Measurement and Co-Relation of Hand Span and Dexterity Function in Paediatric Population

Author(s):  
Dr. Vidhi Shah ◽  
Renuka Pangde ◽  
Padmaja Guruprasad ◽  
Sunita Padhi ◽  
Bhakti Panchal ◽  
...  

<strong>Background</strong><br> The measure of handgrip strength is influenced by several factors including age, gender, different angle of shoulder, elbow,wrist and grip span . there is an optimal grip span at which maximum handgrip strength is obtained in adult.Hand span affect maximal and submaximal handgrip strengths. It was found that hand span affect grip strength, grip force and dexterity function in adult as well as geriatric population. In geriatric population hand grip function decreased with age.<br> <strong>Methodology</strong><br> Screening was done in 3 schools near PCMC area and students were selected as per the inclusion criteria. Total 150 children’s age from 6 to 16 years were selected from the convenient places. Hand span was measured in both hands (Dominant and Non-dominant) from the tip of the thumb to the tip of the small finger with the hand open as wide as possible. And the results of hand span measurement were rounded to nearest whole. The dexterity function was measured using Jebsen Taylor Hand Function Test. There were 7 subtests performed in the Jebsen Taylor Hand Function Test. <br> <strong>Results : </strong><br> The results shows that there was a strong negative correlation between the hand span and subtest1,2,3,7 of Jebsen Taylor Hand Function test. There was a moderate negative correlation between the subtest 4,5,6 of Jebsen Taylor Hand Function test. <br> <strong>Conclusion : </strong><br> In pediatrics, as the age increases, the hand span and hand grip strength increases but the time required to complete the subtest in Jebsen Taylor hand function test decreases. So the dexterity function improves.

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11252
Author(s):  
Subham Mistry ◽  
Taimul Ali ◽  
Mohammed Qasheesh ◽  
Rashid Ali Beg ◽  
Mohammad Abu Shaphe ◽  
...  

Background Breast cancer related upper limb lymphedema (BCRL) is a common complication in post-mastectomy patients. It is known to cause upper limb disability, which subsequently may affect the grip strength and hand function. There is little evidence on the objective assessment of functional activities particularly hand function in women with BCRL. Therefore, this study objectively assesses the handgrip strength and hand functions in women with BCRL. Method A cross-sectional study design was conducted on a sample of women with (n = 31) and without (n = 31) BCRL. The Handgrip strength and hand functions were measured using a dynamometer and Jebsen-Taylor hand function test, respectively. Results The results showed a significantly reduced handgrip strength in women with BCRL as compared to age-matched healthy adult women for both right and left hands (p < 0.05). Similarly, hand functions were significantly impaired in women with BCRL as compared to healthy adult women (p < 0.05). Reduction in handgrip strength and hand function in women with BCRL were clinically meaningful as indicated by moderate to large effect sizes (Cohen’s d = 0.61 to 0.99 and 0.54 to 3.02, respectively) in all outcomes except power handgrip strength in left hand (Cohen’s d = 0.38). Conclusion The results of this study indicate a significant reduction of hand grip strength and hand function in women with BCRL. Our findings suggest that objective measures of grip strength and function be included in the assessment of women with BCRL to better guide clinical decision making and patient care, which may include management of impairment associated with hand strength and function. Future studies that evaluate hand grip strength and function in a larger sample which includes a more diverse age group of women with BCRL are warranted to confirm the current findings.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Natália Barbosa Tossini ◽  
André Luis Simões Zacharias ◽  
Luiza Souza Seraphim Abrantes ◽  
Paula Regina Mendes da Silva Serrão

AbstractThe objective of this study was to verify whether women in the initial stages of hand osteoarthritis (HOA) already have impaired grip strength and flexor and extensor torque of the wrist compared to healthy women. It also aimed to correlate these variables with pain, stiffness, and function of the hand. Twenty-six women were divided into a control group [CG, n = 13; 56 (51–61) years old] and a hand osteoarthritis group [HOAG, n = 13; 58 (53–63) years old]. Grades II and III were included in the HOA group according to the criteria of Kellgren and Lawrence. All volunteers answered an initial assessment form, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and the Australian/Canadian Hand Osteoarthritis Index (AUSCAN). The grip strength and isometric wrist flexor and extensor torque were evaluated by a hydraulic dynamometer. Comparisons between groups used Student’s t test for independent samples and the Mann–Whitney test. Spearman's correlation was used to correlate grip strength and flexor and extensor wrist torque to the degree of disease and DASH and AUSCAN scores. There were no differences between the groups in grip strength or flexor and extensor torque values. In terms of the DASH and the AUSCAN, the HOA group had higher scores, indicating worse hand function. A strong negative correlation was found between grip strength and the degree of HOA (r =  − 0.70, p = 0.008), and a moderate positive correlation was found between flexor torque and the degree of HOA (r = 0.53, p = 0.05). The pain (r =  − 0.61, p = 0.02) and function (r =  − 0.66, p = 0.01) sections of the AUSCAN correlated negatively with grip strength. Pain can be an important feature in the HOA rehabilitation process, as it can influence handgrip strength and function. It is important that rehabilitation is implemented as soon as possible to guarantee the maintenance of strength and function since with the severity of the disease, patients tend to have deficits in grip strength and function.


Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Hasan Atacan Tonak ◽  
Ozgun Kaya Kara ◽  
Sedef Sahin

BACKGROUND: Using objective anthropometric measurement data and anthropometric ratios, grip strength and hand functionality can be evaluated. OBJECTIVE: The aim of this study was to obtain anthropometric measurements regarding the forearm and hand, to evaluate the hand functionality in addition to hand and finger grip strengths, and to investigate the correlation between these values. METHODS: One-hundred eight-four subjects between 18 and 25 years were included in the study. Forearm and hand anthropometric measurements and ratios were measured. Hand and lateral grip strengths were evaluated. Jebsen Taylor Hand Function Test (JTHFT) was used to assess hand functionality. RESULTS: A statistically weak and consistently negative correlation between the ratios of forearm length to forearm/wrist circumferences and the ratio of hand length to metacarpal head circumference and hand-lateral grip strengths was found. There was a statistically weak and consistently negative correlation between these ratios and the subtests of JTHFT. It was shown that there was a statistically weak–moderate positive correlation between the hand-lateral grip strengths and JTHFT subtests. CONCLUSIONS: In conclusion, when evaluating grip strength and hand functionality, forearm and hand anthropometric measurements and ratios, which could affect the results, should be considered.


Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Hasan Toktas ◽  
Umit Dundar ◽  
Özge Yilmaz Kusbeci ◽  
Alper Murat Ulasli ◽  
Ozgur Toy ◽  
...  

AbstractIntroductionIn Parkinson’s disease (PD), a resting tremor of the thumb may affect the flexor pollicis longus (FPL) and influence hand functions. We investigated the relationship between FPL tendon thickness and hand function in PD patients and compared these characteristics with those in healthy controls.MethodsThe hand grip and pinch strengths were measured. The participants completed the Duruöz hand index, the Sollerman’s hand function test, and the Nine Hole Peg Test. The thickness of the FPL tendon was measured using ultrasonographyResultsThe FPL tendon was thicker in PD patients but was not associated with tremor severity. In PD patients, despite functional performance of the hands are impaired and grip strength is decreased, pinch strengths are preserved. FPL thickness was not correlated with grip and pinch strengths.ConclusionThe thicker FPL tendon may be associated with greater pinch and grip strengths and manual dexterity in healthy individuals. The presence of tremor is associated with a thicker FPL tendon.


2020 ◽  
pp. 45-46
Author(s):  
Divya Gupta ◽  
Nisha Shokeen ◽  
Sushmita Kushwaha ◽  
Shilpa Shilpa

Introduction: Deterioration in hand function in the elderly population is mostly secondary to age related degenerative changes in muscle, vascular and nervous system. Evaluation of hand strength can provide an objective index of general upper body strength. Aim: To determine the correlation of age with grip strength and pinch strength in healthy individuals. Methodology: This was a prospective study with 110 healthy subjects within the age group of 20-74 years. All the individuals in the study are divided in to 11 age groups of five years interval. Grip strength and pinch strength of each subject were recorded with hydraulic hand grip dynamometer and pinch gauge respectively. Then the data was calculated for further evaluations. Results: The highest and lowest grip as well as pinch strength was found in age group 30-34 year and 70-74 years respectively. The value of correlation coefficient, ‘r’ between age and grip strength was found to be -0.945 and between age and pinch strength was found to be -0.890 suggesting strong negative correlation of age with pinch and grip strength. Conclusion: The study concludes that with increasing age, grip strength and pinch strength decreases.


Author(s):  
Deepika Singla ◽  
M. Ejaz Hussain

AbstractBackgroundAlthough a significant amount of research has been conducted on handgrip strength and its association with anthropometric variables, very few researchers have focused on assessment of back strength and its relationship with anthropometric variables in cricketers.ObjectiveTo investigate the degree of correlation between handgrip strength and back strength in cricket players of different maturity levels and to find the correlations of handgrip strength and back strength with anthropometric variables of age, height, body weight and body mass index (BMI).MethodsTwenty-four adolescents; aged 16.6 ± 0.8 years and 32 adult cricketers aged 24 ± 4.6 years were tested for height, body weight, BMI, hand grip strength and back strength. t values, Cohen’s d and Pearson’s correlation coefficients were calculated.ResultsHand grip strength and back strength were not found to correlate with each other at p ≤ 0.05 in adolescent players while a statistically significant large sized correlation was observed in adult cricketers at p = 0.001. Back strength and body weight were found to have a statistically significant moderate sized correlation with each other (r = 0.453 in the adolescent group and r = 0.355 in the adult group). Significant positive correlations were observed for left hand grip strength with height, body weight and BMI and also between back strength and age in the adult population of cricketers.ConclusionA significantly large correlation exists between handgrip strength and back strength in adult cricketers with no such correlation found for adolescent cricketers. Data of the present study justify its utility in the case of selection, assessment and rehabilitation of cricket players.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Mary Camire ◽  
Emily Durán-Frontera ◽  
Mona Therrien

