Prediction of grip and key pinch strength in 978 healthy subjects

Felix Angst, Susann Drerup, Stephan Werle, Daniel B Herren, Beat R Simmen, Jörg Goldhahn, Felix Angst, Susann Drerup, Stephan Werle, Daniel B Herren, Beat R Simmen, Jörg Goldhahn

Abstract

Background: Hand strength is an important independent surrogate parameter to assess outcome and risk of morbidity and mortality. This study aimed to determine the predictive power of cofactors and to predict population-based normative grip and pinch strength.

Methods: A representative population survey was used as the basis for prediction analyses (n = 978). Bivariate relationships between grip/pinch strengths of the dominate hand were explored by means of all relevant mathematical functions to maximize prediction. The resulting best functions were combined into a multivariate regression.

Results: Polynoms (up to the third degree) were the best predictive functions. On the bivariate level, height was best correlated to grip (46.2% explained variance) and pinch strength (37.7% explained variance) in a linear relationship, followed by sex, age, weight, and occupational demand on the hand. Multivariate regression provided predicted values close to the empirical ones explaining 76.6% of the variance for grip strength and 67.7% for pinch strength.

Conclusion: The five easy-to-measure cofactors sex, age, body height, categorized occupational demand on the hand, and body weight provide a highly accurate prediction of normative grip and pinch strength.

