Assessing the Validity and Reliability of A Low-Cost Microcontroller-Based Load Cell Amplifier for Measuring Lower Limb and Upper Limb Muscular Force

Sensors (Basel). 2020 Sep 3;20(17):4999. doi: 10.3390/s20174999.

Abstract

Lower and upper limb maximum muscular force development is an important indicator of physical capacity. Manual muscle testing, load cell coupled with a signal conditioner, and handheld dynamometry are three widely used techniques for measuring isometric muscle strength. Recently, there is a proliferation of low-cost tools that have potential to be used to measure muscle strength. This study examined both the criterion validity, inter-day reliability and intra-day reliability of a microcontroller-based load cell amplifier for quantifying muscle strength. To do so, a low-cost microcontroller-based load cell amplifier for measuring lower and upper limb maximal voluntary isometric muscular force was compared to a commercial grade signal conditioner and to a handheld dynamometer. The results showed that the microcontroller-based load cell amplifier correlated nearly perfectly (Pearson's R-values between 0.947 to 0.992) with the commercial signal conditioner and the handheld dynamometer, and showed good to excellent association when calculating ICC scores, with values of 0.9582 [95% C.I.: 0.9297-0.9752] for inter-day reliability and of 0.9269 [95% C.I.: 0.8909-0.9533] for session one, intra-day reliability. Such results may have implications for how the evaluation of muscle strength measurement is conducted in the future, particularly for offering a commercial-like grade quality, low cost, portable and flexible option.

Keywords: criterion validity; force; inter-day reliability; isometric; microcontroller; muscular strength.

MeSH terms

  • Humans
  • Isometric Contraction*
  • Lower Extremity / physiology
  • Muscle Strength Dynamometer
  • Muscle Strength*
  • Muscle, Skeletal / physiology*
  • Reproducibility of Results
  • Upper Extremity / physiology