a novel Manual Muscle Test measure in patients presenting with musculoskeletal pain; an observational study.
- Author(s)
- Collis, D
- Abstract
- Background: There is an established relationship between muscle weakness, pain and loss of function. Therefore, means of assessing muscle strength such as Manual Muscle Testing (MMT) are vital. However, there is conflicting research as to the reliability of these tests. The recently validated Musculoskeletal Health Questionnaire (MSK-HQ) was co-produced with patients to capture relevant Patient reported outcome measures. Bathroom scales have never been used as a MMT on a symptomatic population before; neither has a study investigated the relationship between power output and MSK-HQ scores. Objective: Record outcome measures of a symptomatic patient population using bathroom scales with the SAQE and modified CLAM exercises. To answer the research question: Torque values from MMT of SAQE and CLAM are predictive of MSK-HQ scores. Design: Observational study. Methods: Patients over 18 years without red flags were recruited from the European School Osteopathy teaching clinic. Baseline characteristics and MSK-HQ were collected before completing the Short Arc Quadricep Extension (SAQE) and modified seated clamshell exercise (CLAM). Data was analysed and correlation explored. Results: Data from 60 symptomatic participants was captured. The mean MSK-HQ score was 38.6 (SD 8.31), Mean SAQE (Kg) was 22.02 (SD 6.994), Mean modified CLAM (Kg) was 14.12 (SD 5.59). R2 for MSK-HQ with SAQE was 0.003481 whereas MSK-HQ with CLAM showed a correlation of 0.019321 both showing insignificant correlation. Significant correlation was however found between leg length with both SAQE and CLAM, and SAQE with CLAM. Negative association was found between age and both SAQE (r= -0.29) and CLAM ( r= -0.40). Discussion: This study found no correlation between MSK-HQ and MMT. The absence of correlation between MSK-HQ scores and MMT warrants further investigation, these results have been mirrored before in lack of relation between radiographic findings and PROM. Further investigation into the lack of association between age and BMI with MSK-HQ scores as well as symptomatic region with SAQE and CLAM is required. Conclusion: Results suggest bathroom scales can be used as MMT in clinical settings, yet there is no significant correlation between MSK-HQ scores and output values from SAQE and CLAM. Further research with a larger sample is needed to assess the reliability of bathroom scales as MMT against other forms of MMT and comparison to MSK-HQ with other MSK health assessments.
- presented at
- European School of Osteopathy
- Date Accepted
- 2019
- Date Submitted
- 19.11.2019 18:31:02
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16488
- Inst-Identifier
- 1229
- Keywords
- Manual muscle testing, Bathroom scales, Musculoskeletal Health Questionnaire
- Recommended
- 0
- Item sets
- Thesis
Collis, D, “Exploring the use of a novel Manual Muscle Test measure in patients presenting with musculoskeletal pain; an observational study.”, Osteopathic Research Web, accessed May 2, 2025, https://www.osteopathic-research.com/s/orw/item/341