References

    1. Oken O, Batur G, Gündüz R, Yorganciogly RZ. Factors associated with functional disability in patients with rheumatoid arthritis. Rheumatol Int. 2008;29(2):163–166. doi: 10.1007/s00296-008-0661-1.
    1. Barnekow-Bergkvist M, Hedberg G, PettersSon U, Lorentzon R. Relationships between physical activity and physical capacity in adolescent females and bone mass in adulthood. Scand J Med Sci Sports. 2006;16(6):447–455. doi: 10.1111/j.1600-0838.2005.00500.x.
    1. Di Monaco M, Di Monaco R, Manca M, Cavanna A. Handgrip strength is an independent predictor of distal radius bone mineral density in postmenopausal women. Clin Rheumatol. 2000;19(6):473–476. doi: 10.1007/s100670070009.
    1. Sirola J, Rikkonen T, Tuppurainen M, Jurvelin JS, Alhava E, Kröger H. Grip strength may faciliate fracture prediction in perimenopausal women with normal BMD: a 15-year population-based study. Calcif Tissue Int. 2008;83(2):93–100. doi: 10.1007/s00223-008-9155-0.
    1. Ensrud KE, Ewing SK, Taylor BC, Fink HA, Cawthon PM, Stone KL, Hillier TA, Cauley JA, Hochberg MC, Rodondi N, Tracy JK, Cummings SR. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Int Med. 2008;168(4):382–389. doi: 10.1001/archinternmed.2007.113.
    1. Mahalakshmi VN, Ananthakrishnan N, Kate V, Sahai S, Trakroo M. Handgrip strength and endurance training as a predictor of postoperative morbidity in surgical patients: can it serve as a simple bedside test? Int Surg. 2004;98(2):115–121.
    1. Al Snih S, Markides KS, Ottenbacher KJ, Raji MA. Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clin Exp Res. 2004;16(6):481–486.
    1. Rantanen T, Guralnik JM, Foley D, Masaki K, Leveille S, Curb JD, White L. Midlife hand grip strength as a predictor of old age disability. JAMA. 1999;281(6):558–560. doi: 10.1001/jama.281.6.558.
    1. Bohannon RW. Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther. 2008;31(1):3–10.
    1. Flipon E, Brazier M, Clavel G, Boumier R, Gayet A, Le Loét X, Fardellone P. Is it possible to identify early predictors of the future cost of chronic arthritis? The VerA project. Fundam Clin Pharmacol. 2009;23(1):105–113. doi: 10.1111/j.1472-8206.2008.00645.x.
    1. Sasaki H, Kasagi F, Yamada M, Fujita S. Grip strength predicts cause-specific mortality in middle-aged and elderly persons. Am J Med. 2007;120(4):337–342. doi: 10.1016/j.amjmed.2006.04.018.
    1. Rantanen T, Volpato S, Ferruci L, Heikkinen E, Fried LP, Guralnik JM. Handgrip strength and cause-specific and total mortality in older disabled women: exploring the mechanism. J Am Geriatr Soc. 2003;51(5):636–641. doi: 10.1034/j.1600-0579.2003.00207.x.
    1. Purser JLK, Kuchibhatla MN, Fillenbaum GG, Haring T, Peterson ED, Alexander KP. Indentifying frailty in hospitalized older adults with significant coronary artery disease. J Am Geriatr Soc. 2006;54(11):1674–1681. doi: 10.1111/j.1532-5415.2006.00914.x.
    1. Silventoinen K, Magnusson PK, Tynelius P, Batty GD, Rasmussen F. Association of body size and muscle strength with incidence of coronary heart disease and cerebrocvascular diseases: a population-based cohort study of one million Swedish men. Int J Epidemiol. 2009;38(1):110–118. doi: 10.1093/ije/dyn231.
    1. Au-Yeung SS, Hui-Chan CW. Predicting recovery of dextrous hand function in acute stroke. Disabil Rehabil. 2009;31(5):394–401. doi: 10.1080/09638280802061878.
    1. Watson J, Ring D. Influence of psychological factors on grip strength. J Hand Surg (Am) 2008;33(10):1791–1795. doi: 10.1016/j.jhsa.2008.07.006.
    1. Matheson LN Matheson, Isernhagen SJ, Hart DL. Relationships among lifting disability, grip force, and return to work. Phys Ther. 2002;82(3):249–256.
    1. Goldhahn J, Angst F, Simmen BR. What counts: outcome after distal radius fractures in aged patients. J Orthop Trauma. 2008;22(8 Suppl):S126–S130. doi: 10.1097/BOT.0b013e31817614a1.
    1. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiother. 2006;92:11–15. doi: 10.1016/j.physio.2005.05.003.
    1. Chong CK, Tseng CH, Wong MK, Tai TY. Grip and pinch strength in Chinese adults and their relationship with antropometric factors. J Formos Med Assoc. 1994;93(7):616–621.
    1. MacDermid JC, Fehr LB, Geiger KC. The effect of physical factors on grip strength and dexterity. Br J Hand Ther. 2002;7(4):112–118.
    1. Bohannon RW. Is it legitimate to characterize muscle strength using a limited number of measures? J Strength Cond Res. 2008;22:166–173.
    1. Rantanen T, Era P, Heikkinen E. Maximal isometric strength and mobility among 75-year-old men and women. Age Aging. 1994;23(2):132–137. doi: 10.1093/ageing/23.2.132.
    1. Jeune B, Skytthe A, Cournil A, Greco V, Gampe J, Berardelli M, Andersen-Ranberg K, Passarino G, Debenedictis G, Robine JM. Handgrip strength among nonagenarians and centenarians in three European regions. J Gerontol A Biol Sci Med Sci. 2006;61(7):707–712.
    1. Werle S, Goldhahn J, Drerup S, Simmen BR, Sprott H, Herren DB. Age-and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population. J Hand Surg Eur Vol. 2009;34(1):76–84. doi: 10.1177/1753193408096763.
    1. US Department of Labor Employment and Training Administration. Online version for Windows. 4. Washington, DC, USA; 1991. Dictionary of occupational titles.
    1. Sachs L. In: Angewandte Statistik (Applied statistic) 9. Sachs L, editor. Berlin, Germany: Spinger; 1999. Nichtlineare Regression (Non-linear regression) pp. 560–567.
    1. Backhaus K, Erichson B, Plinke W, Weiber R. In: Multivariate Analysemethoden (Multivariate methods of analysis) 10. Backhaus K, Erichson B, Plinke W, Weiber R, editor. Berlin, Germany: Spinger; 2003. Schrittweise Regressionsanalyse (Stepwise regression analysis) pp. 104–111.
    1. Abrahamson JH, Abrahamson ZH. In: Making sense of data. A self-instruction manual on the interpretation of epidemiologic data. 3. Abrahamson JH, Abrahamson ZH, editor. Oxford, UK: Oxford University Press; 2001. Measures of strength; pp. 200–201.

Source: PubMed

3
Subskrybuj