Peer Review History

Original SubmissionJune 8, 2021
Decision Letter - Emiliano Cè, Editor

PONE-D-21-18765

Grip Power Test: a New Valid and Reliable Method for Assessing muscle power in healthy adolescents

PLOS ONE

Dear Dr. Huerta Ojeda,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

==============================

ACADEMIC EDITOR:

Dear Authors,

two reviewers expert in the filed revised your ms and found some major points you should reply.

Please take into consideration only the methodological suggestions the reviewers pointed out.

Please submit your revised manuscript by Sep 09 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

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Emiliano Cè

Academic Editor

PLOS ONE

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Does the manuscript provide a valid rationale for the proposed study, with clearly identified and justified research questions?

The research question outlined is expected to address a valid academic problem or topic and contribute to the base of knowledge in the field.

Reviewer #1: Yes

Reviewer #2: Yes

**********

2. Is the protocol technically sound and planned in a manner that will lead to a meaningful outcome and allow testing the stated hypotheses?

The manuscript should describe the methods in sufficient detail to prevent undisclosed flexibility in the experimental procedure or analysis pipeline, including sufficient outcome-neutral conditions (e.g. necessary controls, absence of floor or ceiling effects) to test the proposed hypotheses and a statistical power analysis where applicable. As there may be aspects of the methodology and analysis which can only be refined once the work is undertaken, authors should outline potential assumptions and explicitly describe what aspects of the proposed analyses, if any, are exploratory.

Reviewer #1: Partly

Reviewer #2: Partly

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3. Is the methodology feasible and described in sufficient detail to allow the work to be replicable?

Descriptions of methods and materials in the protocol should be reported in sufficient detail for another researcher to reproduce all experiments and analyses. The protocol should describe the appropriate controls, sample size calculations, and replication needed to ensure that the data are robust and reproducible.

Reviewer #1: No

Reviewer #2: No

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4. Have the authors described where all data underlying the findings will be made available when the study is complete?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception, at the time of publication. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above and, if applicable, provide comments about issues authors must address before this protocol can be accepted for publication. You may also include additional comments for the author, including concerns about research or publication ethics.

You may also provide optional suggestions and comments to authors that they might find helpful in planning their study.

(Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The present study aimed to determine the validity and reliability of a Grip W test in healthy adolescent since this test has been evaluated in other age groups such as elderly, adult population, university women and prepubertal children.

To test their hypothesis the authors used a sample of 21 adolescents that in my opinion is too small to validate and determine the reliability of the Grip W test even if in literature there were 2 studies that did the same. In addition, in order to test the validity and reliability of the Grip W test, I think is important to consider the gender differences and employ a sample balanced in the sex distribution. In your study you used a sample of 15 men and 6 women and you reported all the results together without distinctions. As a limitation, the authors declared that the participants reported being less physically active due to the COVID-19 pandemic scenario and I think that the fitness condition of the subject is an important aspect to consider when you tried to validate a test. So, I was wondering if your participants were active or inactive since I think is important to specify it when you validate a test. Furthermore, I don’t understand some points of the methodology. For example, how much time the participants must squeeze the manual dynamometer during the handgrip test? How much time the participants must displace the dumbbell vertically during the grip w test? In addition, adjust the number of repetitions per set according to the participant’s capacity and after that present the results all together without distinctions is not the right option to validate a methodology.

Reviewer #2: Huerta Ojeda et al.- Grip Power Test: a New Valid and Reliable Method for Assessing muscle power in healthy adolescents

Overview: The present study assessed the validity and reliability of grip power test in adolescents. I think that this work illustrates an argument very interesting, especially in a practical point of view: it concerns grip test, argument already and extensively studied, but it adds a novel test in a specific population as element of newness. However, there are some points that need some clarification and revision. See my specific comments below.

Lines 65-66: A brief paragraph about the importance and the purposes of GripW test) should be added. Please, specify in all paper what is the reliability assessed (inter-day, intra-day)

Line 88: Please, add the sample size calculation

Line 90: I suggest checking SD of the stature

Lines 92-93: I suggest replacing this information in result paragraph

Lines 105-106: Please, specify the warm-up procedures? Were they standardized or individualized?

