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PubMed2002

Physiological factors in middleweight boxing performance.

BACKGROUND: We examined, within the middleweight class, the relationship between ranking in boxing competition performance and some physiological factors. METHODS: Eight elite Italian amateur boxers (first series of AIBA ranking) were assessed in 2 testing sessions, a week apart. In the first testing session all subjects underwent anthropometric measurements from which body fat percentage, upper arm and forearm muscle cross-sectional areas were estimated. In the second testing session all subjects performed grip strength measures and a maximal treadmill test to assess oxygen consumption (VO2), blood lactate and heart rate at maximal effort, at individual anaerobic threshold, and at individual ventilatory threshold. The athletes were ranked following the criteria of world amateur AIBA ranking. In this ranking the first ranked boxer had the highest score gained participating in international tournaments. RESULTS: A Spearman rho correlation analysis revealed that the VO2 at individual anaerobic threshold (46.0+/-4.2 ml x kg(-1) x min(-1), r=0.91) and the hand-grip strength (58.2+/-6.9 kg, r=0.87) were highly related (p<0.01) to boxing competition ranking. VO(2max) (57.5+/-4.7 ml x kg(-1) x min(-1), r=0.81) and wrist girth (17.6+/-0.6 cm, r=0.78) were moderately (p<0.05) related. CONCLUSIONS: These data suggest that there are two basic factors related to boxing performance: physical fitness as indicated by individual anaerobic threshold and maximal oxygen consumption, and upper-body muscular strength as indicated by hand-grip strength.

Adult↗

PubMed1989

Assessing sincerity of effort in maximal grip strength tests.

The measurement of maximum hand grip strength in ergonomic or clinical settings has been a useful means of assessing physical characteristics, progress in rehabilitation and degree of disability in upper extremity injuries. The validity of the peak forces observed in such measurements is compromised by the requirement of subject cooperation in giving a maximum effort. Thus, an easily administered analysis of subject sincerity would improve this basic strength-testing tool. Several variables were developed for the discrimination of faking (submaximal) from sincere (maximal) grip contractions. A microcomputer-based grip force data collection system was assembled in which analog output from a Jamar hand dynamometer was sampled at 200 Hz and digitally analyzed. A total of 43 normal subjects (20 male, 23 female) were tested under sincere and faking conditions (three trials of each condition for each hand). The force-time curves of each trial were analyzed for peak and average forces and force variability. From these basic parameters five discriminator variables were developed. The frequency distribution of the sincere values for each of these variables was used to determine a criterion value for discrimination of sincere from faking trials. The five discriminators correctly detected 95.0, 92.5, 100, 100 and 97.5% of the male faking trials. Female faking was less successfully detected: 59.7, 52.2, 78.3, 71.7 and 87.0% correct detection resulted for the variables (with a 95% confidence level of correctly identifying sincerity). Multiple variable predictions improved the female faking detection up to 93.5% with little apparent decrement in sensitivity to sincerity identification.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

PubMed2000

Muscle strength and body mass index as long-term predictors of mortality in initially healthy men.

BACKGROUND: Muscle weakness, low body weight, and chronic diseases are often observed in the same people; however, the association of muscle strength with mortality, independent of disease status and body weight, has not been elucidated. The aim was to assess hand grip strength as a predictor of all-cause mortality within different levels of body mass index (BMI) in initially disease-free men. METHODS: Mortality was followed prospectively over 30 years. Maximal hand grip strength tests and BMI assessments were done at baseline in 1965 to 1970. The participants were 6040 healthy men aged 45 to 68 years at baseline living on Oahu, Hawaii. RESULTS: The death rates per 1000 person years were 24.6 in those with BMI <20, 18.5 in the middle BMI category, and 18.0 in those with BMI > or = 25. For grip strength tertiles, the mortality rates were 24.8 in the lowest, 18.5 in the middle, and 14.0 in the highest third. In Cox regression models, within each tertile of grip strength, BMI showed only minimal effect on mortality. In contrast, in each category of BMI there was a gradient of decreasing mortality risk with increasing grip strength. Among those with BMI <20, the adjusted relative risks (RRs) of mortality over 30 years were 1.36 (95% confidence interval 1.14-1.63) for those in the lowest third of strength at baseline, 1.27 (1.02-1.58) in the middle, and 0.92 (0.66-1.29) in the highest third. Correspondingly, for those with BMI 20-24.99, the RRs of death were 1.25 (1.08-1.45), 1.14 (1.00-1.32), and 1.0 (reference) in the lowest, middle, and highest third of grip strength, respectively. In those with BMI > or =25, the RRs were 1.39 (1.16-1.65) in the lowest, 1.27 (1.08-1.49) in the middle, and 1.14 (0.98-1.32) in the highest third of grip strength. Models were adjusted for age, education, occupation, smoking, physical activity, and body height. CONCLUSIONS: In healthy middle-aged men, long-term mortality risk was associated with grip strength at baseline, independent of BMI. The possible interpretation of the finding is that early life influences on muscle strength may have long-term implications for mortality. Additionally, higher strength itself may provide greater physiologic and functional reserve that protects against mortality.

