PMID- 34417340
OWN - NLM
STAT- MEDLINE
DCOM- 20220726
LR  - 20220726
IS  - 2633-3775 (Electronic)
IS  - 2633-3767 (Linking)
VI  - 168
IP  - 4
DP  - 2022 Aug
TI  - Use of an isometric mid-thigh pull test during musculoskeletal rehabilitation: 
      can the criterion values from the updated British Army physical employment 
      standards be used to inform UK Defence Rehabilitation practice?
PG  - 279-285
LID - 10.1136/bmjmilitary-2021-001950 [doi]
AB  - INTRODUCTION: Objective outcome measures that can quantify the force generating 
      capacity of the lower limb are required to allow clinicians to accurately measure 
      functional status and treatment adaptations over time. The aim of this 
      prospective observational cohort study is to: (1) evaluate the acceptability of 
      the isometric mid-thigh pull (IMTP) test as a measure of functional strength with 
      military personnel undergoing residential hip pain rehabilitation; (2) compare 
      the peak force values recorded against the updated Army physical employment 
      standards (PES) assessment criteria and (3) assess if the minimum PES required of 
      military personnel has the potential to inform clinical decision making and 
      return to duty criteria within UK Defence Rehabilitation. METHODS: Acceptability 
      was assessed against patient's adherence to the testing procedures and test 
      burden. Clinician acceptability was assessed against ease of administration and 
      safety of test procedure. Hip pain was recorded before, immediately following and 
      1 hour after testing. Net peak force was recorded using portable force plates. 
      RESULTS: Full patient and clinician acceptability to IMTP testing procedures were 
      demonstrated. Minimal changes in visual analogue scale (VAS) pain scores were 
      demonstrated between baseline values at rest and follow-up. Despite being 
      medically downgraded and functionally compromised due to chronic hip pain, 100% 
      of patients met the PES expected on entry to the British Army and 79% met the PES 
      expected at the end of basic training. CONCLUSION: The IMTP provides 
      rehabilitation clinicians with an objective quantifiable measure of maximum 
      muscle strength that can be used early in the rehabilitation care pathway. Based 
      on our finding, it is unclear if the current British Army PES can be used as a 
      criterion standard in Defence Rehabilitation. Therefore, further research focused 
      on generating clinically relevant patient-specific IMTP score criteria, with a 
      larger sample of diverse diagnostic sub-groups is required.
CI  - (c) Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and 
      permissions. Published by BMJ.
FAU - Walters, Vanessa
AU  - Walters V
AD  - Department for Health, University of Bath, Bath, UK.
AD  - Academic Department of Military Rehabilitation, Defence Medical Rehabilitation 
      Centre (DMRC) Stanford Hall, Loughborough, UK.
FAU - Coppack, R J
AU  - Coppack RJ
AUID- ORCID: 0000-0001-9226-0106
AD  - Academic Department of Military Rehabilitation, Defence Medical Rehabilitation 
      Centre (DMRC) Stanford Hall, Loughborough, UK.
AD  - Versus Arthritis Centre for Sport, Exercise and Osteoarthritis Research, 
      Department for Health, University of Bath, Bath, UK.
FAU - Cassidy, R P
AU  - Cassidy RP
AD  - Academic Department of Military Rehabilitation, Defence Medical Rehabilitation 
      Centre (DMRC) Stanford Hall, Loughborough, UK.
AD  - Centre for Lower Limb Rehabilitation, Defence Medical Rehabilitation Centre 
      (DMRC) Stanford Hall, Loughborough, UK.
FAU - Suffield, C
AU  - Suffield C
AD  - Headquarters, Royal Army Physical Training Corps, Aldershot, UK.
FAU - Papadopoulou, T
AU  - Papadopoulou T
AD  - Centre for Lower Limb Rehabilitation, Defence Medical Rehabilitation Centre 
      (DMRC) Stanford Hall, Loughborough, UK.
AD  - British Association of Sport and Exercise Medicine, Doncaster, UK.
FAU - Bilzon, J
AU  - Bilzon J
AUID- ORCID: 0000-0002-6701-7603
AD  - Department for Health, University of Bath, Bath, UK.
AD  - Versus Arthritis Centre for Sport, Exercise and Osteoarthritis Research, 
      Department for Health, University of Bath, Bath, UK.
FAU - Ladlow, P
AU  - Ladlow P
AUID- ORCID: 0000-0002-9891-9714
AD  - Department for Health, University of Bath, Bath, UK peter.ladlow100@mod.gov.uk.
AD  - Academic Department of Military Rehabilitation, Defence Medical Rehabilitation 
      Centre (DMRC) Stanford Hall, Loughborough, UK.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20210820
PL  - England
TA  - BMJ Mil Health
JT  - BMJ military health
JID - 101761581
SB  - IM
MH  - Employment
MH  - Exercise Test/methods
MH  - Humans
MH  - Isometric Contraction/physiology
MH  - *Military Personnel
MH  - Pain
MH  - Prospective Studies
MH  - *Thigh
MH  - United Kingdom
OTO - NOTNLM
OT  - hip
OT  - rehabilitation medicine
OT  - sports medicine
COIS- Competing interests: None declared.
EDAT- 2021/08/22 06:00
MHDA- 2022/07/27 06:00
CRDT- 2021/08/21 05:36
PHST- 2021/07/21 00:00 [received]
PHST- 2021/08/08 00:00 [accepted]
PHST- 2021/08/22 06:00 [pubmed]
PHST- 2022/07/27 06:00 [medline]
PHST- 2021/08/21 05:36 [entrez]
AID - bmjmilitary-2021-001950 [pii]
AID - 10.1136/bmjmilitary-2021-001950 [doi]
PST - ppublish
SO  - BMJ Mil Health. 2022 Aug;168(4):279-285. doi: 10.1136/bmjmilitary-2021-001950. 
      Epub 2021 Aug 20.