Lines 106-108: Was the position choose based on a reference?

Lines 111-112: Was the handgrip test performed with both hands? (Please, specify before lines 112) If so, were randomized? Was performed a familiarized test? During the test was the participant verbally encouraged? Should the operator influence the measure?

Lines 111-112: Have the procedures been taken by some references?

Lines 116-117: Please, specify the warm-up procedures? Were they standardized or individualized?

Lines 130-131: How the authors verified this “Also, participants were asked not to include shoulder, elbow, and wrist movements in the execution of the test”?

Lines 150-151: Please, specify the reliability assessment if was intra-day or inter-day. It was not clear also considering the experimental protocol above written. Were the tests conducted at the same time?

Line 154: “are presented as means and standard deviations” should be “are presented as mean and standard deviation”

Line 155: Please, specify the criteria to validity assess.

Line 160: Please, report all the classification for CV and ICC

Line 162: Please, add a reference for r coefficients

Table 1: Please, specify what the authors meant with Load 1, 2, 3,,,,. Moreover, what the authors reported in tables 1 as test and retest? How they explained these higher SDs almost the same of mean?

Lines 186-188: The sentence in lines 184-186 should test the validity but not the reliability. Please, add a sentence for reliability results.

Line 248: Please, specify hot has been determined the muscle mass? To assess the quality of the muscle it is needed other measurements. Moreover, have been determined such as forearm length, hand length? Please, review the entire paragraph.

Lines 257-258: I suggest avoiding data in the discussion part.

Lines 259-260: Please, review accuracy and reliability terms because in these lines were used as synonymous

**********

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Reviewer #1: Yes: Letizia Galasso

Reviewer #2: No

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Revision 1

Dear Editor,

One of the suggestions made by reviewer #1 was the inclusion of comparison between genders. To comply with this request, the research group decided to include a figure in the manuscript (Figure 2).

This situation increases the total number of Tables and Figures to 5 (one table and four figures). If the article is accepted for publication, we hope that you and the Journal would allow the inclusion of Figure 2.

Dear Reviewer 1

We are writing to provide an answer to the suggestions given. The modifications are marked in bold type in the manuscript. Also, in this letter, we present the modifications performed and/or answers to each question.

To test their hypothesis the authors used a sample of 21 adolescents that in my opinion is too small to validate and determine the reliability of the GripW test even if in literature there were 2 studies that did the same. In addition, in order to test the validity and reliability of the GripW test, I think is important to consider the gender differences and employ a sample balanced in the sex distribution. In your study you used a sample of 15 men and 6 women and you reported all the results together without distinctions. As a limitation, the authors declared that the participants reported being less physically active due to the COVID-19 pandemic scenario and I think that the fitness condition of the subject is an important aspect to consider when you tried to validate a test. So, I was wondering if your participants were active or inactive since I think is important to specify it when you validate a test. Furthermore, I don’t understand some points of the methodology. For example, how much time the participants must squeeze the manual dynamometer during the handgrip test? How much time the participants must displace the dumbbell vertically during the grip w test? In addition, adjust the number of repetitions per set according to the participant’s capacity and after that present the results all together without distinctions is not the right option to validate a methodology.

Answer:

As a research group, we know that 21 adolescents are a somewhat low sample. However, as described in the manuscript, we relied on articles published in other journals. Fortunately for us, the load-velocity-power curves for this specific muscle group had similar kinetics to other muscle groups. This antecedent, for the research group, and hopefully for the reviewer's view, allows us to validate the GripW test to measure grip muscle power.

In addition, as requested by the reviewer, an analysis by gender was added. Furthermore, this analysis (information related to the characterization of the sample) was relocated to the "results" section. Regarding the analysis by gender, before performing the reliability calculations of the GripW test, the research group calculated the differences between men and women. On that occasion, we observed no test-retest differences in both hands between men and women. This antecedent led us to decide to perform the reliability calculations for all participants, grouped by gender. Despite this, we added a figure representing this comparison (Figure 2).

