PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Hand Strength”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 91 records · Page 5Linked to original sources
PubMed1995

[Hand grip strength as a nutritional indicator of patients with oral and maxillofacial malignancies to predict post-operative complications]

The correlation between hand grip strength(HGS),arm muscle circumference(AMC) and creatinine-height index (CHI) were studied in 127 patients with oral and maxillofacial malignancies.Prediction of postoperative complications by using HGS was also attempted in the patients undergoing surgical treatment.The results showed:(1)HGS correlated well with AMC and CHI,indicating that HGS can be used as a nutritional parameter to reflect the skeletal muscle condition(depletion or repletion);(2)comparison of the operative patients whose HGS<85% of the standard value(Group I)with those HGS>/=85% of the standard value(Group II)demonstrated that Group I hand a much higher incidence of postoperative complication(48.4%) than that of Group II (18.5%)(X=9.30;P<0.005),which means that HGS can be served as a nutritional prognostic indicator to predict postoperative complications.

Journal Article↗
PubMed1989

Fluctuation in grip and pinch strength among normal subjects.

Grip and pinch strength testing are commonly used to evaluate hand strength for disability ratings and to assess responses to various forms of therapy. This study determined the variations in grip and pinch strength in normal individuals. Ninety-five healthy subjects--61 women and 34 men--were examined prospectively by use of a Jamar dynamometer and a Preston pinch gauge. Grip and pinch were measured in the morning and afternoon twice a week for 3 weeks, giving a total of 12 testing periods. Mean grip strength fluctuated between 5.1 and 8.4 kg, or between 19.2% and 23.7%. Mean lateral pinch strength fluctuated between 2.6 and 3.8 pounds, or between 13.8% and 17.6%. There were no differences between the morning and afternoon values. Grip and pinch strength fluctuate over time. Repeat testing is necessary to accurately assess hand strength. Grip and pinch strength do not vary from morning to afternoon.

Adolescent↗
PubMed2002

The effect of flexible magnets on hand muscle strength: a randomized, double-blind study.

The purpose of this study was to determine the effect of a flexible magnet on hand grip and thumb-forefinger pinch strength. Flexible magnet use has become popular in sports medicine and rehabilitation for a number of reasons, including augmenting muscle force output. Thirty-five university students (18 men and 17 women) volunteered for this study. Each subject was tested for grip strength (grip dynamometer) and thumb-forefinger pinch strength (pinch gauge) under 3 different treatment conditions: baseline (no magnet), sham magnet (placebo), and flexible magnet (700-G intensity). The order of treatments was randomly assigned, and all data collection followed a double-blind format. For grip strength measurements, magnet placement was over the bellies of the flexor digitorum profundus and flexor digitorum superficialis, and for pinch strength measurements, it was over the bellies of the flexor pollicis brevis and opponens pollicis. Three trials for each strength measurement for each of the 3 conditions were performed. Magnets (700 G or sham) were placed on the appropriate areas of the skin 3 minutes before the first test trial, with each subsequent test trial separated by 1 minute. Comparison among the 3 treatment conditions was analyzed using a 1-way analysis of variance (ANOVA) with repeated measures. ANOVA revealed no statistically significant (p > 0.05) mean differences for strength among any of the 3 treatments (baseline, 700-G magnet, or sham magnet) for either hand grip or thumb-forefinger pinch within each sex subgroup or for the combined group. The findings indicate that flexible magnets with a field strength of 700 G do not increase muscle strength.

Adult↗
PubMed2002

Increase in hand muscle strength of stroke patients after somatosensory stimulation.

It has been proposed that somatosensory input in the form of peripheral nerve stimulation can influence functional measures of motor performance. We studied the effects of median nerve stimulation on pinch muscle strength (a function mediated predominantly by median nerve innervated muscles) in the affected hand of chronic stroke patients. A 2-hour period of median nerve stimulation elicited an increase in pinch strength that outlasted the stimulation period. The improvement in muscle strength correlated with stimulus intensity and was identified in the absence of motor training. These results suggest that somatosensory stimulation may be a promising adjuvant to rehabilitation of the motor deficits in stroke patients.