Aged↗

PubMed1991

The relationships between nonverbal intelligence and the strength of left-hand preference in left-handers to sex and familial sinistrality.

The relationship between the strength of left-handedness and spatial reasoning ability was studied in left-handed male and female subjects with and without familial sinistrality (FS). The degree of left-handedness was assessed by the Edinburgh Handedness Inventory. The spatial reasoning ability was measured by Cattell's Culture Fair Intelligence Test. It was found that there was a negative linear correlation between nonverbal IQ and the strength of left-handedness in females with and without FS, a quadratic relationship in male left-handers without FS and a positive linear correlation in male left-handers with FS. These results indicate that the brain may exhibit different patterns of cerebral organization in left-handers to sex and FS. It was concluded that the "crowding" hypothesis may apply only to a subgroup of left-handers, i.e., females with a greater bilaterality of cognitive functions than males.

Adolescent↗

PubMed2004

Effectiveness of constraint-induced movement therapy in chronic stroke patients.

OBJECTIVE: The purpose of this study was to evaluate the effectiveness of constraint-induced movement therapy (CIMT) in dexterity with Action Research Arm Test (ARA test), hand grip strength, pinch strength of affected upper extremity in chronic stroke patients. MATERIAL AND METHOD: An observer-blinded randomized control trial, 69 chronic stroke patients were allocated either to constraint-induced movement technique (n = 33) or conservative treatment (n = 36). The CIMT group received 6 hours of daily affected-upper-extremity training and restrained unaffected upper extremities for 5 days per week, totally 2 weeks. The control group received bimanual-upper-extremity training by conservative neurodevelopmental technique without restrained unaffected upper extremities for 2 weeks. RESULTS: The CIMT group had ARA scores, pinch strength of affected upper extremities statistically significant higher than the control group at p < 0.05, but the hand grip strength had no statistically significant difference, p > 0.05. CONCLUSIONS: CIMT of unaffected upper extremities has an advantage for chronic stroke patients which may be an efficacious technique of improving motor activity and exhibiting learned nonuse.

Adult↗

PubMed2005

A practical posture for hand grip dynamometry in the clinical setting.

BACKGROUND & AIMS: The optimal testing position for hand grip strength, which is a useful functional measure of nutritional status, is open to debate. We therefore examined the systematic difference between different postures in order to establish a methodology that is clinically relevant, easy to perform and reproducible. METHODS: Grip strength was measured in the dominant and non-dominant hands with a strain gauge dynamometer in three positions: lying at 30 degrees in bed with elbows supported, seated in an armchair with elbows supported and in a chair with elbows unsupported. The average of three readings made in each position, each 1 min apart, was recorded. RESULTS: 55 normally nourished subjects (26 male) were studied. Mean (95% CI) grip strengths measured in the dominant hand with the subject in bed, sitting in an armchair and sitting in a chair were 45.7 (42.3-49.2), 46.3 (42.9-49.8) and 48.5 (45.4-51.7) kg, respectively for males. Corresponding values for females were 29.4 (27.0-31.8), 29.3 (26.8-31.9) and 31.6 (28.8-34.3) kg. There was no significant difference (Student t-paired test) between measurements made in bed and on an armchair (P = 0.49), but the measurements made in a chair were significantly higher than those made in bed (P = 0.001) and in an armchair (P = 0.004). No statistical difference was present, comparing the three separate measurements in each position (Student t-paired test). CONCLUSIONS: Measurement of grip strength using hand dynamometry is reproducible and consistent. As all patients are not able to sit in a chair with elbows unsupported, in clinical practice it is more practicable to perform hand dynamometry with the elbows supported in a bed or armchair.

