scholarly journals Relationship Between Hand Grip Strength, Cognition, And Hand Dexterity In Older Adults: A Pilot Study

2019 ◽  
Author(s):  
Li-Jen Kuo ◽  
James Chi-Yong Ngu ◽  
Yen-Kuang Lin ◽  
Chia-Che Chen

Abstract Background: Minimally-invasive surgery has been shown to more demanding on the surgeon than open surgery. This can be manifested as physical fatigue and impaired dexterity, affecting the performance of the surgeon. In this study, we aimed to use hand dexterity and grip strength test as objective measures to compare the difference in surgeon fatigue associated with robotic and laparoscopic colorectal surgery. Methods: A pilot study was conducted between February 2019 and May 2019, recruiting consecutive colorectal patients operated on by a single surgeon using laparoscopy or robotics. We used the Purdue Pegboard Test (PBT) to assess hand dexterity, and the Camry Electronic Handgrip Dynamometer to assess hand grip strength. Before each operative procedure, the surgeon was tasked to perform both tests in a standardized sequence. These tests were repeated two hours into surgery.Results: Eighteen patients were operated on, including 10 robotic and 8 laparoscopic cases. Statistical analysis revealed no difference in dexterity or muscle fatigue after operating with the robot. In contrast, there was a significant difference in the hand grip strength of both hands after laparoscopic surgery (P = 0.04 and 0.02, respectively).Conclusions: Our results show that the resultant fatigue after laparoscopy affects both hands of the surgeon. In contrast, there was no difference in dexterity or muscle fatigue after operating with the robot. Given the demands of complex colorectal surgeries, robotics may be a means of optimizing surgeon performance by reducing fatigue.


2017 ◽  
Vol 6 ◽  
Author(s):  
Francisco Mardones ◽  
Pilar Arnaiz ◽  
Johana Soto-Sánchez ◽  
Juana Saavedra ◽  
Angélica Domínguez ◽  
...  

AbstractThis paper describes a 4-month pilot study that tested the suitability of a physical activity intervention for first graders (children aged 6 and 7 years) in a public school in Santiago, Chile. Teachers were trained to deliver the programme in the classroom during the school day. Teachers were surveyed to determine if this intervention fit within their curriculum and classroom routines and they reported in a focus group that it was suitable for them. All children actively participated in the programme and positive changes in their attitudes towards physical activity were observed by their teachers. Anthropometrics, blood pressure and hand grip strength were measured in the students. A significant reduction was observed in children with high waist circumference ≥ 90th percentile, and in mean systolic blood pressure. However, statistical power values for those comparisons were rather low. Anthropometry and hand grip strength were not modified. The latter calculations and the lack of a control group are showing the weaknesses of this pilot study and that further research with a larger sample size and an experimental design is strongly needed.


2021 ◽  
Vol 26 (1) ◽  
pp. 61-72
Author(s):  
Robin Orr ◽  
Anthony Rofe ◽  
Ben Hinton ◽  
Jay Dawes ◽  
Gianpiero Greco ◽  
...  

Police officers may be required to use their firearms in self-defence. The purpose of this study was to evaluate the relationships between hand grip size and strength with pistol shooting accuracy in police officers. Twelve (age = 38.08 ± 6.24 years; height = 174.42 ± 7.33 cm) police officers had their hand sizes (palm width and hand span) and hand grip strength measured. Handgrip dynamometer was set at a Glock 17 pistol's grip width (50 mm). The officers fired 10 rounds from their service pistols at a stationary target. Independent samples t-tests were performed to identify differences between the sexes. Correlations were used to investigate relationships between measures of hand size, strength, and marksmanship. Alpha levels were set at p < 0.05. Male officers were significantly stronger (p = 0.01) and had a bigger hand width (p = 0.03), but not hand span. There were no significant differences in marksmanship between the sexes. Neither hand size nor grip strength had a significant impact on marksmanship even though there were strong and significant relationships between hand size (span and MCP) and grip strength. A V-shaped curve appears to exist between grip strength and marksmanship and hand span and marksmanship, with a potential influencing factor being the standard sizing of the pistol grip.


2022 ◽  
pp. 109980042110651
Author(s):  
Tingting Liu ◽  
Hongjin Li ◽  
Yvette P. Conley ◽  
Brian A. Primack ◽  
Jing Wang ◽  
...  

Introduction Aging is associated with subtle cognitive decline in attention, memory, executive function, processing speed, and reasoning. Although lower brain-derived neurotrophic factor (BDNF) has been linked to cognitive decline among older adults, it is not known if the association differs among individuals with various BDNF Val66Met (rs6265) genotypes. In addition, it is not clear whether these associations vary by hand grip strength or physical activity (PA). Methods A total of 2904 older adults were included in this study using data from the Health and Retirement Study. Associations between serum BDNF and measures of cognitive function were evaluated using multivariable linear regression models stratified by Met allele status. PA and hand grip strength were added to the model to evaluate whether including these variables altered associations between serum BDNF and cognition. Results Mean age was 71.4 years old, and mean body mass index was 28.3 kg/m2. Serum BDNF levels were positively associated with higher total cognitive score (beta = 0.34, p = .07), mental status (beta = 0.16, p = .07), and word recall (beta = 0.22, p =.04) among Met carriers, while serum BDNF levels were negatively associated with mental status (beta = −0.09, p = .07) among non-Met carriers. Furthermore, associations changed when hand grip strength was added to the model but not when PA was added to the model. Conclusions The BDNF Val66Met variant may moderate the association between serum BDNF levels and cognitive function in older adults. Furthermore, such associations differ according to hand grip strength but not PA.