Adult↗
PubMed1997

[Circadian rhythm in hand grip strength in patients with rheumatoid arthritis].

In 34 inpatients, 22 with diagnosis of rheumatoid arthritis according to revised ACR criteria and 12 with diagnosis of other diseases without affection of the hands served like control group we measured grip strength in 4 time period during the day (7, 11, 15, 19 hours) with the Martin's vigorimeter. Mean grip strength value was statistically lower in patients with rheumatoid arthritis in all four time periods (P < 0.005). There is general trend of the rising grip strength since morning to evening without statistically relevance. Grip strength firmly linear negatively correlated with the grade of morning stiffness.

Adult↗
PubMed2000

Grip and key pinch strength: norms for 15- to 22-year-old Chinese students.

BACKGROUND: Establishment of norms for hand strength is emerging worldwide and is both important and necessary in public health and hand surgery. The purpose of this study was to establish normative data for hand grip and key pinch strength for 15- to 22-year-old Chinese students. METHODS: The Jamar dynamometer was used to measure grip strength and the Jamar pinch gauge to measure key pinch strength. All subjects were free of disease or injury that might affect hand strength. All complementary factors such as age, sex, height, weight, dominant hand for writing and exercise were recorded. The influences of injury, exercise and living habits on the performance of hand strength were also examined. RESULTS: Out of a total of 2,982 students examined, there were nine men (0.39%) who used the left hand for writing, 143 men (6.27%) who used the left hand during exercise, two women (0.28%) who wrote with the left hand and 26 women (3.70%) who used the left hand during exercise. The mean grip and key pinch strength of the left hand was about 90% that of the right hand. The mean grip and key pinch strength of the women was about 60% that of men. CONCLUSIONS: A strong correlation between the right hand and the left hand in grip and key pinch strength was found. Whether nonanthropometric factors may affect hand strengths was explored as well.

Adolescent↗
PubMed2002

Improvements in activities of daily living following functional hand surgery for treatment of lesions to the cervical spinal cord: self-assessment by patients.

STUDY DESIGN: Tetraplegic patients were tested for hand strength before and after hand surgery. They also answered questions about how they rated the results of surgery. OBJECTIVES: Presentation of the efficacy of reconstruction of hand raising, lateral grip, and cylindrical grip in the tetraplegic hand. SETTING: The study was conducted in the Werner Wicker Clinic, Bad Wildungen, Germany, from 1991 to 1998. METHODS: The results of reconstruction surgery performed on 23 tetraplegic hands, as reflected in lifting the hand (n=3), lateral grip (n=21), and cylindrical grip (n=14), are presented. In a follow-up study in 22 patients, their management of activities of daily living 34.1 months (9-51 months) after the surgery is compared with the preoperative situation. Subjective satisfaction levels were elicited for each of the 22 patients by means of a questionnaire. RESULTS: The gain in force corresponded to 893 g (150-1500 g) for cyclindrical grip and 488 g (100-1200 g) for lateral grip, while they were able to develop grade 4 force for lifting the hand. After the operation 28 aids/appliances that patients had formerly used regularly were no longer necessary. There were 75 separate activities listed in the questionnaire, and on average the 22 patients were able to perform 8.7 (0-20) more of these. Most patients (19) said they would advise others to have the operation and 18, that they would have the operation again. There were 12 complications in nine patients. CONCLUSION: Reconstructive surgery on the hands of tetraplegic patients leads to gains in both cylindrical grip and lateral grip force and to increased manual dexterity. Patient satisfaction with the procedure is high.

Activities of Daily Living↗
PubMed1984

Bilateral wrist dislocation in an above knee amputee with advanced rheumatoid arthritis. Attempts at ambulation.

The ambulatory difficulties of a patient with long standing rheumatoid arthritis with an above knee amputation and bilateral wrist dislocations has not been previously reported. Although wrist fusion did in fact increase his hand strength, control and stability, he still lacked sufficient hand strength and grip to don and doff the prosthesis, nor could he use assistive devices in order to become an independent ambulator. The results of wrist fusion and attempts at ambulation are discussed.