Adult↗

PubMed2005

Do wrist guards have the potential to protect against wrist injuries in bicycling, micro scooter riding, and monkey bar play?

OBJECTIVE: To test the potential of wrist guards to prevent wrist injury in recreational activities that require good grip strength and hand dexterity. METHODS: Forty eight children aged 5-8 years from one Melbourne school volunteered for tests chosen or devised following a review of the literature on the effects of orthoses use and hand function. RESULTS: Wrist guard wearing significantly degraded grip strength, bicycle steering, and performance on a monkey bar. Micro scooter steering was not significantly affected by their use. CONCLUSION: Wrist guards designed for skating are not recommended for bicycle riding and playing on climbing apparatus, and their suitability for scooter riding requires further investigation.

Bicycling↗

PubMedDate not supplied

Grasp-reflex strength from right and left hands in relation to serum cortisol level and fetal position in human neonates.

The grasp-reflex strengths from right (R) and left (L) hands were studied in human neonates in relation to serum cortisol levels and fetal position. In males with right-ear out, there was no correlation between grasp-reflex strength from right hand and cortisol. The grasp-reflex strength from left hand significantly decreased as cortisol increased linearly in these subjects. In males with left-ear out, the grasp-reflex strengths from right and left hands were found to be negatively linearly correlated with serum cortisol level. In females with right-ear out, the grasp-reflex strength from right hand was not significantly correlated with cortisol, but grasp reflex from left hand linearly decreased as cortisol increased. In females with left-ear out, only the grasp reflex from right hand linearly increased with cortisol. Only in males with right-ear out, the R-L grasp-reflex strength linearly increased from left dominance toward right dominance. It was concluded that the stress hormone cortisol may be disadvantageous and/or advantageous for the prenatal development of the right and left brain according to fetal position; cortisol may also affect the emergence of cerebral lateralization.

Embryonic and Fetal Development↗

PubMed2006

The effectiveness of occupational therapy in restoring the functional state of hands in rheumatoid arthritis patients.

The aim of the study was to evaluate the effectiveness of occupational therapy in rheumatoid arthritis patients with impaired hand function. Standardized Functional Independence Measure was employed in order to evaluate the functional status of the patients and impaired activities. A dynamometer was used for the measurements of muscular strength of hands and a goniometer, for the range of motion of the wrist. Totally, we have examined 120 rheumatoid arthritis patients. They were divided into two groups: 60 patients in each. Occupational therapy was applied only to the patients of the first group. The mean age of Group 1 patients was 53.4+/-1.8 years, the mean age of Group 2 patients was 52.0+/-1.9 years. The mean duration of the disease was 11.5+/-2.6 years and 12.1+/-2.4 years, respectively. The effectiveness of therapy was considered ineffective if, after the completion of the course of occupational therapy, no increase in Functional Independence Measure score for patients with rheumatoid arthritis was observed. When the score increased from 1 to 3, we considered this as moderate effectiveness; when the score increased to 4-6, we evaluated the effectiveness of occupational therapy as good, and when the score of 7 was attained, effectiveness of occupational therapy was considered as very good. In Group 1, the moderate effectiveness of occupational therapy was determined in 31.7% of patients; good effectiveness, in 61.7%; and very good effectiveness, in 3.3% of rheumatoid arthritis patients. In Group 2, the moderate effectiveness of treatment was determined in 48.3% of patients and good effectiveness, in 5% of rheumatoid arthritis patients. CONCLUSIONS. Hand function (the strength of fingers and hands, the range of motion of the wrist) significantly improved in patients with rheumatoid arthritis after completion of a course of occupational therapy (p<0.05). The improvement of hand functions in patients with rheumatoid arthritis led to increased ability to take food and drink, to wash themselves, to put the clothes on the upper and lower parts of the body and take them off, to use the toilet, a bathtub or a shower, to walk, to manage a wheelchair, and to do personal hygiene (p<0.05).