Regarding the level of physical activity of the participants, they were physically active. However, due to the COVID-19 pandemic, the level of physical activity was not the desired one (the correction was made in the manuscript).

Regarding the hand-held dynamometer grip time, this information was added to the methodology.

Concerning the time that the participants must move the dumbbell vertically in the grip test, the protocol states that “participants were asked to perform the upward action as fast as possible” (L128-129).

Concerning the number of repetitions per set in the GripW test, to define the number of repetitions, we based ourselves on "a scale of perception of velocity in resistance exercise," described by Bautista et al. (2014). This reference is described in the methodology. Although it does not make explicit the number of repetitions per movement velocity, in practice, we have realized that between 2-4 repetitions allow us to normalize and stabilize the data. For the reasons above, we decided to consider "four repetitions per set when the participant moved the loads between 60-50 cm·s-1; three repetitions between 49-30 cm·s-1; two repetitions between 29-20 cm·s-1; and one repetition between 19-1 cm·s-1”. Likewise, we believe that replicating this protocol will generate standardized results, and for this reason, we make them explicit in the methodology.

Dear Reviewer 2

We are writing to provide an answer to the suggestions given. The modifications are marked in bold type in the manuscript. Also, in this letter, we present the modifications performed and/or answers to each question.

Comment 1: Lines 65-66: A brief paragraph about the importance and the purposes of GripW test) should be added. Please, specify in all paper what is the reliability assessed (inter-day, intra-day)

Answer: A short paragraph on the importance of the GripW test was added. In addition, "inter-day reliability" was included.

Comment 2: Line 88: Please, add the sample size calculation

Answer: In the manuscript, we make it explicit that the sample was for convenience. For this reason, we do not have a sample size calculation.

We relied on validity and reliability studies with fewer than 20 participants (doi 10.1080/17461391.2019.1704068; doi 10.1519/jsc.0000000000003118).

Comment 3: Line 90: I suggest checking SD of the stature

Answer: Corrected

Comment 4: Lines 92-93: I suggest replacing this information in result paragraph

Answer: This information was replaced in the results

Comment 5: Lines 105-106: Please, specify the warm-up procedures? Were they standardized or individualized?

Answer: It was specified that the warm-up was standardized for all participants.

Comment 6: Lines 106-108: Was the position choose based on a reference?

Answer: Yes, the position was based on references. The reference was included.

Comment 7: Lines 111-112: Was the handgrip test performed with both hands? (Please, specify before lines 112) If so, were randomized? Was performed a familiarized test? Comment 1: During the test was the participant verbally encouraged? Should the operator influence the measure?

Answer: All comments were specified in the manuscript.

Comment 8: Lines 111-112: Have the procedures been taken by some references?

Answer: Yes, the reference was included in paragraph.

Comment 9: Lines 116-117: Please, specify the warm-up procedures? Were they standardized or individualized?

Answer: It was specified that the warm-up was standardized for all participants.

Comment 10: Lines 130-131: How the authors verified this “Also, participants were asked not to include shoulder, elbow, and wrist movements in the execution of the test”?

Answer: It was specified that a member of the research team carried out the qualitative evaluation of each execution.

Comment 11: Lines 150-151: Please, specify the reliability assessment if was intra-day or inter-day. It was not clear also considering the experimental protocol above written. Were the tests conducted at the same time?

Answer: The following was corrected throughout the manuscript: "inter-day reliability".

Comment 12: Line 154: “are presented as means and standard deviations” should be “are presented as mean and standard deviation”

Answer: Corrected

Comment 13: Line 155: Please, specify the criteria to validity assess.

Answer: It was made explicit that the validity determined was concurrent validity and that "the load-power curve and the respective linear regression equation for all participants" developed in the GripW test were used to determine it.

