DOI QR코드

DOI QR Code

Study on Changes in the Grip Strength of Normal Adults Depending on the Position of the Forearm

  • Received : 2017.12.11
  • Accepted : 2018.01.25
  • Published : 2018.03.31

Abstract

This study aimed to measure the grip strength of the dominant and non dominant hands of right-handed normal adults in the supination, pronation, and neutral positions of the forearms. The subjects of this study were instructed to make the standard posture suggested by the American Society of Hand Therapists (ASHT) in order to minimize the impact of changes in the posture of the body as follows. The grips strength was statistically different between groups (p<.05). In the follow up test using Scheffe test, the grips in the neutral position and supinator position did not show any difference, while the grip in the pronation was smaller than those of the above two other positions. The grips of the mainly used forearm and non-mainly used forearm of the study target did not show any statistically significant difference in the neutral, supinator and pronation positions of the forearm. This study is expected to provide basic information for studying the impact of the positions of the forearms on grip strength, assessing the prehensility of patients in clinical settings, and setting therapeutic goals.

Keywords

References

  1. Morey MC, Pieper CF, Cornoni-Huntley J. Physical fitness and functionallimitations in community-dwelling older adults. Med Sci Sports Exerc. 1998;30(5):715-23. https://doi.org/10.1097/00005768-199805000-00012
  2. Newman AB, Kupelian V, Visser M et al. Strength, but not muscle mass, is associated withmortality in the health, aging and body composition study cohort. J Gerontol A BiolSci Med Sci. 2006;61(1):72-7. https://doi.org/10.1093/gerona/61.1.72
  3. Metter EJ, Talbot LA, Schrager M et al. Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol A BiolSci Med Sci. 2002;57(10):B359-65. https://doi.org/10.1093/gerona/57.10.B359
  4. Gilbert JC, Knowlton RG. Simple method to determine sincerity of effort during a maximal isometric test of grip strength. Am J Phys Med. 1983; 62(3): 135-44.
  5. Petersen P, Petrick M, Connor H et al. Grip strength and hand dominance: challenging the 10% rule. Am J OccupTher. 1989; 43(7): 444-7.
  6. Norman K, Stobaus N, Gonzalez MC et al. Hand gripstrength: outcome predictor and marker of nutritional status. ClinNutr.2011;30(2):135-42.
  7. Flood A, Chung A, Parker H et al. The use of hand gripstrength as a predictor of nutrition status in hospital patients.ClinNutr.2014;33(1):106-14.
  8. Phillips P. Grip strength, mental performance and nutritional status asindicators of mortality risk among female geriatric patients. Age Ageing. 1986;15(1):53-6. https://doi.org/10.1093/ageing/15.1.53
  9. Nalebuff EA. Surgery of systemic lupus erythematosus arthritis of the hand. Hand Clin. 1996; 12(3): 591-602.
  10. McDowell TW, Wimer BM, Welcome DE et al. Effects of handle size and shape on measured grip strength.Int J IndErgon. 2012; 42(2):199-205.
  11. Yu J, Kang H, Jung J. Effects of modified constraint-induced movement therapy on hand dexterity, grip strength and activities of daily living of children with cerebral palsy: a randomized control trial. J PhysTher Sci. 2012; 24(10): 1029-31.
  12. Fess EE, Moran C. Clinical assessment recommendation. Indianapolis.American society of Hand Therapists. 1981.
  13. Smith LK, Weiss EL, Don Lehmkuhl L. Brunnstrom'sclinical kinesiology, 5th ed.FA Davis, Philadelphia, 1996.
  14. Richards LG, Olson B, Palmiter-Thomas P. How forearm position affectsgrip strength. Am J OccupTher. 1996; 50(2): 133-8.
  15. Mogk JPM, Keir PJ. Crosstalk in surface electromyography of the proximal forearm during gripping tasks.J ElectromyogrKinesiol. 2003; 13(1): 63-71.
  16. Lee SY. The effect of grip strength in change of wrist position according to elbow flexion. J Korean SocPhys Med. 2009; 4(4): 209-14.
  17. Kim TH, Jung SR, Kang SS et al. Effects of combinational posture of shoulder, elbow and wrist on grip strength and muscle activity. J Korean SocSaf. 2016; 31(4): 111-9.
  18. Armstrong CA, Oldham JA. A comparison of dominant and non-dominanthand strengths. J Hand Surg Br. 1999; 24(4):421-5.
  19. Incel NA, Ceceli E, Durukan PB et al. Grip strength: effect of hand dominance. Singapore Med J. 2002; 43(5): 234-7.
  20. Abe T, Loenneke JP. Handgrip strength dominance is associated with difference in forearm muscle size. J PhysTher Sci. 2015;27(7): 2147-9.
  21. Mathiowetz V, Weber K, Volland G et al. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am. 1984; 9(2):222-6. https://doi.org/10.1016/S0363-5023(84)80146-X
  22. Norkin CC, Levangie PK. Joint structure and function, 2nd ed.FA Davis, Philadelphia, 1992.
  23. Brand PW, Hollister A. Clinical mechanics of the hand. Mosby, St Louis, 1993.
  24. Epner RA, Bowers WH, Guilford WB. Ulnar variance - the effect of wrist positioning on roentgen filming technique. J Hand Surg Am. 1982; 7(3): 298-305. https://doi.org/10.1016/S0363-5023(82)80183-4
  25. Palmer AK, Glisson RR, Werner FW. Ulnar variance determination. J Hand Surg Am. 1982; 7(4): 376-9. https://doi.org/10.1016/S0363-5023(82)80147-0
  26. De Smet L, Tirez B, Stappaerts K. Effect of forearm rotation on grip strength.ActaOrthop Belg. 1998; 64(4): 360-2.
  27. Bechtol CO. Grip test: the use of a dynamometer with adjustable handle spacings. J. Bone Joint Surg Am. 1954; 36(4): 820-4. https://doi.org/10.2106/00004623-195436040-00013
  28. Crosby CA, Wehbe MA. Hand strength: normative values.J Hand Surg Am. 1994; 19(4):665-70. https://doi.org/10.1016/0363-5023(94)90280-1
  29. Jarjour N, Lathrop JA, Meller TE et al. The 10% rule: grip strength andhand dominance in a factory population. Work. 1997, 8(1): 83-91. https://doi.org/10.1016/S1051-9815(97)84692-X