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dc.contributor.authorGarcia, Patrícia Azevedopt_BR
dc.contributor.authorSampaio, Raphaela Xavierpt_BR
dc.contributor.authorMoura, Júlia Araújo dept_BR
dc.contributor.authorSouza, Phylipi Figuêiredo dept_BR
dc.contributor.authorCosta, Ludmille Bezerra dapt_BR
dc.contributor.authorMendes, Felipe Augusto dos Santospt_BR
dc.date.accessioned2026-06-10T21:59:18Z-
dc.date.available2026-06-10T21:59:18Z-
dc.date.issued2024-7pt_BR
dc.identifier.citationGARCIA, Patrícia Azevedo; SAMPAIO, Raphaela Xavier; MOURA, Júlia Araújo de; SOUZA, Phylipi Figuêiredo de; COSTA, Ludmille Bezerra da; MENDES, Felipe Augusto dos Santos. What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?. Brazilian Journal of Physical Therapy, v. 28, n. 4, p. 101104, 2024. DOI: https://doi.org/10.1016/j.bjpt.2024.101104. Disponível em: https://doi.org/10.1016/j.bjpt.2024.101104pt_BR
dc.identifier.urihttps://doi.org/10.1016/j.bjpt.2024.101104pt_BR
dc.identifier.urihttp://repositorio.unb.br/handle/10482/54726-
dc.publisherElsevier BVpt_BR
dc.rightsAcesso Abertopt_BR
dc.titleWhat is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?pt_BR
dc.typeArtigopt_BR
dc.subject.keywordSarcopeniapt_BR
dc.subject.keywordFraqueza muscularpt_BR
dc.subject.keywordDinamometriapt_BR
dc.subject.keywordIdosos - saúde e higienept_BR
dc.identifier.doihttps://doi.org/10.1016/j.bjpt.2024.101104pt_BR
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1413355524005148pt_BR
dc.description.abstract1Background: Handgrip strength (HGS) testing is a highly recommended method for screening for sarcopenia in older adults. However, there is no consensus on the optimal protocol and number of trials for screening sarcopenia in older adults with cognitive impairment. Objective: To investigate the use of the first trial (FT), the mean of three trials (MT), and the highest value (HT) from three trials of the HGS test to screen for sarcopenia in older adults with cognitive impairment. Additionally, to analyze the consistency, agreement, and measurement error in the diagnosis of muscle weakness. Methods: 176 older adults with cognitive impairment were evaluated. The HGS test was repeated three times. Analyses were performed using the Friedman repeated measures test with Wilcoxon post-hoc, intraclass correlation coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC95), and Kappa index tests. Results: There was no significant difference between the first trial (FT) and the mean of three trials (MT) (d = 0.17 [95 % CI: 0.08, 0.42]), but both differed significantly from the highest value (HT) (p < 0.001). The ICC indicated a reliability of 0.97 (95 % CI: 0.95, 0.98) across all participants, while the kappa index demonstrated over 80 % agreement. The SEM for the first measure of HGS ranged from 0.59 to 2.12 kgf. The MDC95 ranged from 1.64 to 5.87 kgf. Conclusion: For HGS testing, there was excellent consistency between the FM and MT. All three testing methods demonstrated excellent agreement in diagnosing muscle weakness. The measurement errors confirm that FT can be reliably used to monitor changes during rehabilitation.en
dc.identifier.orcidhttps://orcid.org/0000-0002-9043-1386pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9941-7214pt_BR
dc.contributor.affiliationUniversidade de Brasilia, Postgraduate Program in Rehabilitation Sciencespt_BR
dc.contributor.affiliationUniversidade de Brasilia, Postgraduate Program in Rehabilitation Sciencespt_BR
dc.contributor.affiliationUniversidade de Brasilia, Postgraduate Program in Rehabilitation Sciencespt_BR
dc.contributor.affiliationUniversidade de Brasilia, Graduation in Physical Therapypt_BR
dc.contributor.affiliationUniversidade de Brasilia, Graduation in Physical Therapypt_BR
dc.contributor.affiliationUniversidade de Brasilia, Postgraduate Program in Rehabilitation Sciencespt_BR
dc.description.unidadeFaculdade de Ciências e Tecnologias em Saúde (FCTS) – Campus UnB Ceilândiapt_BR
dc.description.ppgPrograma de Pós-Graduação em Ciências da Reabilitaçãopt_BR
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