Are Repeated Single-Limb Heel Raises and Manual Muscle Testing Associated With Peak Plantar-Flexor Force in People With Inclusion Body Myositis? by Michael.

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Are Repeated Single-Limb Heel Raises and Manual Muscle Testing Associated With Peak Plantar-Flexor Force in People With Inclusion Body Myositis? by Michael O. Harris-Love, Joseph A. Shrader, Todd E. Davenport, Galen Joe, Goran Rakocevic, Beverly McElroy, and Marinos Dalakas ptjournal Volume 94(4):543-552 April 1, 2014 © 2014 American Physical Therapy Association

Performance of the single-limb heel raise during manual muscle testing of the ankle plantar-flexor muscles. Performance of the single-limb heel raise during manual muscle testing of the ankle plantar-flexor muscles. Michael O. Harris-Love et al. PHYS THER 2014;94:543-552 © 2014 American Physical Therapy Association

Manual Muscle Testing (MMT) Grading Criteriaa. Michael O. Harris-Love et al. PHYS THER 2014;94:543-552 © 2014 American Physical Therapy Association

Descriptive Statisticsa. Michael O. Harris-Love et al. PHYS THER 2014;94:543-552 © 2014 American Physical Therapy Association

Correlation Between Maximum Voluntary Contraction and Manual Muscle Testing (MMT) Grade for the Ankle Plantar-Flexor Musclesa. Correlation Between Maximum Voluntary Contraction and Manual Muscle Testing (MMT) Grade for the Ankle Plantar-Flexor Musclesa Michael O. Harris-Love et al. PHYS THER 2014;94:543-552 © 2014 American Physical Therapy Association

Scatter plot of single-limb heel raise repetitions and ankle plantar-flexion maximum voluntary contraction. Scatter plot of single-limb heel raise repetitions and ankle plantar-flexion maximum voluntary contraction. For participants who were able to perform the single-limb heel raise test, pseudo R2=.13 (P=.24), −2 log likelihood=63.1, chi-square test=2.8, and goodness-of-fit=.34. Data were derived from unilateral values for the dominant lower extremity, and force values were scaled to body weight. The straight dashed line represents the line of best fit, and the curved dashed lines indicate the 95% confidence intervals. Michael O. Harris-Love et al. PHYS THER 2014;94:543-552 © 2014 American Physical Therapy Association

Annotated scatter plot of Daniels-Worthingham manual muscle testing (MMT) grades and ankle plantar-flexion maximum voluntary contraction values for all participants. Annotated scatter plot of Daniels-Worthingham manual muscle testing (MMT) grades and ankle plantar-flexion maximum voluntary contraction values for all participants. The Daniels-Worthingham MMT grades attained by the participants were converted to whole numbers as follows: original grade 5=8, grade 4=7, grade 3=6, grade 2+=5, and grade 2=4. Michael O. Harris-Love et al. PHYS THER 2014;94:543-552 © 2014 American Physical Therapy Association