Aged↗
PubMed1995

Quadriceps and hand-grip strength in adults with childhood-onset growth hormone deficiency.

The effects of chronic growth hormone (GH) deficiency on muscle size and strength of postural (quadriceps) and non-postural (hand-grip) muscle groups, as well as on vertical jump capacity, were evaluated in six adults with childhood-onset GH deficiency. Data obtained were compared to those recorded in an age-, sex- and exercise-matched healthy control group. Thigh muscle plus bone cross-sectional area (CSAM+B) of the dominant quadriceps was significantly lower (p < 0.001) than in controls, while the CSAM+B/(Body height)2 ratio was similar to that of controls. The maximum voluntary contraction (MVC) of the quadriceps of patients was significantly lower (p < 0.002) than in controls, while no differences existed in the quadriceps force expressed per unit area (MVC/CSA) between patients and controls. As far as hand-grip was concerned, the CSAM+B of the dominant forearm was significantly lower (p < 0.003) than in controls, while the CSAM+B/(Body height)2 ratio was no different. The hand-grip MVC of patients was significantly lower (p < 0.004) than in controls, while no differences existed in the MVC/CSA ratio. It is noteworthy also that no difference existed in the hand-grip to quadriceps MVC ratio of the two groups. Furthermore, no differences were found in the vertical jump capacity, because both delta Height and delta Height/Body weight of patients were not significantly different from those of controls. In conclusion, our study suggests that GH deficiency seems to reduce the size and strength of postural and non-postural muscle groups to the same extent.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2006

[Long-term results following denervation of the wrist in patients with stages II and III SLAC-/SNAC-wrist].

INTRODUCTION: Mid-carpal arthrodesis, proximal row carpectomy and wrist arthrodesis are commonly cited in the literature as successful methods for pain reduction in patients with advanced carpal collapse (SLAC-/SNAC-wrist stages II and III). However, studies of isolated wrist denervation in patients who still possess good wrist mobility appear to be an underrepresented topic, especially in the German literature. PURPOSE: Based on follow-up results, it was possible to establish to what extent patients benefit long-term from isolated wrist denervation, whilst retaining wrist mobility. PATIENTS AND METHOD: 46 patients (6 female, 40 male) with a diagnosis of SLAC-wrist (n = 10) or SNAC-wrist (n = 36) stages II and III underwent wrist denervation of points 1 - 4, 6, 9 and 10 according to Wilhelm, between 1990 and 2001, following a positive denervation test. No previous reconstructive wrist surgery had been performed on any of the patients, whose average age at the time of denervation was 47 years. In 29 cases the dominant hand was affected, and in 22 cases the symptoms could be classified as post-traumatic. Post-operative follow-up was possible in 32 out of 46 cases (70 %), and occurred on average 6.3 years post-denervation (range 2.3 to 14 years). RESULTS: Twelve out of 32 patients (32 %) reported to be pain-free at follow-up, with a post-operative period ranging from 2.3 to 11.4 years (average 6.2 years). Six patients (18.75 %) continued to experience pain when load-bearing, which remained unchanged over a period of several years. Three patients (9 %) reported pain after stress, five patients (15.6 %) the recurrence of severe pain, which developed on average 3.8 years post-operatively. Two patients (6.25 %) experienced no analgesic benefits following wrist denervation, and four patients underwent wrist arthrodesis on average 13.5 months post-denervation, due to remaining or additional symptoms. Nineteen out of 32 patients subjectively reported a significant improvement following wrist denervation. Reassessment of range of movement post-denervation showed a reduction of 8.1 % in wrist extension/flexion, and 20 % in radio/ulna-abduction. Compared to the unaffected side, this represented an average loss of 28 % wrist extension/flexion, and 33.5 % radio/ulna-abduction. An average 51 % increase in hand strength could be shown at follow-up, leaving an average 30 % deficit compared to the unaffected hand. Evaluation of these results using the Krimmer score showed a good - very good outcome in 20 of the 32 patients (62.5 %); six patients were found to have a satisfactory outcome, and six patients a poor outcome. Subjective measures of pain (obtained using visual analogue scales) showed a reduction from 68.13 pre-operatively to 25.63 post-operatively. The DASH assessment (parts A and B) attained an average post-operative value of 17.1. CONCLUSION: Denervation of the wrist in patients with SLAC-/SNAC-wrist stages II and III can achieve a long-term elimination or reduction of pain, whilst improving hand strength, and having only a minimal impact on wrist range of movement. Wrist denervation should therefore be given preference over wrist arthrodesis, midcarpal arthrodesis or proximal row carpectomy in patients with good wrist mobility.