Comment 14: Line 160: Please, report all the classification for CV and ICC

Answer: We state that "Acceptable inter-day reliability was determined as a CV < 10% and ICC > 0.85". We believe it is unnecessary to state the entire classification based on this antecedent since the parameters are either met or not met. There is no in-between.

Comment 15: Line 162: Please, add a reference for r coefficients

Answer: Reference included.

Comment 16: Table 1: Please, specify what the authors meant with Load 1, 2, 3,,,,. Moreover, what the authors reported in tables 1 as test and retest? How they explained these higher SDs almost the same of mean?

Answer:

Table 1 shows the mean test-retest powers for the right and left hands. This information was also corrected in Table 1.

Only the SDs of the first load, both in test and retest, were more significant than the mean values. Since there was a large dispersion among the 21 participants.

Comment 17: Lines 186-188: The sentence in lines 184-186 should test the validity but not the reliability. Please, add a sentence for reliability results.

Answer: Sentence included

Comment 18: Line 248: Please, specify hot has been determined the muscle mass? To assess the quality of the muscle it is needed other measurements. Moreover, have been determined such as forearm length, hand length? Please, review the entire paragraph.

Answer: We added explanations related to muscle quality assessment. In addition, we gave responses to comments made by the reviewer.

Comment 19: Lines 257-258: I suggest avoiding data in the discussion part.

Answer: Corrected

Comment 20: Lines 259-260: Please, review accuracy and reliability terms because in these lines were used as synonymous

Answer: The term used was corrected.

Attachments
Attachment
Submitted filename: Reviewer 2.docx
Decision Letter - Emiliano Cè, Editor

Grip Power Test: a New Valid and Reliable Method for Assessing muscle power in healthy adolescents

PONE-D-21-18765R1

Dear Dr. Huerta Ojeda,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Emiliano Cè

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Does the manuscript provide a valid rationale for the proposed study, with clearly identified and justified research questions?

The research question outlined is expected to address a valid academic problem or topic and contribute to the base of knowledge in the field.

Reviewer #1: Yes

Reviewer #2: Yes

**********

2. Is the protocol technically sound and planned in a manner that will lead to a meaningful outcome and allow testing the stated hypotheses?

The manuscript should describe the methods in sufficient detail to prevent undisclosed flexibility in the experimental procedure or analysis pipeline, including sufficient outcome-neutral conditions (e.g. necessary controls, absence of floor or ceiling effects) to test the proposed hypotheses and a statistical power analysis where applicable. As there may be aspects of the methodology and analysis which can only be refined once the work is undertaken, authors should outline potential assumptions and explicitly describe what aspects of the proposed analyses, if any, are exploratory.

Reviewer #1: Yes

Reviewer #2: Yes

**********

3. Is the methodology feasible and described in sufficient detail to allow the work to be replicable?

Descriptions of methods and materials in the protocol should be reported in sufficient detail for another researcher to reproduce all experiments and analyses. The protocol should describe the appropriate controls, sample size calculations, and replication needed to ensure that the data are robust and reproducible.

Reviewer #1: Yes

Reviewer #2: Yes

**********

4. Have the authors described where all data underlying the findings will be made available when the study is complete?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception, at the time of publication. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above and, if applicable, provide comments about issues authors must address before this protocol can be accepted for publication. You may also include additional comments for the author, including concerns about research or publication ethics.

You may also provide optional suggestions and comments to authors that they might find helpful in planning their study.

(Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: I received the revised manuscript for review. I'm glad to see that the authors took reviewers' advice into consideration. The current manuscript is better than the one before it.

Reviewer #2: I appreciate all the corrections made my the authors. The article is now well described and written.

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Letizia Galasso

Reviewer #2: Yes: Marta Borrelli

Formally Accepted
Acceptance Letter - Emiliano Cè, Editor

PONE-D-21-18765R1

Grip Power Test: a New Valid and Reliable Method for Assessing muscle power in healthy adolescents

Dear Dr. Huerta Ojeda:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Professor Emiliano Cè

Academic Editor

PLOS ONE

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