2017 ◽  
Vol 7 (2) ◽  
pp. 63-68 ◽  
Author(s):  
Trish Gail Sevene ◽  
Joseph Berning ◽  
Chad Harris ◽  
Mike Climstein ◽  
Kent Jason Adams ◽  
...  

2019 ◽  
Vol 42 (4) ◽  
pp. 161-166 ◽  
Author(s):  
Manasi Desai ◽  
Ahmed Mohamed ◽  
Andrew Davenport

Introduction: Haemodialysis patients are at an increased risk of sarcopenia. Physical inactivity is now recognised as a major cause of muscle wasting in haemodialysis patients. It is unclear as to what and how much exercise is required to show benefit. We therefore performed a pilot study of cycling during haemodialysis. Methods: Patients underwent a progressive submaximal individualised cycling exercise, 3× a week during haemodialysis for 4 months using bed-cycle ergometers. Body composition was measured by multifrequency segmental bioimpedance and muscle function by 6-min walking test, and hand grip strength and pinch strength. Results: In total, 56% of patients in a dialysis centre fulfilled exercise study inclusion criteria and 13 (72.2%) of 18 patients completed the exercise programme, with the mean age of 64.0 ± 16.6 years and 76.9% being male. The 6-min walking test increased following exercise from 349 ± 105 to 398 ± 94.2 m, p < 0.05, as did both hand grip strength and pinch strength, with 20.4 ± 9.1 versus 23.4 ± 9.9 kg, p < 0.01, and 4.3 ± 1.8 versus 5.9 ± 2.4 kg, p < 0.05, respectively. There were no changes in appendicular muscle mass or other body composition detected with bioimpedance in either the exercise group, or 21 control patients, propensity matched for body composition, comorbidity and frailty. Muscle strength did not change in the control group. Haemodialysis sessional Kt/Vurea was greater at the end of the exercise programme compared to controls (1.63 ± 0.63 vs 1.21 ± 0.12, p < 0.01). Conclusion: The majority of dialysis centre patients met our exercise study entry criteria and could potentially benefit from cycling during haemodialysis. We found that muscle function and strength improved after a 4-month, thrice weekly cycling exercise programme.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Hui Lin Ong ◽  
Edimansyah Abdin ◽  
Boon Yiang Chua ◽  
Yunjue Zhang ◽  
Esmond Seow ◽  
...  

2020 ◽  
Author(s):  
Xiao Liu ◽  
Jean Wei Ting Seah ◽  
Benedict Wei Jun Pang ◽  
Mary Ann Tsao ◽  
Falong Gu ◽  
...  

Abstract Background: Frailty is a common geriatric syndrome, characterized by reduced physiologic reserve and increased vulnerability to stressors, due to cumulative decline in multiple physiological systems. We studied the feasibility of a community-delivered Baduanjin (BDJ) training program among pre-frail/frail community-dwelling older people. We examined 1) safety (adverse events), physical and psychological effects; and 2) feasibility of recruitment, retention, adherence; recruitment efforts and any program challenges, so as to inform future studies.Methods: Our study was a single arm pre-post study in a community setting. Sixteen week group BDJ training (2x/week in the first 4 weeks, and 3x/week thereafter) co-designed and implemented by community-based providers in Singapore. Recruitment, attendance and adverse events were recorded throughout the training. A participants’ survey was also administered after the training program. Effects of the intervention on physical and functional outcomes (hand grip strength, knee extension strength, Time Up and Go (TUG), Physiological Profile Assessment (PPA), 30-second Sit-to-Stand test, 6-meter fast gait speed test), frailty outcomes (frailty score and status), and other outcomes (Maastricht Questionnaire (MQ), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Geriatric Depression Scale (GDS), and EQ-5D-5L) were examined before and after the program.Results: Of 31 older adults screened to be frail, 15 met inclusion criteria and 3 refused participation, resulting in 12 older adults (9 women) enrolled into the program. During the program, one participant was hospitalized (unrelated to BDJ training) and the other 11 (aged 77±6 years; 2 frail, 9 prefrail at baseline) completed the program with average overall attendance of 89%. Most (89%) of the 44 training sessions had attendance >80%. The program received positive feedback with no training-related adverse events. Participants either reversed (n=2) or maintained (n=9) their frailty statuses. There post-training outcomes in hand grip strength, knee extension strength, TUG , MQ , FES , MoCA , GDS and EQ-5D-5L index score appeared to be better. The reduction of frailty and PPA fall risk scores were of moderate-to-large effect size. Conclusions: Community-delivered BDJ training program was safe and feasible for prefrail/frail older adults with the potential to improve physical and cognitive function, reduce fall risk, improve psychological well-being, and reverse frailty status.


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