Adult↗
PubMed2005

The use of the hand anatomic index to assess deformity and impaired function in systemic sclerosis.

To determine the "hand anatomic index" (HAI--a quantitative measure of hand deformity) in systemic sclerosis (scleroderma) and to compare it with the other measures of hand deformity and functional impairment. The HAI (measure of open hand span minus closed hand span/lateral height of hand) was determined in 30 patients with scleroderma and compared with hand deformity (as assessed by two independent rheumatologists) and with the Health Assessment Questionnaire (mHAQ), hand strength and prehensile gripability data. The HAI was confirmed as a reliable measure which clearly distinguished patients with increasing hand deformity and separated patients with diffuse scleroderma (n=12) from limited scleroderma (n=18), P=0.005. The HAI correlated significantly with measures of global functional impairment (as measured by the mHAQ) r=-0.46, P=0.01, hand strength r=0.51, P=0.0001 and prehensile gripability, r=-0.37, P=0.05 but neither with disease duration r=-0.16, P=NS nor age at disease onset r=0.20, P=NS. It was estimated that the HAI accounts for ~25% of the total global disability (as measured by HAQ). Measurement of the HAI in scleroderma provides a reliable and objective measure reflecting variable degrees of hand deformity and functional impairment and might provide a valid clinical outcome measure in patients with this disabling disorder.

Adult↗
PubMed2003

Factors of significance for mobility in children with myelomeningocele.

AIM: To investigate neurological impairment, hand function and cognitive function in a group of children with myelomeningocele, in order to identify factors of significance for independent mobility and the physical assistance required for mobility in daily activities. METHODS: The study material comprised 32 children, aged 6-11 y and without mental retardation. Mobility was assessed with the Pediatric Evaluation of Disability Inventory, scored as caregiver assistance. Statistical differences and correlations between the caregiver assistance scores and the selected variables were analysed. RESULTS: Nine children scored independent mobility. The independent children had better hand coordination (p = 0.004) and walking ability (p = 0.01), lower cele levels (p = 0.011), higher performance IQ (p = 0.027), better visuospatial function (p = 0.029) and executive function (p = 0.037) than the others. The caregiver assistance scores were lower for both the children with early and severe symptoms of brainstem dysfunction and the children with scoliosis. Statistically significant correlations were found between the need for caregiver assistance and reduced walking ability, high cele level, poor hand strength and coordination, visuospatial function, executive function and performance IQ. In the subgroup of children who needed a wheelchair or walking aids, hand strength was the only variable significantly correlated with caregiver assistance (r(s) = 0.703, p = 0.000). CONCLUSION: Most of the children were dependent on others in daily activities. Impaired hand function and cognitive function were significant for mobility, and this has implications for the therapy programme in children with myelomeningocele.

Activities of Daily Living↗
PubMed2006

The testing of classical pulse concepts in Chinese medicine: left- and right-hand pulse strength discrepancy between males and females and its clinical implications.