Activities of Daily Living↗

PubMed2000

A comparative study of aimed throwing by monkeys and humans.

This research examined hand preference and postural characteristics of aimed throwing in capuchin monkeys and humans. We sought to directly compare the throwing performances of these primates, particularly the extent to which target distance influences hand preference, throwing posture, and throwing accuracy. For both species we found positive correlations between target distances for throwing accuracy, direction and strength of hand preference, percentage of bipedal vs tripedal throws, and percentage of overarm vs underarm throws. Throwing accuracy did not vary as a function of right vs left hand use although for monkeys throwing accuracy was positively associated with hand preference strength. We noted a sex difference among humans as males threw more accurately than did females. Between-species analysis indicated that humans exhibited greater right- vs left-hand use, greater hand preference strength, a greater relative percentage of bipedal vs tripedal throws, and a lower relative percentage of overarm vs underarm throws than did monkeys. We believe that the capuchin monkey is an informative nonhuman primate model of aimed throwing in humans and that research examining the throwing behavior of capuchins provides insight into the neurological and behavioral characteristics that underlie coordinated multi-joint movements across the primate order.

Adult↗

PubMedDate not supplied

Grip strength asymmetry in depressed boys.

OBJECTIVE: The purpose of this experiment was to investigate the influence of depressed mood on functional motor asymmetry among school-aged boys. Thus, left- and right-hand grip strength as well as fatigue across successive trials was examined among 38 right-handed school-aged boys, half of whom had been classified as depressed (n = 19) and the other half as nondepressed (n = 19). BACKGROUND: There is support in the literature that depressed individuals experience relative right anterior activation, and previous reports of functional motor asymmetries among depressed adults are generally supportive of this notion. To date, however, little is known regarding the neuropsychology of depression as it may pertain to children; in particular, the possibility of functional motor asymmetry within this population has yet to be explored. METHOD: Participants were asked to squeeze a hand dynamometer four times successively with each hand. The order of hand presentation was counterbalanced, and the dependent measure was in kilograms. RESULTS: As hypothesized, depressed boys failed to demonstrate asymmetry for grip strength, although nondepressed boys exhibited right-hand grip strength. In addition, based on trend, right-hand grip strength for depressed boys fatigued more rapidly across successive trials than did right-hand grip strength for nondepressed boys. In contrast, depressed boys maintained left-hand grip strength longer across successive trials than did nondepressed boys. CONCLUSIONS: The data are interpreted as consistent with current neuropsychological theories of emotion, particularly depression, and suggest that the functional motor asymmetries (i.e., failure to demonstrate asymmetric grip strength) observed in depressed adults are also present among depressed children. Implications for increased right hemisphere activation, decreased left hemisphere activation, or a combination of both are discussed.

Brain↗

PubMed2005

[Nutritional assessment in patients with cirrhosis: the use of indirect calorimetry].

BACKGROUND: Malnutrition is frequent in cirrhotic patients, and its assessment is difficult. Functional assessment through a dynamometer is a simple method and could minimize these drawbacks. Harris-Benedict prediction formulae estimates the resting energy expenditure but has not been validated for this population. One alternative is the use of indirect calorimetry. AIM: To assess nutritional status in cirrhotic patients and estimates the resting energy expenditure through indirect calorimetry and compares it to Harris-Benedict. PATIENTS AND METHODS: Thirty four adult hepatitis C cirrhotic outpatients were studied, classified by Child-Pugh and model of end-stage liver disease score. The resting energy expenditure was predicted through Harris-Benedict and measured by indirect calorimetry. Nutritional assessment was done through anthropometry, subjective global assessment, hand-grip strength and a 3-day recall. RESULTS: Fifteen (44.2%) were Child-Pug A, 12 (35.3%) B and 7 (20.6%) C, and 33 (97.1%) had model of end-stage liver disease scores less than 20. The resting energy expenditure predicted was higher than the measured (Harris-Benedict 1404.5 +/- 150.3 kcal; indirect calorimetry 1059.9 +/- 309.6 kcal). The prevalence of malnutrition varied between methods (body mass index, muscle arm circumference, subjective global assessment, triceps skinfold thickness and hand-grip strength: 0; 5.9; 17.6; 35.3 and 79.4%, accordingly). Calories and proteins intake were 80% and 85% of recommended amounts and there was inadequate intake of calcium, magnesium, iron and zinc. CONCLUSION: Malnutrition was frequent and hand-grip strength seemed to be the most sensitive method for its diagnosis. Calories and protein intakes were inadequate. Considering that the predicted resting energy expenditure was higher than the measured one and the need to offer higher caloric intake, the use of the predicting equation may replace indirect calorimetry.