Abstract Objectives This study examined relationships among smell impairment and health in adults over the age of 60 years. We hypothesized that persons with impaired or altered olfaction would be weaker (as shown by hand grip strength tests) and have a lower body mass index (BMI) ratios because they ate less. Methods The 2013–2014 NHANES database was use examined for smell identification scores, general demographic data, handgrip strength, and other types of data. Only persons aged 60 or older who had completed the Mobile Exam Center interview, and the complete smell and grip tests were included (n = 1287). Data were weighted to represent the U.S. population. Smell impairment was defined as five or fewer correct answers in the Odor Identification Test. Data-dependent statistical analyses (t-test, Wilcoxon rank sum, χ2) were performed to find differences based on specific criteria. Odds ratios (OR) with 95% confidence intervals were generated by simple logistic regression, and then a multivariable predictive model was developed. Results The NHANES participants included for these analyses were mainly non-Hispanic white (52.7%), college-educated (54.5%), and lived with someone (60%). The prevalence of smell impairment was 21.7% among persons aged 60 or older, but the prevalence rose to 44.8% among persons aged 75–80. The prevalence of self-reported smell alteration was 16.2%. Smell impairment was significantly associated with age 75–80 years (OR: 3.51, CI: 2.51–3.11), and an educational level of high school or less (OR: 1.70, CI: 1.40–2.30). After adjustment for gender, age, education, and race, smell impairment was associated with poor health self-ratings (OR: 2.63, CI: 1.30–5.40), more sedentary hours each day (OR: 1.07, CI: 1.03–1.11), and presence of smell alteration (OR: 3.00, CI: 2.10–4.60). Persons with normal muscle and hand grip strength were less likely to have a smell impairment or alteration. Conclusions Men aged 75–80 years were more at risk for smell impairment. Further research is needed to determine whether preservation of olfaction can forestall age-related reductions in appetite, and subsequent loss in body mass, particularly muscle. The inclusion of persons older than 80 years in the NHANES sampling would provide useful data for researchers. Funding Sources USDA Hatch funds.


Author(s):  
Aya Hamed Safar ◽  
Mohamed G. Zaki ◽  
Dina S. Al-Zifzaf ◽  
Rana A. El-Hilaly ◽  
Nouran Abaza

Abstract Background Musculoskeletal ultrasound can be now considered a complement to physical examination in rheumatoid arthritis. This study evaluates the role of musculoskeletal ultrasound in assessment of rheumatoid hand function and underlying functional defects and disabilities in order to find out a possibly better tool for assessment. Results Hand grip weakness was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.045), wrist joint synovitis (p = 0.009), flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.001), flexor pollicis longus tendon tenosynovitis (p = 0.013). Hand function impairment by grip ability test was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.009), wrist joint synovitis (p = 0.004), and flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.042). Multiple linear regression analysis showed that the most influencing factor affecting grip ability test and hand grip strength was ulnar 4 Flexor tendons tenosynovitis (P = 0.023, P = 0.037) respectively. Conclusions Joint synovitis and tenosynovitis that are detected by musculoskeletal ultrasound can be used as an assessment tool for hand function in rheumatoid arthritis, since they are associated with reduced hand grip strength and impaired hand ability.


2021 ◽  
Vol 12 (1) ◽  
pp. 208-212
Author(s):  
Malarvizhi D ◽  
Hariharan S

The Geriatric syndrome includes a series of representation which may be related to ageing such as delirium, falls, incontinence and frailty.  Frailty is a common clinical syndrome in geriatric population that supports the weight of enhancing the risk of poor health outcomes, including the falls incident, disability, hospitalization and mortality.  This study aims to find out the Correlation of Hand Grip, Gait Speed and Physical Activity with Frailty Index in Geriatric Population.  It is an observational study done with convenient sampling with 40 participants of both the sexes were selected based on the selection criteria.  The frailty of participants was assessed by a questionnaire which contains 41 components known as “Frailty Index”.  An administered interviewer reported that. Hand-Held Dynamometer measured hand Grip. A 10-meter walk test assessed gait speed. The Physical Activity Scale assessed physical activity for The Elderly (PASE).  The results showed that PASE Score, for the age group between 60-69 years people have high PASE score 100.9 than the age group of peoples 70-79 years, 80-89 years and 90-97 years with a score of 71.49, 36.17, 6.5 respectively. There is a negative correlation of frailty index with hand grip (r = -0.314), gait speed (r = -0.313) and Physical activity.  The study concluded that there was a negative correlation of handgrip, gait speed and physical activity with frailty index in the geriatric population.


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