OBJECTIVES AND DESIGN: The use of the radial pulse as a diagnostic tool is an important part of the Chinese medicine (CM) clinical evaluation. This study reports the findings of an investigation into inter-arm pulse strength differences in subjects and the relationship to traditional pulse claims relating to gender. METHOD: Using a standardized pulse taking procedure and concrete operational definitions, two pulse assessors with a demonstrated high level of inter-rater agreement each assessed the overall left and right pulse strength and rated their findings on a standardized pulse form. RESULTS: The overall percentage of inter-rater agreement for manual assessment of dominant hand was 86% (based on a cohort of 65 subjects). In relation to the three possible choices regarding dominant side (right, neither, left) the right-hand side was most commonly selected as relatively strongest of the two regardless of gender (60% of males and 71% of females). Analysis of the data using Chi-square (II) found the observed frequencies for an assessor's rating of dominant hand in males were significantly different to those expected according to CM theory. CONCLUSIONS: The CM assumption of gender-related pulse-strength differences in left and right hand pulses was not supported within this study.

Adult↗
PubMed2004

Muscular strength and vibration thresholds during two years after acute poisoning with organophosphate insecticides.

AIMS: To evaluate the association of acute organophosphate (OP) poisoning with chronic sensory and motor neurological impairment. METHODS: This study concerns the third of a series of three examinations of hand strength and vibration thresholds in a two year period after acute OP poisoning among 48 Nicaraguan men. The first two examinations were performed at hospital discharge and seven weeks after poisoning, and the present examination two years later. Twenty eight cattle ranchers and fishermen who had never experienced pesticide poisoning were examined as controls, also three times over the two year period. The poisonings were categorised as caused by "non-neuropathic" OPs and "neuropathic" OPs, each subdivided in moderate and severe poisonings. RESULTS: Men poisoned with OP insecticides had persistent reduced hand strength. We previously reported weakness at hospital discharge for OP poisoned in all categories that worsened seven weeks later for those severely poisoned with neuropathic OPs. Strength improved over time, but the poisoned were still weaker than controls two years after the poisoning, most noticeably among the subjects most severely poisoned with neuropathic OPs. Also, index finger and toe vibration thresholds were slightly increased at the end of the two year period, among men with OP poisonings in all categories, but patterns of onset and evolvement of impairment of vibration sensitivity were less clear than with grip and pinch strength. CONCLUSIONS: Persistent, mainly motor, impairment of the peripheral nervous system was found in men two years after OP poisoning, in particular in severe occupational and intentional poisonings with neuropathic OPs. This finding is possibly due to remaining organophosphate induced delayed polyneuropathy.

Acute Disease↗
PubMed2004

Prediction of indoor climbing performance in women rock climbers.

In an attempt to more clearly understand the strength characteristics of female rock climbers and whether those variables affect and predict climbing performance, 2 indoor climbing performance tests (route and bouldering) were compared to a series of muscular strength tests performed by moderate (n = 6), intermediate (n = 6), and expert (n = 6) female rock climbers. Significant differences (p < 0.05) were found between the expert group and the moderate and intermediate groups for climbing specific hand strength, as well as 1-arm lock-off strength when expressed as a strength-to-weight ratio. Multiple correlations showed that these variables (r > 0.426) as well as a questionnaire of past climbing performance (r > 0.86) significantly correlated to the tests of indoor climbing performance. In conclusion, climbing-specific tests of hand strength and of one arm lock-off strength reliably and sensitively measured 2 significant variables in the performance of indoor rock climbing, and a questionnaire of past best performance may be an accurate tool for the prediction of indoor climbing performance.

Adolescent↗
PubMedDate not supplied

Testing the bioelectric shield.

A pendant was claimed to provide numerous health benefits, including reduced stress, increased strength, and protection from electromagnetic radiation from computers and mobile phones. Three experiments tested the effectiveness of this pendant's effect as a bioelectric shield. In the first experiment, 12 subjects who work with computers wore shields (6 real, 6 sham) for several weeks and were regularly tested for hand strength and mood changes. Both types of shield increased calmness, but the real shields did not have any greater effect. In 2 further studies (in each N=40) hand strength was measured at baseline, with mobile phone, and with mobile phone and bioelectric or sham shield. The shields did not differ in their effects. Both studies showed a significant correlation between the change in strength with and without the shield and subjects'scores on a questionnaire concerning their belief in and use of alternative therapies. The shields appear to produce a measurable placebo effect but are otherwise ineffective.

Adult↗