Adult↗

PubMed2001

Effect of musculoskeletal disorders on prehension strength.

The purpose of this study was to compare the maximum and job simulated hand grip strength in both healthy workers and those suffering from mild and severe stages of musculoskeletal disorders. Three groups of 10 female industrial workers each were recruited after a detailed screening for musculoskeletal disorders: one group of 10 healthy workers (GI) and two other groups (GII and GIII) consisting of workers suffering from mild and severe upper limbs disorders, respectively. A special device was built to reproduce a similar prehension pattern (open palmar) to that used on the job. This was calibrated against a Jamar dynamometer. Job simulated and maximum prehension strength were tested in three consecutive trials. Pearson's correlation coefficient was calculated for the calibration procedure. Descriptive analysis of the musculoskeletal data was computed. ANOVA and Duncan post hoc multiple comparisons were conducted to test the main effects on muscular strength and interactions. Significant differences between types of strength (p<0.00001) and groups of subject (p<0.0001) were identified. The maximum strength decreased progressively from groups I to III. Although job simulated strength also decreased as disorder severity increased, this trend was weaker than the one observed for the maximum strength. These results suggest that a re-allocation of workers suffering from musculoskeletal disorders be considered.

Adult↗

PubMedDate not supplied

Effects of hand shape on maximal isometric grip strength and its reliability in teenagers.

Hands can be classified by their shape; width divided by length. This study examined the impact of shape of the hand (as relatively long, average, or square shaped) on maximal voluntary isometric grip strength and test-retest reliability in a group of healthy teenagers aged 13 to 17 years. When 116 boys and 112 girls were measured with a GripTrack (a computer-linked Jamar-like isometric hand grip dynamometer; JTech Medical Industries, Salt Lake City, UT), boys were significantly stronger than girls (by 11.02 kg force, p < 0.01), and dominant hands were significantly stronger than nondominant hands (by 2.53 kg force, p < 0.01). There were no significant differences due to hand shape. To examine the reliability of the grip strength test, 74 boys and 75 girls were retested, with a mean retest time interval of 15.5 days. There was a small but significant improvement in grip strength (by 0.62 kg force, p < 0.01). Regarding male subjects, the test-retest intraclass correlation coefficients (ICC 3,1) for both hands of the three hand-shape groups were excellent, with ICC values ranging from 0.954 to 0.973. For the female subjects, however, reliability values declined across the three hand-shape groups from long to square (ICC 0.920-0.476), such that compared with their male counterparts, strength test reliability examined by the 95% confidence intervals (CIs) was significantly lower for average and square hand shapes. Although there may be several factors contributing to this difference between boys and girls in strength test reliability for different hand-shape groups, it is possible that Jamar-like handgrip dynamometers have a handle shape that impedes those girls with relatively square hands from giving reliable grip strength readings over time.

Adolescent↗

PubMed1981

Relative tension and potential excursion of muscles in the forearm and hand.

Muscle strength varies enormously from person to person and even from time to time, but the ratio of strength from muscle within the same limb varies much less. The mass or volume of a muscle is proportional to its work capacity, and the fiber length of a muscle is proportional to its potential excursion. By dividing the fiber length into the volume of each muscle, the cross-sectional area of the muscle was determined, and a list of relative tension capacities of forearm and hand muscles was prepared. Although based on a small number of specimens, this list has the first data on forearm and hand muscles which should be of practical use in planning the operation of tendon transfer.

Biomechanical Phenomena↗

PubMed1992

[Effect of nutrition on the functional capacity of a group of elderly Spaniards].

The present study analyzes the influence of the nutritional status on the functional capability of 11 institutionalized elderly living in Madrid (Spain). Nutritional status was evaluated by dietetic, anthropometric, hematological and biochemical data and functional status was evaluated considering adiposity, strength in hands and legs bent and stretched and flexibility. The most important nutritional problems that conditional functional wastages are obesity, hypercholesterolemia and protein and micronutrient deficiency. The adverse influence of obesity and hypercholesterolemia on the functional capacity of the elderly is shown by the inverse relationship between flexibility and strength in hands and legs with the adiposity degree, with the thickness of skin folds and the cholesterolemia. In reference to the diet's influence, there are positive correlations between food intake and most of the nutrients with hand and legs strength, and there are statistical significances for proteins, iron, zinc, magnesium and pyridoxine, and also for vitamin C, niacin, thiamin, folic acid and vitamin E. For blood values, the mayor correlation exists between functional parameters and iron, ferritin and vitamin C levels. Our results contribute to confirm the influence of nutrition on the functional capacity of the influence of nutrition on the functional capacity of the elderly and manifest the necessity of improving the elderly's diet, to prevent micronutrient deficiency and also the necessity of increasing their physical activity. Both measures will mean an important help for sanitary and functional improvement of the elderly.

Aged↗

PubMed1999

Nutritional status, insulin-like growth factor-1 and quality of life in elderly women with hip fractures.

AIM: To evaluate nutritional status and its relation to cognitive and physical function and quality of life in elderly female patients with hip fractures. METHODS: Nutritional status was assessed in 42 women (80+/-7 years old) using the body mass index (BMI), triceps skin fold, arm muscle circumference and serum levels of insulin-like growth factor (IGF-1) and its binding protein (BP) IGFBP-1. Handgrip strength was measured. The Short Portable Mental Status Questionnaire was used to assess cognitive function and the Nottingham Health Profile to asses quality of life. RESULTS: Low BMI (<== 20) and reduced IGF-1 and IGFBP-1 levels were detected in 50% of the patients. BMI correlated with IGF-1 (p<< 0.02) and with hand grip strength (P<< 0.001). Hand grip strength correlated with arm muscle circumference (P<< 0.05). Cognitive dysfunction was detected in 18% of the patients, and a correlation was found between cognitive function and BMI (P<< 0.01). The Nottingham Health Profile assessment indicated a lower quality of life in underweight patients as compared to others (P<< 0.05). CONCLUSIONS: Half of the elderly women with hip fractures displayed signs of protein-energy malnutrition. Underweight was associated with reduced serum levels of IGF-1, muscle fatigue, cognitive dysfunction and a low quality of life rating, i.e. a cluster of factors which may unfavourably influence the postoperative course in a large proportion of hip fracture patients.

Activities of Daily Living↗

PubMed2026

A bi-directional Mendelian randomization study of sarcopenia-related traits and renal function.

The association between sarcopenia and renal function has been reported in observational studies; however, the directionality and potential causal nature of these associations remain uncertain. We assessed whether genetically predicted sarcopenia-related traits are associated with renal function and vice versa using bidirectional Mendelian randomization (MR). We conducted a bidirectional two-sample MR analysis using publicly available European-ancestry GWAS summary statistics for appendicular lean mass (ALM), hand-grip strength (left and right), and walking pace, and for renal function (cystatin C-based estimated glomerular filtration rate [eGFRcystatin C] and urinary albumin excretion [UAE]). Causal estimates were primarily obtained using inverse-variance weighted (IVW) models, complemented by sensitivity analyses (MR-Egger intercept, weighted median/mode, MR-PRESSO, Radial MR, and leave-one-out). In forward MR, genetically predicted walking pace was positively associated with eGFRcystatin C. Genetically predicted ALM and grip strength (right and left) were inversely associated with UAE. In reverse MR, genetically predicted UAE was inversely associated with ALM and right-hand grip strength. Estimates were broadly consistent across sensitivity analyses, and outlier-robust analyses (MR-PRESSO/Radial MR) yielded similar results. These findings provide genetic evidence consistent with bidirectional relationships between sarcopenia-related traits and renal function (particularly UAE), under standard MR assumptions. Given potential limitations (e.g., heterogeneity, pleiotropy, and possible sample overlap), the results should be interpreted cautiously and complemented by other lines of evidence.

Humans↗